Fuzzy Logic and Arithmetical Hierarchy,II

A very simple many-valued predicate calculus is presented; a completeness theorem is proved and the arithmetical complexity of some notions concerning provability is determined.     

Resistance and adherence to the norms of genetic counseling

Genetic counseling for women of advanced maternal age who are considering prenatal testing continues to be based on a principle of nondirectiveness. We interviewed 11 genetic counseling students and four counselors about how they experience and manage, in practice, the tensions between the ideology of nondirectiveness and the acknowledged reality that one can never be truly nondirective. We found that our respondents creatively resolve this tension—simultaneously resisting and adhering to the values of nondirectiveness and information-giving—in individual and situation-specific ways. This resolution is facilitated by the extent to which information given to counselees is fluid, mobile and context-dependent, but these very features of information also have critical implications for both the norms and the practice of genetic counseling.     

The functional role of attention for spatial coding in the Simon effect

Summary Two experiments investigated relative spatial coding in the Simon effect. It was hypothesized that relative spatial coding is carried out with reference to the position of the focus of visual attention. The spatial code for an imperative stimulus presented exactly at the position of focal attention should be neutral on the horizontal plane, and therefore no Simon effect should be observed. However, when the imperative stimulus is presented to the left or to the right of the current position of focal attention, the spatial code should not be neutral, thus producing a Simon effect. In both experiments, focal attention was manipulated either by a peripherally presented onset precue (Experiment 1) or by a centrally presented symbolic precue (Experiment 2). Results showed that the Simon effect was substantially reduced in both experiments when a valid precue preceded the imperative stimulus just in time to conclude refocusing of attention to the position of the imperative stimulus before it was presented. However, conditions with neutral precues yielded a normally sized Simon effect. In both experiments, the Simon effect decreased as the SOA grew when the precue was valid. At least for the Simon effect, the results can be interpreted as evidence that relative spatial coding is functionally related to the position of the focus of attention.     

A simplification of a result by zellini on the maximal rank of symmetric three-way arrays

Zellini (1979, Theorem 3.1) has shown how to decompose an arbitrary symmetric matrix of ordern ×n as a linear combination of 1/2n(n+1) fixed rank one matrices, thus constructing an explicit tensor basis for the set of symmetricn ×n matrices. Zellini's decomposition is based on properties of persymmetric matrices. In the present paper, a simplified tensor basis is given, by showing that a symmetric matrix can also be decomposed in terms of 1/2n(n+1) fixed binary matrices of rank one. The decomposition implies that ann ×n ×p array consisting ofp symmetricn ×n slabs has maximal rank 1/2n(n+1). Likewise, an unconstrained INDSCAL (symmetric CANDECOMP/PARAFAC) decomposition of such an array will yield a perfect fit in 1/2n(n+1) dimensions. When the fitting only pertains to the off-diagonal elements of the symmetric matrices, as is the case in a version of PARAFAC where communalities are involved, the maximal number of dimensions can be further reduced to 1/2n(n–1). However, when the saliences in INDSCAL are constrained to be nonnegative, the tensor basis result does not apply. In fact, it is shown that in this case the number of dimensions needed can be as large asp, the number of matrices analyzed.     

Authenticity as a foundational principle of medical ethics

Increasingly, contemporary medical ethicists have become aware of the need to explicate a foundation for their various models of applied ethics. Many of these theories are inspired by the apparent incompatibility of patient autonomy and provider beneficence. The principle of patient autonomy derives its current primacy to a large extent from its legal origins. However, this principle seems at odds with the clinical reality. In the bioethical literature, the notion of authenticity has been proposed as an alternative foundational principle to autonomy. This article examines this proposal in reference to various existentialist philosophers (Heidegger, Sartre, Camus and Marcel). It is concluded that the principle of autonomy fails to do what it is commonly supposed to do: provide a criterion of distinction that can be invoked to settle moral controversies between patients and providers. The existentialist concept of authenticity is more promising in at least one crucial respect: It acknowledges that the essence of human life disappears from sight if life's temporal character is reduced to a series of present decisions and actions. This also implies that the very quest for a criterion that allows physicians to distinguish between sudden, unexpected decisions of their patients to be or not to be respected, without recourse to the patient's past or future, is erroneous.     

Towards authentic conversations. Authenticity in the patient-professional relationship

The purpose of this paper is to evaluate the significance of the existential notion of authenticity for medical ethics. This is done by analyzing authenticity and examining its implications for the patient-professional relationship and for ethical decision-making in medical situations. It is argued that while authenticity implies important demand for individual responsibility, which has therapeutic significance, it perpetuates ideas which are antithetical both to authentic interaction between patients and professionals and to fruitful deliberation of moral dilemmas. In order to counteract these consequences, an alternative idea of authenticity is introduced. According to this idea, authenticity is not regarded primarily as individual sovereignty, but as an ability to participate in a dialogue in which the subjectivity of both partners is respected. Such practice, based on mutual trust and responsibility, would enhance common decision-making and overcome the alienation between patients and professionals.