Philosophy of medicine in the Netherlands

This report explores the relationship between philosophy and medicine in the Netherlands. In Section 1 we outline the ups and downs of medico-philosophical research in our country: pre-war flourishing, post-war decline, and modern renaissance. In Section 2 we review recent Dutch literature in the philosophy of medicine. The topics dealt with include methodology of medical science, alternative medicine, the basic concepts of medicine, anthropological medicine, medicalization, medicine and culture, and health care ethics.     

Sex-role behaviors and personality traits of male day care teachers

It was hypothesized that male day care teachers who had adopted the feminine role of caregiver would score feminine in their personality traits and would reinforce children for feminine behaviors and punish them for masculine behaviors. A random sample of 20 male caregivers was contrasted to 20 male engineers on personality traits as assessed by The Adjective Checklist (ACL). Twenty female caregivers were also contrasted to the personality traits and the sex-typed contingency behaviors of the male caregivers. Feminine traits were defined by raw scores on the Abasement, Nurturance, Affiliation, Succorance, and Deference scales of the ACL. Masculine traits were represented by raw scores on the Achievement, Dominance, Endurance, and Autonomy scales. The Fagot-Patterson Checklist was employed to determine sex-typed contingency behaviors. Both male and female caregivers reinforced children significantly more for feminine behaviors than masculine behaviors (as defined by The Fagot-Patterson Checklist) and punished masculine behaviors more than feminine behaviors. The personalities of the male caregivers corresponded to the feminine direction of their female counterparts, but they were not significantly more feminine than the male engineers. The female caregivers, however, scored significantly more feminine in personality than the male engineers.This study is based on a dissertation submitted by Bryan E. Robinson to the Department of Child Development — Family Relations, University of North Carolina at Greensboro, in partial fulfillment of the requirements for the Ph.D.     

Statistical significance tests for binormal ROC curves

Statistical significance tests are derived and evaluated for measuring apparent differences between an obtained and an expected binormal ROC curve, between two independent binormal ROC curves, and among groups of independent binormal ROC curves. A binormal ROC curve is described by two parameters which represent the spread of the means and the ratio of the standard deviations of the two underlying Gaussian decision variable distributions. To test the significance of apparent differences between or among ROC curves, approximate χ² statistics for each of the three tests were constructed from maximum likelihood estimates of the two parameters defining the binormal ROC curve. The performance of each test statistic was evaluated by simulating five-category rating scale data with equal numbers of noise and signal-plus-noise trials (set at 50, 250, and 500) for each of three typical ROC curves. For the significance test involving only one ROC curve, rating scale data were generated from the chance diagonal of the ROC space also. Although test performance was found to be somewhat dependent on the number of trials and on the location of the ROC curve in the ROC space, comparisons of the obtained and expected fractions of (falsely) significant results at various α levels showed the proposed statistical significance tests to be reliable under practical experimental conditions.     

An information processing system for the psychiatric emergency room

An information processing system for a psychiatric emergency room is described. Several studies are presented that show the utility of the system. In the first study, variables involved in diagnosis are explicated. The second study attempts to determine the characteristics that distinguish recidivists from nonrecidivists at an emergency room. The third study attempts to find patient variables related to success in short-term treatment programs. The final study is aimed at discovering whether there are psychopathological effects related to the use of inhalants. Together, these studies show the potential of a mental health information system for learning more about the nature of mental disorders and their treatment.     

Syntactic influences on stuttering in young child stutterers

This study examined the location and rate of stuttering in the spontaneous speech of nine young stutterers (4.0–6.6 yr) in relation to certain aspects of syntax. It was designed to answer the following questions: Is there more stuttering at clause onset (boundary) than at other points in the clause? Does the type of clause influence rate of stuttering? Is there more stuttering on complex than on simple sentences? The syntactic analysis defined 10 clause types (seven pertaining to complex sentences and three pertaining to simple sentences); clause boundaries (taking into account “filler” words occuring in such positions); and hierarchical constituent structure within sentences. Stuttering was found with significantly greater frequency at clause boundaries than at internal (nonboundary) positions of clauses. This was apparent for nine of the 10 clause types, the exception being complement clauses. The word “and” at the beginning of simple and complex sentences provoked a high rate of stuttering. The hierarchical structure within the clause did not influence the location of stuttering, and sentence complexity was not a factor in the rate of stuttering.     

Component analysis of the type A coronary-prone behavior pattern in male and female college students

Two studies investigated the psychological dimensions encompassed by the Rosenman Structured Interview (SI) method of assessing the Type A behavior pattern. In Study 1, female students completed the SI and Jenkins Activity Survey (JAS). Factor analysis of the verbal stylistic and answer content components of the SI yielded a 5-factor solution, with one factor--Clinical Rating--accounting for most nonerror variance in Type A ratings. The remaining factors were derived from answer content and correlated more substantially with JAS Type A ratings than with SI Type A ratings. In Study 2, male and female college students completed the SI and JAS and a battery of questionnaires that tap trait dimensions implied by the conceptual definition of Type A. For both males and females, SI ratings of Type A could almost be completely predicted by scores on the Clinical Rating factor. For both sexes, content dimensions of the SI related to other measures of Type A and to Type A-consistent traits, whereas the Clinical Rating factor was only modestly associated with such traits. Moreover, sex differences were observed in the trait constellations composing SI and JAS definitions of Type A. These results suggest that a discrepancy exists between conceptual and operational definitions of the Type A pattern.     

A case report of pathological rule-governed syllable intrusion

A detailed analysis of a unique speech disturbance, marked by the frequent appearance in the speech stream of a meaningless intrusive syllable, is presented. Following a lengthy thoracic surgery, an American English speaking patient began to speak with non-English prosodic patterns, which evolved to a conspicuous intrusion in his speech of the syllable /sis/. This syllable and its variants were attached to words in a manner which conformed to the regular phonological rules in English (for formation of plural, possessive, and third person singular morphemes). The distribution and frequency of the intrusive syllable are described, and possible explanations for the abnormal occurrence of this particular syllable are discussed.