Efficient pain assessment in clinical settings.

The need for efficient and practical assessment techniques of the multidimensional nature of chronic pain remains paramount in clinical settings. Visual analogue scales (VASs) and simple behavioral observation methods have been proposed as efficient, reliable, and valid measures of the subjective (sensory and affective) and overt behavioral aspects of the pain experience. The relationships among VASs and the UAB Pain Behavior Scale were examined among 48 chronic pain patients. Ratings of overt behavior were significantly related to both the VAS sensory and VAS affective ratings. Regression analysis indicated that the VAS scores accounted for significant amount of the variance (27.7%) in UAB scores. Moreover, the affective dimension of self-reported pain tended to be more strongly related to the visible manifestations of pain than were ratings of pain intensity.     

Predictors of short-term treatment outcome in bulimia nervosa inpatients.

Recent studies, mostly performed on bulimic outpatients, did not find consistent predictors of treatment outcome in bulimia nervosa. This is the first study to investigate anamnestic and clinical factors predictive of the short-term outcome of hospital treatment in 31 female bulimia nervosa patients with a mean age of 22.9 yr. Treatment outcome was assessed by several self-rating instruments measuring different features of the specific and unspecific psychopathology of bulimia nervosa. The most relevant predictors of the outcome of the 8-week hospital treatment were duration of previous inpatient treatments for bulimia, the intensity of anorexic tendency and the pretreatment level of depression. The majority of predictors tested did not show a strong relationship to treatment outcome. The findings are discussed in relation to results of other studies as well as to possible implications for treatment and research.     

Scientific rewards and conflicts of ethical choices in human subjects research.

The primary responsibility of the American Psychological Association's (APA) Committee on Standards in Research (CSR) is to advise the APA on issues and standards related to the protection of human participants in psychological research. A related goal is to enhance the use of good ethical practices by APA members. The purpose of this article is to foster the view of research ethics not as an affront to the integrity of sound research, but as opportunities for scientific rewards, including increased understanding of the meaning of data, enhanced recruitment, and the inclusion of more representative samples. Three ethical practices are discussed as examples of this general premise: respect for confidentiality, use of debriefing, and assurance that participants are noncoerced volunteers. The Committee's intent is to promote consideration of these issues, not to promulgate specific guidelines or procedures.     

The meaning of occupational stress items to survey respondents.

This study tested the effect of using the word stress in the measurement of self-reported occupational stressors and strains. Employees from two organizations responded to a questionnaire that included specific occupational stressors, strains, and 16 items in which the word stress was used. Survey respondents tended to interpret the word stress to refer both to employees' strains or reactions to the work environment and to job stressors or elements of the environment itself. Implications of these findings for occupational stress research are discussed.     

Effects of alcohol intoxication on risk taking, strategy, and error rate in visuomotor performance.

Adult men (N = 44) participated for 2 days (alcohol vs. placebo treatment) in a double-blind, crossover experiment. Performance on the Digit Symbol Substitution Task (DSST) and a visuomotor (VM) task was measured 4 times each day. On the alcohol-treatment day, data were obtained once during ascending breath alcohol levels (BALs), once during maximal BALs (0.05 or 0.10), and twice during descending BALs. Data were collected at the same time points on the placebo-treatment day. Limited evidence for acute tolerance was obtained with the DSST, but error rates on the VM task were higher during maximal and descending BALs. Error rates remained near placebo values, and participants displayed slightly greater caution, while BALs were ascending. Strategy scores on the VM task exceeded placebo scores during maximal intoxication. Data interpretation is focused on individuals in higher level (e.g., professional) positions.     

Towards a postmodern ethics: Sir Isaiah Berlin and John Caputo

Conclusions It may seem to their opponents that they are trying to have their cake and eat it too. Postmodernists admit that their own paradigm must be and will be placed into question by future thinkers. But if they can anticipate an eventual reaffirmation of their paradoxical stand in an ongoing oscillating debate, then cannot it be said that they have arrived at a truth that transcends their time and place in history? And, if so, is not their fallibilist stance in fact self-referentially inconsistent? The response of postmodernists is the claim that each reaffirmation of a fallibilist epistemology and ethics throughout history is in fact sui generis. And this is the case because each reaffirmation has its own unique context within which it is made. Modernists will of course argue that these contextual differences are nonessential and irrelevant. And the debate over the problem of the One and the Many is once again launched in a new context. Thus far from running away from the paradoxical position that what they assert is both true and false, postmodernists revel in such inconsistencies.But does not such an ethical stance resemble the Sisyphean nightmare of being condemned to roll a heavy stone up a cliff only to have it keep falling back to the bottom ad infinitum? If no decision is innocent of doing some harm in the world, why should we bother to play the moral game at all? Indeed, what possible help is a postmodernist ethics when it comes to making some of the complex and crucial decisions we face today if it refuses to say anything substantial beyond the recommendations that we be cautious and balanced?And the postmodernist can only reply that we are letting our neurotic need for solid foundations frighten us. For ethics is an art not a science. There are no absolute rules. If we do not like the way the game is set up, then we are simply revealing our ultimate hubris in the face of a mystery requiring deep humility.     

THE INFLUENCE OF ASSESSEE PERFORMANCE VARIATION ON ASSESSORS'JUDGMENTS

Assessors evaluated assessees'performances in one of three performance conditions in an assessment center simulation: a consistent performance condition, a within-assessee performance variation condition, or a between-assessee performance variation condition. Contrast effects influenced ratings of assessees when there was variation in performance within assessees. For each assessee, the low target performance was rated lower when the assessee's prior performance had been dissimilar (high) than when the assessee's prior performance had been similar (low). Contrast effects also infiuenced assessors'ratings of the target assessee when there was variation in performance among assessees. The low performing target assessee was rated significantly lower when he was evaluated with two high performers than when he was evaluated with two low performers. In addition, ratings obtained when there was performance variation among assessees were more accurate than those obtained when there was no performance variation, suggesting that under some circumstances contrast effects may not lead to inferior judgments.     

The detection of surface curvatures defined by optical motion.

The detectability of surface curvatures defined by optical motion was evaluated in three experiments. Observers accurately detected very small amounts of curvature in a direction perpendicular to the direction of rotation, but they were less sensitive to curvatures along the direction of rotation. Variations in either the number of points (between 91 and 9) or the number of views (from 15 to 2) had little or no effect on discrimination accuracy. The results of this study demonstrate impressive visual sensitivity to surface curvature. Several characteristics of this sensitivity to curvature are inconsistent with many computational models for deriving three-dimensional structure from motion.     

Relationships among age, sex, and depth of sport experience with initial open-task performance by 4- to 9-year-old children.

The purpose of this study was to assess the relative interrelationships of age, sex, and depth of sport experience on initial practice of a soccer task for 46 4- to 9-yr.-old children. Each child practiced 1 transfer trial and 3 blocks of 3 trials. Measures recorded were performance time, goal attainment, and movement accuracy. Multivariate analyses of variance and multiple regressions yielded evidence for (a) a speed-accuracy tradeoff, (b) a relation of age to goal attainment, movement accuracy, and performance time on the transfer trial, and (c) a relation of age with Block 1 performance time. Experience was more related than sex to all variables except movement accuracy in Block 1 and consistency of goal attainment. Conclusions are that age and experience are the most important to the quality of performance, and no constructs were related to consistency on this task for this age group.