The Lost Voice: How Libertarianism and Consumerism Obliterate the Need for a Relational Ethics in the National Health Care Service

This article analyzes the contribution Christian ethics mightbe able to make to the ethical debate on policy and caregivingin health and social care in the United Kingdom. The articledeals particularly with the concepts of solidarity and subsidiaritywhich are essential in Christian social ethics and health careethics, and which may be relevant for the ethical debate onhealth and social caregiving in the United Kingdom. An importantargument in the article is that utilitarian and market-drivenpolicies in the National Health Service (NHS) and the socialcare system have marginalized the position of the elderly andhave seriously impoverished the quality of care for the elderly.The neglect of the elderly and other vulnerable groups is alsothe result of widespread consumerist attitudes among patientsand of libertarian models of noninterference which are affirmedby a public ethos of self-sufficiency and counter-dependency.Those who need care dare not make their need known to othersand ask for help, while simultaneously those who could helpare so intimidated by the public affirmation of privacy andnegative rights that they do not dare to offer help except ifthis is explicitly demanded. This distant and standoffish attitudeis in an important way responsible for the fact that the voiceof those in need is altogether lost to the public forum. Christianethics puts much emphasis on responsibility and solidarity withthe needy other but is not able to have much impact on the deliveryof care in a secularized society and health care system likethe NHS. Nonetheless, Christianity still has a powerful andrespected voice, by speaking up for those who cannot speak forthemselves, such as the elderly and the handicapped. Christianscan find allies in the ethics of care and other relational approachesin health care ethics in order to combat libertarianism, consumerism,and utilitarianism.     

The Legacy of the Hwang Case: Research Misconduct in Biosciences

This paper focuses on the infamous case of Hwang Woo Suk, the South-Korean national hero and once celebrated pioneer of stem cell research. After briefly discussing the evolution of his publication and research scandal in Science, I will attempt to outline the main reactions that emerged within scientific and bioethical discourses on the problem of research misconduct in contemporary biosciences. What were the ethical lapses in his research? What kind of research misconduct has been identified? How this kind of misconduct affects scientific integrity? How to avoid it? Focusing on these questions, the paper interprets the Hwang’s case as a case study that might shed light on the worst aspects of highstakes global science. This case presents a group of problems that might endanger scientific integrity and public trust. Regulatory oversight, ethical requirements and institutional safeguards are often viewed by the scientific community as merely decelerating scientific progress and causing delays in the application of treatments. The Hwang’s case represents how unimpeded progress works in contemporary science. Thus, the case might shed light on the often neglected benefits of “the social control of science”.     

How to support learning from multiple hypertext sources

In the present study, we investigated three factors that were assumed to have a significant influence on the success of learning from multiple hypertexts, and on the construction of a documents model in particular. These factors were task (argumentative vs. narrative), available text material (with vs. without primary sources), and presentation format (active vs. static). The study was conducted with the help of the combination of three tools (DEWEX, Chemnitz LogAnalyzer, and SummTool) developed for Web-based experimenting. The results show that the task is the most important factor for successful learning from multiple hypertexts. Depending on the task, the participants were either able or unable to apply adequate strategies, such as considering the source information. It was also observed that argumentative tasks were supported by an active hypertext presentation format, whereas performance on narrative tasks increased with a passive presentation format. No effect was shown for the type of texts available.     

The Developmental Lexicon Project: A behavioral database to investigate visual word recognition across the lifespan

With the Developmental Lexicon Project (DeveL), we present a large-scale study that was conducted to collect data on visual word recognition in German across the lifespan. A total of 800 children from Grades 1 to 6, as well as two groups of younger and older adults, participated in the study and completed a lexical decision and a naming task. We provide a database for 1,152 German words, comprising behavioral data from seven different stages of reading development, along with sublexical and lexical characteristics for all stimuli. The present article describes our motivation for this project, explains the methods we used to collect the data, and reports analyses on the reliability of our results. In addition, we explored developmental changes in three marker effects in psycholinguistic research: word length, word frequency, and orthographic similarity. The database is available online.     

