The physician as priest,revisited

Despite much resistance from the medical profession, the notion persists in our culture that the physician plays a priestly role. Medical resistance must be taken seriously. It stems from legitimate concerns that the priestly role implies an unwelcome broadening of medical responsibilities, expectations of moral expertise, and being on the receiving end of people's most intense existential hopes. On the other hand, the nature of illness and healing makes it inevitable that physicianswill take on ministerial functions in their medical work. This essay attempts to recover the notion of the physician as priest on the basis of theological and religious reflection on the nature of ministry and pastoral care.     

How personality relates to intelligence test performance: Implications for a theory of intelligence,ageing research and personality assessment

Previously reported findings indicate that variation of EEG evoked potential parameters is strongly related to both personality and intelligence differences (Robinson, 1982a, b). These data and the associated theory imply that personality should relate to intelligence test performance. Results are described in this report which indicate that subtest profiles obtained with the Wechsler Adult Intelligence Scale (WAIS) differ significantly for Ss scoring highest and lowest on the Extraversion (E) scale of the Eysenck Personality Questionnaire (EPQ); introverts tend to do better on the ‘Verbal’ subtests while extraverts tend to do better on the ‘Performance’ measures. Ss with middling scores on the E scale of the EPQ can also be distinguished in terms of specific WAIS profiles. In this case the results define two contrasting groups. Young male Ss with middling E scores tend to have high Psychoticism (P) and low Lie (L) scores on the EPQ as well as having distinctive WAIS profiles characterized by higher scores on subtests normally associated with a ‘Memory’ or ‘Attention-Concentration’ factor. Higher scores were also obtained by this subgroup on the Picture Arrangement and Block Design subtests which were previously shown to load a P + /L ? factor. The converse is true for older female Ss who also have middling E scores. As well as demonstrating a systematic relationship between personality and intelligence test performance these data provide some further support for a model of brain-behaviour relationships proposed by Robinson. Within this theoretical framework a neurophysiologically meaningful explanation can be provided for the three major factors that reliably emerge in factor-analytic studies of the WAIS. From an applied viewpoint, the data indicate that personality differences can be assessed from performance on tests such as the WAIS. On this issue the results are discussed with particular reference to Gittinger's Personality Assessment System. Implications for ageing research are also discussed.     

Thomson and the current state of the abortion controversy

ABSTRACT Many philosophers who wish to defend abortion, but who have become frustrated by the resistance of the personhood question to yield to any nonarbitrary solution welcomed Judith Thomson's 'A defense of abortion.'Thomson argues that abortion is sometimes justifiable even if the foetus is a person. In this paper I argue that Thomson's argument is a defense of abortion, rather than merely extraction without death, only because of the current state of medical technology. Once the technology is in place to extract foetuses while preserving their lives and to allow them to develop to full term outside the uterus, Thomson cannot defend the killing of the foetus. If she is right, however, a woman will still have the right to have a foetus extracted from her body. Finally, it is pointed out that the source of the problem with Thomson's argument is the major premise in most arguments for the permissibility of abortion: a woman's right to control her own body. If the defence of abortion is to entail a defence of the termination of the foetus, then this premise, understood as the right to remove an unwanted entity from one's body or the right to alter one's body as one wishes, simply will not do the trick.     

Using interactive computing to expand intelligence testing: A critique and prospectus

Microcomputers can serve as automated testing stations for use in psychometric assessment. There are economic advantages in conducting aptitude and intelligence testing with such stations. It is possible to improve the quality of cognitive assessment by extending the range of cognitive abilities to be assessed? Two types of extension are considered; modifying and expanding testing procedures for psychological functions that are components of conventional tests, and the extension oof testing to psychological functions not generally assessed by conventional intelligence or aptitude tests. Computerized presentations will make relatively little difference in our ways of testing verbal comprehension. Computer controlled testing could well extend the ways in which we evaluate spatial-visual reasoning and memory. The impact of testing on the evaluation of reasoning is unclear. Computer-controlled item presentation makes it possible to conceive of tests of learning and attention, neither of which are evaluated in most psychometric programs today. The psychological nature of the abilities being assessed raises problems in assessment that are not addressed by the fact oof computer-control. Some research questions are identified that ought to be explored before testing is extended into these fields. Computer-controlled evaluation could be extended to the assessment of criterion performance, either in the normal working situation or in a simulation of the workplace. While evaluation of this sort does raise social questions, it clearly presents an opportunity to obtain validation data for psychological assessment studies.     

