Conscience and conscientious actions in the context of MCOs

Managed care organizations can produce conflicts of obligation and conflicts of interest that may lead to problems of conscience for health care professionals. This paper provides a basis for understanding the notions of conscience and conscientious objection and offers a framework for clinicians to stake out positions grounded in personal conscience as a way for them to respond to unacceptable pressures from managers to limit services.     

Book reviews

Socializing Epistemology: The Social Dimensions of Knowledge, Frederick F. Schmitt, Ed., 1994. Lanham, MD, Rowman and Littlefield, ix + 315 pp., US$22.95, ISBN: 0847679594

A Dynamic Systems Approach to the Development of Cognition and Action, Esther Thelen & Linda B. Smith. Cambridge, MA, MIT Press, xxii + 376 pp., $50, ISBN 0–262–20095–3 cloth

From Kant to Hilbert: A Source Book in the Foundations of Mathematics, William B. Ewald, Ed., 1996. Oxford, Oxford University Press. xviii+ 1340 pp., £195.00, two volumes, ISBN 0–19–853271–7 (the set)     

Chaos and God's Abundance: An Ontology of Variety in the Divine Life

The primordial chaos of Genesis 1 may be understood as the Pandemonium Tremendum (or PT), the infinite field of variety or abundance within God. The concept of variety is taken from Claude Shannon's theory of communication. Especially significant is Shannon's notion that communication is the limitation of variety through decision processes. In one model of the divine life suggested by the theory, the PT is the boundless source of potential reaped by an agential God in the act of creation as a communication process. Other models for creation include the PT in a biased mode and creatures themselves as decision agents.     

CLUSTERS PRECEDE SHAPES IN PERCEPTUAL ORGANIZATION

Abstract —Does perceptual grouping require attention? Recent controversy on this question may be caused by a conflation of two aspects of grouping: element clustering (determining which elements belong together) and shape formation (determining cluster boundaries). In Experiment 1, observers enumerated diamonds that were drawn with either lines or dots. These two types of stimuli were subitized (enumerated rapidly and accurately in the range from one to three items) equally well, suggesting that clustering dots into countable entities did not detnand attention. In contrast, when target diamonds were enumerated among distractor squares in Experiment 2. only line-drawn items could be subitized. We propose that clustering and shape formation not only involve different perceptual processes, but play different functional roles in vision.     

Zhuangzi and relativistic scepticism

Chad Hansen is one of the strongest proponents of the view that the important second chapter of Zhuangzi's Inner Chapters (The Qi Wu Lun) reveals Zhuangzi to be a relativistic sceptidst. Hansen argues that Zhuangzi is a sceptic because he is first and foremost a relativist. Hansen's argument is essentially that Zhuangzi's perspectivism, his belief that one's linguistic and conceptual perspective determines what one claims to know, makes him a thorough going relativist and sceptic. I agree that Zhuangzi is a perspectivist, but disagree with Hansen's portrayal of him as a relativistic sceptic. I first show that there is an important ambiguity in Hansen's argument. I then proceed to argue that important passages in the Qi Wu Lun (in particular the butterfly dream passage,) reveal serious problems with Hansen's interpretation of Zhuangzi's philosophical stance, I maintain that Zhuangzi is neither a sceptic nor a perspectival relativist. He is rather a perspectival realist.     

Adjusting Social Inferences in Familiar and Unfamiliar Domains: The Generality of Response to Situational Pragmatics

Two experiments investigated the influence of situational pragmatics on the selective use of specific instances and generalized knowledge structures to make social inferences. In Experiment 1, social inferences were made in an unfamiliar domain similar in structure to a typical situation of social greetings and address, but devoid of useful cues to social schemas. Participants were told that either one or another of the features of the situation was more pragmatically important for deriving inferences about appropriate social behaviour; consistent with predictions from a computational model of analogical mapping (ACME), they made reliable inferences based on analogies to specific instances, with the situational importance of relations guiding the selection of the optimal analogue. In Experiment 2, social inferences were examined in the more familiar domain of predicting social behavior between low and high status persons and between members of an ingroup and an outgroup in Japan. The availability of specific examples was varied, as was the perceived importance of status and group membership. The situation was isomorphic to that in the first experiment, except for the availability of generalized knowledge structures to guide inferences. Participants made relatively veridical inferences that were sensitive to variations in the pragmatic importance of dimensions. Provision of specific analogues had little impact on inferences, suggesting that participants were relying instead on more general and cross-culturally applicable knowledge about adjusting social relations according to situational pragmatics.     

Towards an Interactive Acculturation Model: A Social Psychological Approach

The first part of this paper proposes a continuum of ideological premises that seeks to account for the broad range of immigrant integration policies adopted by Western democratic states. In the second part, a review of Social Psychological models of immigrant acculturation strategies demonstrates the need to explain more clearly the interactive nature of immigrant and host community relations. The Interactive Acculturation Model (IAM) presented next proposes that relational outcomes are the product of the acculturation orientations of both the host majority and immigrant groups as influenced by state integration policies. The model makes predictions regarding the acculturation combinations most likely to produce consensual, problematic, and conflictual relational outcomes between immigrants and members of the host community. Social psychological research is needed to test the validity of the IAM model empirically.