Philosophy of medicine and other humanities: Toward a wholistic view

A less analytic and more wholistic approach to philosophy, described as ‘best overall fit’ or ‘seeing how things all hang together,’ is defended in recent works by John Rawls and Richard Rorty and can usefully be applied to problems in philosophy of medicine. Looking at sickness and its impact upon the person as a central problem for philosophy of medicine, this approach discourages a search for necessary and sufficient conditions for being sick, and instead encourages a listing of “true and interesting observations” about sickness which reflect the convergence of a number of different viewpoints. Among the relevant viewpoints are other humanities disciplines besides philosophy and the social sciences. Literature, in particular, provides insights into the meaning and the uniqueness of episodes of sickness in a way that philosophers may otherwise fail to grasp.     

Who we are: The political origins of the medical humanities

The medical humanities were organized, beginning in the late 1960s, by a small group of people who shared a critique of medical education and a commitment to vigorous action to change it. They proposed to create several demonstration programs in humanities education at American schools. Although the group began with a religious orientation, it soon acquired a broader, more secular mission. As a result of shrewd political organizing, the group attracted members from within medicine, and was awarded a grant to promote the medical humanities. This paper describes these events and sets them in the context of the social and medical history of the 1960s and early 1970s.     

Interviewer evaluations of interviewee nonverbal behavior

Personnel representatives (N = 52) were shown one of four videotaped job interviews in which the verbal content of the 16-min interview was identical, but the interviewee's nonverbal behavior was manipulated. A “low nonverbal” interviewee was defined by minimal eye contact, low energy level, lack of affect and voice modulation, and a lack of speech fluency. The “high nonverbal” interviewee demonstrated the opposite behavior on each of these components. The subjects were asked to rate the videotaped candidates on dimensions previously identified as critical in influencing a job interviewer's decisions. Nonverbal behavior was found to have a significant effect on almost every rating made by subjects in this study. After reviewing the entire 16-min interview, 23 of the 26 subjects who saw the “high nonverbal” candidate would have invited him/her for a second interview. All 26 of the subjects who saw the “low nonverbal” candidate would not have recommended a second interview.     

Mid-career change in academia: The decision to become an administrator

This study explored the reasons why professors would leave their teaching/ research occupations to begin new careers as administrators. Valence-Instrumentality-Expectancy theory of occupational preference and choice was used as a framework to examine mid-career change among professors and department chairmen at a major university. Data showed that professors' intentions to change careers and become administrators could be explained by the theory. Analyses of job characteristics demonstrated that professors who want a mid-career change are primarily attracted by the power and formal authority vested in the administrative position, while professors who prefer to remain in their career paths do so because of the autonomy it offers.     

Depth of processing: When the principle of congruity fails

Two factors, level of processing (Craik & Lockhart, 1972) and congruity (Schulman, 1974), known to have large effects on the recall of experimenter-provided responses to questions, were examined in a series of five incidental learning experiments using subject-generated responses. The data show that manipulation of level of processing has the same effect on recall of subjectgenerated responses as it does on experimenter-provided responses. However, the effect of congruity is reversed for subject-generated responses. The data suggest that the difficulty of generating unrelated responses (“incongruous“ items) may account, at least in part, for the failure of the “principle of congruity“ with subject-generated responses.     

Reinforcement and punishment in a closed system

Children chose between toys freely and with various restrictive contingencies. Sometimes play with a preferred toy was contingent on play with a nonpreferred toy. Sometimes play with a nonpreferred toy was contingent on play with a preferred toy. Another toy (free toy) was always available during contingency sessions. Because toy playing occupied the entire session the response system was closed. When one response increased in duration others had to decrease. An analysis of closed-system responding revealed that the restrictions of the closed system together with the restrictions imposed by the contingencies forced subjects to alter the proportion of time devoted to the three responses. A geometrical model representing the closed system and an analytical method based on distance are presented to describe the data.     

Tables of d′ for variable-standard discrimination paradigms

Signal detection theory (SDT) allows a bias-free measure of sensitivity, d′, to be simply estimated from discrimination data when certain conditions are met. The computation is not straightforward, however, in several popular discrimination designs, such as two- and four-interval same-different designs and the ABX design. The present tables, derived from the SDT models of Macmillan, Kaplan, and Creelman (1977), make possible the estimation of d’ from these complex discrimination designs.     

A deglitching circuit for the AA50 D/A converter

Switching transients or “glitches” are frequently encountered in signal processing applications involving digital-to-analog (D/A) conversion. A low-cost “deglitching” circuit is described and implemented for the Digital Equipment Corporation AA50 D/A converter option on the PDP-8/e minicomputer. Switching transients were eliminated using a noninverting, unity-gain sample-and-hold circuit (employing Datei System’s SHM-IC-1). Switching transients were reduced to below-noise levels across a wide range of output levels and sampling rates.     

Organizational preparedness for change: Staff acceptance of an on-line computer-assisted assessment system

An on-line assessment system is briefly described. Previous positive evaluation studies are summarized. Results of studies of staff acceptance and staff preparedness for change are reported. Findings are interpreted in terms of the need for planning for change. Implications related to the acceptance of other on-line computer systems in psychology are discussed.