A Test of the Agency Hypothesis in Women��s Cosmetic Surgery Usage

Women??s agency??their ability to make conscious choices and to act on them??is a central consideration in feminist theories of cosmetic surgery. Several key issues in this longstanding debate are how much external or coercive influence women experience (or acknowledge) in their choice to pursue surgery, whether they are aware of sexist ideology more so than non-recipients, and whether their choice to pursue surgery exemplifies a strong sense of self worth. To test this agency hypothesis, we draw on survey data from a volunteer sample of 202 adult women ages 19?C86 years from the southern California region in the U.S. to compare cosmetic surgery recipients to non-recipients across these key socio-cultural and personal domains. Results reveal that cosmetic surgery recipients were more likely to have friends who had undergone cosmetic surgery, endorsed more covert sexist beliefs, exhibited greater media usage, and had higher household incomes, than non-recipients. Recipients also evidenced lower ratings in global self-esteem than non-recipients. These findings challenge some of the notions attendant to agency claims, and engage with conceptions of autonomy introduced in the feminist philosophical literature.     

At the borders of medical reasoning: aetiological and ontological challenges of medically unexplained symptoms

Medically unexplained symptoms (MUS) remain recalcitrant to the medical profession, proving less suitable for homogenic treatment with respect to their aetiology, taxonomy and diagnosis. While the majority of existing medical research methods are designed for large scale population data and sufficiently homogenous groups, MUS are characterised by their heterogenic and complex nature. As a result, MUS seem to resist medical scrutiny in a way that other conditions do not. This paper approaches the problem of MUS from a philosophical point of view. The aim is to first consider the epistemological problem of MUS in a wider ontological and phenomenological context, particularly in relation to causation. Second, the paper links current medical practice to certain ontological assumptions. Finally, the outlines of an alternative ontology of causation are offered which place characteristic features of MUS, such as genuine complexity, context-sensitivity, holism and medical uniqueness at the centre of any causal set-up, and not only for MUS. This alternative ontology provides a framework in which to better understand complex medical conditions in relation to both their nature and their associated research activity.     

Subjective health complaints and health related quality of life in a population of health care workers

The aim of this study was to assess whether Subjective Health Complaints (SHC), demands and coping are associated with health-related quality of life in a population of health care workers. One hundred and nineteen employees in two nursing homes for the elderly filled in a questionnaire on health, exercise, psychological factors, and work conditions. Main outcome measures were SHC and quality of life measured by SF-36. High level of SHC was associated to low health-related quality of life. Low coping and high demands were related to low scores (low quality of life), and high coping and low demands to high scores on mental health. Pseudoneurological complaints (e.g. tiredness, sadness), high demands and low coping were associated with low mental health. The expected negative association between SHC and health-related quality of life was found. There was a positive association between coping and quality of life.     

Opposing effects of phonological similarity on item and order memory of words and nonwords in the serial recall task

This study shows that the classical phonological similarity effect (PSE) in immediate serial recall is critically affected by the lexicality of list items, the type of phonological similarity involved, and the scoring procedure. PSE was present in the serial recall score when phonologically distinct words were compared to words that share the middle vowel and end consonant (rhyming lists). PSE was absent in the serial recall score when phonologically distinct words were compared to words that share the initial and final consonants (consonant frame lists). There was a reversal of PSE in serial recall of nonwords when comparing distinct lists to both types of similar lists. Recall accuracy on the other hand was higher for distinct lists regardless of lexicality. Item errors dominated in relation to order errors in the case of nonwords, whereas order errors dominated in relation to item errors in the case of words. Furthermore, order errors were more common for phonologically similar lists, whereas item errors were more common for phonologically distinct lists. This may be the result of intra‐list and inter‐list interference, respectively. The dominance of the former error type may cause a classical PSE, whereas the dominance of the latter error type may cause a reversal of PSE. Finally, an item identification task yielded no evidence of an association between intra‐list interference and discriminability of items in a list.     

Subjective health complaints

A variety of subjective illnesses with few or no objective findings have appeared at regular intervals as epidemics in our society under different labels. There are few or no objective findings that might explain the "disease" or the complaints go beyond what is regarded as "reasonable" by the physician. Muscle pain and other types of subjective health complaints are among the most frequent reason for encounters with general practitioners, and one of the major causes for sickness absence. The prevalence of subjective health complaints is very high, with at least 75% of the population reporting one or more subjective health complaints the past 30 days. From a statistical point of view, it is "normal" to have complaints. It is when they become intolerable that assistance is required. The difficult thing is that this threshold is individual and subjective. The psychiatric definitions of these complaints, therefore, refer only to the tip of an iceberg.     

Processing redundant signals: coactivation, divided attention, or what?

The evidence for and against a redundancy gain in reaction time (RT) when the target is repeated in the visual display is reviewed. We consider the relevance of redundancy gains under these circumstances to the question of whether attention can be simultaneously directed to separate locations in the visual field. In the present experiments, two capital letters were the target stimuli in a two-alternative forced-choice RT paradigm. In addition to the usual conditions of single-target trials, trials on which the target is repeated in the display, and trials on which the target occurs with a noise letter, we introduced the innovation of a condition in which both targets occur in the display. In our two experiments, RT was fastest with single-target displays and slowest with displays containing a target and a noise letter. There was no significant difference in RT to displays in which the target was repeated and displays in which both targets were presented. Both conditions showed a redundancy gain when compared with displays containing a target and a noise letter. The lack of response competition in the both-targets condition and the overall pattern of the results were well explained by a unitary attentional focus that serially processed the letters in the display. Analyses of minima and maxima RTs were consistent with this interpretation.     

The CODE: A revised battery for coping and defense and its relations to subjective health

A condensed test battery (the CODE) based on the Utrecht Coping List (UCL) and part of the Defense Mechanisms Inventory (DMI) has been developed to assess coping and defense in large population studies. It was tested for reliability and validity in students and back pain patients. Principal components factor analysis of the subscales of the UCL and DMI in the student sample revealed two coping clusters: “Instrumental mastery-oriented coping” and “Emotion-focused coping” and two defensive clusters: “Cognitive defense” and “Defensive hostility”. “Instrumental mastery-oriented coping” was negatively related to subjective health complaints measured with Ursins Health Inventory (UHI). The back pain patients were clearly different from the students, using less coping and more defensive strategies. They had more subjective health complaints that showed negative correlations with “Instrumental mastery-oriented coping”. The CODE is a comprehensive battery that may be valid for large population studies of psychological determinants of muscle pain and other subjective health problems.     

Effects of noise letters upon the identification of a target letter in a nonsearch task

During a 1-sec tachistoscopic exposure, Ss responded with a right or left leverpress to a single target letter from the sets H and K or S and C. The target always appeared directly above the fixation cross. Experimentally varied were the types of noise letters (response compatible or incompatible) flanking the target and the spacing between the letters in the display. In all noise conditions, reaction time (RT) decreased as between-letter spacing increased. However, noise letters of the opposite response set were found to impair RT significantly more than same response set noise, while mixed noise letters belonging to neither set but having set-related features produced intermediate impairment. Differences between two target-alone control conditions, one presented intermixed with noise-condition trials and one presented separately in blocks, gave evidence of a preparatory set on the part of Ss to inhibit responses to the noise letters. It was concluded that S cannot prevent processing of noise letters occurring within about 1 deg of the target due to the nature of processing channel capacity and must inhibit his response until he is able to discriminate exactly which letter is in the target position. This discrimination is more difficult and time consuming at closer spacings, and inhibition is more difficult when noise letters indicate the opposite response from the targe