Ethical and methodological aspects of medical computer data bases and knowledge bases

Ethical problems are related to computer data bases, containing data on individuals and groups of persons, as well as to computer knowledge bases, containing general rules and elements of expert systems.In the present essay the following conclusions are made regarding computer data bases: privacy, security, and confidentiality of medical computer data bases should be ensured. This duty should rest with physicians in hospitals. The principle of informed consent should be applied to gathering information which is to be stored and processed by computers. Information stored in computer data bases should not be used for purposes for which the subjects (patients as well as personnel) have not given their consent. In order to decrease the possibility of misuses of medical data bases containing information on individuals, these registers should not be linked to other central data bases.     

Emotion as a key concept in temperament research

A review of the literature shows that there is a growing interest in temperament that has developed in parallel to studies of emotion. The author adopts a historical perspective on the relationship between temperament and emotion and shows the place of emotion in current research on temperament. From this point of view, emotion may be considered as a trait mostly identified as emotionality (six different conceptions of emotionality have been proposed), as a specific affective-motivational process, as a hedonic tone determined by specific limbic structures, and as a behavioral characteristic described in terms of intensity and temporal parameters. Some theories of temperament concentrate only on one of the roles of emotion mentioned above, whereas in other theories several roles of emotion are exposed.     

Attention deficit,conduct, oppositional,and anxiety disorders in children: III. Laboratory differences

Children aged 5–13 years with DSM-III diagnoses of Attention Deficit (ADDH), Anxiety, (ANX), or Conduct plus ADDH (HC) Disorder and matched normal controls were compared on a set of laboratory measures of impulsivity, arousal, motor performance, activity level, and cognition, and on behavior ratings during testing. While ANX patients did not differ from their controls, ADDH and HC patients did on Verbal IQ, most of the behavior ratings, and on about one-third of the test variables. ANX patients were about 1 year older, and more likely to be female, than ADDH and HC patients. When age, sex, and verbal IQ effects were partialed out, very few differences among the three diagnostic groups remained. The importance of precise control of such variables is emphasized and the impact of the failure to do so in past studies is discussed. The question is raised whether the deficit in verbal IQ is not so much a defect of matching as the essential feature of ADDH from which most of the other commonly reported cognitive symptoms stem.This research was supported by the Medical Research Council of New Zealand.     

Differential Intolerance for Inequity from Organizational and Individual Agents1

College students were either overpaid, underpaid, or equitably paid by an individual or an organizational agent for performing a task. Overpayment was more tolerated, but underpayment was less tolerated when it came from an organizational agent than from an individual. The implications for equity theory and research are considered.     

Persistent high self-focus after failure and low self-focus after success: the depressive self-focusing style

Two studies were conducted to assess the spontaneous self-focusing tendencies of depressed and nondepressed individuals after success and failure. Based on a self-regulatory perseveration theory of depression, it was expected that depressed individuals would be especially high in self-focus after failure and low in self-focus after success. The results of Experiment 1 suggested that immediately after an outcome, both depressed and nondepressed individuals are more self-focused after failure than after success. This finding led us to hypothesize that differences between depressed and nondepressed individuals in self-focus following success and failure emerge over time. Specifically, immediately following an outcome, both types of individuals self-focus more after failure because of self-regulatory concerns. However, over time, depressed individuals persist in higher levels of self-focus after failure than after success, whereas nondepressed individuals shift to the opposite, more hedonically beneficial pattern. The results of Experiment 2 provided clear support for these hypotheses. Theoretical implications of these results were discussed.     

Whites' ethnocentrism and their attributions for the behavior of blacks: A motivational bias1

Previous research has shown that people make more derogatory attributions for the behavior of outgroup members than for the behavior of ingroup members. However, these results may be due merely to a cultural stereotype of the outgroup rather than to ethnocentrism (which would entail dislike for members of the outgroup). To examine the effect of ethnocentrism on attributions, irrespective of the cultural stereotype, and to examine whether people who differ in ethnocentrism also differ in their attributions for whites and blacks, high and low ethnocentric whites made attributions for the success and failure of black and white actors on a task which required an ability that was outside the scope of the cultural stereotype of blacks, i.e., ESP ability. Examination of these attributions revealed that the more ethnocentric the subjects were, the more they tended to give whites greater credit for success than blacks, and the more they tended to give whites less blame for failure than blacks. These results were discussed in terms of their implications for the persistence of prejudice and for the effects of motivations on attributions for the behavior of others.     

Multiple family therapy in a residential setting for adolescents*

Treating severely disturbed adolescents in a residential setting without including the family seems impossible. Several ways of letting the family participate in the clinical treatment are discussed. The focus of this article lies in multiple family therapy: groups of family members, adolescents and staff are treating each other. The objects of these meetings are manifold: to modify the stereotyped views that all the participants have of each other, to reduce the isolation of the family which is created by their child's admission, to stimulate interaction and mutual correction between family members, adolescents and staff, and to create a warm-up for and understanding of family system therapy. These multiple family sessions, which take place in a clinic with sixty disturbed adolescents, have a strong influence on the entire therapeutic process. Their impact is felt in the group psychotherapy, psychodrama and other forms of therapy.     

Comparing psychological and pharmacological treatments for hyperkinetic boys and their classmates

This study compares the short-term effects of methylphenidate and of teacher consultation on the on task behavior of diagnosed hyperkinetic outpatient boys and selected classmates. Statistically significant treatment effects were found for both drug treated and behaviorally treated hyperkinetic boys; the size of these effects did not differ between the two types of treatment. Within the behavioral group, the treatment effect spilled over, so that there was also a significant treatment effect on overactive classmates of the behaviorally treated hyperkinetic children and a trend toward a significant treatment effect on their average classmates. Some implications of the findings are discussed.This study was supported by grant number MH-22659 from the National Institute of Mental Health.