The social individual in clinical ethics

Except for several provocative final sentences, Sigrid Fry-Revere's "A Libertarian Critique of H. Tristram Engelhardt, Jr.'s The Foundations of Bioethics" is not a libertarian so much as it is a philosophical critique. Engelhardt's work has been widely reviewed, and its arguments have been discussed in Fry-Revere's article and elsewhere. Although it would be impractical in this context to undertake the development of a full-scale, philosophical alternative to libertarianism in bioethics, some recent work in philosophy and clinical ethics bears strongly on the challenge that Engelhardt's work represents. In this commentary I will focus on the implications of a certain alternative philosophy -- and by comparison the limitations of Engelhardt's libertarianism -- for one important aspect of clinical ethics: our understanding of the nature of individuality, with special reference to the situation of the patient. I write as an admiring critic of Engelhardt's work, from which I have learned and drawn inspiration....     

Self-consciousness and aspects of identity

This study investigated the relationship between public and private self-consciousness and social and personal aspects of identity. As predicted by self-consciousness theory, public self-consciousness correlated significantly more strongly with social than with personal aspects of identity, and private self-consciousness correlated significantly more strongly with personal than with social aspects of identity. Implications for the psychology of identity are discussed.     

Cultural differences on WISC-R verbal items

The item difficulty patterns of four groups of nonreferred, average children— Anglos, Blacks, Chicanos and Bermudians—were compared on each of the verbal subtests of the Wechsler Intelligence Scale for Children-Revised. The analysis was done for $\text{7}\text{1}\text{2}$ years old and $\text{10}\text{1}\text{2}$ year olds separately. Although this procedure identified a small number of items differentially difficult for one group of children or another, the item difficulty curves for the four groups were remarkably parallel, considering the differences in the children's cultures.     

Continuous self-recording of epigastric pain with two rating scales: Compliance,authenticity, reliability,and sensitivity

The present study compared two self-recording scales: VAS (Visual Analogue Scale) and DIBS (Duration, Intensity, Behavior Scale) with respect to compliance, authenticity, sensitivity, and reliability using a population of 32 patients with chronic epigastric pain. Compliance, authenticity, and sensitivity data revealed no significant differences between the two scales. With respect to reliability, high temporal stability coefficients were found for pain intensity over a 2-day period, for pain duration, and for a pain index calculated from DIBS. DIBS pain intensity data showed a greater temporal stability than VAS. Since DIBS yields more clinically useful information without suffering deficits in compliance, authenticity, or reliability, it appears to be a preferable instrument for monitoring chronic pain.     

Does guidance have a future?: Notes towards a distinctive position

Recent developments have raised questions about the distinctiveness of guidance and whether its practice can be separated from that of related professions. Those developments are reviewed. It is suggested that a distinctive position may be found by an examination of certain key features of guidance practice. One of these features is the role of information. Information is distinguished from informing. Its nature is discussed, as is its use in practice by both clients and guidance practitioners.     

Genetic Counseling: Clinical Geneticists' Views

Evaluation of genetic counseling requires a clear consensus about its objectives, which is not evident in published definitions and guidelines. This study aims to investigate clinical geneticists' beliefs and thoughts about their practice. Structured interviews with eight clinical geneticists addressed the aims, skills, and expectations of genetic counseling. Analysis of transcribed interviews revealed four key themes, with contradictory aspects: 1. Providing information that is objective, full, and accurate versus information that is contingent on circumstances and tailored to individual needs. 2. Eliciting emotion and dealing with it directly versus dampening down and containing emotion. 3. Communicating nondirectively versus directively. 4. Expecting to perform a range of sophisticated tasks while having minimal training in the necessary skills to achieve these. These results have implications for the nature of the professional role, the development of training required for it, and the evaluation of genetic counseling.     

The Behavioral Context of Strategic Choice in Negotiation: A Test of the Dual Concern Model1

The dual concern model of negotiation predicts behavioral approaches from an analysis of negotiators' motives. Previous studies of the model have shown support, but only under conditions where negotiators' motivationally prescribed behavior was the same. The present study was designed to examine the impact of several different behavioral contexts. Undergraduate students read conflict scenarios in which their concern for self and other, and the behavior of the other party were manipulated. Support for the dual concern model was found when the opponent's behavior was identical to the negotiator's own motivation-ally prescribed behavior. Across most conditions, a behavioral matching hypothesis provided a better explanation. However, interactions between motivational orientation and behavioral context suggest that negotiators' behavior may be best predicted through a combination of motivational and matching models.