Health, fortune, and moral authority in medicine.

The Christian conviction about Divine Providence encourages a novel account of the moral content of health and authority in the health care context. While health can be understood as the disposition of a living body to be able to proceed in the world well, as a species of freedom it is informed by the particular projects and concerns that Christians hold deepest. This is due to the fact that health acquires content, and thus becomes desirable as a particular type of good, only in relation to judgments about the good life. Aquinas' reflections concerning the good of health and its partial slavery to fortune reveal a Christian past that dwelt on the intrinsic and instrumental good of health. A rich Christian tradition in which health as intrinsically good, a good of the body, is ordained to the interests of right Christian virtue. Each of these factors affects the character of the health to be pursued and the authority of the physician as determining the ends and means of medicine.     

Assessing decision strategies using HyperCard

The use of “process-tracing” techniques for examining individuals’ decision strategies has been criticized widely for yielding results that are uninformative and often confounded. The present paper describes a new technique based on a “structural” approach that allows efficient assessment of finely discriminated decision strategies via a HyperCard program called DECOUT. The program presents individuals with an information matrix (e.g., describing five alternative pesticides on three attributes). Individuals are asked to choose the best or the worst alternative in the matrix for 12 problems. Information in the matrix is constructed so that choice of an alternative by an individual is uniquely associated with use of one particular decision strategy. The strategies include information integration, maximin, maximax, pessimism-optimism, and minimax-regret processes. An experiment using the program is described, and possible directions for future research and development are discussed.     

The effects of task demands on the equivalence of visual and auditory representations of periodic numerical data

The equivalence of visual and auditory graphical displays was examined in two experiments. In Experiment 1, multidimensional scaling techniques were applied to paired comparison similarity judgments of both auditory and visual displays of simple periodic wave forms. In Experiment 2, a subset of perceptually similar pairs of wave forms was selected as the stimulus set for an AB-X discrimination task in both auditory and visual modalities. Results suggest much greater apparent visual-auditory equivalence for the similarity rating task than for the more difficult discrimination task, implying that one should consider the demands of the task when deciding whether auditory graphic displays are suitable alternatives to more traditional visual displays.     

The World-Wide Web as a medium for psychoacoustical demonstrations and experiments: Experience and results

The World-Wide Web provides an inviting opportunity to reach large numbers of people, both as an audience for psychoacoustical discussions and demonstrations and as subjects for psychoacoustical experiments. Such use of the Web poses a unique set of challenges. We present the methodologies used to prepare a multimedia primer in auditory perception at McGill University. As well as instructional material, this primer includes acoustical experiments conducted over the Web. We discuss the response and experiences with this site in general and in a particular class situation at Hanover College.     

Signal-processing software for teaching and research in psychoacoustics under UNIX and X-Windows

A package of software is described that generates, analyzes, stores, and displays sampled waveforms. The package is designed for use under UNIX and includes C source code, UNIX manual pages, and tutorial documents. The programs interact via UNIX pipes using an ASCII-text data format, which enables the user to view the data in numerical form as well as through the use of plotting programs. Among many other functions, the programs can do the following: efficiently generate linearphase FIR filters with arbitrary transfer functions; generate impulse responses for rectangular rooms of specified dimensions; convolve waveforms with each other; perform Fourier transformation and inverse Fourier transformation; filter waveforms in the Fourier domain; filter waveforms according to the peripheral frequency selectivity of the human auditory system; cross-correlate waveforms; autocorrelate waveforms; synthesize complex waveforms, including vowel sounds and white noise. The software can read and write a variety of commonly used waveform file formats. The data can be plotted on an X-Window display using thegnuplot software, which has been included in the package. The complete software package is available via anonymous ftp from ftp.ihr.mrc.ac.uk in ~ftp/pub/johncu/wave.tar.Z     

Counseling and screening for cystic fibrosis in patients with congenital bilateral absence of the vas deferens: Patient perceptions

Congenital bilateral absence of the vas deferens (CBAVD) occurs in approximately 1.3% of infertile males and is thought to be, in most cases, a primarily genital form of cystic fibrosis (CF). Fourteen males with CBAVD considering microsurgical sperm aspiration from the epididymis (MESA) and in vitro fertilization were seen for genetic counseling and screening for CF. To retrospectively evaluate these patients' perceptions of the counseling and screening information, we conducted structured telephone interviews to assess their recall of information about CF and its impact on their health concerns and reproductive plans. We found that, as the health implications of CF are abstract and not as important to patients as the diagnosis of CBAVD itself, patients tend to view their CF status primarily in terms of their reproductive potential. Retrospective analysis afforded us an opportunity to identify the psychosocial issues of most concern to this unique patient population.     

Psychology and mind-body segregation: Are we part of the problem?

Despite advances in behavioral medicine and health psychology, the health care system and medical education continue to show resistance to a truly biopsychosocial model of medical practice. Psychologists in medical settings have generally been identified as challenging the concept of mind-body duality and the segregation of biologic and psychosocial sciences in medicine. However, examples are presented of how psychologists contribute to and perpetuate mind-body segregation via exclusive theoretical conceptualizations, arbitrary definitions of professional behavior, and dogmatic constraints on the limits of psychology's field of knowledge.     

On the time course of negative priming: Another look

In two experiments, the pattern of persistence of negative priming effects across delay intervals of 500 and 2,500 msec was assessed using a within-subjects, random sequencing of delays. Neill and Valdes (1992; Neill, Valdes, Terry, & Gorfein, 1992) have argued that a within-subject experimental design is required for decay of negative priming to be seen, in contrast to results reported elsewhere (e.g., Tipper, Weaver, Cameron, Brehaut, & Bastedo, 1991) showing stable negative priming effects across delays. In neither experiment was substantial evidence of decay detected, raising questions for the notion that suppression necessarily declines across brief temporal intervals and for the assertion that episodic retrieval is the sole source of negative priming.