A Sustainable Medicine: Lessons from the Old Order Amish

Daniel Callahan's concept of a sustainable medicine is examined by looking at experiences Old Order Amish communities have had with organ and bone marrow transplantation. The Amish possess many characteristics that might make them embrace limits on the use of expensive, life-prolonging medical treatments: they believe that the good of the individual should be subordinated to the good of the community, they are suspicious of progress as a goal, and they are more comfortable with dying than many other modern Americans. However, the Amish actively pursue these treatments without the benefit of private or government insurance. Although the Amish affective response to sick individuals is worthy of emulating, their commitment to help individuals obtain and pay for transplants has had negative financial and cultural effects on some Amish communities. The Amish experience can thus teach us lessons about how to care for one another when we are sick and dying, but it can also teach us how difficult but important it is to limit some forms of expensive care for the good of our communities.     

Windowed cross-correlation and peak picking for the analysis of variability in the association between behavioral time series

Cross-correlation and most other longitudinal analyses assume that the association between 2 variables is stationary. Thus, a sample of occasions of measurement is expected to be representative of the association between variables regardless of the time of onset or number of occasions in the sample. The authors propose a method to analyze the association between 2 variables when the assumption of stationarity may not be warranted. The method results in estimates of both the strength of peak association and the time lag when the peak association occurred for a range of starting values of elapsed time from the beginning of an experiment.     

The generalization of deferred imitation in enculturated chimpanzees (Pan troglodytes)

Deferred imitation of object-related actions and generalization of imitation to similar but not identical tasks was assessed in three human-reared (enculturated) chimpanzees, ranging in age from 5 to 9 years. Each ape displayed high levels of deferred imitation and only slightly lower levels of generalization of imitation. The youngest two chimpanzees were more apt to generalize the model's actions when they had displayed portions of the target behaviors at baseline, consistent with the idea that learning is more likely to occur when working within the "zone of proximal development." We argue that generalization of imitation is the best evidence to date of imitative learning in chimpanzees. Electronic Publication     

Do Coping Styles Differ Across Sociocultural Groups? The Role of Measurement Equivalence in Making This Judgment

Cross-sociocultural group measurement equivalency is an important issue that generally has not been studied in the coping literature. Measurement equivalency of the COPE (Carver, Scheier, & Weintraub, 1989) was assessed across two sociocultural groups, a sample of 100 Anglo middle-class divorced mothers and a sample of 122 low-income Mexican American/Mexican immigrant mothers. A series of restrictive confirmatory factor analyses revealed that seven of the COPE's subscales may be measuring the same underlying construct across populations. However, scores derived from the subscales may not represent the same magnitude of the construct in these two groups. This study makes an important first step in furthering the understanding of coping strategies in low-income Mexican American/Mexican immigrant mothers. This study also illustrates the importance of testing for measurement equivalency before conducting comparative research in disparate populations.     

When religion may be an ethical issue

Though Americans are a religious people, there are times when religion or religious views may confound the ethical process. This article claims that religious values may be expressed as either principles or narratives, then seeks to establish a case for dealing with religious claims as principled narratives. Methods of evaluation are explored and then seven guidelines are offered for dealing with religion in ethics consultations.     

Contextual effects on word production: A lifespan study

The effect of sentence priming on picture naming was investigated across the lifespan, from age 3 to 87 years. Names that are normally acquired before 3 years of age were presented in auditory contexts that were semantically congruent, incongruent, or neutral in relation to each picture and its name. Sentential priming was present at all age levels. Facilitation (neutral vs. congruent) was significantly by 4 years of age and did not vary significantly with age. Interference (incongruent vs. neutral) was significant at all age levels, but changed nonmonotonically with age (largest in the youngest children, stable from young adulthood through age 70, with a small increase in the oldest participants). We conclude that picture naming is a useful tool for the investigation of sentential priming effects across the lifespan and that it can reveal potentially interesting developmental changes in the effects of sentential context on word retrieval.     

