Psychiatric malpractice in the military

Available data indicates that the incidence of malpractice in military psychiatry, involving both civilian and active duty beneficiaries, is the lowest of all specialties and may be lower than in the civilian sector. Recovery for malpractice damages by means of claim versus suit is restricted to civilian patients; active duty service members recover through a special disability system. The federal government provides military psychiatrists with considerable protection from personal financial loss when involved in malpractice, but there may be limits to that protection. There have been recent efforts to criminally prosecute military physicians in some instances. A registry review of military psychiatry malpractice cases from 1978 to 1987provides a profile of the malpractice situation and suggests areas of practice that need vigilance. The Department of Defense has established a broad-based, comprehensive program of quality assurance and risk management in the interest of maximizing the benefit of medical care and minimizing substandard practice.     

Principles in judgment/decision making research pertinent to legal proceedings

Principles in the judgment/decision making literature relevant to the legal community are reviewed. These principles are divided into four areas: the decision process itself, communicating a judgment to others, evaluating a decision, and possible ways of “debiasing.” Several influences on the decision process are enumerated, among them being insufficient consideration of base rates, selective memory for relevant material, the framing of the decision in either the domain of losses or the domain of gains, and consideration of the “cues to causation.” Particular attention is paid to suboptimal consideration of covariation information. In communicating the decision to others the two most prominent findings are overconfidence in expressing one's decision and the inability to describe accurately the bases of one's decision. Evaluating a decision is plagued by two biases. The first is the hindsight bias. After an event has occurred we tend to exaggerate how easily we could have predicted the event beforehand. The second is the outcome bias. We tend to base our evaluation of the decision upon the evaluation of the outcome. Among the debiasing techniques mentioned are the admonition to “consider the opposite” of the preferred option, the reduction of reliance on memory, and the use of decision aids.     

How and when to correct for juror hindsight bias in mental health malpractice litigation: Some preliminary observations

This article examines the hindsight bias in the context of mental health malpractice litigation, analyzes various legal mechanisms for dealing with the bias, and discusses whether the law should strive for debiasing in all mental health malpractice cases.     

Counseling Gay Men with AIDS: Human Dimensions

As the incidence of acquired immunodeficiency syndrome (AIDS) becomes more widespread, individuals with AIDS will present themselves for counseling in both public and private settings, and counselors will need to become familiar with the psychological manifestations of the AIDS virus. This article provides case material that demonstrates the emotional responses of gay men to AIDS. Specifically, denial, anger, rage, guilt, and shame are discussed with an emphasis on the human dimensions of AIDS.     

Cross-sex comparisons: A word of caution

A cross-sex difference on one variable is often hypothesized to be related to a gender difference on a second variable. However, caution should be exercised in making such comparative hypotheses. We gathered the expected and actual examination grades for 168 female and 163 male college students. As in prior research, males had higher expectancies than females (p<.05). But analysis of the intrasex regression equations indicated that the relationship of expectancies to performance was different for women than it was for men. Thus, a cross-sex difference in expectancies did not correspond to a parallel difference in grades. This finding highlights the potential hazards of making certain cross-sex comparisons, and we argue for more caution in their application.     

Sex role orientations,attributions for achievement,and personal goals of Chinese youth

The role of women in the People's Republic of China has changed dramatically in the last 40 years. This study assesses what impact these changes have had on the attitudes of Chinese youth. The sample consisted of 164 subjects (77 men and 87 women) who completed the Bem Sex Role Inventory, the Objective Fear of Success Measure, a locus of control scale, and a personal goals questionnaire. They also evaluated a painting attributed to artists of different gender and status. The results indicate that the sex role orientations of Chinese students were similar to those of American students. On the Bem inventory, the direction of the sex differences on the sex role scales was the same for U.S. and Chinese students, but the latter had a sex role orientation that, in our culture, is regarded as more “traditional.” Chinese women were significantly more likely to endorse statements expressing fear of success than were Chinese men. On the locus of control measures, Chinese women were more likely than men to attribute their achievement successes to luck and failures to a lack of ability. The women students also attributed affiliation outcomes more to luck than did the men. The most important personal goal cited by both men and women was that of career success. Chinese men placed greater importance than women on achieving wealth, and their expectancy of actually becoming wealthy was higher. Finally, in an evaluation of a painting, Chinese men, but not the women, devalued a painting when it was supposedly the work of a female student artist.     

Marital adjustment among rural couples: The role of expressiveness

This study examined the relationship between marital adjustment and husbands' and wives' instrumentalness and expressiveness. Eighty-five rural couples completed the Spanier Dyadic Adjustment Scale and the Personal Attributes Questionnaire. Multiple regression analyses indicated that husbands' expressiveness was the sole predictor of both husbands' and wives' marital adjustment. Results are compared to previous research findings with urban couples. Implications of the findings for gender-related patterns of socialization are also discussed.     

工作负载的测量和评定

长期处于应激状态而又适应不良者可导致疾病。人类经常遇到的心理、社会性应激源除了生活事件以外,长期工作负载过重也是其中之一。本文通过对24名在监护病房工作的护士的工作负载的测量介绍了在西方国家常用的工作负载的测量和评定方法。