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961.
Rachelle D. Hollander 《The Journal of medical humanities》1984,5(2):116-126
This article describes three kinds of information constraints in medical encounters that have not been discussed at length in the medical ethics literature: constraints from the concept of a disease, from the diffusion of medical innovation, and from withholding information. It describes how these limit the reliance rational people can justifiably put in their doctors, and even the reliance doctors can have on their own advice. It notes the implications of these constraints for the value of informed consent, identifies several procedural steps that could increase the value of the latter and improve diffusion of innovation, and argues that recognition of these constraints should lead us to devise protections which intrude on but can improve these encounters. 相似文献
962.
An analysis of some sensitizing agents in the pathogenesis of stress-induced gastric erosive disease
B. H. Natelson M. Ferrara-Ryan D. Creighton J. Yavorsky G. Curtis W. N. Tapp 《Integrative psychological & behavioral science》1984,19(4):195-199
Prior surgical implantation of a venous catheter sensitized rats to coldimmobilization stress. Three of six catheterized females succumbed during the stress. The remaining rats fell into two groups in terms of their core temperature at the end of the stress period: Male uncatheterized rats had higher temperatures than rats in the other three groups. No relation was found between catheter patency and magnitude of hypothermia. Degree of gastric disease paralleled the core temperature findings in that the male uncatheterized rats had significantly fewer gastric erosions than the rats in the other three groups. Additionally, a robust effect of gender was found with uncatheterized females showing more hypothermia and more gastric disease than uncatheterized males. A subsequent experiment was conducted to evaluate whether anesthesia or wearing the protective spring was responsible in part for the sensitization seen. Here, the gender difference was less although females consistently averaged lower core temperatures after stress than did males. Despite similar core temperatures after stress, females that were prepared with the protective spring apparatus developed more gastric disease than female controls or similarly treated males. Thus, the additional sensitization exhibited by females in the first experiment may relate to the fact that both catheterization and the taping procedure were sensitizers while only catheterization was a sensitizer for males. 相似文献
963.
A sample of delinquent and nondelinquent male adolescents was assessed with respect to locus of control and intellectual achievement responsibility. Data were also gathered concerning age, family size, birth order, socioeconomic status, race, and school grade. Results were subjected to a multivariate analysis and showed support for a multidimensional model of locus of control. There was no difference in expectancy of control for negative academic events between delinquents and nondelinquents. In general, birth order and delinquency were the two most important determinants of locus of control. Results are discussed in terms of previous literature on locus of control with particular consideration paid to expectations of control. 相似文献
964.
Several inherent limitations to secondary school sex education program evaluations are: limited generalizability, lack of longitudinal research, and no clear consensus of program outcomes. With a Bureau of Health Education, Center for Disease Control study as the criterion for program outcomes, a study was undertaken to examine the immediate and long-term impact of sex education upon program participants. Two of the 20 schools in the CDC study identified as having exemplary sex education programs provided access to their students and alumni. Inventories which measured perceived achievement of 33 sex education outcomes were piloted for reliability and validity. Each inventory examined participant changes in knowledge, understanding of self, values, interaction skills, self-esteem, and fear of sex-related activities. Students were surveyed in school; alumni were surveyed through the mail. Response rates ranged from 30 to 100 percent for students and alumni at both schools. Overall there was no statistically significant difference between the perceptions of students and alumni as to achievement of investigated outcomes. Alumni responses at one school did, however, indicate some potentially weak areas of their school's program with respect to values and interaction skills outcomes. It appears that program impact may decrease with time. Thus, isolating and addressing the factors involved may be necessary. This would assist program planners and instructors to strengthen curricula and program activities in order to enhance the overall impact of sex education. The present study supports the notion that positive gains are achieved as a result of each school's sex education program, and these gains remained over time. 相似文献
965.