The borderline hypertensive rat (BHR): A new model for the study of environmental factors in the development of hypertension

While many studies have attempted to produce hypertension through the use of various environmental Stressors, few have succeeded in producing chronic elevations in blood pressure beyond levels considered to be borderline hypertensive (140–160 mm Hg systolic). The problem with most studies stems from the use of genetically normotensive animals and the selection of Stressors to which animals readily adapt. A new approach is suggested, which recognizes the role of genetics in human essential hypertension. Animals with one hypertensive parent do not develop spontaneous hypertension but show a more sensitive cardiovascular response to environmental Stressors than animals with normotensive parents. Preliminary studies revealed that animals with a mixed genetic history of hypertension develop spontaneous borderline hypertension. When subjected to shock-shock conflict, these borderline hypertensive rats (BHR) developed permanent hypertension that failed to abate even after a ten-week, shock-free recovery period. The hypertension was accompanied by elevated heart weight to body weight ratios and by significant cardiac pathology. Subsequent work has demonstrated that these animals also become hypertensive when fed a high-sodium diet. Finally, in a series of exercise studies, we found that BHRs subjected to a shock stressor were protected against stress-induced hypertension if they exercised daily. The potential of this model for studies of the mechanisms by which environmental variables produce permanent hypertension is discussed.     

Appetitive differential conditioning of the rabbit’s jaw movement response

Two experiments examined appetitive differential conditioning of the rabbit’s jaw movement response (JMR) in a two-phase procedure. The first phase entailed reinforced training with one conditioned stimulus (CS+), and the second phase involved intermixed presentations of CS+ and an unreinforced stimulus (CS?). In Experiment 1, CS+ was a 600-Hz tone, and CS-was either a 660-,1,000-, or 2,100-Hz tone. In Experiment 2, the magnitude of the water unconditioned stimulus (US) paired with CS+ was either 1, 3, or 9 ml. The experiments revealed that 1) the level of responding to CS-rose for several days and then declined over the remainder of training; 2) the physical similarity between CS+ and CS?directly affected the level of responding to CS?but had no discernable effect on the level of responding to CS+ ; and 3) US magnitude positively affected the level of responding to CS + and, to a lesser extent, CS?. The results are discussed in terms of their implications for Spence’s gradient interaction theory and Pavlov’s external inhibition hypothesis.     

Short-term memory processes in counting

Four experiments examined the memory processes used to maintain location in a counting sequence. In Experiment 1, subjects who rapidly counted forward omitted many repeated-digit numbers (e.g., 77), as found previously with backward counting. Subjects in Experiment 2 counted backward with normal auditory feedback or with headphones through which white noise was channeled. In both cases, repeated-digit errors predominated, suggesting that the contents of short-term memory, rather than auditory sensory memory, are checked during counting. In Experiment 3, subjects silently wrote counting responses, and the omission errors resembled those in vocal counting. Repetition errors were also found and attributed to phonological recoding failures. Articulatory suppression in Experiment 4 greatly increased the number of repetition errors in the written counting task. A model of the counting process was proposed according to which subjects keep track of their location in the counting sequence by monitoring phonologically coded short-term memory representations of the numbers.     

Response timing variability: coherence of kinematic and EMG parameters

A detailed kinematic and electromyographic (EMG) analysis of single degree of freedom timing responses is reported to (a) determine the coherence of kinematic and EMG variability to the reduced timing error variability exhibited with amplitude increments within a given criterion movement time and (b) understand the temporal organization of various movement parameters in simple responses. The data reveal that the variability of kinematic (time to peak acceleration, duration of acceleration phase, time to peak deceleration) and EMG (duration of agonist burst, duration of antagonist burst, time to antagonist burst) timing parameters decreased with increments of average velocity in a manner consistent with the variable timing error. In addition, the coefficient of variation for peak acceleration, peak deceleration, and integrated EMG of the agonist burst followed the same trend. Increasing average movement velocity also led to decreases in premotor and motor reaction times. Overall, the findings suggest a strong coherence between the variability of response outcome, kinematic, and EMG parameters.