The mentor and the trainee in academic clinical medicine

Medicine is a scientific discipline, but it is sometimes difficult to separate what is scientific and what is a clinical, practical activity. Man is the object, but he is always the subject of medical research and therefore these two elements become closely bound together by a thread of moral interdependencies. Every mentor of a young academic and all institutions dealing with the teaching of and research into medicine must understand multidimensional, multifaceted, and multilevel aspects of their activity and give them due regard in the educational process. The educational mission of an academic institution and of the teacher working there may be summed up in one phrase: Teach thinking! At the same time, the task of a school and the individual mentor is to teach the student to distinguish personal freedom from a lack of the feeling of responsibility. The medieval principle “Universitas magistrorum et scholarium”, and thus the corporation, the community of teachers and students, has not lost any of its relevance and value today. The situation is, in its far-reaching consequences, tragic in which the “insufficiently tutored teach”. Both physician and teacher, and especially physician-teacher, are not only professions, but also callings. This paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.     

Interruption of the Tower of London task: support for a goal-activation approach

Unexpected interruptions introduced during the execution phase of simple Tower of London problems incurred a time cost when the interrupted goal was retrieved, and this cost was exacerbated the longer the goal was suspended. Furthermore, time taken to retrieve goals was greater following a more complex interruption, indicating the processing limitations may be as important as time-based limitations in determining the ease of goal retrieval. Such findings cannot simply be attributed to task-switching costs and are evaluated in relation to current models of goal memory (E. M. Altmann & G. J. Trafton, 2002; J. R. Anderson & S. Douglass, 2001), which provide a useful basis for the investigation and interpretation of interruption effects.     

Conjunction errors, recollection-based rejections, and forgetting in a continuous recognition task

Six experiments investigated conjunction memory errors (e.g., falsely remembering blackbird after studying parent words blackmail and jailbird) in a continuous recognition procedure with a parent-conjunction lag manipulation. In 4 experiments (1A, 1B, 2A, and 2B) "recollect" judgments, which indexed recall of parent words, showed that participants can use recollection to prevent conjunction errors. "Recollect" judgments, as well as overt recall of parent words (in Experiments 2A and 2B), dropped sharply from a lag of 0 to 1 word, then stabilized from a lag of 1 to 20 words. Thus, the "recollect" responses and overt recall demonstrate a step function of forgetting over short intervals. These data generalized to cued recall in Experiments 3A and 3B with the first morpheme (e.g., black) as the cue, though recall conjunction errors occurred infrequently relative to recognition conjunction errors. Overall, the results support the idea that automatic and controlled processes contribute to memory performance.     

Gender differences in victimized homeless adolescents

Most of what we know about sexual abuse comes from efforts to examine female children victimized by men. Although some researchers have identified similarities between male and female victims of sexual abuse, few studies have examined gender-specific factors associated with sexual health practices among homeless adolescents. The aim of this study was to explore how gender and history of sexual abuse influence cognitive-perceptual and behavioral factors associated with sexual health practices of homeless adolescents. This study was a secondary analysis of data collected for a cross-sectional study of the sexual health practices of homeless adolescents. The sample consisted of 414 youths (104 males who reported sexual abuse and 124 who did not; and 95 females who reported sexual abuse and 75 who did not; 16 did not provide these data). Homeless adolescent females with a history of sexual abuse scored higher (indicating a shorter perspective) on a measure of future time perspective than females with no sexual abuse. Males who reported no sexual abuse scored higher than abused females on perceived health status and higher than abused males on assertive communication. With respect to perceived health status, males who reported no sexual abuse scored significantly higher than females who reported sexual abuse (p = .04). Males with no sexual abuse had significantly higher assertive communication scores than did males who had experienced sexual abuse (p = .015). We found that male and female abuse victims differ in terms of their cognitive-perceptual and behavioral factors associated with sexual health practices. Early identification of those who have been abused is critical so that interventions can be developed. Effective short-term interventions are needed for the adolescent victims of Child Sexual Abuse (CSA), particularly those who are homeless and prone to further sexual victimization.     

Outcome of patients rehabilitated through a New Zealand forensic psychiatry service: A 7.5 year retrospective study

This paper describes a 7.5 year retrospective study of all patients discharged from inpatient forensic services to forensic community team (FCT) follow-up from the Auckland Regional Forensic Psychiatry Service. Patients' files were studied for clinical, criminal, and risk data, type of service delivered, and final level of function achieved in the community. Rearrest, re-hospitalization, and reimprisonment data were obtained from clinical, court, and prison records.105 patients were included. The most common diagnosis was a psychotic disorder, and index offending behaviour was typically violent. The median period of inpatient stay was 36 months and mean subsequent FCT follow-up 21.7 months (SD 17.8). The majority of patients were from Maori and Pacific Island ethnic groups. At the end of the study, half were in independent living, half were in some form of employment, and 19% were readmitted to a forensic hospital.One patient was rearrested but not reimprisoned whilst under forensic community team care. However, 9 of the 48 who were discharged to general mental health services were rearrested and 5 reimprisoned. Only two offences were as serious as the original index offence.Broad based assertive, mandated, and committed forensic rehabilitation can achieve high quality outcomes. These levels of function may not be sustained under less assertive care.     

Social discounting

The amount of money a person was willing to forgo in order to give 75 dollars to another person decreased as a hyperbolic function of the perceived social distance between them. Similar hyperbolic functions have previously been shown to describe both time and probability discounting.     

Assessing cross-cultural differences through use of multiple-group invariance analyses

The use of structural equation modeling in cross-cultural personality research has become a popular method for testing measurement invariance. In this report, we present an example of testing measurement invariance using the Sense of Coherence Scale of Antonovsky (1993) in 3 ethnic groups: Chinese, Japanese, and Whites. In a series of increasingly restrictive constraints on the measurement models of the 3 groups, we demonstrate how to assess differences among the groups. We also provide an example of construct validation.     

Correlation Weights in Multiple Regression

A general theory on the use of correlation weights in linear prediction has yet to be proposed. In this paper we take initial steps in developing such a theory by describing the conditions under which correlation weights perform well in population regression models. Using OLS weights as a comparison, we define cases in which the two weighting systems yield maximally correlated composites and when they yield minimally similar weights. We then derive the least squares weights (for any set of predictors) that yield the largest drop in R ² (the coefficient of determination) when switching to correlation weights. Our findings suggest that two characteristics of a model/data combination are especially important in determining the effectiveness of correlation weights: (1) the condition number of the predictor correlation matrix, R _xx , and (2) the orientation of the correlation weights to the latent vectors of R _xx .     

Danegeld remembered: Taxing further the coin head illusion

Abstract

Two experiments studied memory for the appearance of a Danish 20 kroner coin. The coin bears the portrait of Queen Margrethe II in profile, facing to the right. Previous studies have examined memory for British coins, which similarly bear a right-facing portrait of Queen Elizabeth II. They have revealed the occurrence of a mnemonic illusion, in that British people tend to believe the portrait faces left. This finding has been attributed to the occurrence of a joint coin-stamp schema. British stamps bear a left-facing profile of the Queen, and it is possible that information from the stamp predominates in the formation of the schema. In the case of Denmark, however, stamps bear a full-face portrait of the Queen. Nevertheless, the present experiments showed that the Coin Head Illusion is also found in Denmark. That is, the number of participants recalling the Queen's head as facing to the right was significantly below even the chance level of 50%. Further, this result occurred both for residents of Denmark and for visitors to Denmark. These findings suggest that the bias underlying the Coin Head Illusion may be a more general one than that envisaged by the joint coin-stamp schema hypothesis.