European values in bioethics: why,what, and how to be used?

Are there distinctly European values in bioethics, and if there are, what are they? Some Continental philosophers have argued that the principles of dignity, precaution, and solidarity reflect the European ethos better than the liberal concepts of autonomy, harm, and justice. These principles, so the argument goes, elevate prudence over hedonism, communality over individualism, and moral sense over pragmatism. Contrary to what their proponents often believe, however, dignity, precaution, and solidarity can be interpreted in many ways, and it is not clear which reading would, or should, be favored by popular opinion. It is therefore dangerous to think that any one understanding of "European", or any other, values could be legitimately imposed on those who have different ideas about morality in health care and related fields. Bioethical principles should be employed to promote discussion, not to suppress it.     

The Significance of Parents' Evaluations of their Own School for their Educational Attitudes

The study set out to examine parents' evaluations of the school they had attended and the role of these evaluations in the formation of parental attitudes towards education. A group of vocationally educated (N = 343) and a group of academically educated (N = 231) parents were asked to think back to their primary school days and evaluate the functioning of their school; they were also requested to indicate their opinions on a set of attitude statements and to predict their preschool-aged child's future direction in secondary education. The parents' evaluation of their schools averaged at satisfactory, with the highest grade given to the quality of the instruction and the lowest grades to the giving of encouragement and the capability of taking individual needs into consideration. The school evaluations were organized by the school generation and, in particular, by the educational position of the subject, so that those parents who had gone to the (new) comprehensive school and those who were university-educated gave more positive evaluations of their schools than did those who had gone to the (old) folk school and those who were vocationally educated. The critical educational attitudes corresponding to the educational position of the academically educated parents were enhanced if their evaluation of their own school was negative, whereas the positive educational attitudes corresponding to the educational position of the vocationally educated parents were enhanced if their evaluation of their own school was positive. With the vocationally educated parents, their school evaluation also organized their prediction of their child's secondary education: a positive evaluation raised and a negative evaluation lowered the likelihood of vocational education as the predicted alternative.     

Development of cognitive averaging: when light and light make dark

In two experiments we studied developmental changes in reasoning about intensive quantities. In contrast to previous studies, color--an intensive quantity that is readily perceivable--was chosen as stimulus material. Children between 6 and 12 years of age and adults predicted the mixture intensity of pairs of liquids with different intensities of red color, the liquid volumes in the two source glasses either being the same (Experiment 1) or different (Experiment 2). The data show that cognitive averaging in this domain develops late and slowly. An extensitivity bias, a strong tendency to use rules (adding in particular) that hold for extensive but not for intensive quantities, predominated up to the age of 12 years and was not totally absent in adults. Contrary to common expectation, children's use of the correct averaging rule became more likely when an extensive quantity, volume, was also varied and thus the task increased in complexity.     

Quality of life before and after lung transplantation in patients with emphysema versus other indications

Whether lung transplantation improves Health-related Quality of Life in patients with emphysema and other end-stage lung diseases before and after lung transplantation was examined. Between 1992 and 1999, 23 patients with emphysema and 19 patients with other indications completed self-administered questionnaires before lung transplantation, and at 4, 7, 13, and 25 mo. after transplantation. The questionnaire included the Nottingham Health Profile, the State-Trait Anxiety Inventory, the Self-rating Depression Scale, the Index of Well-being, the self-report Karnofsky Index, and four respiratory-specific questions. Neither before nor after transplantation were significant differences found on most dimensions of Health-related Quality of Life between patients with emphysema and other indications. Before transplantation, both groups report major restrictions on the dimensions Energy and Mobility of the Nottingham Health Profile, low experienced well-being, depressive symptoms, and high dyspnea. About 4 mo. after transplantation, most Health-related Quality of Life measures improved significantly in both groups. These improvements were maintained in the following 21 mo.     

A search for parenting style: a cross-situational analysis of parental behavior

Cross-situational stability in parents' emotional warmth and guidance was studied by observing parents (N = 77, M age = 38 years) with their school-aged child in 2 dyadic problem-solving situations and in a family discussion concerning a moral dilemma. The observational data were coded by independent observers using dimensional ratings and dichotomous frequency counts as the 2 coding procedures. These procedures yielded a similar pattern of findings. Parents tended to behave consistently across situations, although the type of situation did affect the amount of emotional warmth and guidance manifested by the parent. Stability was further analyzed by means of structural equation modeling to test whether variance in parents' emotional warmth and guidance across situations was attributable to a generalized parenting style factor. A Parenting Style factor was identified that reflected the parents' child-centeredness; this factor explained, in part, parental behavior within each situation, although contextual factors also contributed to situation-specific variations from task to task.     

Using temporal information to construct, update, and retrieve situation models of narratives

Four experiments explored how readers use temporal information to construct and update situation models and retrieve them from memory. In Experiment 1, readers spontaneously constructed temporal and spatial situation models of single sentences. In Experiment 2, temporal inconsistencies caused problems in updating situation models similar to those observed previously for other dimensions of situation models. In Experiment 3, merely implied temporal order information was inferred from narratives, affecting comprehension of later sentences like explicitly stated order information. Moreover, inconsistent temporal order information prevented the creation and storage in memory of an integrated situation model. In Experiment 4, a temporal inconsistency increased processing time even if readers were unable to report the inconsistency. These results confirm the significance of the temporal dimension of situation models.     

