Three views of organ procurement policy: moving ahead or giving up?

The supply of organs for transplant remains inadequate to meet the needs of waiting patients, in spite of many programs and approaches to increase rates of donation. Over the years there have been numerous proposals to introduce schemes that would move toward the outright sale of organs. Three articles in this issue of the Journal propose methods for increasing organ supply--two by moving toward a market approach and the third by advocating a change in social culture. All three suffer from shortcomings, including the endorsement and encouragement of the exploitation of those who may offer organs. Although the shortage of organs must be addressed, the social price of a market in organs is too high, and proposals to encourage a rethinking of social responsibility are unlikely to be effective.     

Editorial

Editorial Commentary

Editorial     

RETR_PWR: An SAS macro for retrospective statistical power analysis

In contrast to prospective power analysis, retrospective power analysis provides an estimate of the statistical power of a hypothesis test after an investigation has been conducted rather than before. In this article, three approaches to obtaining point estimates of power and an interval estimation algorithm are delineated. Previous research on the bias and sampling error of these estimates is briefly reviewed. Finally, an SAS macro that calculates the point and interval estimates is described. The macro was developed to estimate the power of anF test (obtained from analysis of variance, multiple regression analysis, or any of several multivariate analyses), but it may be easily adapted for use with other statistics, such as chi-square tests ort tests.     

Distinguishing Language from Thought: Experimental Evidence That Syntax Is Lexically Rather Than Conceptually Represented

It is generally assumed that syntax is represented linguistically rather than conceptually, consistent with the more general view that language and thought are coded separately. This claim is widely defended on logical grounds, but it has received little experimental support. In the present study, we asked Spanish and English speakers to make semantic and syntactic categorizations for pictures and their corresponding names. Consistent with past results, latencies to semantically categorize pictures and words were similar. The new finding is that participants were faster to make syntactic decisions for words compared with pictures, suggesting that syntactic features such as grammatical gender and the count-mass distinction are more closely linked to lexical than conceptual representations.     

Neuropsychological functioning in kleptomania

Kleptomania is characterized by the failure to resist impulses to steal objects not needed for personal use or their monetary value. The objective of this study was to examine cognitive and executive functioning in subjects with kleptomania. Fifteen women with a primary DSM-IV diagnosis of kleptomania underwent a detailed psychiatric examination, including measures of kleptomania severity, and a battery of neuropsychological tests that emphasized executive functions. Correlational analyses were computed between measures of kleptomania severity and tests of executive functioning. Kleptomania subjects reported a mean duration of illness of 17.9 years and shoplifting a mean of 1.7 times per week. All subjects reported an inability to resist urges to shoplift. Neuropsychological testing revealed group mean test scores within 0.5 standard deviations of normative standards for age. Five subjects (33.3%), however, had below-average performance on at least one measure of executive functioning, and 4 (26.7%) had below-average scores on two executive measures. Correlational analyses revealed a statistically significant correlation between kleptomania severity and Wisconsin Card Sorting Test performance (r=-0.693, p=0.004). As a group, subjects with kleptomania did not demonstrate deficits on neuropsychological testing. Greater kleptomania symptom severity, however, was correlated with impairment in executive functioning.