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151.
In matters of discontinuation of life-sustaining treatment, traditional role of the family to speak on behalf of the incompetent patient is questionable. We explore the reasons why physicians perceive patient autonomy to be transferrable to family members. Principle of patient autonomy may not suffice when futile treatment is demanded and may serve to erode the ethical integrity of medical profession. An enhanced role for bioethics committees is proposed when physicians propose to discontinue life-sustaining treatment against the wishes of the patient or their families. 相似文献
152.
153.
Abstract— In our discussion of the articles in this Special Section, we ask how well the various methods employed in these investigations can be made to converge on a common issue. We review how current evidence from positron emission tomography, studies of event-related potentials, cognitive methods, lesion studies, and network models relates to the mental processing of an ambiguous word. While many puzzles remain, we are impressed by the promising possibility of bringing these different methods together to deal with an issue central to cognition. 相似文献
154.
Private and public sector managers were compared regarding their job characteristics and organizational commitment. We hypothesized that job characteristics would be positively related to commitment and that sector would moderate that relationship. Moderated regression analyses revealed partial support for both hypotheses. The existence of clarity and challenge were positively related to commitment. Job characteristics demonstrated a stronger relationship with commitment among private sector managers. Explanations for these findings and directions for future research are discussed. 相似文献
155.
156.
When subjects attempt to fake psychopathology on the MMPI, scores on subtle subscales tend to be lower than those of nonfaking subjects. Our study hypothesized that this paradox comes about because the subtle subscales have no predictive validity, but their face validity for psychopathology is the opposite of the keyed direction for psychopathology. Subjects who attempt to fake psychopathology do so on the basis of item content and thus achieve lower rather than higher scores. Three groups of 80 undergraduates took the MMPI under regular, faking-good, or faking-bad instructions. As expected, faking-bad subjects scored significantly lower than regular subjects on the 100 most subtle items, and this was due to their responses to those. 73 of the items whose face validity was misleading. The results are consistent with other work showing valid uses of subtle items in detecting deception. 相似文献
157.
Because rheumatoid arthritis (RA) has a more unpredictable course than osteoarthritis (OA), we hypothesized that generalized expectancies (optimistic/ pessimistic) influence the psychosocial adjustment of RA patients, whereas disease severity influences the adjustment of OA patients. Path analysis (LISREL VI) revealed that pessimistic RA patients (N= 107) and the more physically disabled OA patients (N= 108) reported poorer adjustment. The hypothesized mediating role of coping was supported for the RA but not the OA sample; that is, pessimism was associated with poor adjustment through greater use of wishful thinking coping. Unexpectedly, problem-solving coping was not found to mediate the optimism adjustment relationship. 相似文献
158.
One-hundred and ninety-two children (equally split between boys and girls) were studied when they were 5 years old in two settings, school and home. The children were observed in playgroups and at home, and were rated on activity level by their parents on the Rothbart Child Behavior Questionnaire. At age 7, the children were tested in our laboratory on the Harter Test of Perceived Competence and on an achievement task, and parents filled out the Child Behavior Checklist, the Child Behavior Questionnaire, and the Conners Parent Rating Scale. Home observations of activity level were significantly related to parent ratings of activity level, but not to school observations. Activity level at age 5 was related to parents' ratings of aggression and hyperactivity and to girls' learning problems at age 7. Activity level was not related to the children's self-perceived competence, but mothers' rating of high activity level at age 5 was related to low reading comprehension at age 7.Preparation of this paper was supported in part by the Center for Research for Mothers and Children, NICHD, U.S. PHS grant HD 19739 to Beverly I. Fagot. 相似文献
159.
I Pollack 《Perception & psychophysics》1990,47(2):105-111
Complex periodic auditory signals, produced by the Guttman-Julesz procedure of repeating segments of random noise, were employed to address the low region of auditory periodicity. Periodicity detection and discrimination tasks were examined with a common experimental procedure and a common measure of thresholds. Typically, detection and discrimination performance suffer at extremely low periodicities, presumably because of the extremely close spacing of harmonics throughout the auditory spectrum. Interaural phase effects are extremely weak for these signals, being largely confined to threshold-detection tasks. Despite qualitative phenomenological differences for different periodicity regions, detection and discrimination functions show no sharp discontinuities over a wide range of periodicities. 相似文献
160.
I Georgiev V Bojinova R Jotova L Belopitova 《Psychiatrie, Neurologie, und medizinische Psychologie》1990,42(12):744-754
A group of 107 children with vascular diseases of the nervous system aged 3-14 years have been studied. In 100 children of the study group acute disturbances of the brain blood circulation have been found, out of which 37 children were with transitory ischemic attacks; 29 were found to be with brain ischaemia; 22-with haemorrhages (7 cases with subarchnoidal, 9 cases with intracerebral and 6 cases with subarachnoidal-parenchimatose); 5 children had wenous thromboses; 7 children were with spinal strokes. In other 7 children we found the presence of Sturge-Weber syndrome. Congenital vascular malformations have been found in 32 children (30%), out of which 16 children (15%) with loops and stenosis of the extracranial segments of the internal carotid artery, and another 16 children (15%) with AV-malformations. Congenital and acquired heart diseases are found to be primary cause for the strokes in 12 children (11%). Considerable is the rate of the epileptic seizures in the acute stage of the strokes as well as of the residual epileptic syndromes. 相似文献