The clinical evaluation of common sexual concerns

Whose job is it to discover and manage patients' sexual concerns? If you believe that you have a role to play, just what is that role and how will you perform it? Sexual disorders are common, yet infrequently diagnosed. A willingness to inquire about sexual function is the most critical diagnostic step for clinicians. Once a problem is discovered, a systematic diagnostic process can uncover etiologic organic and psychogenic factors using customary diagnostic tools, including taking a psychosexual and medical history, comprehensive and focused physical examinations, psychological assessment instruments, laboratory tests, and special procedures.     

Facts,values, and policies: a comment on Howard H. Kendler (2002)

In a recent article, Howard H. Kendler (2002) criticized Kenneth B. Clark and the other social scientists who worked in Brown v. Board of Education for polluting their science with value judgments. This article argues that Kendler's critique is misguided because it conflates a policy judgment with a value judgment. In addition, Kendler inconsistently applied his own standard of objectivity when he examined in the social science used in Brown.     

Shackling the shoulders of giants

This paper informally summarizes a two-day symposium held at the U.S. National Academy of Sciences in Washington, D.C., September 5–6, 2002. The issue was to what extent the progress of science and societal capacity for continued technological innovation are threatened by excessive protection of intellectual property. Excessive protection creates disadvantages not only for scientists and inventors but also for educators/students and for librarians/clientele. Speakers from a variety of disciplines and institutions agreed unanimously that scientific and technological progress is, indeed, under serious threat. Various opinions were expressed about the degree of threat, currently and prospectively, as well as what counter-measures are best suited to resist undue restrictions on creative uses of scientific and technical data and information. This summary is based entirely on the author’s notes from the symposium, and the commentary offered is his alone. My apologies to the speakers if this paper does not accurately reflect the primary intent of their presentations. The “Suggested Readings” offered at the end are not specific to the speakers’ statements but rather are offered as a general resource to aid further research. The definitive record of the symposium is planned to be available from the National Academies Press as a Proceedings publication in the summer of 2003. John Gardenier is an independent researcher, ethicist and science writer.     

Ethics and faith: Openness to the relationship between them

This paper was presented at a seminar that outlined the work of the Surrey Ethics Forum. The Forum provides an opportunity for reflection by staff of the Federal University of Surrey and its Associated Institutions on ethical questions, the place of ethics in the curriculum and the role of ethics in the life of future graduates. The purpose of this paper is to argue that openness to the relationship between ethics and faith is itself an ethical task because both ethics and faith claim to protect human dignity and give meaning to the concept of "human flourishing". Analysis of the relationship between ethics, faith, flourishing and narrative can lead to clearer understanding of differences in ethical debates.     

The appraisal basis of anger: specificity, necessity and sufficiency of components

The nature of the association between anger and 5 appraisal-action tendency components--goal obstacle, other accountability, unfairness, control, and antagonism--was examined in terms of specificity, necessity, and sufficiency. In 2 studies, participants described recently experienced unpleasant situations in which 1 of the appraisal-action tendency components was present or absent and indicated which emotions they had experienced. The results showed that (a) other accountability and arrogant entitlement, as an instance of unfairness, are specific appraisals ability for anger; and most important, (b) none of the components is necessary or sufficient for anger. The findings suggest that the relation between emotions and appraisal-action tendency components should be conceptualized instead as a contingent association, meaning that they usually co-occur.     

Strategic aspects of numerosity judgment: the effect of task characteristics

In previous investigations we documented that people use several strategies to determine different numerosities of blocks that are presented in a square grid. One of these strategies is the clever subtraction strategy, wherein the number of empty squares in the grid is subtracted from the total number of squares in the grid. In the present study we investigated participants' flexibility in strategy use when varying the shape of the grid. Analysis of the results in terms of the theoretical framework of Lemaire and Siegler (1995) regarding strategic change shows that this contextual variable affected the frequency, execution time, and accuracy of subjects' use of the subtraction strategy. The usefulness of this framework for analyzing the nature of the adaptation to contextual variations is discussed. From a methodological point of view, this study documents the potential of Beem's (1993, 1999) segmented linear regression models for assessing subjects' strategy use in cognitive tasks.     

