Who we are: The political origins of the medical humanities

The medical humanities were organized, beginning in the late 1960s, by a small group of people who shared a critique of medical education and a commitment to vigorous action to change it. They proposed to create several demonstration programs in humanities education at American schools. Although the group began with a religious orientation, it soon acquired a broader, more secular mission. As a result of shrewd political organizing, the group attracted members from within medicine, and was awarded a grant to promote the medical humanities. This paper describes these events and sets them in the context of the social and medical history of the 1960s and early 1970s.     

TRANSITIONS IN CHILDREN'S ROLES AND CAPABILITIES*

Stage theories and empirical studies have concentrated on a few periods of childhood (e.g., age 5 to 7 years) as important times of transition. On the basis of ethnographic suggestions that the age period 8 to 10 years also involves interesting changes, the authors carried out a search of published empirical studies for findings of transitions in capabilities at 8 to 10 years. An annotated bibliography is provided summarizing the studies found in a 5-year period in three journals. The authors discuss possibilities for characterizing the transition at age 8 to 10, as well as how such a transition meshes with the concept of stage.     

Efficacy of self-instructional training for reducing children''s anxiety in an evaluative situation

Fifty-six fourth-grade children were categorized as either high or low in trait anxiety and then assigned to a self-instruction treatment, minimal-treatment, or no-treatment control condition. At both pretest and posttest, the subjects recited a memorized poem while being videotaped with the expectation that they would be judged on their performance. State anxiety measures, a behavior rating of anxiety, a measure of performance accuracy and the time involved in reciting a poem were obtained at both pretest and posttest. Contrary to expectation, the self-instructional training resulted in subjects' exhibiting greater signs of behavioral anxiety, subjects' hurrying through the task (taking less time to recite the poem) and high trait-anxiety subjects' reporting more state anxiety while anticipating reciting the poem. Correlational analyses indicated that trait anxiety was significantly related to the measures of state anxiety and the behavior rating of anxiety but not to performance accuracy.     

Depth separation and the Ponzo illusion

The Ponzo illusion refers to an apparent change in length of objectively equal parallel lines induced by enclosure within an acute angle. The present study investigated this illusory change in stimulus extent as a function of the relative depth positions of the parallel lines and the inducing angle. To permit facile and unconfounded manipulation of apparent depth, the stimuli comprising the Ponzo configuration were stereoscopic contours formed from dynamic random-element stereograms. The main results were: (1) apparent depth separation exerted a strong influence on illusion magnitude; (2) this influence was asymmetrical in that illusion magnitude decreased when the inducing angle appeared in depth behind the parallel lines and increased when the inducing angle appeared in depth in front of the lines. These data are consistent with a general theory of space perception that assumes that information about depth position is processed prior to information about stimulus characteristics.     

Mothers and fathers of young children: comparison of parenting styles

This study compared the developmental expectations and parenting behaviors of 52 mothers and fathers with children between the ages of 1 and 4 years, using the Parenting Inventory: Young Children. While both mothers and fathers were nurturing parents, mothers obtained significantly higher nurturing scores. Possible reasons for this difference were discussed. Developmental expectations and discipline strategies did not differ between mothers and fathers.     

An observation on set and visual comparison processes

Tasks involving the comparison of sequentially presented stimulus items to determine identity have generally only required interpretation in terms of simple matching. Some studies have attempted to show effects of selective set in these tasks but with little success except in tasks involving comparison of sentences with pictures. By simplifying the task a reliable set effect is demonstrated, showing that a mismatch of certain stimulus attributes only has an identifiable effect on a subject's reaction-time if he may reasonably be supposed to know that the attribute is critical and is set to examine stimulus items for the attribute. Such conditions result in a relatively fast judgement. The finding suggests that the sequential “same“/“different” judgement is a richer source of data concerning recognition and comparison than has been supposed.     

Retroactive interference in single-cue probability learning

Abstract.— When two single-cue probability learning tasks with different amounts of unpredictable variance were learned in succession. a low variance task interfered with the retention of a high variance task, but the opposite was not true. The effects were positive in that they enabled the subjects to reach a higher response consistency and, thus, a higher level of achievement. It was suggested that the subjects made use of the low variance task to reject incorrect hypotheses about the cue-criterion relation and that interference from an interpolated task occurs only when this task provides information which has functional value for the subject.     

Contextual basis of maternal perceptions of infant temperament

To elucidate the differential saliency of infant emotions to mothers across interactive contexts, the authors examined the moderating role of observed infant affect during interactions with mother in the relation between maternal and laboratory-based ratings of infant temperament. Fifty-nine developmentally healthy 9-month-old infants were judged for degree of infant positive, infant negative, and mother-infant mutually positive affect during the course of object-focused and routine home-based activities with mother. Mothers completed the Infant Behavior Questionnaire (M. K. Rothbart, 1981), and infants underwent the Laboratory Temperament Assessment Battery (H. H. Goldsmith & M. K. Rothbart, 1999). Results revealed that maternal and observer ratings of infant negativity converged when infants manifested high degrees of negative affect during routine home-based activities. Maternal and observer ratings of infant positivity converged when infants experienced low mutually positive affect during play. These findings support the hypothesis that maternal perceptions are based on mothers' experiences with their infants but that the salience of infant temperamental characteristics to mothers varies across emotion and interactive context.     

Deconstructing therapy outcome measurement with Rasch analysis of a measure of general clinical distress: the Symptom Checklist-90-Revised

Rasch analysis was used to illustrate the usefulness of item-level analyses for evaluating a common therapy outcome measure of general clinical distress, the Symptom Checklist-90-Revised (SCL-90-R; Derogatis, 1994). Using complementary therapy research samples, the instrument's 5-point rating scale was found to exceed clients' ability to make reliable discriminations and could be improved by collapsing it into a 3-point version (combining scale points 1 with 2 and 3 with 4). This revision, in addition to removing 3 misfitting items, increased person separation from 4.90 to 5.07 and item separation from 7.76 to 8.52 (resulting in alphas of .96 and .99, respectively). Some SCL-90-R subscales had low internal consistency reliabilities; SCL-90-R items can be used to define one factor of general clinical distress that is generally stable across both samples, with two small residual factors.