Medicine as business and profession

This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business.     

Connecting the Commodore 64 to the IBM PC

Hardware is described that permits bidirectional transfer of data between the Commodore 64 and an IBM-compatible PC. Commercial terminal programs can be used to transmit data. The hardware, which can be constructed for less than $15, opens up several opportunities for making good use of the cost-effective C64 computer.     

Abstracts

Integrative Psychological and Behavioral Science -     

THE WILL ROGERS ILLUSION IN JUDGMENTS ABOUT SOCIAL GROUPS

Abstract— Subjects' judgments of the mean of 12 scores were influenced by the way in which the scores were dichotomized. The estimated mean was higher when the three highest scores formed one group (e.g., payments for women) and the nine lowest formed the other (e.g., payments for men) than when the nine highest were one group and the three lowest the other. We call this phenomenon the Will Rogers Illusion (WRI). The WRI occurred only when estimates of the subgroup means were made prior to the estimates of the mean of the whole group. When the latter mean was judged first, the WRI was reversed. These and other data indicate that the means of subgroups can influence judgments of group means, a finding that is relevant to research on social stereotypes.     

Toward a therapeutic jurisprudence analysis of medication refusal in the court review model

A therapeutic jurisprudence analysis attempts to discern the role of legal proceedings, lawyers and judges in producing therapeutic or anti-therapeutic consequences. This paper will attempt to use the therapeutic jurisprudence framework to analyze the legal and administrative aspects of court review as it was reported during a one year epidemiologic study of drug refusal. Characteristics of the review process, the effect on patient refusal, and the attitudes of treating psychiatrists are presented. To broaden the clinical context of the administrative findings, selected clinical characteristics of refusing patients, their attitudes toward mental illness, reasons for refusing medication and satisfaction with court review will be described. The discussion attempts to show how the initial administrative study findings may be interpreted in the broader context of their relationship to the achievement of therapeutic outcomes.     

Community policing to take guns off the street

Despite the difficulty in current attempts to precisely measure gun density or availability (Cook, 1991), there can be little doubt from research that firearm availability does impact the homicide and other violent crime rates. There is nonetheless a dearth of information regarding specific police strategies for reducing gun violence (Reiss & Roth, 1993). Describing one component of the Weed and Seed strategy in Kansas City, Missouri, this article examines an innovative approach with this goal as the primary focus. Specific questions addressed were (1) whether the police can successfully gain community support in obtaining immediate, pertinent information about illegal gun carrying, and (2) whether the police can successfully use that information to seize illegally carried guns. The fact that this program did not produce the desired gun tips or gun arrests may be useful for other jurisdictions seeking new strategies by both identifying a number of potential problems and suggesting areas for improvement.     

Psychological effects of sustained shipboard operations on U.S. Navy personnel

This study investigated the psychological and physical health status of 265 crew members on two U.S. Navy ships (a guided missile cruiser and a frigate on convoy escort duty for tankers under U.S. flag) during the Persian Gulf conflict at four time periods during combat-ready operations on a single day. Findings suggest that adaptation occurs to extreme stressors associated with sustained operations. Suggestions are made relative to measures that may minimize psychological and physical conditions that adversely affect performance under conditions of heavy stress. Report No. 89-18, supported by the Naval Medical Research and Development Command, Bethesda MD, Department of the Navy, under research Work Unit No. 63206N.M0096. The opinions expressed in this paper are those of the author and do not reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government.     

High-Trait and Low-Trait Angry College Students: A Comparison of Family Environments

In this study the authors investigated differences in the family environments of high- and low-trait angry college students. High-trait angry students described their family environments as significantly less cohesive, less emotionally expressive, more conflictual, and more disorganized than did their low-trait angry counterparts. Implications of the findings to the counseling of students with anger-related problems are discussed.