Physicians and clergy in dialogue

The goals and ends of contemporary medicine are often unclear. An explicit inquiry into the religious dimensions of healing offers an important perspective from which to evaluate the potential capabilities of the medical profession. This paper describes a course in which medical students joined divinity students to explore areas of mutual intellectual, professional, and personal interest. Students and faculty examined in depth three broad areas in which medicine and religion share common ground: concepts of health and illness from the religious perspective, approaches to the understanding of suffering and meaning, and the shared professional stresses of physician and clergy.This paper comes from the Department of Medicine, Beth Israel Hospital, and the Division on Aging and the Program for the Analysis of Clinical Strategies, Harvard Medical School, and the West Roxbury-Brockton Veterans Administration Geriatric Research, Education and Clinical Center, Boston.     

Exemplification: The self-presentation of moral character

How do people come to terms with moral self-presentations and disconfirming behaviors? Subjects were exposed to the self-presentation of either an exemplifier (presenting himself as morally virtuous) or a pragmatist (presenting himself as morally adaptable) and then learned whether the self-presenter had or had not cheated for self-serving reasons in an earlier experiment Subjects clearly distinguished between exploitativeness and hypocrisy in their attributions, and considered a cheating exemplifier more hypocritical and self-deluding, but less exploitative and devious than a cheating pragmatist A second experiment manipulated subjects' involvement with the cheating of an exemplifier and a pragmatist by making half of the subjects its victims As in Experiment 1, uninvolved subjects considered the cheating exemplifier more hypocritical and less exploitative than a cheating pragmatist, however, involved subjects (victims) considered a cheating exemplifier more hypocritical but no less exploitative than a cheating pragmatist The results are discussed in terms of strategic self-presentation and the attribution of moral character     

From page to program: Some typographical and temporal variables in radio homilies

Punctuation in 20 radio homilies by four speakers accounted for 76% of pause time and 64% of pause number. Pause duration varied systematically according to punctuation type. Commas accounted for 82% of punctuated positionsnot used for pausing.RRelevance for theories of text unitization is discussed. Both typographical and temporal measures are compared with a similar corpus of German homilies.     

Assessing depression in community samples of children using self-report inventories: Ethical considerations

Although the methodological problems associated with the use of children's self-report depression inventories have previously been discussed in detail, the ethical problems related to the use of these instruments have been largely ignored. The primary purpose of this survey study was to determine how childhood depression researchers have prepared for and responded to children from community (i.e., nonclinic) samples whose nonanonymous scores on self-report depression inventories have indicated that they might be severely depressed or suicidal. Several recommendations, based upon (a) the results of this survey study, (b) the existing literature relevant to the ethical responsibilities of investigators who conduct research with children, and (c) our own experiences with these instruments and populations, are made to assist researchers in their attempts to use these inventories in an ethical manner.The authors would like to thank those childhood depression researchers who were kind enough to return completed surveys.     

Simulation study of a decision-making model of squash competition, phase two: Testing the model through the use of computer simulation

This study aims at verifying the inner validity and logic of a squash competition decision-making model through the use of computer simulation. The model defines the cognitive-decisional strategy of the defending player (D) when selecting a motor reaction in response to his opponent's shot. Computer simulation of the model was carried out on a PDP-10 computer using a recent version of UCI-LISP. Protocol analysis data pertaining to the nature of the information D processes when awaiting the attacking player's shot were fed into the simulation program in order to examine the extent to which the model can reproduce decisions reached in various defensive contexts. Simulation results reveal that the proposed model can account for a substantial part of the variation in the speed and accuracy of D's motor reaction in real sport situations. Several factors like time pressure, expectancies, uncertainty, recency and familiarity of the relationship between signal and response appear to affect D's motor response via the cognitive-decisional strategy employed by the defending player. Particular discrepancies observed between simulation results and decisions reached by expert players in specific defensive situations nevertheless indicate that the decision rule utilized within the present model needs to be refined. In this regard, several issues are discussed and suggestions for further simulation studies are put forward in order to account more precisely for the various features characterizing the defensive player's motor reaction in real sporting context.     

Psychopathology subtypes and symptom correlates among former prisoners of war

Psychopathology and symptom patterns were studied in 60 former prisoners-of-war (POWs) by administering standardized tests including the Minnesota Multiphasic Personality Inventory (MMPI), an adjustment problem checklist, and a structured clinical interview. Most POWs showed marked psychological impairment, but modal profile analysis identified two prototypic MMPI patterns, which differed in pervasiveness and type of psychopathology. Profile subtypes were defined by unique clusters of clinical symptoms and differed in confinement stress severity. The typology of symptoms argues against a homogeneous conceptualization of stress-induced disorders and suggests the need for definition of the severity and subtype of stress phenomena and individual difference factors in responding to trauma.     

Social adjustment in the offspring of parents with bipolar affective disorder

The social adjustment of the adolescent offspring of parents with bipolar affective disorder (n=41) was compared to that of the offspring of parents with nonaffective psychiatric disorders (n=22) and the offspring of normal controls (n=26). In addition, the relationship between social adjustment and cyclothymia in offspring was determined. Social adjustment was assessed using the Life Activities Inventory, a new measure developed to assess social functioning in adolescents and young adults. Cyclothymia was assessed with the General Behavior Inventory. As a group, the offspring of bipolar parents did not differ significantly from either control group on social adjustment. However, the cyclothymic offspring of bipolar parents exhibited significantly poorer social adjustment than the noncyclothymic offspring of bipolars and the offspring of psychiatric and normal controls. These findings suggest that poor social functioning in the adolescent offspring of parents with bipolar illness may be associated with the early manifestations of affective disorder. In addition, these data indicate that despite its subsyndromal intensity, cyclothymia can result in significant social impairment.This study was supported in part by National Institute of Mental Health (NIMH) Research Grant MH-39782 to Daniel N. Klein and NIMH Grants MH-33083 and MH-37195 to Richard A. Depue.     

On the relation between genuine and simulated amnesia

When claims of amnesia are made in legal cases, it is necessary to determine whether they are genuine or simulated. This article assesses current knowledge of the relation between genuine and simulated amnesia and discusses issues that are critical to understanding of the problem. It is argued that there are few well established facts regarding the nature of simulated amnesia, and no evidence that experts can distinguish accurately between genuine and simulated amnesia. Suggestions are made for future research that draw upon recent advances in cognitive psychology, social psychology, and neuropsychology.