Amputees by choice: body integrity identity disorder and the ethics of amputation

ABSTRACT Should surgeons be permitted to amputate healthy limbs if patients request such operations? We argue that if such patients are experiencing significant distress as a consequence of the rare psychological disorder named Body Integrity Identity Disorder (BIID), such operations might be permissible. We examine rival accounts of the origins of the desire for healthy limb amputations and argue that none are as plausible as the BIID hypothesis. We then turn to the moral arguments against such operations, and argue that on the evidence available, none is compelling. BIID sufferers meet reasonable standards for rationality and autonomy: so as long as no other effective treatment for their disorder is available, surgeons ought to be allowed to accede to their requests.     

Spatial and object working memory impairments in schizophrenia patients: a Bayesian item-response theory analysis

This study reports evidence that schizophrenia patients are significantly impaired in both spatial and object (shape) working memory. A 3-s delay between exposure and recall of targets was used and Bayesian item-response theory was applied to compensate for the tasks' differential difficulty while simultaneously taking account of missing data from participant attrition. Weaker evidence was found that in schizophrenia both domains are equally impaired on average, that spatial and object working memory appear to be more highly correlated with each other in the schizophrenia population than in the normal population, and that schizophrenia patients show greater variability in spatial than object working memory performance.     

Relations among musical skills,phonological processing,and early reading ability in preschool children

We examined the relations among phonological awareness, music perception skills, and early reading skills in a population of 100 4- and 5-year-old children. Music skills were found to correlate significantly with both phonological awareness and reading development. Regression analyses indicated that music perception skills contributed unique variance in predicting reading ability, even when variance due to phonological awareness and other cognitive abilities (math, digit span, and vocabulary) had been accounted for. Thus, music perception appears to tap auditory mechanisms related to reading that only partially overlap with those related to phonological awareness, suggesting that both linguistic and nonlinguistic general auditory mechanisms are involved in reading.     

Simulation Modeling of Policies Directed at Youth Sugar-Sweetened Beverage Consumption

Childhood obesity is a significant public health problem requiring innovative solutions. While recent reviews indicate that some policies show promise, there is a lack of information regarding which policies, and policy combinations, work best. Low-nutrition, energy-dense foods and beverages such as sugar-sweetened beverages (SSBs) have been identified as a major contributor to the problem. The purpose of this paper is to use simulation modeling to show how changes in three categories of SSB policies—school nutrition, school-based education, and taxes—impact SSB and other food consumption. The model shows that policies directed at SSBs, particularly tax hikes, could lead to substantial reductions in the number of calories consumed by youth. The estimates, however, are subject to a high degree of uncertainty. Estimates from school-based nutrition and school-based education policies, while also helping to reduce caloric intake, generally show smaller effects than tax policies and considerable variation around parameter estimates for individual and combined policies. We conclude with a discussion of the limits of the model, and suggest where additional information is needed. Limitations notwithstanding, simulation modeling is a promising methodology that can help advance our understanding of policy effects, thereby helping policymakers to better formulate effective policies to reduce obesity prevalence and the associated social harms.     

When Sociopolitical Events Strike Cultural Beliefs: Divergent Impact of Hurricane Katrina on African Americans' and European Americans' Endorsement of the Protestant Work Ethic

Three experiments address how people react to a sexual abuse victim compared to a nonvictim when a justification for negative evaluation is available or not available. A harm-doing victim was rated lower on expected job performance and higher on desired social distance than a harm-doing nonvictim. When subsequent harm-doing was absent, judgments of a victim and nonvictim did not differ on expected job performance or social distance. Experiment 2 replicated the results of Experiment 1 and revealed that the order in which victimization history and harm-doing information were presented had no effect. Experiment 3 showed that participants desired greater social distance from a harm-doing victim compared to a non-harm-doing victim to the extent they thought the target should have derived benefits from the childhood victimization. Implications for judgments of harm-doers—depending on whether their victimization history is known or not—are considered.     

Review of "The Parental Alienation Syndrome," by Richard A. Gardner

This article describes a self-help model for adolescents with ADHD that draws on the 12-Steps. The model uses a modified form of the 12-Steps that incorporates parents into the process with the goal of inculcating some of the executive functioning that is absent in their adolescent by consistently using some of the 12-Steps as part of their daily routine. The model proposes that parents assume a coaching role with their adolescent to teach increased self-awareness, organization, accountability, and behavioral inhibition that, hopefully, will have a reparative effect on their child's immature neurological functioning.     

The Function of the Human Motor System in Processes of Storing and Retrieving Preverbal,Primal Experience

Because the development of selfobject relationships is intimately involved with the development of the motor apparatus from the day of birth, it is assumed that movement improvisation can bring about the freeing of archaic memory traces. The author has painstakingly pulled together examples from her practice to demonstrate the existence of emotive memory clusters, which encompass many of life's vicissitudes and store them. She builds a theoretical framework for her hypotheses by linking her clinical observations with modern child research. Clinical vignettes illustrate this highly original, useful work. Transference and resistance are viewed with the same vigilance as in psychoanalysis while movement improvisations are given importance as type of free association.     

Influence of African American elders’ age stereotypes on their cardiovascular response to stress

Abstract

Although it has been shown that White elders are vulnerable to the influence of age stereotypes, it was not known whether this effect applied to African American elders. In the present study, African American elders were randomly assigned to negative or positive implicit-age-stereotype groups. Compared to participants in the positive age-stereotype group, those in the negative age-stereotype group demonstrated significantly more elevated cardiovascular response to stress, as measured by blood pressure and heart rate following mental challenges. These results suggest that negative age stereotypes generate a susceptibility to stress among African American elders, whereas positive age may provide them with a defense against this stress.