Physician-assisted suicide: the role of mental health professionals

A review of the literature was conducted to better understand the (potential) role of mental health professionals in physician-assisted suicide. Numerous studies indicate that depression is one of the most commonly encountered psychiatric illnesses in primary care settings. Yet, depression consistently goes undetected and undiagnosed by nonpsychiatrically trained primary care physicians. Noting the well-studied link between depression and suicide, it is necessary to question giving sole responsibility of assisting patients in making end-of-life treatment decisions to these physicians. Unfortunately, the use of mental health consultation by these physicians is not a common occurrence. Greater involvement of mental health professionals in this emerging and debated area is advocated. Beyond describing mental health professionals' role in the assessment of patient competency or decision making capacity, other areas of potential involvement are described. A discussion of ethical principles relevant to this area follows, along with comments on the training necessary to adequately serve patient needs.     

Are research subjects adequately protected? A review and discussion of studies conducted by the Advisory Committee on Human Radiation Experiments

In light of information uncovered about human radiation experiments conducted during the Cold War, an important charge for the Advisory Committee on Human Radiation Experiments was to assess the current state of protections for human research subjects. This assessment was designed to enhance the Committee's ability to make informed recommendations for the improvement of future policies and practices for the protection of research subjects. The Committee's examination of current protections revealed great improvement over those from the past, yet some problems remain. Although the data collected by the Committee highlight specific areas in need of attention, the Committee's work should be viewed in part as the beginning of a series of ongoing assessments of the adequacy and effectiveness of the protections afforded to human subjects.     

A multi-systems theory of the structure and dynamics of motor functions

A theoretical analysis of the structure and dynamics of human motor functioning is presented from the perspective of a general theory of individuality. Within multifactor-systems theory, the structural units of the six systems of integrative personality (i.e., sensory, motor, cognitive, affect, style, and value) are hierarchical factor structures. Integrative functioning, both within and among systems, is described via the principles of general systems and information-processing theory. Our theoretical synthesis of the structure and dynamics of human motor functioning involves conceptualizing the hierarchy of motor factors as: (a) the basic dimensions of individual differences in the motor domain, (b) classes of decomposable motor programs that specify the spatio-temporal organization of behavior, and (c) decomposable classes of processing components entailed by motor programs. Some of the implications for understanding the role of affect in motor functioning and some research suggestions were presented.     

The relative law of effect: effects of shock intensity on response strength in multiple schedules

Key pecking of four birds was reinforced with food according to a two-component multiple variable-interval 1-minute variable-interval 4-minute schedule. In addition, key pecking was punished by a brief shock according to a variable-interval 30-second schedule during both components of the multiple schedule. The intensity of the shock was varied. For all birds, punishment had a stronger suppressive effect on the responding maintained by the leaner food schedule, and the ratio of responding during the two components of the multiple schedule became closer to the ratio of reinforcement as shock intensity was increased, as the relative law of effect predicts. At the higher shock intensity, there was some evidence that the ratio of responses overmatched the ratio of reinforcements.     

Beyond the relational principle of reinforcement

Behavior under baseline conditions in which the contingency is absent can shed some light on the individual's performance under a schedule, but is insufficient as a basis for prediction of performance. This insufficiency of the baseline data runs counter to a recent formalization of the relational principle of reinforcement (Donahoe, 1977). A more satisfactory predictive model must incorporate not only the baseline level of the instrumental response and that of the contingent response, but also the schedule requirements, the character of each response in relation to the other, and the behavior required in simply switching from each to the other.     

法兰克福哲学-社会学学派基本思想的历史发展

在六十年代,资本主义用以攻击马克思列宁主义的新手法,特别清楚地表现在所谓“新左派”运动这种独特的左倾机会主义思想体系中。这种运动在1968年法国五一六月事件中表现得最为明显。在此之前不久,它也表现在六十年代左翼学生运动中,这个运动开始于美国、后来波及西欧许多资本主义国家,还传播到日本。对六十年代思想斗争所作的分析令人信服地证明,这种左倾机会主义的主要思想根源之一,就是所