Person and environmental factors associated with well-being in medical students

Medical students are exposed to demanding academic workloads and are often under considerable psychological strain. This study examined important person and environmental variables that might predict their psychological well-being. Participants were 755 students in years 2-6 from 11 Australian medical schools. A web-based survey assessed well-being, personality, professional expectations, lifestyle expectations, barriers, academic stress, and debt. A hierarchical regression analysis demonstrated that extraversion, conscientiousness, professional expectations, and lifestyle expectations were positively associated with well-being, while academic stress, which was the strongest predictor, neuroticism, and concern about debt were negatively associated. Medical students who displayed a disposition that was outgoing, conscientious, and stable, who were less stressed about their academic workload and their level of debt, and who held higher expectations for their future professional career, and expectations of a balanced lifestyle, had better well-being. Medical educators should be aware of these factors and provide support and strategies that promote well-being to students during medical training.     

Grief experiences and expectance of suicide

Suicide is generally viewed as an unexpected cause of death. However, some suicides might be expected to a certain extent, which needs to be further studied. The relationships between expecting suicide, feeling understanding for the suicide, and later grief experiences were explored. In total, 142 bereaved participants completed the Grief Experience Questionnaire and additional measurements on expectance and understanding. Results supported the prediction of a link between expecting suicide and understanding the suicide. Higher expectance and understanding were related to less searching for explanation and preoccupation with the suicide. There was no direct association with other grief experiences. We conclude that more attention should be brought to the relation between expecting the suicide of a loved one and later grief responses in research and in clinical practice.     

A generalized least squares regression approach for computing effect sizes in single-case research: application examples

A new method for deriving effect sizes from single-case designs is proposed. The strategy is applicable to small-sample time-series data with autoregressive errors. The method uses Generalized Least Squares (GLS) to model the autocorrelation of the data and estimate regression parameters to produce an effect size that represents the magnitude of treatment effect from baseline to treatment phases in standard deviation units. In this paper, the method is applied to two published examples using common single case designs (i.e., withdrawal and multiple-baseline). The results from these studies are described, and the method is compared to ten desirable criteria for single-case effect sizes. Based on the results of this application, we conclude with observations about the use of GLS as a support to visual analysis, provide recommendations for future research, and describe implications for practice.     

A Film Unfinished. Directed by Yael Heronski

Journal of Religion and Health -     

Bergmann’s dilemma: exit strategies for internalists

Michael Bergmann claims that all versions of epistemic internalism face an irresolvable dilemma. We show that there are many plausible versions of internalism that falsify this claim. First, we demonstrate that there are versions of “weak awareness internalism” that, contra Bergmann, do not succumb to the “Subject’s Perspective Objection” horn of the dilemma. Second, we show that there are versions of “strong awareness internalism” that do not fall prey to the dilemma’s “vicious regress” horn. We note along the way that these versions of internalism do not, in avoiding one horn of the dilemma, succumb to the dilemma’s other horn. The upshot is that internalists have many available strategies for avoiding dilemmatic defeat.     

Selective responses to threat: the roles of race and gender in decisions to shoot

Extensive work over the past decade has shown that race can bias perceptions and responses to threat. However, the previous work focused almost exclusively on responses to men and overlooked how gender and the interaction of race and gender influence decisions regarding use of force. In the current article, two studies examine the implications of gender (Study 1) and both race and gender (Study 2) for decisions to shoot criminal suspects on a computerized simulation. In Study 1, participants were biased away from shooting White female suspects compared to White male suspects. In Study 2, White participants showed a pronounced bias toward shooting Black men but a bias away from shooting Black women and White ingroup members, providing evidence of a behavioral threat-related response specific to outgroup men stereotypically associated with aggression. The theoretical and practical implications of these findings are discussed.     

The Bidimensional Impression Management Index (BIMI): Measuring Agentic and Communal Forms of Impression Management

Measures of impression management have yet to incorporate two-factor models of person perception. The 2 primary factors are often labeled agency and communion. In Study 1, we assembled a new measure of impression management—the Bidimensional Impression Management Index (BIMI): It comprises 2 subscales designed specifically to tap agentic and communal content. Both subscales showed adequate alpha reliabilities under both honest and faking conditions. In Study 2, the BIMI was cross-validated in a new sample: The subscales remained relatively independent, and their reliabilities remained solid. A coherent pattern of personality correlates also supported the validities of both subscales. In Study 3, the differential sensitivity of the 2 subscales was demonstrated by manipulating the job type in simulated job applications. Implications and applications of the BIMI are discussed.     

Traces of Reduction: Marion and Heidegger on the Phenomenon of Religion

In his work, Being Given, Jean‐Luc Marion calls for a phenomenological investigation of the givenness (donation) of the phenomenon. As a phenomenologist of religion, Marion aims to give a philosophical account of the possibility of revelation, something which by definition is unconditionally given. In Being Given, he contends that his phenomenological reduction to unconditional givenness (in the figure of the saturated phenomenon) can account for religious phenomena in a way that respects the subject matter, all the while remaining philosophically neutral. In this paper I argue that Marion's aim to maintain strict philosophical neutrality interferes with his attempt to respect the subject matter of his own investigation, i.e., the givenness of revelation, since revelation is recognizably given, even as possibility, only in the non‐neutral context of an interpretive tradition. I establish the latter claim with recourse to Heidegger's early hermeneutic sketches of ‘primordial Christian religiosity.’ In turn, I call for a phenomenological Destruktion of Marion's work in order to release its potential as a non‐neutral investigation of a distinctively Catholic religiosity.     

Gender Gap in School Science: Are Single-Sex Schools Important?

This paper compares science subject choices and science-related career plans of Australian adolescents in single-sex and coeducational schools. Data from the nationally representative Longitudinal Survey of Australian Youth collected from students who were 15 years of age in 2009 show that, in all schools, boys are overrepresented in physical science courses and careers, while girls are overrepresented in life science. It appears that students in all-girls schools are more likely to take physical science subjects and are keener on careers in physics, computing or engineering than their counterparts in coeducational schools. However, multi-level logit regressions reveal that most apparent differences between students in single-sex and coeducational schools are brought about by differentials in academic achievement, parental characteristics, student’s science self-concept, study time and availability of qualified teachers. The only differences remaining after introducing control variables are the higher propensity of boys in single-sex schools to plan a life science career and the marginally lower propensity of girls in girls-only schools to study life science subjects. Thus, single-sex schooling fosters few non-traditional choices of science specialization. The paper discusses the likely consequences of gender segregation in science and a limited potential of single-sex schools to reduce them. The results of the current analysis are contrasted with a comparable study conducted in Australia a decade ago to illustrate the persistence of the gender gap in science field choices.     

What Can Feminist Epistemology Do for Surgery?

Surgery is an important part of contemporary health care, but currently much of surgery lacks a strong evidence base. Uptake of evidence‐based medicine (EBM) methods within surgical research and among practitioners has been slow compared with other areas of medicine. Although this is often viewed as arising from practical and cultural barriers, it also reflects a lack of epistemic fit between EBM research methods and surgical practice. In this paper we discuss some epistemic challenges in surgery relating to this lack of fit, and investigate how resources from feminist epistemology can help to characterize them. We point to ways in which these epistemic challenges may be addressed by gathering and disseminating evidence about what works in surgery using methods that are contextual, pluralistic, and sensitive to hierarchies.