Cochlear implants and the claims of culture? A response to Lane and Grodin

Because I reject the notion that physical characteristics constitute cultural membership, I argue that, even if the claim were persuasive that deafness is a culture rather than a disability, there is no reason to fault hearing parents who choose cochlear implants for their deaf children.     

Clinical teaching: The difficulty of learning

Physicians-in-training face major barriers to effectively learning both the technical and artistic sides of medicine. In both hospital and office settings, inadequate attention has been paid to the context and work environment for learning. The system of care itself is one of the major teachers of the practice of medicine; it must be optimized to produce maximal learning.     

Psychophysiological and physiological aspects of T-wave amplitude in the objective study of behavior

The objective study of behavior, which is the stated aim of our society, does not impose restrictions on the levels of explanatory constructs that are used. The only restriction is that the evidence concerning those constructs be stated in an objective or scientifically communicable way. Thus the concepts that we employ to explain behavior range from the sociologic to the biochemical. This article’s underlying thesis is that behavior needs to be investigated at various levels, and that these levels should be clearly differentiated in order to bring these investigations into a scientifically meaningful relationship. The thesis is here illustrated by examining evidence and arguments concerning the utility and status of a noninvasive index of myocardial performance: T-wave amplitude (TWA). The examination begins at a psychophysiological-index level, wherein TWA is considered in terms of how well this noninvasive physiological index differentiates psychological processes. Secondly, at a lower physiological-index level, we consider the assumption that TWA reflects a relatively unitary physiological process, myocardial beta-adrenergic sympathetic influence. Both the grounds for and implications of this assumption are discussed. Finally, at the physiological-index level of discourse, brief reference is made to the mechanism by which changes in beta-adrenergic sympathetic innervation may produce correlated changes in TWA. The overall aim of the article is to differentiate these three levels of investigation, and yet also to consider the interrelationship among these three levels in order to provide a fuller scientific understanding of the phenomena involved.     

Children with AIDS in the public schools: The ethical issues

The question of whether to allow children with AIDS to attend public school generates explosive emotions and has wide-reaching consequences. This paper focuses on the perspective of parents of well children who may be asked to attend school with children who have AIDS. These parents are poised at the heart of the dilemma: they are the ethical “bottom line,” and an argument that fails to satisfy them ought not to satisfy anyone. The conflicting commitments these parents face are first to the parentchild covenant which requires them to act in their child's best interests, and second, to the principles of beneficence and justice, which require them not to further burden a sick child with ostracism and isolation. Almost exact parallels exist between this issue and that of proxy consent by parents for children's participation in low-risk, non-therapeutic research. The lengthy and important debate between Paul Ramsey and Richard McCormick on this question is analyzed, concluding that McCormick's position in favor of thoughtful proxy consent is the more compelling. Returning to the question of allowing children with AIDS to attend school, the essay shows why the parallels are persuasive. On the ethical level, the apparent conflict of obligations is almost exactly the same; on the pragmatic level, the essay shows why sharing a classroom with a child who has AIDS is comparable to the “low-risk” category that the National Commission for the Protection of Human Subjects found acceptable in its 1978 guidelines. The essay concludes that parents of healthy childrenmay and ought to accept the presence of children with AIDS in the public school.     

Motivational basis of dissonance: the singular role of behavioral consequences

This article provides the first empirical test of the idea that discrepancy is not needed in order to arouse cognitive dissonance. Dissonance was aroused when Ss felt responsible for some aversive consequence, regardless of whether their behavior was consistent (writing a proattitudinal essay) or inconsistent (a counterattitudinal essay) with beliefs. The data demonstrate that in both situations, dissonance is aroused. This result, based on the dissonance motivation model of Cooper and Fazio (1984), strongly suggests that the motivational basis for dissonance is the felt responsibility for aversive consequences. The theoretical implications of this outlook are explored, including a discussion of the many ways that it expands the applicability of dissonance theory.     

Experimental analysis of pedophilia

It was hypothesized that the population of pedophiles differs from that of males who prefer physically mature partners, in respect of the proportion of bisexual members in each group. Bisexuality was assessed by means of a verbal scale and by recording penile volume changes during the presentation of movie clips of nude males and females. Results supported the hypothesis.An earlier finding of a difference between pedophiles and males who prefer physically mature partners, in respect to feminine gender identity, was retested using the Feminine Gender Identity Scale (for males). It could be confirmed only for homosexual males and therefore cannot be accepted as a general difference between pedophiles and persons who prefer physically mature partners.     

Object concept and sleep regulation

The association between infants' cognitive development and sleep regulation was investigated in 83 infants not at risk. It was found that 9-mo.-old infants with a more advanced object concept had significantly fewer sleep difficulties compared to infants with lower level of object permanence.     

On Counseling Men

Counselors need to be aware of the characteristics of men, the qualities of men in counseling, and the pressures on the contemporary man. This article considers some of the expectations and qualities of men in general and in the counseling relationship in particular. The influence of these qualities and expectations on the interaction between client and counselor is examined. Suggestions are made to improve the effectiveness of the counseling process.