Information constraints in medical encounters

This article describes three kinds of information constraints in medical encounters that have not been discussed at length in the medical ethics literature: constraints from the concept of a disease, from the diffusion of medical innovation, and from withholding information. It describes how these limit the reliance rational people can justifiably put in their doctors, and even the reliance doctors can have on their own advice. It notes the implications of these constraints for the value of informed consent, identifies several procedural steps that could increase the value of the latter and improve diffusion of innovation, and argues that recognition of these constraints should lead us to devise protections which intrude on but can improve these encounters.     

An analysis of some sensitizing agents in the pathogenesis of stress-induced gastric erosive disease

Prior surgical implantation of a venous catheter sensitized rats to coldimmobilization stress. Three of six catheterized females succumbed during the stress. The remaining rats fell into two groups in terms of their core temperature at the end of the stress period: Male uncatheterized rats had higher temperatures than rats in the other three groups. No relation was found between catheter patency and magnitude of hypothermia. Degree of gastric disease paralleled the core temperature findings in that the male uncatheterized rats had significantly fewer gastric erosions than the rats in the other three groups. Additionally, a robust effect of gender was found with uncatheterized females showing more hypothermia and more gastric disease than uncatheterized males. A subsequent experiment was conducted to evaluate whether anesthesia or wearing the protective spring was responsible in part for the sensitization seen. Here, the gender difference was less although females consistently averaged lower core temperatures after stress than did males. Despite similar core temperatures after stress, females that were prepared with the protective spring apparatus developed more gastric disease than female controls or similarly treated males. Thus, the additional sensitization exhibited by females in the first experiment may relate to the fact that both catheterization and the taping procedure were sensitizers while only catheterization was a sensitizer for males.     

Decision making styles and progress in occupational decision making

This study provides a reexamination of the role of different decisional strategies in facilitating progress in occupational decision making. Although the assumptions that a rational decision making style is the preferred mode of vocational functioning has been endorsed in a variety of career theories and interventions, there has been conflicting evidence about the validity of this assumption. To examine the role of different decisional approaches in the progress of making an occupational decision, the rational, intuitive, and dependent decision making style scores of 71 undergraduate students were used to predict progress in occupational decision making. The results of the regression analyses failed to provide support for the assumption that a rational style is the most effective in accomplishing this careerrelated task, but indicated strong support for the conclusion that the use of dependent decisional strategies is damaging, particularly in early stages of the decisional process.     

Science as a justification for psychology as a social institution

Psychology seeks to justify its claims to privilege as a social institution largely on the basis of its scientific knowledge claims. These knowledge claims tend to be based on, and to reflect a particular view about the nature of science which is under increasing challenge. This situation is discussed and some of its implications examined.     

Relaxation-induced anxiety: mechanisms and theoretical implications

Literature evidence documenting the occurrence of relaxation-induced anxiety is reviewed, and several hypothesized mechanisms to explain the phenomenon are discussed. Possible avenues for circumventing the problem in therapy are offered. Finally, a theoretical model is presented wherein the phenomenon is viewed with a broader framework designed to explain the development and maintenance of the more generalized anxiety disorders. That framework emphasizes the emergence of fear of somatic anxiety cues and fear of loss of control from more fundamental interpersonal anxieties.     

Time course of visual information utilization during fixations in reading

College students read short texts from a cathode-ray tube as their eye movements were being monitored. During selected fixations, the text was briefly masked and then it reappeared with one word changed. Subjects often were unaware that the word had changed. Sometimes they reported seeing the first presented word, sometimes the second presented word, and sometimes both. When only one word was reported, two factors were found to determine which one it was: the length of time a word was present during the fixation and the predictability of a word in its context. The results suggested that visual information is utilized for reading at a crucial period during the fixation and that this crucial period can occur at different times on different fixations. The pattern of responses suggested that the first letter of a word is not utilized before other letters and that letters are not scanned from left to right during a fixation.     

Two issues concerning tonal hierarchies: comment on Castellano, Bharucha, and Krumhansl

First, because tonal hierarchies exist in the music of long-established traditions, we may assume that they confer certain processing advantages. Such hierarchies capitalize on certain properties of the pitch memory system that do not require a tonal setting for demonstration. Furthermore, they facilitate the generation of hierarchical representations of sequential patterns of pitches, and such representations enable considerable parsimony of encoding. Second, the listener's establishment of a tonal hierarchy involves a process of key attribution. This process draws not only on the identities of the notes presented but also draws on their orderings. Certain sequential grouping factors are involved here that can also be shown to exist outside a tonal setting. We are therefore dealing with an elaborate bootstrapping operation, through which both a key and a sequential representation are arrived at by the listener.