Towards authentic conversations. Authenticity in the patient-professional relationship

The purpose of this paper is to evaluate the significance of the existential notion of authenticity for medical ethics. This is done by analyzing authenticity and examining its implications for the patient-professional relationship and for ethical decision-making in medical situations. It is argued that while authenticity implies important demand for individual responsibility, which has therapeutic significance, it perpetuates ideas which are antithetical both to authentic interaction between patients and professionals and to fruitful deliberation of moral dilemmas. In order to counteract these consequences, an alternative idea of authenticity is introduced. According to this idea, authenticity is not regarded primarily as individual sovereignty, but as an ability to participate in a dialogue in which the subjectivity of both partners is respected. Such practice, based on mutual trust and responsibility, would enhance common decision-making and overcome the alienation between patients and professionals.     

Sensorimotor synchronization: Motor responses to pseudoregular auditory patterns

Musically trained and untrained subjects (N=30) were asked to synchronize their finger tapping with stimuli in auditory patterns. Each pattern comprised six successive tonal stimuli of the same duration, the first of which was accented by a different frequency. The duration of interstimulus onset intervals (ISIs) gradually increased or decreased in constant steps toward the end of the patterns. Four values of such steps were used in different trials: 20, 30, 45, and 60 msec. Various time-control mechanisms are hypothesized as being simultaneously responsible for subjects’ incorrect reproduction of the internal temporal ratios of the stimulus patterns. The mechanism of assimilation (of a central tendency) led subjects to enforce a regular (isochronous) structure on the patterns. The influence of other time-control mechanisms (distinction, subjective expression of an accent, sequential transfer) was expressed mainly in differences between intertap onset intervals (ITIs) and the corresponding ISIs at the beginning of the patterns. The duration of the first two ITIs was in the majority of the trials in an inverse ratio to the ratio of the respective ISIs. The distortions resulting from the timing mechanisms concerned were more pronounced in the performance of nonmusicians than in that of musicians.     

Does nutrition cause intelligence? A reanalysis of the Cali experiment

Recent literature has suggested there is a causal link between malnutrition and impaired cognitive development. From a selective review of this literature it is concluded that owing to methodological imperfections in many of these studies the presence or absence of such a link cannot be established, even if randomized experiments were to be carried out. It is argued that compensatory experiments, even though they are not as logically compelling as experiments where proper nutrition is withheld, are ethically justifiable and more useful strategically since they may suggest ways of improving the cognitive development of currently affected children, especially if a variety of compensatory treatments is implemented. A reanalysis of such an experiment was conducted to determine whether the nutritional or educational component of the treatment was responsible for the observed gains in cognitive development. The reanalysis indicated that after four years of treatment there was no association between cognitive and nutritional status. The results were discussed in relation to previous research. Some of the social implications of the results were also discussed.     

Sentence processing: Evidence against the serial,independent stage assumption

The assumption that the processing stages involved in sentence comprehension are serially and independently executed was tested in two separate experiments using two new sentence types. One experiment was a sentence-picture verification task, the other was not. In Experiment I, subjects viewed sentences such as It's false that the dots are red and indicated, by pressing the appropriate response key, which of two colors would make the sentence true. In Experiment II, subjects verified sentences such as It isn't true that the dots aren't red against pictures of colored dots. On the strength of Sternberg's additive factor method, present findings challenge the validity of the serial, independent stage assumption, and results are alternatively discussed in terms of a capacity sharing model.This research was supported by PHS research grant MH 23401 to Sam Glucksberg, principal investigator.     

Forest lights: Notes on the conceptualization of the unconscious

Using the metaphor of lights appearing unexplained in the night, the author argues for a conceptualization of the unconscious based on a posture of trust and acceptance rather than one of fear and explanation.His last book,Idea and Experience, dealt with Husserl's project of phenomenology inIdeas I. He has recently completed another book,The Embers and the Stars: A Philosophical Inquiry into the Moral Sense of Nature.     

Black Students' Reactions to Feedback Conveyed by White and Black Teachers1

The present investigation examined some processes mediating self-fulfilling prophecies among black students. Specifically, we hypothesized that feedback conveyed by black and white teachers would differentially influence black students' perceptions of how the teacher viewed their success/failure, effort, ability, luck and task difficulty. In addition, we hypothesized that negative feedback would affect perceptions of evaluations differently than positive feedback. Ninety black undergraduates participated in an experiment in which a black or white teacher (confederate) expressed one of five evaluative feedback responses to a student's score on an analogies test. The results provided partial support for the first hypothesis: black female students perceived white teachers as assessing their performance less positively: that is, they perceived them to underestimate their ability and the difficulty of the task. Negative feedback also led students to believe the teacher held an unfavorable but inaccurate impression of their ability and effort, and that the teacher underestimated the difficulty of the task. These findings suggest that black students—black females in particular—may assume that white teachers hold less favorable assessments of them than black teachers and all students may be sensitive to negative evaluations.