Personal Goal Facilitation through Work: Implications for Employee Satisfaction and Well-Being

Que le travail facilite la réalisation des objectifs personnels dépend de la perception de l’impact du travail sur l’atteinte de ces objectifs personnels. En accord avec la littérature sur l’autorégulation et le modèle cybernétique du stress organisationnel proposé par Edwards (1992), la facilitation de l’accès à ses objectifs personnels par le travail fut supposée en relation positive avec les attitudes relatives à l’emploi et le bien‐être de l’employé. En outre, on a prédit un rapport plus étroit entre la facilitation de l’accès à ses objectifs personnels par le travail et les performances du salarié quand les buts personnels étaient fortement valorisés. Ces hypothèses ont été mises à l’épreuve à travers un questionnaire rempli par 1036 employés du secteur de la santé. D’après l’analyse de régression, la facilitation de l’accès à ses objectifs personnels par le travail expliquait une part importante de la variance du bien‐être et des attitudes relatives à l’emploi, même après avoir contrôlé les caractéristiques des postes en référence au modèle de Karasek concernant les relations agents stressants—tension au travail (1979; Karasek & Theorell, 1990). L’importance des objectifs n’avait qu’une influence des plus limitées. On en conclut que la facilitation de l’accès à ses objectifs personnels par le travail offre une voie prometteuse pour explorer les attitudes liées à l’emploi et le bien‐être, en complément des modèles plus traditionnels des caractéristiques de l’emploi. Personal goal facilitation through work refers to perceptions of the extent to which one's job facilitates the attainment of one's personal goals. In line with the self‐regulation literature and Edwards’ (1992 ) cybernetic model of organisational stress, personal goal facilitation through work was predicted to show positive associations with job attitudes and employee well‐being. Moreover, stronger relationships between personal goal facilitation through work and employee outcomes were predicted for highly valued personal goals. These predictions were investigated in a questionnaire study of 1,036 health care employees. In regression analyses, personal goal facilitation through work accounted for substantial variance in job attitudes and well‐being, even after controlling for job characteristics from Karasek's (1979 ; Karasek & Theorell, 1990 ) model of occupational stressor–strain relations. There was only very limited evidence of moderating effects of goal importance. It is concluded that personal goal facilitation through work offers a promising source of insight into job attitudes and well‐being, complementing more traditional job characteristics models.     

Treatment Effect on Recidivism for Juveniles Who Have Sexually Offended: a Multilevel Meta-Analysis

The current study investigated the effect on recidivism of treatment aimed at juveniles who have sexually offended. It also assessed the potential moderating effect of type of recidivism, and several treatment, participant and study characteristics. In total, 14 published and unpublished primary studies, making use of a comparison group and reporting on official recidivism rates, were included in a multilevel meta-analysis. This resulted in the use of 77 effect sizes, and 1726 participants. A three-level meta-analytic model was used to calculate the combined effect sizes (Cohens d) and to perform moderator analyses. Study quality was assessed with the EPHPP Quality Assessment Tool for Quantitative Studies. A moderate effect size was found (d = 0.37), indicating that the treatment groups achieved an estimated relative reduction in recidivism of 20.5% as compared to comparison groups. However, after controlling for publication bias, a significant treatment effect was no longer found. Type of recidivism did not moderate the effect of treatment, indicating that treatment groups were equally effective for all types of recidivism. Also, no moderating effects of participant or treatment characteristics were found. Regarding study characteristics, a shorter follow up time showed a trend for larger effect sizes, and the effect size calculation based on proportions yielded larger effect sizes than calculation via mean frequency of offending. Implications for future research and clinical practice are discussed.     

Factors associated with traumatic symptoms and internalizing problems among adolescents who experienced a traumatic event

Abstract

The aim of the present study was to identify factors that are related to the traumatic symptoms and problem behavior among adolescents who experienced the New Years fire in 2001 in Volendam, The Netherlands. Three groups of factors were considered: pre-trauma (personality and coping), trauma-related (physical and emotional proximity to disaster), and post-trauma factors (received social support). Forty-five adolescents completed the questionnaire. Two years after the disaster, these adolescents experienced significant traumatic stress reaction (70% within the clinical range) and showed clinically significant levels of internalizing problems (37%). Pre-trauma, individual factors were identified as the most important predictors of distress, followed by received social support. The indicators of physical and emotional proximity to disaster explained little variance in distress.     

Redundancy gain for semantic features

In a go/no-go experiment, semantic redundancy gain was assessed for responses to single written words. Specifically, we asked participants to respond only to words whose meaning matched at least one semantic target feature—that is, the target category (e.g., animal), the target color (e.g., gray), or both. On redundant-target trials, the word (e.g., elephant) matched both semantic target features (i.e., gray and animal). On single-target trials, the word (e.g., beaver) matched one target feature (i.e., animal) and a nontarget feature (i.e., brown). We observed shorter reaction times in the redundant-target condition than in the faster single-target condition. Hence, the present study provides the first evidence that redundancy gain is not limited to responses to redundant proximal stimulus features but can also be observed for responses to semantic feature information.