Twenty-five basic theorems in situation and world theory

Conclusion The foregoing set of theorems forms an effective foundation for the theory of situations and worlds. All twenty-five theorems seem to be basic, reasonable principles that structure the domains of properties, relations, states of affairs, situations, and worlds in true and philosophically interesting ways. They resolve 15 of the 19 choice points defined in Barwise (1989) (see Notes 22, 27, 31, 32, 35, 36, 39, 43, and 45). Moreover, important axioms and principles stipulated by situation theorists are derived (see Notes 33, 37, and 38). This is convincing evidence that the foregoing constitutes a theory of situations. Note that worlds are just a special kind of situation, and that the basic theorems of world theory, which were derived in previous work, can still be derived in this situation-theoretic setting. So there seems to be no fundamental incompatibility between situations and worlds — they may peacably coexist in the foundations of metaphysics. The theory may therefore reconcile two research programs that appeared to be heading off in different directions. And we must remind the reader that the general metaphysical principles underlying our theory were not designed with the application to situation theory in mind. This suggests that the general theory and the underlying distinction have explanatory power, for they seem to relate and systematize apparently unrelated phenomena.This research was conducted at the Center for the Study of Language and Information (CSLI). I would like to thank John Perry for generously supporting my research both at CSLI and in the Philosophy Department at Stanford. I would also like to thank Bernard Linsky, Chris Menzel, Harry Deutsch and Tony Anderson for many worthwhile and interesting suggestions for improving the paper. An earlier version of the paper, more narrowly focused on situation theory, has appeared in Zalta (1991).     

CHANGING PROTECTIVE AND RISKY BEHAVIORS TO PREVENT CHILD-TO-PARENT TRANSMISSION OF CYTOMEGALOVIRUS

Child-to-parent transmission of cytomegalovirus may be reduced by increasing protective behaviors (handwashing and glove use) and decreasing risky behaviors (intimate contact between child and parent). This study showed that an educational intervention resulted in increases in reported and objective measures of protective behaviors and decreases in reported risky behaviors. Further study must determine if changes in protective and risky behavior are maintained and prevent cytomegalovirus transmission.     

Social Interactions of Obese and Nonobese Women

The stigma associated with obesity is likely to limit the opportunities obese women have to develop social skills. This hypothesis was tested by having obese (n = 15) and nonobese (n = 22) women converse on the telephone with college students who were unaware of the women's weights. Ratings made by judges who listened to the women's contributions to the conversations but who were unaware of their weights showed that obesity was negatively related to judgments about the women's likability, social skills, and physical attractiveness. The telephone partners of obese women rated the women and themselves more negatively than did the partners of nonobese women. Obese and nonobese women generally did not differ in their evaluations of their own and their telephone partners' behavior, and they also did not differ on a measure of social self-esteem. These findings suggest that there are real differences in the social behavior of obese and nonobese women and that these differences affect the impressions formed by those with whom they interact.     

Suspicion of ulterior motivation and the correspondence bias

Three studies examined the hypothesis that when perceivers learn of the existence of multiple, plausibly rival motives for an actor's behavior, they are less likely to fall prey to the correspondence bias than when they learn of the existence of situational factors that may have constrained the actor's behavior. In the first 2 studies, Ss who learned that an actor was instructed to behave as he did drew inferences that corresponded to his behavior. In contrast, Ss who were led to suspect that an actor's behavior may have been motivated by a desire to ingratiate (Study 1), or by a desire to avoid an unwanted job (Study 2), resisted the correspondence bias. The 3rd study demonstrated that these differences were not due to a general unwillingness on the part of suspicious perceivers to make dispositional inferences. The implications that these results have for understanding attribution theory are discussed.     

Using the Millon Clinical Multiaxial Inventory's Scale B and the MacAndrew Alcoholism Scale to identify alcoholics with concurrent psychiatric diagnoses

The ability of the MacAndrew Alcoholism Scale (MAC) and Scale B of the Millon Clinical Multiaxial Inventory (MCMI) to discriminate independently defined alcoholics with psychiatric diagnoses from other psychiatric patients was examined for males and all alcoholics, using three different criteria of alcoholism. The MAC identified from 80% to 87% of male alcoholics and 76% to 82% of all alcoholics, and from 25% to 52% of male nonalcoholics and 55% to 75% of all nonalcoholics, resulting in a large number of false positives. Scale B identified from 31% to 60% of male alcoholics and 33% to 43% of all alcoholics, and from 73% to 85% of male nonalcoholics and 85% to 94% of all nonalcoholics. The operating characteristics of Scale B showed that it was not as efficient in identifying alcoholics as previous work had indicated. We suggest that Scale B should not be used and the MAC should be used cautiously to discriminate alcoholics with psychiatric disorders from patients without alcoholism.     

Rationalising conventions

Conformity by an agent to a convention to which the agent is a party is rational only if the agent prefers to conform given the other parties conform and believes the others will conform. But this justification is inadequate; what, for example, is the justification for this belief? The required rational justification requires recourse to (a) preferences for general conformity (as opposed to merely conditional preferences for one's own conformity) and (b) procedures. An agent adopts a procedure when he chooses to perform a whole set of future actions, as opposed to a single action.     

The Future of Psychology in Family Medicine

Psychology has been integral to the field of family medicine since its inception as a medical specialty in the 1960s. Psychologists and other behavioral scientists contribute to family medicine in teaching clinical skills, in defining research questions, in developing research methodology, and in creating integrated physical/mental health care delivery systems. Future developments in the field of psychology in family medicine are likely to emphasize development and evaluation of screening measures which identify mental health problems in primary care, development of early intervention for those mental health problems, and more precise measurement of process and quality of care and health outcomes. Psychologists have an important role to fulfill in educating physicians on alternatives to pharmacologic and medical interventions for common presenting problems in primary care. However, current economic forces shaping the practice of medicine may work against further enhancing the efficacy of the physician in dealing with psychosocial issues. The future role of psychology in family medicine is not yet delineated, and while the move toward parity of reimbursement for mental and physical health care delivery may enhance this collaboration, there is a need to continue to evaluate how the psychological well-being of patients is influenced in the evolution of new models of care delivery.     

Clinical pragmatism: a method of moral problem solving

This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in moral problem solving are discussed.     

Hippocampal synaptic plasticity during instrumental learning

present research examined the role of hippocampal NMDA-dependent synaptic potentiation on appetitive instrumental conditioning under a continuous reinforcement schedule. In the first experiment, low (.025 mg.kg) or moderate (.05 mg/kg) dosages of the NMDA receptor antagonist, MK801, failed to increase the number of training days required to reach acquisition criterion; number of training days required to reach criterion for extinction were also unaffected. In the second experiment, a higher dosage (.10 mg/kg) of MK801 or induction of long-term potentiation failed to alter the number of responses occurring during acquisition. These data suggest that hippocampal synaptic potentiation does not play a prominent role in instrumental learning with simple contingency conditions. It is suggested that hippocampal LTP reflects a perceptual process that contributes differentially to spatial cognition, classical and instrumental conditioning.