Ethics Lessons From Seattle’s Early Experience With COVID-19

Abstract

Ethics consultants and critical care clinicians reflect on Seattle’s early experience as the United States’ first epicenter of COVID-19. We discuss ethically salient issues confronted at UW Medicine’s hospitals and provide lessons for other health care institutions that may soon face what we have faced.     

Self-Control and Weight-Loss Practices: An Exploration of Repertory Grid Constructs

Attempting weight loss is an increasingly common behavior for many people and a variety of practices are used. However, lapses in self-control may hinder progress. This study explores how women construe their weight-loss practices. In 10 semistructured interviews, the repertory grid technique (RGT) was used to explore elicited bipolar constructs using weight-loss practices as elements. Qualitative interpretation of the grids highlighted the fundamentally different ways self-control was seen as being enhanced. The amount of weight to be lost and self-esteem issues were interpreted as impacting expectations of increased self-control from practices. Suggestions for future research into these relationships are outlined.     

RELATIONAL HEALTH, ATTACHMENT, AND PSYCHOLOGICAL DISTRESS IN COLLEGE WOMEN AND MEN

This study examines relational health, parental attachment, and psychological distress in college men and women from the perspective of the relational-cultural model ( Jordan, Kaplan, Miller, Stiver, & Surrey, 1991 ; Miller, 1984 ). Peer, mentor, and community relationships, as well as secure parental attachment and year in school, were hypothesized to predict psychological distress, although predictive patterns were expected to differ in women and men. Overall, results supported the hypotheses. Secure parental attachment predicted decreased distress for both women and men. Authentic, empowered, and engaged community relationships significantly predicted decreased distress for women and men. However, for women, peer relational quality was also a significant predictor. The relational-cultural model, which suggests that differentiation and the "felt sense of self" ( Jordan, 1997 , p. 15) evolve through meaningful connections with others rather than as a result of the separation-individuation process, is applied as a framework for interpreting the findings.     

Recall failure following successful generation and recognition of responses by alcoholic Korsakoff patients

Amnesic Korsakoff patients and controls were presented with twelve words, each shown individually in the presence of a weak associate. They were then asked to freely associate to 12 other words that were strong associates of the to-be-remembered (TBR) words. The Korsakoff patients generated, and were able to recognize, as many of the TBR words as the controls. Yet, in spite of this recognition ability, these same patients were subsequently unable to recall the critical TBR words when the weak cues were again presented. A follow-up study found that the same recognition results could be obtained with Korsakoffs months after initial presentation suggesting that the patients might initially have “recognized” the most highly associated words simply because they represented the most probable choices. Intermediate association prompts failed to generate correct responses. It was hypothesized that the Korsakoff patients cannot restructure their semantic associative hierarchy during input in such a way as to become sensitized to other than the strongest associates as prompts during recall.