Potential roles of the medical ethicist in the clinical setting

The medical ethicist is a fairly recent addition to the clinical setting. The following four potential roles of the clinical ethicist are identified and discussed: consultant in difficult cases, educator of health care providers, counselor for health care providers and finally patient advocate to protect the interests of patients. While the various roles may sometimes overlap, the roles of educator and counselor are viewed as being more congruent with the education and training of medical ethicists than are the roles of consultant and patient advocate.     

Variation in hue of a contour-contingent aftereffect due to color adaptation during inspection of the stimulus patterns

The McCollough Effect (a colored line-orientation-contingent aftereffect) has been attributed to the presence of edge detectors specific to wavelength in the human visual system. The present study tests this hypothesis by introducing unlined colored fields into the inspection condition and by comparing the subsequent aftereffect with the aftereffect induced by the inspection condition not including the unlined colored fields. The data indicate that the hues of the aftereffects differ, suggesting that the color and line stimuli may be processed by different populations of neural elements, and that the color-coded edge detector model is not adequate to account for the observations.     

Independence training,need achievement and need affiliation

American white and American Indian grade school boys and girls from the North Central Plains are studied. The previously shown significant and positive relationship between high need achievement and low need affiliation is hypothesized to be a culturally based and sex related phenomenon. The early training of Plains Indian children especially that of boys emphasizes early independence rather than either affiliation or achievement. As hypothesized, it was found in this study both that white children had significantly higher need affiliation scores than Indian children and that boys indicated higher need achievement than girls, indicating cultural and sexual differences. It appeared also that success is a more potent condition for Indian boys in intensifying need achievement scores, whereas failure intensifies the need achievement scores of white children. This suggests that perceived success and failure operate differentially between these cultural groups. Other results also corroborate earlier findings of the culture bias of « standard » intelligence tests.     

Physical Attractiveness,Dating Behavior,and Implications for Women

The primary objective of this study was to determine which of two sociological theories of dating preference was more powerful in predicting women's actual dating frequency. The two theories tested were Waller's theory, which emphasizes physical attractiveness, and Blood's theory, which emphasizes personality. The present study supported Waller's theory. Discussion and implications for women and counselors are presented.     

The effect of hemispatial neglect on the perception of centre

Highly variable bisection performance in neglect patients has been attributed to an increased 'zone of indifference'. The indifference zone indicates the discrepancy between two line lengths which are judged as equal in length. Following this argumentation, the central area of a line should be expanded in neglect patients. The present two experiments investigated for the first time the expansion of the central area using a modified version of the Landmark Task. The location of a central or asymmetrical bisection mark on a horizontal line had to be judged (centre/left/right). In both experiments neglect patients, unlike healthy and patient controls, showed clear deficits in judging the location of the mark correctly and tended to judge asymmetrical marks of up to 4 cm as centrally positioned. The results are in agreement with and provide the first clear evidence of an enlarged perceptual zone of indifference in patients with hemispatial visual neglect.     

Gifts,talismans and tokens in analysis: symbolic enactments or sinister acts?

Analysis is nuanced with many non-verbal cues and interactions. This is vividly illustrated when gifts are presented to the analyst. Their physical presence transcends the symbolic frame of analysis because, although their meaning may be metaphorical, their presence is real. Unlike other material objects and pictures, the gift may seem to invite the analyst to receive it personally. It may apparently demand some form of action. A gift may be consciously given as a token, or it may be magically invested as a talisman. On the surface, it might appear to be an expression of love; it may be a communication of a wish for acceptance; but it may have more 'sinister', unconscious intent. It may embody the wish to expel unwanted affect, ward off evil or control the analyst. Therefore disposal, that is the resolution and settling of the object, is significant. The case with which this paper is illustrated traces the meaning of a series of gifts in a single analysis. It is hoped that this will enhance a wider understanding of this common analytic phenomenon.     

Psychoanalytically Based Treatment for Traumatized Children and Families

A psychoanalytic orientation provides an important perspective for developing community-based prevention and intervention programs for traumatized children and their families. In New Orleans, the Violence Intervention Program for Children and Families is designed to reduce the risk of exposure to violence, mental health problems following exposure, interference with normal developmental progression, academic performance, family functioning, onset of behavioral and conduct disturbances, later psychopathology, and subsequent violence. The program includes an unusual focus on work with police officers as first responders to increase their sensitivity and responsiveness to traumatized children. A psychoanalytic perspective helps a therapist or interventionist understand a person's strengths and weaknesses, frustrations, and conflicts as well as those within a chaotic environment and social situation. The psychoanalytic approach allows for more effective therapeutic approaches as well as more flexible problem-solving strategies.