Traversing boundaries: clinical ethics,moral experience,and the withdrawal of life supports

While many have suggested that to withdraw medical interventions is ethically equivalent to withholding them, the moral complexity of actually withdrawing life supportive interventions from a patient cannot be ignored. Utilizing interplay between expository and narrative styles, and drawing upon our experiences with patients, families, nurses, and physicians when life supports have been withdrawn, we explore the changeable character of boundaries in end-of-life situations. We consider ways in which boundaries imply differences – for example, between cognition and performance – and how the encounter with boundaries can generate altered meanings important for understanding decisions and actions in these contexts. We conclude that the reliance on mere roles to support the moral weight of withdrawing medical interventions is inadequate. Roles that lead us to such moments are exceeded by the responsibility encountered in such moments. And here, we suggest, is the momentous character of withdrawal: it presents the grave astonishment, the trembling awe, in the not-being-there of the other in death.     

Origins of the cognitive (r)evolution

The well documented cognitive "revolution" was, to a large extent, an evolving return to attitudes and trends that were present prior to the advent of behaviorism and that were alive and well outside of the United States, where behaviorism had not developed any coherent support. The behaviorism of the 1920 to 1950 period was replaced because it was unable to address central issues in human psychology, a failure that was inherent in part in J. B. Watson's founding manifesto with its insistence on the seamless continuity of human and nonhuman animal behavior. The "revolution" was often slow and piecemeal, as illustrated by four conferences held between 1955 and 1966 in the field of memory. With the realization that different approaches and concepts were needed to address a psychology of the human, developments in German, British, and Francophone psychology provided some of the fuel of the "revolution."     

The negative compatibility effect: unconscious inhibition influences reaction time and response selection

In the negative compatibility effect (NCE) a masked prime arrow, pointing left or right, is followed by an unmasked (visible) target arrow. The task is to press the left or right switch corresponding to the visible arrow. Surprisingly, reaction time is longer (slowed) when the prime and target indicate the same, rather than different, responses. By contrast, the effect of an unmasked prime is positive-opposite to the NCE. This indicates that the NCE is not attributable to incomplete masking; to the extent that the prime is visible, the NCE would be reduced by this positive influence. Thus, the NCE appears to result from unconscious processing of the prime and, in that sense, may be a form of subliminal perception. Additional findings show that the NCE is due to inhibition of a response code, that it is automatic in that it occurs even if the information in the prime and target could be ignored, and that it also influences response selection.     

Circaseptan aspects of self-assessed sleep protocols covering 70 nights on 33 clinically healthy persons

This study aimed to describe quantitatively some changes in sleep behavior. During 70 consecutive nights, 28 women and 3 men, 30 to 40 years of age and presumably clinically healthy, recorded the time of each awakening. Time of falling asleep were estimated from markings at 10-min. intervals from the times of lying down to sleep as an indication that the subject had not yet fallen asleep. Sleep duration and an index of effective sleep derived therefrom were analyzed by rhythmometric methods. On a group basis, anticipated components with periods of 1 and 0.5 wk., synchronized with the social schedule, were detected with statistical significance. Until long-term polysomnographic monitoring can readily cover the week automatically rather than only one or a few daily sleep spans, the self-monitoring of sleep behavior, yielding the circaseptan endpoints derived herein, may serve as a cost-effective tool in sleep research. By virtue of their relative simplicity, they could be part of a protocol designed to assess pharmacologic or nonpharmacologic interventions of sleep disturbance aimed at restoring undisturbed sleep.     

Experimental evidence for serial models of lexical access: a judgment task

The hypothesis that the lemma and lexeme levels of lexical access are in a feed-forward serial relation is supported. Subjects judge the degree of semantic relatedness of pairs of words. Stimuli are all functionally synonymous; they are pairs of words implicated in natural word blends. Half the stimuli are phonologically related and the other half are not. In one experiment the pairs are presented in a sentential context and in the other no context is provided. In both the experiments the phonologically unrelated pairs are judged closer in meaning than the phonologically related pairs. This is interpreted as support for serial models of lexical access.     

The association between homelessness and suicidal ideation and behaviors: results of a cross-sectional survey

This study was carried out with three goals: (1) to determine the prevalence of suicidal ideation and suicide attempts among the homeless; (2) to determine what aspects of homelessness predict suicidality, and (3) to determine which aspects remain predictive after controlling for key covariates, such as mental illness. A sample of 330 homeless adults were interviewed. Sixty-one percent of the study sample reported suicidal ideation and 34% had attempted suicide. Fifty-six percent of the men and 78% of the women reported prior suicidal ideation, while 28 percent of the men and 57% of the women had attempted suicide. Childhood homelessness of at least 1 week without family members and periods of homelessness longer than 6 months were found to be associated with suicidal ideation. Psychiatric diagnoses were also associated with suicidality in this sample.     

Favoritism,Bias, and Error in Performance Ratings of Scientists and Engineers: The Effects of Power,Status, and Numbers

In this paper we argue that the sociostructural position of groups must be taken into consideration along with motivational and cognitive processes to explain evaluations received and made by women, Blacks, Hispanics, and Asians. With this framework, we analyze performance ratings for a sample of 2,445 scientists and engineers from 24 U.S. companies and find that (a) there is more evidence of in-group favoritism than of out-group derogation; (b) high status, dominant, and majority group members enjoy favoritism expressed as a global prototype of them as competent; and (c) subordinate, minority group members overshoot in opposite ways toward other groups depending on their status and the status level of the target group. We find these effects even after controlling for self-reported productivity and for various errors inherent in the evaluation process.