Getting scientists to think about what they are doing

Research scientists are trained to produce specialised bricks of knowledge, but not to look at the whole building. Increasing public concern about the social role of science is forcing science students to think about what they are actually learning to do. What sort of knowledge will they be producing, and how will it be used? Science education now requires serious consideration of these philosophical and ethical questions. But the many different forms of knowledge produced by modern science cannot be covered by any single philosophical principle. Sociology and cognitive psychology are also needed to understand what the sciences have in common and the significance of what they generate. Again, traditional modes of ethical analysis cannot deal adequately with the values, norms and interests activated by present-day technoscience without reference to its sociological, political and economic dimensions. What science education now requires is ‘metascience’, a discipline that extends beyond conventional philosophy and ethics to include the social and humanistic aspects of the scientific enterprise. For example, students need to learn about the practices, institutions, career choices, and societal responsibilities of research scientists, and to rehearse in advance some of the moral dilemmas that they are likely to meet. They need also to realise that science is changing rapidly, not only in its research techniques and organisational structures but also in its relationships with society at large.     

Transitive choices by a simple, fully connected, backpropagation neural network: implications for the comparative study of transitive inference.

In search of the minimal requirements for transitive reasoning, a simple neural network was trained and tested on the non-verbal version of the conventional "five-term-series task" – a paradigm used with human adults, children and a variety of non-human species. The transitive performance of the network was analogous in several aspects to that reported for children and animals. The three effects usually associated with transitive choices i.e. "symbolic distance", "lexical marking" and "end-anchor", were also clearly shown by the neural network. In a second experiment, where the training conditions were manipulated, the network failed to match the behavioural pattern reported for human adults in the test following an ordered presentation of the premises. However, it mimicked young children's performance when tested with a novel comparison term. Although we do not intend to suggest a new model of transitive inference, we conclude, in line with other authors, that a simple error-correcting rule can generate transitive behaviour similar to the choice pattern of children and animals in the binary form of the five-term-series task without requiring high-order logical or paralogical abilities. The analysis of the training history and of the final internal structure of the network reveals the associative strategy employed. However, our results indicate that the scope of the associative strategy used by the network might be limited. The extent to which the conventional five-term-series task, in absence of appropriate manipulations of training and testing conditions, is suitable to detect cognitive differences across species is also discussed on the basis of our results. Accepted after revision: 29 May 2001 Electronic Publication     

Anomalous cerebral language organization: acquired crossed aphasia in a dextral child

Following a dramatic change of its reported incidence, it was only recently recognized that acquired crossed aphasia in dextral children represents a highly exceptional phenomenon. We describe in a three epoch time-frame model the aphasic and neurocognitive manifestations of an additional case and focus briefly on its anatomoclinical configurations. In our patient, a right parietal cortico-subcortical hemorrhagic lesion caused an initially severe aphasia. After remission of the global aphasic symptoms in the acute phase, an adynamic output disorder with relatively severe auditory-verbal comprehension disturbances developed. In addition to the adynamia of self-generated speech, formal language investigations performed 3 weeks postonset, revealed agrammatism, hypertonic dysarthria, and dysprosodia. A substantial improvement of the aphasic disorder was objectified 83 days postonset. Neuropsychological investigations disclosed both dominant and nondominant hemisphere dysfunctions. Reassessment of neurocognitive functions after a 10-year period evidenced discrete residual anomia, confined to visual confrontational naming and a discrete visuo-perceptual syndrome. Given the posterior localization of the lesion, the syndrome shift from global to predominantly adynamic aphasia represents a finding beyond the plausible anatomoclinical expectations holding in general for the uncrossed, classic types of childhood and adult aphasia. As the first representative of crossed aphasia in dextral children with an anomalous lesion-aphasia profile, our case provides evidence to enrich the discussion on lateralization and intrahemispherical organization of language functions in both childhood and adult aphasia.