A study of the foundations of ethical decision making of clinical medical ethicists

A study of clinical medical ethicists was conducted to determine the various philosophical positions they hold with respect to ethical decision making in medicine and their various positions' relationship to the subjective-objective controversy in value theory. The study consisted of analyzing and interpreting data gathered from questionnaires from 52 clinical medical ethicists at 28 major health care centers in the United States. The study revealed that most clinical medical ethicists tend to be objectivists in value theory, i.e., believe that value judgments are knowledge claims capable of being true or false and therefore expressions of moral requirements and normative imperatives emanating from an external value structure or moral order in the world. In addition, the study revealed that most clinical medical ethicists are consistent in the philosophical foundations of their ethical decision making, i.e., in decision making regarding values they tend not to hold beliefs which are incompatible with other beliefs they hold about values.     

Skill-set,success outcome,and mania as determinants of the illusion of control

The illusion of control, the tendency for individuals to approach chance tasks with skill-appropriate strategies, was studied. Subjects premeasured on a mania scale were classified as either high (HM) or low (LM) in mania. In the first phase of the study, HM and LM subjects performed 30 trials on either a skill (verbal associates) or chance (coin-toss) task and were given either 20, 50, or 80% success feedback. After Task 1 was completed, subjects filled out an attribution questionnaire. In the final phase of the study, subjects anticipated 30 more trials either on a skill or chance task. Subjects' predicted successes were measured. It was hypothesized that predicted successes on anticipated skill and chance tasks would be affected more by outcomes on a previous skill task than by outcomes on a previous chance task. The results for the anticipated skill task directly supported the hypothesis. On the anticipated chance task, the hypothesis was confirmed for HM subjects only. The results are discussed in terms of how previous skill experiences may induce a set to control ungovernable situations for individuals with manic reactions.     

Patterns of self-disclosure in homosexual and heterosexual college students

Two hypotheses concerning self-disclosure were investigated and confirmed in the present study, comparing homosexual and heterosexual college students. The first hypothesis was that self-disclosure, as measured by the Jourard Self-Disclosure Questionnaire, would be positively correlated with psychological femininity. The second hypothesis was that homosexual males and heterosexual females would exhibit similar patterns of high disclosure and femininity. No significant differences were found in total disclosure between homosexuals and heterosexuals, although homosexuals disclosed less to father, and more to friends than to parents. The conclusion was that psychological femininity and masculinity are more important than biological sex in determining self-disclosure.     

Challenges of home visitor interventions with adolescent mothers and their infants

Issues in designing a home visitor intervention and research program for 130 adolescent mothers, 17 and under, and their infants from birth to 30 months are discussed. The overall project is described, and various aspects of creating and maintaining a home visitor intervention program are discussed, including: (1) Issues and problems that arise with the integration of a home visitor intervention component into an ongoing health department program; (2) the recruitment and training of lay home visitors in the context of arduous, often disheartening work; (3) issues of supervision and quality control faced by the mental health consultants; (4) coping with potential stresses and dangers faced by the home visitors; (5) assisting and maintaining maximum communication for the research components of the study to be successful.     

Anger regulation in disadvantaged preschool boys: strategies, antecedents, and the development of self-control

Emotion regulation strategies observed during an age 3 1/2 frustration task were examined in relation to (a) angry affect during the frustration task, (b) child and maternal characteristics at age 1 1/2, and (c) indices of self-control at age 6 in a sample of low-income boys (Ns varied between 189 and 310, depending on the assessment). Shifting attention away from sources of frustration and seeking information about situational constraints were associated with decreased anger. Secure attachment and positive maternal control correlated positively with effective regulatory strategy use. Individual differences in strategy use predicted self-control at school entry, but in specific rather than general ways: Reliance on attention-shifting strategies corresponded with low externalizing problems and high cooperation; reliance on information gathering corresponded with high assertiveness.