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.     

The Velten Mood Induction Procedure and cognitive models of depression: A reply to Riskind and Rholes (1985)

In a recent article (Clark, 1983), I concluded that it is invalid to use the success of the Velten Mood Induction Procedure as evidence for cognitive theories of depression. Riskind and Rholes (1985) challenge this conclusion. Their arguments are discussed and critically evaluated.     

Contributions of elicitation to measures of self-control

Pigeons' not pecking or pecking constituted choice between a delayed, large reinforcer and an immediate, small reinforcer (self-control) and at other times between a delayed reinforcer and no reinforcer (omission). Both a tone and a keylight were tested as choice signals, and the delayed reinforcer was either response independent or response dependent. Pigeons pecked during the choice signals on over 95% of the trials in the self-control procedure, and pecked during the choice signals on over 75% of the trials in the omission procedure. Consistent pecking was observed with either the tone or the keylight as a choice signal, with the exception that a tone paired with a response-independent delayed reinforcer did not maintain pecking in the omission procedure. Pigeons pecked during more choice signals when delayed reinforcers were response dependent than when the delayed reinforcers were response independent. These results indicate that Pavlovian conditioning influences self-control experiments, especially in single-key procedures.     

A logic of message and reply

In this paper we sketch a logic of message and reply. The logic is intended for application in a wide variety of situations, not restricted to the two-person, turn-taking situation. Each message has a body and a vector; the vector specifies the from, to, and the like. To reply to a message, it suffices to give either (1) a complete reply to the body or (2) a corrective reply to at least one presumption derivable from the vector. We discuss the problems of achieving effectiveness and completeness with respect to certain aspects of communication. The results are mixed. In section 9 we argue semi-formally that, in a certain sense, dialogue is necessary. Finally we note that this logic is not a rival of other approaches but may be combinable with them.     

Estimating social and nonsocial utility functions from ordinal data

This paper reports an experiment testing two hypotheses. The first is that the value or utility associated with a payment to one's self and a payment to a co-worker can be represented as an additive function of a utility for own payment (nonsocial utility) and a utility for the difference between own and other's payment (social utility). The second hypothesis is that changes in the amount of work accomplished by one's self and/or the other should influence the social, but not the the nonsocial utilities. Support for both hypotheses is reported.     

Syllogistic reasoning in varied narrative contexts: Aspects of logical and linguistic development

This experimental study examined the effects on syllogistic reasoning in grades 6 and 12 of certain contextual narrative variables. The experimental task consisted of 27 varied syllogistic problems based on information contained in three narrative texts—a fantasy passage, a realistic passage, and a contractual passage. Versions of these texts were constructed for each group reading level. Analysis of the data revealed several significant interactions between subject groups and treatment variables. In particular, younger subjects performed better than grade 12 subjects on problems following the fantasy narrative, while the older subjects did better with the other two passages. The results suggest that some orthodox views about concrete-versus formal-operational reasoning abilities and about the distinction between abstract and concrete materials need to be reassessed within a discourse-processing framework that is sensitive to the discourse worlds in which problems are embedded.The author wishes to acknowledge the support of an Isaak Walton Killam Doctoral Scholarship for this research.