The relationship between the availability of visual information and attention demands during the production of a discrete motor act was examined. Subjects were required to move a linear slide a distance of 15 cm in both 150 and 600 msec conditions under three light manipulations, viz., light always on; light always terminated as movement began; or, subject was unsure as to whether light would stay on or terminate. A simple key press by the index finger of the opposite hand to a tone was used as a secondary task and a measure of attention demands. The light manipulation influenced attention demands on the rapid 150 msec movement such that more attention was demanded when the subject knew the light would terminate. No such attentional strategy differences were found with the slow 600 msec movement. These findings suggest that task constraints in the form of kinematic criteria, together with the perceived availability of visual information, contribute to determining attentional strategy in movement production. 相似文献
966.
Susan D Phillips Nicholas J Pazienza Donna J Walsh 《Journal of Vocational Behavior》1984,25(1):96-105
This study provides a reexamination of the role of different decisional strategies in facilitating progress in occupational decision making. Although the assumptions that a rational decision making style is the preferred mode of vocational functioning has been endorsed in a variety of career theories and interventions, there has been conflicting evidence about the validity of this assumption. To examine the role of different decisional approaches in the progress of making an occupational decision, the rational, intuitive, and dependent decision making style scores of 71 undergraduate students were used to predict progress in occupational decision making. The results of the regression analyses failed to provide support for the assumption that a rational style is the most effective in accomplishing this careerrelated task, but indicated strong support for the conclusion that the use of dependent decisional strategies is damaging, particularly in early stages of the decisional process. 相似文献
967.
The authors recently proposed that adverse effects of material rewards on Wechsler subscale performance may be the result of a reward-produced developmental regression. The present study further explores that idea through an attempt to replicate earlier findings with adults and to extend the inquiry to children. Selected Wechsler subscales were administered to 32 subjects at each of three ages (5, 10, and 18 years) under either reward or nonreward conditions. Subscales were chosen to represent both algorithmic and heuristic types of tasks. Reward and nonreward groups (8 males and 8 females per group at each age) were matched initially on age and ability. For adults, consistent with earlier findings, reward had an adverse effect on performance on the heuristic subscales and tended to facilitate performance on the algorithmic subscales. However, rewards generally had no effect at the fourth-grade level and had a reverse effect at the nursery school level, i.e., rewards facilitated heuristic and hampered algorithmic performance. These findings appear to be more consistent with an explanation based on developmental regression than on any available alternative mechanism. 相似文献
968.
969.
Teresa K. Anderson Anthony A. Cancelli Thomas R. Kratochwill 《Journal of School Psychology》1984,22(1):17-29
This study reports the results of an investigation of the assessment views and practices of school psychologists in the United States. Results of the investigation indicated that respondents are predominantly behavioral and cognitive behavioral in orientation; spend most of their professional time in the public schools; and engage in a great deal of assessment. Behavioral assessment and projective testing occupies the greatest amount of their social-emotional assessment time. Behavioral interviewing is the most used behavioral technique, followed by behavioral observation, which is reportedly used by approximately one third of the respondents with from 41% to 100% of clients. Although most of the respondents report a preference for continuing to do approximately the same amount of the various social-emotional assessment activities as they are presently doing, very high percentages of respondents indicate that their use of behavioral assessment strategies would increase with development of published instrumentation, normative standards, and standardized out-of-setting behavioral procedures. 相似文献
970.
Orthogonal and oblique factor analyses were performed using the Wechsler Adult Intelligence Scale-Revised (WAIS-R) standardization sample (Wechsler, 1981). Using objective criteria, it was decided to retain two factors. Evidence for a strong general intelligence (g) factor was found from both the orthogonal and oblique rotations. Whereas the verbal IQ provided an acceptable estimate of the Verbal Comprehension factor, a purer measure was found in the form of a Verbal Comprehension Deviation Quotient containing only the Information, Vocabulary, Comprehension, and Similarities subtests. The performance IQ was found to be an inadequate measure of the Perceptual Organization factor. A Perceptual Organization Deviation Quotient, containing only the Block Design and Object Assembly subtests, was recommended as an effective alternative. Analysis of the variance components for each subtest at every age level revealed that a substantial proportion of subtests at a wide range of age levels evidence either high or intermediate levels of specific variance. These results are discussed in terms of interpreting individual subtest scores and patterns. Each of the study's major findings are compared with prior work done with the Wechsler Adult Intelligence Scale (WAIS) (Wechsler, 1955). 相似文献