Mental Illness,Natural Death,and Non-Voluntary Passive Euthanasia

When it is considered to be in their best interests, withholding and withdrawing life-supporting treatment from non-competent physically ill or injured patients – non-voluntary passive euthanasia, as it has been called – is generally accepted. A central reason in support of the procedures relates to the perceived manner of death they involve: in non-voluntary passive euthanasia death is seen to come about naturally. When a non-competent psychiatric patient attempts to kill herself, the mental health care providers treating her are obligated to try to stop her. Yet it has been suggested that death by suicide can be a part of the natural course of a severe mental illness. Accordingly, if the perceived naturalness of the deaths occurring in connection with non-voluntary passive euthanasia speaks for their moral permissibility, it could be taken that a similar reason can support the moral acceptability of the suicidal deaths of non-competent psychiatric patients. In this article, I consider whether the suicidal death of a non-competent psychiatric patient would necessarily be less natural than those of physically ill or injured patients who die as a result of non-voluntary passive euthanasia. I argue that it would not.     

Development of the letter identity span in reading: evidence from the eye movement moving window paradigm

By means of the moving window paradigm, we examined how many letters can be identified during a single eye fixation and whether this letter identity span changes as a function of reading skill. The results revealed that 8-year-old Finnish readers identify approximately 5 characters, 10-year-old readers identify approximately 7 characters, and 12-year-old and adult readers identify approximately 9 characters to the right of fixation. Comparison with earlier studies revealed that the letter identity span is smaller than the span for identifying letter features and that it is as wide in Finnish as in English. Furthermore, the letter identity span of faster readers of each age group was larger than that of slower readers, indicating that slower readers, unlike faster readers, allocate most of their processing resources to foveally fixated words. Finally, slower second graders were largely not disrupted by smaller windows, suggesting that their word decoding skill is not yet fully automatized.     

Job‐seeking,adaptation and re‐employment experiences of the unemployed: a 3‐year follow‐up

The aim was to find predictors of employment status (Employed, Active Job‐Seeker, Not a Job‐Seeker) with a 3‐year longitudinal design. Also predictors of the quality of re‐employment were studied. Initially unemployed Finnish men and women were followed‐up. Of the original sample (n=559), 318 (56.9%) responded to the questionnaire. Baseline health and participation in labour market interventions were not predictive of employment status. Passive baseline job‐seeking and female gender were predictive of being a passive job‐seeker 3 years later. Good vocational education was central for high‐quality re‐employment. Long duration of unemployment and high baseline level of psychological distress were predictive of a perceived need for adjustment in the new job. Copyright © 1999 John Wiley & Sons, Ltd.     

Narrative process modes as a bridging concept for the theory, research and clinical practice of systemic therapy

This article is concerned with the relationships which hold between the clinical practice and the theory of family therapy; and between these and academic research. These relationships are seen as tenuous and thin because, in the first place, there is a lack of rigorous theoretical underpinning; and second, the research methods employed do not fit in with current family therapy practice, and with the theory that underlies this practice. The role of the concept of narrative process modes is proposed as a bridging and mediating one. The external, internal and reflective narrative process modes are seen as relevant from the point of view of family therapy process research, and the clinical practice of marital and family therapy.     

Maternal and infant characteristics connected to shared pleasure in dyadic interaction

The aim of the study was to analyze which maternal factors (depressive symptoms, effect of life events, maternal sensitivity and structuring) and infant characteristics (temperament, social withdrawal symptoms, interactive behavior, genotype, gender) contribute to shared pleasure (SP) in parent–infant interaction. Participants were 113 mother–infant dyads. The mothers filled in the Edinburgh Postnatal Depression Scale, the Infant Behavior Questionnaire, and the Life Events Questionnaire. The dyads were videotaped in a free-play situation, and the videos were analyzed using the Alarm Distress Baby Scale and the Emotional Availability Scales. The infants were genotyped for four genes involved in emotion regulation. The occurrence and duration of SP (SP-MD) in mother–infant interactions were analyzed from the videotapes. Higher maternal sensitivity and depressive symptoms, better infant responsiveness, and the infant having the GG variant of the gene tryptophan hydroxylase isoform 2 (TPH2) -307 were associated with the occurrence of SP. Lower level depressive symptoms, better maternal structuring, and greater infant involvement were associated with the longer duration of SP. Those dyads where the mother and infant were best able to read each other's positive cues and to respond to them were more likely to experience mutual positive affect, as seen in SP.     