Walking or talking? Behavioral and neurophysiological correlates of action verb processing

Brain activity elicited by visually presented words was investigated using behavioral measures and current source densities calculated from high-resolution EEG recordings. Verbs referring to actions usually performed with different body parts were compared. Behavioral data indicated faster processing of verbs referring to actions performed with the face muscles and articulators (face-related words) compared to verbs referring to movements involving the lower half of the body (leg-related words). Significant topographical differences in brain activity elicited by verb types were found starting approximately 250 ms after word onset. Differences were seen at recording sites located over the motor strip and adjacent frontal cortex. At the vertex, close to the cortical representation of the leg, leg-related verbs (for example, to walk) produced strongest in-going currents, whereas for face-related verbs (for example, to talk) the most in-going activity was seen at more lateral electrodes placed over the left Sylvian fissure, close to the representation of the articulators. Thus, action words caused differential activation along the motor strip, with strongest in-going activity occurring close to the cortical representation of the body parts primarily used for carrying out the actions the verbs refer to. Topographically specific physiological signs of word processing started earlier for face-related words and lasted longer for verbs referring to leg movements. We conclude that verb types can differ in their processing speed and can elicit neurophysiological activity with different cortical topographies. These behavioral and physiological differences can be related to cognitive processes, in particular to lexical semantic access. Our results are consistent with associative theories postulating that words are organized in the brain as distributed cell assemblies whose cortical distributions reflect the words' meanings.     

Visual perception in 'low vision'

'Low vision' has an international classification as an impairment of vision that is defined by loss of visual acuity and the size of the visual field. Functional classification that would depict capability to use vision in different activities has not yet been agreed upon. Abnormal visual information leads to changes in visual perception, and brain-damage-related visual impairment may alter or prevent one or several cognitive visual functions. Abnormal visual perception opens a window into brain mechanisms that the psychophysicists otherwise do not have. Together with clinicians, psychophysicists can help visually impaired persons to understand the nature of their disability by thoroughly studying the nature of the altered image and the profile of cognitive visual functions.     

Exploring Decision Making Around Therapist Self‐Disclosure in Cognitive Behavioural Therapy

Background

Therapist self‐disclosure (TSD) usage varies greatly among different psychotherapy orientations. Anecdotal evidence seems to suggest that there are reasons for its judicious use, and a small number of researchers have proposed guidelines for how TSD should be used to help therapists across psychotherapy models make decisions around disclosure. However, there is almost no literature specifically exploring how cognitive behaviour therapy (CBT) practitioners make decisions around employing TSD within the CBT framework.

Objective

This study aimed to explore how experienced CBT practitioners make decisions around TSD.

Method

In‐depth qualitative interviews were conducted with six clinical psychologists who were trained and experienced in CBT, and the interviews were analysed thematically.

Results

There were two overarching themes in terms of how they made decisions to self‐disclose: (A) the rules for TSD use, which included sub‐themes (a) it must have a clear purpose, (b) it must fit, (c) the therapist must maintain boundaries, and (d) the therapist must always reflect on his/her use of TSD; and (B) how they use TSD, which included subthemes of (a) using it as a tool for change and (b) using it to manage the therapeutic relationship.

Conclusion

Participants’ decisions on whether or not to self‐disclose were strongly influenced by the CBT model, and this process went beyond what is suggested in the transtheoretical literature. Understanding this process may lead to the development of CBT‐specific guidelines for making TSD‐related decisions.     

A Systematic Review: Non‐Suicidal Self‐injury in Australia and New Zealand's Indigenous Populations

Objective

To undertake a systematic review of non‐suicidal self‐injury (NSSI) prevalence, patterns, functions, and behavioural correlates for the Indigenous populations of Australia (Aboriginal and Torres Strait Islanders) and New Zealand (NZ; Maori).

Method

We searched the following electronic databases: PubMed, MedLine, Scopus, Web of Science, ScienceDirect, PsycInfo, and PsycArticles, CINAHL, and the Informit Health and Indigenous Peoples collections. Studies were included for review if they were published within the last 25 years and reported on NSSI in Australia and NZ's Indigenous populations.

Results

Seven studies were included, six of which came from Australia. The prevalence of NSSI in Australia ranged from 0.9% up to 22.50%; statistics varied by the different samples, types of prevalence, and relationship to alcohol. Several studies found that Aboriginal and Torres Strait Islander peoples had higher rates of NSSI than other Australians, but that this was not significantly higher. Two studies indicated that NSSI was linked to alcohol use, incarceration, and a younger age. The one NZ study was of injury and not specifically NSSI.

Conclusions

Findings are limited due to a small pool of literature. Cultural variations in NSSI presentation should be considered when working with Indigenous populations. Further research is required to help determine what cultural variations may exist.