The ethics of assessing health technologies

Health technology assessment (HTA) consists of thesystematic study of the consequences of theintroduction or continued use of the technology in aparticular context, with the explicit objective toarrive at a judgment of the value or merit of thetechnology. Ideally, it is aimed at assessing allaspects of a given technology or group oftechnologies, including non-technical, e.g.socio-ethical, aspects. However, methods for assessingsocio-ethical implications of health technology arerelatively undeveloped and few mechanisms exist totake action based on the results of such evaluations.Still, the examples of cochlear inplants (CI) and other cases illustratethat HTA is not a matter of merely collecting thefacts about a technology. The facts must beplausible and relevant from a particular framework,which is not always shared by different groups. It ishere that socio-ethical aspects are encountered. Ifhealth technology assessment aims to enhance theaccountability of the decision making processregarding funding and use of health technology, it isa major challenge to assessors of health technologiesto deal adequately with existing value pluralism. Inthis respect interactive evaluation may have somethingto offer.     

Indikationsstellung zur Verhaltenstherapie

Behavioral therapy is a recognized guideline-conform procedure based on the principles of learning theory. The principle is that behavior that has been learnt can also be forgotten again, which was applied very early on to the example of anxieties. Furthermore, cognition and emotions as well as attention-based procedures play an important role in the behavioral therapeutic treatment of mental illnesses. The advantages compared to other guideline procedures are the rapid and universal applicability, the contemporary relevance and the transparency of the application as well as the wide variety of methods. Additionally, the methods are very evident and can be selectively or differentially implemented for a multitude of mental illnesses. This article summarizes the most important illnesses from the perspective of the application of behavioral therapeutic methods. Aspects of differential indications are discussed in relation to specific illnesses and personality characteristics.     

The development and validation of the guidelines for stalking assessment and management

International research has established that stalking is a prevalent problem with serious and often life-threatening consequences for victims. Stalking is also a unique form of violence due to its nature and diversity, making it difficult for criminal justice and health professionals to establish which perpetrators and victims have the greatest need for services and protection. Risk assessment is one way to address these problems but few tools exist. This article describes the development of the Guidelines for Stalking Assessment and Management (SAM), the first risk assessment instrument designed specifically for the stalking situation. Preliminary data are presented, indicating that the SAM has promise for use by professionals working with stalkers and their victims. Results indicated that interrater reliabilities for the SAM risk factors and total scores range from fair to good, and the structural reliability of the SAM is sound. Moreover, the SAM showed good concurrent validity when compared with two other measures of violence propensity: the Psychopathy Checklist Screening Version (PCL:SV) and the Violence Risk Appraisal Guide (VRAG). Limitations of the study are discussed, especially those related to the difficulties inherent in file-based research, and suggestions for future research are offered.     

Psychosomatik der Kopfschmerzen

Headaches are subdivided into primary and secondary headaches according to the classification of the International Headache Society. While primary headaches represent the disease itself, secondary headaches are a manifestation as symptoms of another primary disease. This results in different therapeutic approaches so that secondary headaches are initially treated according to the actual cause of the headache. In contrast primary headaches have no further causes and necessitate fundamentally different treatment in comparison to secondary headaches. The psychosomatics integrate somatic procedures with psychiatric and social processes. This integration forms the basis of the biopsychosocial model which has the great advantage of being able to offer several approaches to psychiatric processes and accomanying alterations. For primary headaches psychotherapeutic strategies and modifications in the social environment of the patient can be applied in addition to medicinal (i.e. biological somatic) treatment procedures, in order to be able to positively influence the underlying disease. This article presents the most important primary headache diseases, migraine and tension-type headache and demonstrates treatment options which can be used in accordance with the biopsychosocial model presented.     

I copy you as I believe you know about our culture: Combining imitation and selective trust literatures

Empirical findings and theorizations of both imitation and selective trust offer different views on and interpretations of children's social learning mechanisms. The imitation literature provides ample documentation of children's behavioural patterns in the acquisition of socially appropriate norms and practices. The selective trust literature provides insights into children's cognitive processes of choosing credible informants and what information to learn in future interactions. In this paper, we place together findings from both fields and note that they share analogically similar theoretical underpinnings and offer explanations that are complementary to each other. We contend that children's imitative tendency may be due to their selection of in-group members as cultural experts, who serve as reliable sources of conventional information. Moving forward, we note the importance of evaluating individual differences and cultural factors to provide a more holistic understanding of universality and variation in children's social learning mechanisms.     

Consumer Socialization and Parental Style Across Cultures: Findings from Australia,Greece, and India

This study examines the link between consumer socialization and general parental socialization tendencies among Australian, Indian, and Greek parents. Five basic patterns of socialization were found and the specific consumer socialization practices of each are discussed. Together these 5 parental styles provide a theoretically based typology of parental tendencies in collectivist as well as individualist nations.     

Children's recall and recognition of sex role stereotyped and discrepant information

This research investigated the influence of differing levels of sex role stereotyped and discrepant information on immediate and delayed (one week) memory. Specifically, kindergarten and second-grade children's recall and recognition of stereotyped, moderately discrepant, and highly discrepant pictures were compared. In Study 1, a sorting procedure was utilized to determine the level of stereotyping of 34 toys. From this study 12 toys were selected as stimuli for Study 2. In Study 2, children's immediate and delayed recall and recognition was assessed. Results suggested significantly better recall of highly discrepant pictures than stereotyped or moderately discrepant pictures. In addition, immediate recall was better than delayed recall and second-grade recall was better than kindergarten recall. Similar trends emerged with the recognition task. Results were discussed with respect to the schematic processing model.This paper represents a joint collaborative effort on the part of the authors. The authors wish to thank the principals, teachers, and children who participated in the study; the child models; the student research assistants; the photographer, Martha Putt; and the statistical consultant, Joseph Kropp.