Of community,organs and obligations: Routine salvage with a twist

This paper makes the assumption that organ transplantation is, under some conditions at least, a proper use of communal medical resources. Proceeding from this assumption, the author: (1) sketches the history of the problem; (2) briefly examines the prevalent models of communal structure and offers an alternate version; (3) discusses notions of justice and obligation derived from these different models; (4) applies these to the practice of harvesting organs for transplantation; and then (5) offers a different process for harvesting organs from the newly dead. If community is viewed as united by a set of shred goals and common values among which the value of community itself is important, then certain reciprocal obligations among members obtain. I suggest that routine salvage of organs from the newly dead be instituted but that it be routine salvage “with a twist”: rather early in life all members of the community are given the opportunity to refuse but their refusal carries the reciprocal condition that they cannot later become the recipients of that which they refuse to others.     

Differential effects of identification with family and peers on coping with developmental tasks in adolescence

Adolescents from three Italian cities responded to a questionnaire concerning the particular peer-group with which they were associated and identification with their family, aspects of the process of coping with seven developmental tasks, and demographic characteristics. The participants were 1600 male and female teenagers, with a mean age of 16.28 years, who were approached at schools and various meeting places in three Italian cities. The study shows that effective coping with developmental tasks depends largely on the degree of identification with both family and peer-group. Those who identify with both social groupings show advantages in various critical situations. Adolescents only identifying with either family or peers get emotional and instrumental support from that group but not from the other, thus, they are supported in some critical situations but not in others. Adolescents who are unwilling or unable to identify with their family and/or their peers are less successful in managing the transition to adulthood than others who are close to their parents and peers. Consistent with the findings of previous studies, the type of group adolescents join, be it a formal group or an informal street group, has no significant effect on their coping strategies.     

The fertility related behavior of Mexican American adolescents

Data from a clinic sample of pregnant adolescents are analyzed for differences in fertility related variables between Mexican American and non Mexican. The independent variables are birthplace, ethnicity, and exposure to United States culture of Mexican and non Mexican adolescents. The dependent variables are talking about sex, pregnancy, birth control, hearing about birth control, and use of birth control. The data support the hypothesis that in the process of acculturation the fertility related behavior of immigrant Mexican adolescent females is affected by the indigenous United States Mexican culture rather than by United States Anglo culture. Implications for delivery of services are discussed. The delivery of fertility related services should take into account the cultural preferences of Mexican women, and should not involve coercion from legal or medical authorities. While liberation of Mexican American women, and accompanying changes in childbearing patterns may be desirable, these efforts should originate within the Mexican American community. Data is presented in tables on selected sample and subsample characteristics and compares fertility behaviors across ethnic groups, including Anglo, Black, US non-Mexican, and US Mexican.     

Psychiatric diagnoses in infancy: A comparison

This study investigated the specificity of diagnostic classification in two standardized systems: DSM-IV and Diagnostic Classification: Zero to Three. A sample of 82 infants aged 1–24 months suffering from various psychogenic and functional pediatric symptoms was diagnosed applying both systems. For DC: 0–3 (the Diagnostic Classification on Mental Health and Developmental Disorders of Infancy and Early Childhood), this study presents results with respect to the specificity of symptom patterns. Twelve out of 27 symptoms, specific for disorders in early infancy, showed high specificity and were significantly discriminative for the diagnostic entities. These symptoms were differentiated for frequency and severity of occurrence for each diagnosis. In the sample, DSM-IV and DC: 0–3 diagnoses were compared. Additionally, 13 items of biographical-biological data were collected (e.g., low SES combined with very young or older mothers resulted in an increased risk for psychiatric disorders in early infancy). The data provide support for the idea that the use of DC: 0–3 in early infancy may be helpful in relation to daily routines and research by increasing the range of clearly defined diagnostic entities.     

Prenatal diagnosis, personal identity, and disability

A fascinating criticism of abortion occasioned by prenatal diagnosis of potentially disabling traits is that the complex test-and-abortion sends a morally disparaging message to people living with disabilities. I have argued that available versions of this "expressivist" argument are inadequate on two grounds. The most fundamental is that, considered as a practice, abortions prompted by prenatal testing are not semantically well-behaved enough to send any particular message; they do not function as signs in a rule-governed symbol system. Further, even granting, for the sake of argument, the expressive power of testing and aborting, it would not be possible, contra the argument's proponents, to distinguish between abortions undertaken because of beliefs about the disabling conditions the fetus might face as a child and abortions undertaken for many other possible reasons -- e.g., because of the poverty the fetus would face or the increase in family size that the birth of a new child would occasion. Here, I respond to criticisms of those arguments, and propose and defend another: the expressivist argument cannot, in general, distinguish successfully between abortion and therapy as modalities for responding to disabilities.     

Causal attribution and hindsight bias for economic developments

Hindsight bias for economic developments was studied, with particular focus on the moderating effects of attitudes and causal attributions. Participants (N = 263) rated the likelihood of several economic developments 6 months before and 6 months after the euro introduction in 2002. Hindsight bias occurred selectively for attitude-consistent economic developments: Euro supporters showed stronger hindsight bias for positive developments than for negative ones; euro opponents showed the opposite pattern. Causal attribution further moderated the hindsight bias: participants who perceived a strong connection between the euro introduction and specific economic developments showed higher attitude-consistent hindsight bias than participants who perceived those developments as unrelated to the euro. It is argued that hindsight bias serves to stabilize subjective representations of the economy.