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.     

Health enhancing physical activity as perceived in interviews based on the theory of planned behaviour

Abstract

The perception of behaviours from two categories of health enhancing physical activity (HEPA): outdoor aerobic exercise (OAE) and everyday commuting activity (ECA) was examined in a sample of middle-aged persons (N= 50). A focused semi-standardised interview was constructed on the bases of the components of the Theory of Planned Behaviour (TPB). The participants perceived OAE behaviours predominantly from the viewpoint of exercise and those of the ECA from that of the fluency of daily routines. They considered the OAE as sensible and associated it with positive health or fitness outcomes, but only those practising it also attributed positive psychological effects to OAE behaviours. A slightly better congruence with the TPB was found for the OAE behaviours than for those of the ECA. The difference is discussed in the light of the higher degree of decisional control with the OAE behaviours and the greater psychological heterogeneity of the ECA.     

Do frequency characteristics of nonfixated words influence the processing of fixated words during reading?

Are readers capable of lexically processing more than one word at a time? In five eye movement experiments, we examined to what extent lexical characteristics of the nonfixated word to the right of fixation influenced readers' eye behaviour on the fixated word. In three experiments, we varied the frequency of the initial constituent of two‐noun compounds, while in two experiments the whole‐word frequency was manipulated. The results showed that frequency characteristics of the parafoveal word sometimes affected eye behaviour prior to fixating it, but the direction of effects was not consistent and the effects were not replicated across all experiments. Follow‐up regression analyses suggested that foveal and parafoveal word length as well as the frequency of the word‐initial trigram of the parafoveal word may modulate the parafoveal‐on‐foveal effects. It is concluded that low‐frequency words or lexemes may under certain circumstances serve as a magnet to attract an early eye movement to them. However, further corroborative evidence is clearly needed.     

Controlling reactive aggression through cognitive evaluation of proactive aggression cues

The authors investigated how the relationship between the acts of proactive and reactive aggression was moderated by the individual differences in cognitive regulation of emotion. An aggression paradigm, a electrocardiogram recording, a cognitive assessment battery, and a short form IQ test were completed by 109 children, aged 8 to 13 years (Juujärvi, Kaartinen, Laitinen, Vanninen, & Pulkkinen, 2006 Juujärvi, P., Kaartinen, J., Laitinen, T., Vanninen, E. and Pulkkinen, L. 2006. Effects of physical provocations on heart rate reactivity, and reactive aggression in children. Aggressive Behavior, 32: 99–109. [Crossref], [Web of Science ®] , [Google Scholar]; Juujärvi, Kooistra, Kaartinen, & Pulkkinen, 2001 Juujärvi, P., Kooistra, L., Kaartinen, J. and Pulkkinen, L. 2001. An aggression machine: V. Determinants of reactive aggression revisited. Aggressive Behavior, 27: 430–445. [Crossref], [Web of Science ®] , [Google Scholar]; Lehto, Juujärvi, Kooistra, & Pulkkinen, 2003 Lehto, J. E., Juujärvi, P., Kooistra, L. and Pulkkinen, L. 2003. Dimensions of executive functioning: Evidence from children. British Journal of Developmental Psychology, 21: 59–80. [Crossref], [Web of Science ®] , [Google Scholar]). The less the children subdued the intensity of their defence to the attacks in the aggression paradigm, the poorer they performed in the cognitive assessment battery tasks measuring Working memory capacity and in the task assessing crystallised intelligence. The mean cardiovascular reactivity during the aggression paradigm was neither associated with the performances in either the cognitive assessment battery nor the intelligence tasks. Both information processing and knowledge dimensions of cognition contributed to regulation of emotion, but the respective effects of the processes cannot be inferred from the mean cardiovascular reactivity.