Valuing life and evaluating suffering in infants with life-limiting illness

Theoretical Medicine and Bioethics - In this paper, we explore three separate questions that are relevant to assessing the prudential value of life in infants with severe life-limiting illness....     

On‐line ostracism affects children differently from adolescents and adults

This research examines adults', and for the first time, children's and adolescents' reaction to being ostracized and included, using an on‐line game, ‘Cyberball’ with same and opposite sex players. Ostracism strongly threatened four primary needs (esteem, belonging, meaning, and control) and lowered mood among 8‐ to 9‐year‐olds, 13‐ to 14‐year‐olds, and adults. However, it did so in different ways. Ostracism threatened self‐esteem needs more among 8‐ to 9‐year‐olds than older participants. Among 13‐ to 14‐year‐olds, ostracism threatened belonging more than other needs. Belonging was threatened most when ostracism was participants' first experience in the game. Moreover, when participants had been included beforehand, ostracism threatened meaning needs most strongly. Gender of other players had no effect. Practical and developmental implications for social inclusion and on‐line experiences among children and young people are discussed.     

Paradigm change in aggression research: The time has come to retire the General Aggression Model

As Kuhn (1970) has noted, most scientific fields go through processes of paradigm change, painful periods in which old theories no longer fit available data and are placed by new theories. Such periods typically create strife and debate as ideological differences emerged between proponents of old and new theoretical approaches. In the current paper, we argue that such a period has been reached within the field of aggression research. Over the past half-century, social cognitive and social learning paradigms of aggression, exemplified in the General Aggression Model (GAM) have retained dominance, particularly in areas such as media violence. We contend that data to support the GAM and social cognitive approaches to aggression have never been conclusive, and newer evidence increasingly suggests that the GAM and social cognitive theories of aggression more generally are not adequate to explain aggressive phenomena. We discuss weaknesses and problematic, sometimes hidden assumptions of the GAM and how these reduce the utility of this paradigm. Current evidence suggests that the GAM and the social cognitive paradigm of aggression should be retired, and approaches which focus on diathesis-stress hold greater promise.     

Transition,transformation and the art of losing: Some uses of poetry in hospice care for the terminally ill

What lessons for psychotherapy can be drawn from the enjoyment and sustenance we find in the use of literature? This paper looks back on a recent creative writing project undertaken with patients in a hospice day centre, and suggested reasons why the patients found this activity not only enjoyable but also therapeutic. Both the hospice as an institution and the poetic form are defined in terms of a transitional space. The article shows how the act of reading and writing poetry places a value for patients on not knowing at a time when the plain hard facts of terminal illness loom large. The author describes a practical way of engaging with poetry in this context, and uses clinical material to describe how the literary arts can provide a transformational object, and a point of inspiration, that may help patients to negotiate the changes brought about by their illness.     

Relative Efficacy of Cognitive-Behavioral Therapy Administered by Videoconference for Posttraumatic Stress Disorder: A Six-Month Follow-Up

Until recently, only one study was published on cognitive-behavioral therapy (CBT) of posttraumatic stress disorder (PTSD) in individual therapy via videoconference (Germain, Marchand, Bouchard, Drouin, & Guay, 2009 Germain, V., Marchand, A., Bouchard, S., Drouin, M. S. and Guay, S. 2009. Effectiveness of cognitive behavioural therapy administered by videoconference for posttraumatic stress disorder. Cognitive Behaviour Therapy, 38: 42–53. [Taylor & Francis Online] , [Google Scholar]); however, it only assessed the posttreatment effect. This study presents the follow-up of Germain et al.'s (2009 Germain, V., Marchand, A., Bouchard, S., Drouin, M. S. and Guay, S. 2009. Effectiveness of cognitive behavioural therapy administered by videoconference for posttraumatic stress disorder. Cognitive Behaviour Therapy, 38: 42–53. [Taylor & Francis Online] , [Google Scholar]) study. The main goal was to compare the effectiveness after six months of CBT for PTSD either face-to-face (n = 24) or by videoconference (n = 12). Each participant received CBT for 16 to 25 weeks and completed various questionnaires before and after treatment and at a six-month follow-up. The two treatments had equivalent levels of symptom reduction (Modified PTSD Symptom Scale: η² < 0.01, p > .05) and proportion of patients with a clinically significant change in symptoms (42% for face-to-face vs. 38% for videoconferencing, p > .05). Thus, CBT for PTSD via videoconference seems to be a viable alternative when adequate face-to-face treatments are less available.     

Functionalism about possible worlds

Various writers have proposed that the notion of a possible world is a functional concept, yet very little has been done to develop that proposal. This paper explores a particular functionalist account of possible worlds, according to which pluralities of possible worlds are the bases for structures which provide occupants for the roles which analyse our ordinary modal concepts. It argues that the resulting position meets some of the stringent constraints which philosophers have placed upon accounts of possible worlds, while also trivializing the question what possible worlds are. The paper then discusses a range of problems facing the functionalist position.     

Evolutionary Biology and Classical Teleological Arguments for God's Existence

Much has been made of how Darwinian thinking destroyed proofs for the existence of God from ‘design’ in the universe. I challenge that prevailing view by looking closely at classical ‘teleological’ arguments for the existence of God. One version championed by Aristotle and Thomas Aquinas stems from how chance is not a sufficient kind of ultimate explanation of the universe. In the course of constructing this argument, I argue that the classical understanding of teleology is no less necessary in modern Darwinian biology than it was in Aristotle's time. In fact, modern biology strengthens the claims that teleological arguments make by vindicating many of their key features. As a consequence, I show how Aristotle and Aquinas' teleological argument for an intelligent First Cause remains valid.     

Iconicity in the speech of children and adults

Iconicity – the correspondence between form and meaning – may help young children learn to use new words. Early‐learned words are higher in iconicity than later learned words. However, it remains unclear what role iconicity may play in actual language use. Here, we ask whether iconicity relates not just to the age at which words are acquired, but also to how frequently children and adults use the words in their speech. If iconicity serves to bootstrap word learning, then we would expect that children should say highly iconic words more frequently than less iconic words, especially early in development. We would also expect adults to use iconic words more often when speaking to children than to other adults. We examined the relationship between frequency and iconicity for approximately 2000 English words. Replicating previous findings, we found that more iconic words are learned earlier. Moreover, we found that more iconic words tend to be used more by younger children, and adults use more iconic words when speaking to children than to other adults. Together, our results show that young children not only learn words rated high in iconicity earlier than words low in iconicity, but they also produce these words more frequently in conversation – a pattern that is reciprocated by adults when speaking with children. Thus, the earliest conversations of children are relatively higher in iconicity, suggesting that this iconicity scaffolds the production and comprehension of spoken language during early development.