Shared perceptions of perceived justice as a predictor of externally rated departmental level academic performance

The purpose of this study was to investigate if shared perceptions of organizational justice affect externally rated group‐level performance. Previous studies did not consider distributive justice, nor did they control for the possible confounding effects of baseline performance. The present study relates shared perceptions of procedural, interactional, and distributive justice to externally rated departmental level academic performance and takes previous performance into account. We found support for the distributive justice–performance link, partial support for the procedural justice‐performance link, but contrary to our expectations interactional justice was unrelated to performance. All in all, the results seem to support the call for a re‐examination of the role of distributive justice in organizational processes.     

Vertical perceptual span and the processing of visual signals in reading

A previous study by Pollatsek et al. ( 1993 ) claims that the perceptual span in reading is restricted to the fixated line, i.e. readers typically focus their visual attention on the line of text being read. The present study investigated whether readers make use of content structure signals (paragraph indentations and topic headings) present several lines away from the currently fixated line. We reasoned that as these signals are low-resolution visual objects (as opposed to letter and word identity), readers may attend to them even if they are located some distance away from the fixated line. Participants read a hierarchically organized multi-topic expository text containing structure signals in either a normal condition or a window condition, where the text disappeared above and below a vertical 3° gaze-contingent region. After reading, participants were asked to produce a written recall of the text. The results showed that the overall reading rate was not affected by the window. Nevertheless, the headings were reread more in the normal condition than in the window one. In addition, more topics were recalled in the normal than in the window condition. We interpret the results as indicating that the readers visually attend to useful text layout features while considering bigger units than single text lines. The perception of topic headings located away from the fixated line may favour long-range regressions towards them, which in turn may favour text comprehension. This claim is consistent with previous studies that showed that look-back fixations to headings are performed with an integrative intent.     

Profiles of Contextual Risk at Birth and Adolescent Substance Use

This study examined whether there are subgroups of families with distinct profiles of prenatal/birth contextual risk, and whether subgroup membership was differentially related to adolescent substance use. Data from the Northern Finland Birth Cohort 1986 were used. A five-class model provided the most meaningful solution. Large Family Size (7.72%) and Low Risk (69.69%) groups had the lowest levels of alcohol, cigarette, and illegal drug use. Similar high levels for each of the three substance-related outcomes were found for Parent Substance Misuse (11.20%), Maternal School Dropout (4.66%), and Socioeconomic Disadvantage (6.72%) groups. Maternal smoking and drinking while pregnant and paternal heavy alcohol use were found to be key prenatal risk factors that tended to cluster together and co-occur with other prenatal risk factors differently for different subgroups of youth.     

Affective Arousal During Blaming in Couple Therapy: Combining Analyses of Verbal Discourse and Physiological Responses in Two Case Studies

Blaming one’s partner is common in couple therapy and such moral comment often evokes affective arousal. How people attune to each other as whole embodied beings is a current focus of interest in psychotherapy research. This study contributes to the literature by looking at attunement during critical moments in therapy interaction. Responses to blaming in verbal dialogue and at the level of the autonomic nervous system (ANS) were investigated in two couple therapy cases with a client couple and two therapists. Video-recorded couple therapy sessions were analyzed using discursive psychology and a narrative approach. The use of positioning, a discourse analytic tool, was also studied. ANS responses of the participants, including the therapists, were measured as electrodermal activity. The findings demonstrate how identity blaming, i.e. positioning the other person in ways counter to their preferred identity narrative, was accompanied by increased electrodermal activity in most participants. In the two cases studied, blaming centered on the themes of loyalty, trust and parenting. It is argued that identity blaming in these thematic domains increases the arousal level of the partners, since disloyalty, unfaithfulness and irresponsible parenting threaten the stability of the relationship.