A new challenge to ethical codes: Heart transplants

Summary We have entered into a new era of medical achievement with the development of successful transplantation of human organs. The transplantation of the heart has aroused the greatest scientific interest and at the same time created serious new problems of an ethical and legal nature. It has been necessary to develop new criteria to determine the moment of death of the donor in order to ensure continued life for the recipient. The decision of the moment of death should be made by a small team of skilled physicians interested in furthering this important development, but not as emotionally involved as are the surgeons awaiting the chance to prolong their patient's life with a new heart. Available and suitable hearts will probably always be in very short supply, and the selection of recipients will therefore become critical if the procedure proves to be widely acceptable.New laws will be essential before this process can be adopted in many states and countries. The cost in terms of total resources is so large that careful evaluation of the long-term results must be undertaken after a reasonable number of patients have been operated on and observed, perhaps at the end of the second year following the first procedure. Since the cost of each operation of this type approximates that of the education of several young physicians who could care for thousands of patients during their life span, a good hard look at the potential benefits and ultimate values is in order. At this point in time it is extremely important that this type of surgery be encouraged but limited to those prepared to undertake it with maximum skill and minimal risk. At present it must be recognized as a great experiment rather than a therapeutic triumph for general application.     

Reaction time as a function of the intensity and probability of occurrence of vibrotactile signals

Three Ss made judgments of the presence or absence of a burst of 60-cps vibration onthe index fingertip.The probability of S’s reporting the presence of a signal was found to be influenced by signal probability and signal intensity. Mean reaction time for reporting the presence of a signal decreased as a function of signal intensity and signal probability whereas mean reaction time for reporting the absence of a signal increased as a function of signal intensity and signal probability. On trials where no signal was presented mean R T for reporting a signal decreased with increases in the signal probability whereas mean RT for reporting the absence of a signal increased with increases in signal probability. The results were interpreted as support for the hypothesis that S’s decision time was longer the closer on the sensory continuum a particular observation was to his criterion.     

A NOTE ON INTEROCULAR TRANSFER AND THE COLOUR OF VISUAL AFTER-IMAGES

Following monocular fixation of a red stimulus figure on a grey background, a projection field having the same colour as the stimulus figure was viewed either with ( a ) the stimulated eye, or ( b ) the non-stimulated eye. In case ( a ) the after-image appeared grey on a red background, but in case ( b ) green or blue, on a red background. In the latter case the brightness and to some extent the hue of the after-image varied when the amount of light coming to the originally stimulated eye varied. The data are in agreement with the assumption that after-images are primarily retinal.     

ON THE ONTOGENETIC DEVELOPMENT OF MORAL CRITERIA

Changes in the dimensionality of the moral criteria, i.e. of those aspects of an action-sequence to which a person pays attention when judging how good/bad (nice/naughty) the agent is, were studied with 7-, 10-, and 13-year-old girls and adult subjects. Action sequences varying in respect to potential moral criteria were presented as cartoons. A proximity setting technique and Kruskal's (1964) method of analysis were used. In the younger age groups a remorse-spite-dimension was obtained, the motive criterion becoming more dominant and differentiated with age. Methodological problems are discussed.     

Getting engaged: A case study and a model of the engagement period as a process of conflict-resolution

This paper addresses the problem of why so many marriages end in divorce. It develops a preventative approach to marital breakdown by proposing pre-marital counselling as a resource to be made widely available to couples. The key psychological issues which a counsellor could use as the backbone of any such counselling or therapeutic work are outlined. It is suggested that these issues are part of the psychological ‘working-through’ period during an engagement, when the couple are preparing for marriage. The psychological difficulties that an individual may be struggling with are illustrated via an account of psychodynamic psychotherapy with a young woman during the year of her engagement.     

On the processing of arguments

This paper is concerned with the processing of informal arguments, that is, arguments involving probable truth. A model of informal argument processing is presented that is based upon Hample's (1977) expansion of Toulmin's (1958) model of argument structure. The model postulates that a claim activates an attitude, the two components forming a complex that in turn activates reasons. Furthermore, the model holds occurrence of the reason, or possibly the claim and the reason, activates values. Three experiments are described that provide support for the model.This research was supported by the Mellon Foundation and by the Office of Educational Research and Improvement of the Department of Education via an award for the Center for the Study of Learning to the Learning Research and Development Center. The contents of the paper are not necessarily the position of any of these organizations.     

Relation of parental support and control to adolescents' externalizing symptomatology and substance use: A longitudinal examination of curvilinear effects

Past research has generated inconsistent findings regarding the relation of parental control and support to adolescent problem behaviors. Using two waves of data collected 1 year apart, the current study examined the influence of parental control and support on adolescents' externalizing symptoms, alcohol use, and illicit substance use. A sample of adolescents and their parents (@#@ N =454) was studied, within which approximately half of the adolescents were at high risk because of parental alcoholism. Multipleregression analyses of crosssectional data showed a negative quadratic relation between parental control and adolescent externalizing symptomatology, and between parental control and adolescent illicit substance use. Parental control had a negative linear relation to adolescent alcohol use. Parental support showed a negative quadratic relation to adolescent illicit substance use, and negative linear relations to adolescent alcohol use and externalizing symptoms. Although longitudinally adjusted contemporaneous results were consistent with crosssectional findings, parental support and control were prospectively related only to adolescent alcohol use. The quadratic relations suggest that adolescents who receive either extreme of parental support or control are at risk for problem behaviors.     

The relationship of alcohol, tobacco, marijuana, and other illegal drug use to delinquency among Mexican-American, black, and white adolescent males

This study examined the relationship between drug use and delinquent behavior among 348 high school males (154 whites, 172 Mexican-Americans, and 22 blacks) and 89 adjudicated delinquent males confined to a maximum-security facility for violent and repeat offenders (37 whites, 25 Mexican-Americans, and 27 blacks). Data were collected in the spring of 1986 using self-administered questionnaires. Analyses were performed separately for each racial subgroup. Simple correlations revealed that self-reported alcohol, tobacco, marijuana, and other illegal drug use were all significantly related to both minor and violent delinquency for all three racial groups. Multiple regression analysis revealed that the use of these substances accounted for 40% to 47% of the variance in minor delinquency and for 59% of the variance in violent delinquency among blacks, 53% of the variance in violent delinquency among Mexican-Americans, and 34% of the variance in violent delinquency among whites. The best predictors of violent delinquency were the frequent use of illegal drugs other than marijuana and use of tobacco, in that order, among Mexican-Americans; the frequent use of other illegal drugs, marijuana, and tobacco, in that order, for whites; and the frequent use of illegal drugs, followed by marijuana, for blacks.     

Coping and job performance

An organizational field study comprising 42 subjects examined the relationship between growth-oriented coping and subsequent job performance. Growth orientation was measured using the 7-item growth scale obtained from the Lazarus Ways of Coping Checklist. The hypothesized relationship between growth orientation and job performance was confirmed. Individuals obtaining high evaluations of managerial performance emphasized growth-oriented strategies in their behaviors. Further research directions are introduced.     

The Ways of Coping instrument: reliability and temporal stability for a sample of employees

Convergent support is demonstrated for the use of seven empirically derived scales of the Ways of Coping instrument developed by Lazarus and his colleagues. While the instrument is widely used, until now the internal consistency of the coping measures and stability of the factor structure have yet to be shown for a sample of employed adults. While type of job and type of coping incident reported are not dependent, analysis indicates that work and nonwork groups differ across several coping dimensions. Research implications and directions are addressed.