Beyond Speech Lateralization: A Review of the Variability, Reliability, and Validity of the Intracarotid Amobarbital Procedure and Its Nonlanguage Uses in Epilepsy Surgery Candidates

While the intracarotid amobarbital procedure (IAP) was originally utilized to lateralize speech functions as an aid in the surgical treatment of epilepsy, additional uses for the IAP have emerged including: (1) the use of the IAP to predict post-surgical memory changes, including both global amnesia and smaller, yet significant, material-specific memory deficits; (2) the use of the IAP to provide confirmatory evidence of lateralization of seizure focus; and (3) the use of the IAP to predict post-surgical relief from seizures. While the literature on the IAP is extensive and growing, its utility is marred by the wide variability associated with the procedure itself from epilepsy center to center. This variability renders comparisons among IAP studies problematic and conclusions about IAP efficacy difficult. The variability associated with the amobarbital procedures, as well as the reliability and the validity of the IAP in its nonlanguage uses is reviewed here. A special emphasis is devoted to research conducted in the last decade. Also discussed is the future of the IAP including anticipated research directions.     

Accounts of the confidence-accuracy relation in recognition memory

Confidence and accuracy, while often considered to tap the same memory representation, are often found to be only weakly correlated (e.g., Bothwell, Deffenbacher, & Brigham, 1987; Deffenbacher, 1980). There are at least two possible (nonexclusive) reasons for this weak relation. First, it may be simply due to noise of one sort or another; that is, it may come about because of both within- and between-subjects statistical variations that are partially uncorrelated for confidence measures on the one hand and accuracy measures on the other. Second, confidence and accuracy may be uncorrelated because they are based, at least in part, on different memory representations that are affected in different ways by different independent variables. We propose a general theory that is designed to encompass both of these possibilities and, within the context of this theory, we evaluate effects of four variables—degree of rehearsal, study duration, study luminance, and test luminance—in three face recognition experiments. In conjunction with our theory, the results allow us to begin to identify the circumstances under which confidence and accuracy are based on the same versus different sources of information in memory. The results demonstrate the conditions under which subjects are quite poor at monitoring their memory performance, and are used to extend cue utilization theories to the domain of face recognition.     

Mechanisms of unconscious priming: I. Response competition, not spreading activation

Four experiments were conducted to replicate and expand upon A. G. Greenwald, S. C. Draine, and R. L. Abrams's (1996) demonstration that unconsciously perceived priming words can influence judgments of other words. The present experiments manipulated 2 types of relationships between priming and target stimuli: (a) whether priming and target stimuli possess a preexisting semantic relationship (an affective relationship in Experiments 1, 2, and 4; an associative relationship in Experiment 3; and an animacy relationship in Experiment 4) and (b) whether the primes and targets produce the same response. Large priming effects were found only when the primes and targets possessed response compatibility. No residual effects for affective, animacy, or semantic relatedness were observed. Although these results strongly support the conclusion that word meaning can be unconsciously activated, they do not support the claim that the unconscious perception effects obtained in Greenwald et al.'s (1996) paradigm are caused by automatic spreading activation of word meaning. Instead, the results reported here are consistent with a claim that unconsciously perceived words automatically trigger response tendencies that facilitate or interfere with target responding.     

Covert face recognition in neurologically intact participants

Prosopagnosic patients may maintain some ability to recognize familiar faces, although they remain unaware of this ability. This phenomenon – called covert face recognition – was investigated in neurologically intact participants, using priming techniques. Participants were quicker to indicate that a target-name was familiar when the preceding prime-face belonged to the same person compared with an unrelated familiar person. This was observed both when prime-faces could be recognized overtly and when they were presented too briefly to be recognized overtly (Exps. 1 and 2). Thus, covert face recognition was observed in neurologically intact participants. In Exp. 3, participants were quicker to recognize a familiar face when that person's face had been seen previously, but only when it had been recognized overtly on the first encounter. These results are interpreted within the framework of an interactive activation model of face recognition. Received: 21 September 1998 / Accepted: 2 March 1999