Patient Autonomy and Quality of Care in Telehealthcare

Telemedicine is a complex field including various applications and target groups. Especially telehealthcare is seen by many as a means to revolutionize medicine. It gives patients the opportunity to take charge of their own health by using self-tracking devices and allows health professionals to treat patients from a distance. To some, this means an empowerment of patient autonomy as well as an improvement in the quality of care. Others state the dangers of depersonalization of medicine and the pathologization of daily life. This paper examines the ethical implications of telehealthcare, focusing on patient autonomy and quality of care by analyzing metareviews, randomized controlled trials and narrative ethical analyses on the topic. As a result, we conclude that the technically enhanced encounter between patients and health professionals may mean an empowerment of patient autonomy when it goes along with a personal relationship based on trust, assistance and support. When it comes to the quality of care, telehealthcare may lead to an improvement as long it is adopted to the patient’s individual needs.     

Why compatibilist intuitions are not mistaken: A reply to Feltz and Millan

In the past decade, a number of empirical researchers have suggested that laypeople have compatibilist intuitions. In a recent paper, Feltz and Millan (2015 Feltz, A., &; Millan, M. (2015). An error theory for compatibilist intuitions. Philosophical Psychology, 28(4), 529–555.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) have challenged this conclusion by claiming that most laypeople are only compatibilists in appearance and are in fact willing to attribute free will to people no matter what. As evidence for this claim, they have shown that an important proportion of laypeople still attribute free will to agents in fatalistic universes. In this paper, we first argue that Feltz and Millan’s error-theory rests on a conceptual confusion: it is perfectly acceptable for a certain brand of compatibilist to judge free will and fatalism to be compatible, as long as fatalism does not prevent agents from being the source of their actions. We then present the results of two studies showing that laypeople’s intuitions are best understood as following a certain brand of source compatibilism rather than a “free-will-no-matter-what” strategy.     

The costs and benefits of cross-task priming

Two lines of research on cross-task priming yield opposite results. Research on repetition priming observed positive priming, whereas research on the role of priming in task-switching observed negative effects. We combined the two types of design. In the transfer phase of our paradigm, subjects performed task B either as a pure block (BBB) or as a switch block (ABAB). We presented items which were either unprimed or primed by prior presentation during a preceding priming phase performed on task A. Amongst others, the priming effect is determined by two factors: First, the more operation time the system needs during the probe event, the higher the likelihood to obtain priming. Protracting operation time by reducing stimulus quality favors positive priming, whereas providing more operation time by making subjects switch between tasks favors negative priming. Second, the strength of the memory trace of the prime event determines whether that trace can possibly yield negative priming, in that only strong traces can be retrieved together with the associated task/response.     

马普人类发展研究所毕生发展心理研究中心：研究主题和研究活动展示

Paul B. Baltes于1981年在马普人类发展研究所成立的毕生发展心理研究中心已经使毕生发展心理学成为了发展心理学中的一个重要的概念分支。2004年以来,中心已经将研究项目扩展到了发展行为神经科学。中心主要在三个主题上开展研究工作: (1) 研究作为成熟、学习和衰老的交互作用的结果, 毕生的不同发展阶段中人类行为变化的规律: (2) 发展能够整合来自于自身机能、时间序列、以及行为和神经层面分析等领域实证证据的理论和方法体系。(3) 通过探索不同年龄可塑性上的差异寻找发展的机制。中心继续重点关注成人晚期和老年期, 这为理论和实践上的创新提供了独特的机遇。同时, 中心加强了对包括婴儿期和儿童早期在内的个体发展早期阶段的研究。本文报告了来自四项从行为和神经层面分析感觉和认知发展的研究的最新发现。     

Both trace and delay conditioning of evaluative responses depend on contingency awareness

Whereas previous evaluative conditioning (EC) studies produced inconsistent results concerning the role of contingency knowledge, there are classical eye-blink conditioning studies suggesting that declarative processes are involved in trace conditioning but not in delay conditioning. In two EC experiments pairing neutral sounds (conditioned stimuli; CSs) with affective pictures (unconditioned stimuli; USs), we tested whether the type of conditioning procedure affects the relationship between awareness and EC. Auditory CSs and visual USs were either overlapping and co-terminating (Delay Conditioning Group), or they were separated by a short temporal gap (Trace Conditioning Group). In both groups, contingency awareness was manipulated by varying the duration at which the US was presented during conditioning. Furthermore, in addition to a post-conditioning measure of awareness, US detectability was measured concurrently during the learning phase in Experiment 2. US exposure duration affected both measures of awareness. The data of both experiments demonstrate that EC does not occur if the USs are presented at very brief durations, but reliable EC effects can be observed at longer US exposure durations. As there were no differences between trace and delay conditioning, the data suggest that contingency awareness plays a crucial role in trace and in delay conditioning of evaluative responses. These results challenge automatic association-formation accounts of EC, but they are in line with ‘single-process’ accounts assuming EC to be dependent on conscious declarative knowledge about CS–US contingencies.     

Social Comparison and the ‘Circle of Objectification’

The purpose of this study was to test a new theoretical model that integrates self-objectification, objectification of others, and social comparison as contributors to the development and maintenance of body image disturbance and disordered eating behavior. Within the new theoretical model, self-objectification, objectification of others, and social comparison are conceptualized as a self-perpetuating cycle, rather than as processes that occur independently of one another. Measures of self-objectification, objectification of others, social comparison, body shame, body dissatisfaction, and eating disorder symptomatology were completed by 549 female students between the ages of 18 and 30?years from a large university in the southeastern United States. Structural equation modeling with nested model comparisons was used to examine the fit of the new theoretical model relative to less complex models which contain only relationships which have received previous attention in the research literature (e.g., the relationship between self-objectification and body shame). Results indicated that the new theoretical model demonstrates good fit for the data and that the fit of this model is significantly better than the original model suggested by the literature. This model also brings together two distinct lines of research and offers a more complete understanding of processes underlying women’s body image and eating behavior. Implications for clinical work as well as theory and measurement are discussed.     

Judgments about moral responsibility and determinism in patients with behavioural variant of frontotemporal dementia: still compatibilists

Do laypeople think that moral responsibility is compatible with determinism? Recently, philosophers and psychologists trying to answer this question have found contradictory results: while some experiments reveal people to have compatibilist intuitions, others suggest that people could in fact be incompatibilist. To account for this contradictory answers, Nichols and Knobe (2007) have advanced a ‘performance error model’ according to which people are genuine incompatibilist that are sometimes biased to give compatibilist answers by emotional reactions. To test for this hypothesis, we investigated intuitions about determinism and moral responsibility in patients suffering from behavioural frontotemporal dementia. Patients suffering from bvFTD have impoverished emotional reaction. Thus, the ‘performance error model’ should predict that bvFTD patients will give less compatibilist answers. However, we found that bvFTD patients give answers quite similar to subjects in control group and were mostly compatibilist. Thus, we conclude that the ‘performance error model’ should be abandoned in favour of other available model that best fit our data.