The Harm Principle Cannot Replace the Best Interest Standard: Problems With Using the Harm Principle for Medical Decision Making for Children

For many years the prevailing paradigm for medical decision making for children has been the best interest standard. Recently, some authors have proposed that Mill’s “harm principle” should be used to mediate or to replace the best interest standard. This article critically examines the harm principle movement and identifies serious defects within the project of using Mill’s harm principle for medical decision making for children. While the harm principle proponents successfully highlight some difficulties in present-day use of the best interest standard, the use of the harm principle suffers substantial normative and conceptual problems. A medical decision-making framework for children is suggested, grounded in the four principles. It draws on the best interest standard, incorporates concepts of harm, and provides two questions that can act as guide and limit in medical decision making for children.     

Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: a pilot randomized controlled trial

Psychological distress is common among people with hearing problems, but treatments that specifically target this aspect have been almost non-existent. In this pilot randomized controlled trial, an eight-week long Internet-based treatment, informed by Acceptance and Commitment Therapy, was administered to explore the feasibility and efficacy of such a treatment. Included participants were randomized to either treatment (n = 31) or wait-list control (n = 30) condition. All participants were measured prior to randomization and immediately after treatment ended using standardized self-report instruments measuring hearing-related emotional and social adjustment (Hearing Handicap Inventory for the Elderly – S, HHIE-S), quality of life (Quality of Life Inventory, QOLI), and symptoms of depression and anxiety (Patient health Questionnaire, PHQ-9 and Generalized Anxiety Disorder scale, GAD-7). Linear mixed effects regression analysis using the full intention-to-treat sample demonstrated that the treatment had superior outcomes on the main outcome measure as compared with the control group, Cohen’s d = 0.93, 95% CI [0.24, 1.63]. The benefits of treatment over control were also evident in scores of depression, Cohen’s d = 0.61, 95% CI [0.04, 1.19], and quality of life, Cohen’s d = 0.88, 95% CI [0.14, 1.61]. The results provide preliminary support for Internet-delivered acceptance and commitment therapy as a potentially effective treatment of psychological symptoms associated with hearing problems.     

Chronic Stressors and Adolescents’ Externalizing Problems: Genetic Moderation by Dopamine Receptor D4. The TRAILS Study

The existing literature does not provide consistent evidence that carriers of the Dopamine D4 Receptor 7-repeat allele are more sensitive to adverse environmental influences, resulting in enhanced externalizing problems, compared to noncarriers. One explanation is that the adverse influences examined in prior studies were not severe, chronic, or distressing enough to reveal individual differences in sensitivity reflected by DRD4–7R. This study examined whether the 7-repeat allele moderated the association between chronic stressors capturing multiple stressful aspects of individuals’ lives and externalizing problems in adolescence. We expected that chronic stressor levels would be associated with externalizing levels only in 7-repeat carriers. Using Linear Mixed Models, we analyzed data from 1621 Dutch adolescents (52.2% boys), obtained in three measurement waves (mean age approximately 11, 13.5, and 16 years) from the TRacking Adolescents’ Individual Lives Survey (TRAILS) population-based birth cohort and the parallel clinic-referred cohort. Across informants, we found that higher levels of chronic stressors were related to higher externalizing levels in 7-repeat carriers but not in noncarriers, as hypothesized. Although previous studies on the 7-repeat allele as a moderator of environmental influences on adolescents’ externalizing problems have not convincingly demonstrated individual differences in sensitivity to adverse environmental influences, our findings suggest that adolescent carriers of the Dopamine D4 Receptor 7-repeat allele are more sensitive to chronic, multi-context stressors than noncarriers.     

Job satisfaction among Swedish soldiers: Applying the Job Characteristics Model to newly recruited military personnel

A professional military organization was introduced in Sweden in 2010. This means that the Swedish Armed Forces (SAF) need to attract and employ soldiers, and to retain them within the organization. This scenario creates new types of challenges in manning the organization. The transition to an all-volunteer force puts job satisfaction in focus in order to retain personnel. This cross-sectional study of the relations between working conditions and job involvement among 300 recently employed soldiers showed that the dimensions of the Job Characteristics Model related significantly to job satisfaction and work motivation and (negatively) to turnover intentions from the SAF. The results further showed that all the critical psychological states contributed independently to the variance in the outcome variables.     

Spinoza on Ingenium and Exemplarity: Some Consequences for Educational Theory

Studies in Philosophy and Education - This article turns to the neglected pedagogical concept of ingenium in order to address some shortcomings of the admiration–emulation model of Linda...     

Opposing effects of phonological similarity on item and order memory of words and nonwords in the serial recall task

This study shows that the classical phonological similarity effect (PSE) in immediate serial recall is critically affected by the lexicality of list items, the type of phonological similarity involved, and the scoring procedure. PSE was present in the serial recall score when phonologically distinct words were compared to words that share the middle vowel and end consonant (rhyming lists). PSE was absent in the serial recall score when phonologically distinct words were compared to words that share the initial and final consonants (consonant frame lists). There was a reversal of PSE in serial recall of nonwords when comparing distinct lists to both types of similar lists. Recall accuracy on the other hand was higher for distinct lists regardless of lexicality. Item errors dominated in relation to order errors in the case of nonwords, whereas order errors dominated in relation to item errors in the case of words. Furthermore, order errors were more common for phonologically similar lists, whereas item errors were more common for phonologically distinct lists. This may be the result of intra‐list and inter‐list interference, respectively. The dominance of the former error type may cause a classical PSE, whereas the dominance of the latter error type may cause a reversal of PSE. Finally, an item identification task yielded no evidence of an association between intra‐list interference and discriminability of items in a list.     

Type D Personality: A Five-Factor Model Perspective

This study investigated the position of Type D (high Negative Affectivity and high Social Inhibition) within the Five-Factor Model (FFM) of personality. A sample of 155 healthy subjects were administered the Type D Scale and the NEO-FFI, assessing the FFM traits. Subjects also filled out the General Health Questionnaire and the Job Stress Survey. Negative Affectivity was positively correlated with Neuroticism (0.74) and negatively with Conscientiousness ( m 0.38), Agreeableness ( m 0.37), and Extraversion ( m 0.35). Social Inhibition was negatively correlated with Extraversion ( m 0.61) and Conscientiousness ( m 0.40) and positively with Neuroticism (0.50). Type D subjects reported more somatic distress ( p <0.0001), anxiety ( p <0.0001) and depression ( p <0.01) than non-Type D subjects. An alternative one-dimensional representation of the D-traits was suggested, conceptualized as a dimension ranging from neurotic introversion with relatively low conscientiousness to stable extraversion with relatively high conscientiousness. These findings are discussed in the light of the renewed interest in psychology for type versus dimensional representations of individual differences.