Concordant Spiritual Orientations as a Factor in Physician--Patient Spiritual Discussions: A Qualitative Study

Objectives: To understand the impact of physicians and patients religious/spiritual orientation on discussions of spiritual issues. Methods: We performed semi-structured interviews of 10 Missouri family physicians and 10 patients of these physicians, selecting subjects nonrandomly to represent a range of demographic factors, practice types, and chronic or terminal illness. We coded and evaluated transcribed interviews for themes. Results: Respondents expressed that similar belief systems facilitate patient–physician spiritual interactions and bring confidence to their relationships. Those holding dissimilar faiths noted limited ability to address spiritual questions directly. They cited significant barriers to spiritual interaction but considered that ecumenism, use of patient-centered care, and negotiation skills lessen these barriers. Conclusions: Our respondents view spirituality similarly to other aspects of the physician–patient relationship involving differing viewpoints. Where discordance exists, cross-cultural, patient-centered, diplomatic approaches facilitate spiritual discussions.     

From <Emphasis Type="Italic">Pintele Yid to Racenjude</Emphasis>: Chaim Zhitlovsky and racial conceptions of Jewishness

The Russian Jewish intellectual, Chaim Zhitlovsky (1865–1943), a leading architect of secular Jewish culture and thought, was a central figure in the progressive Jewish intelligentsia of the late nineteenth and early twentieth century. In an essay written in 1927, Yidn un Yiddishkayt (Jews and Jewishness), he sought to define the secular essence of what he calls Yiddishkayt. This essay is not the first in Zhitlovskys long publicistic career in which he searches for new, secular definitions of Jewish identity and culture. But this essay differs, since it is marked by Zhitlovskys use of contemporary social scientific notions of race and racial traits to conceptualize what he believes constitutes Jewishness in a non-religious context, along with his adoption of the mystical Jewish concept of the pintele yid, the theory of an innate Jewishness embodied by a Jewish spark. Zhitlovskys desire to craft a truly secular theory of Jewish identity led him ironically to accept models of Jewish identity at odds with his stated larger vision. In turning to contemporary racial theory, as well as long nurtured mystical models of Yiddishkayt, Zhitlovsky reveals the wide range of ideological discourses that led him to innovative and controversial notions of modern Jewish identity.     

Schizophrenia and deliberate self-harm: a systematic review of risk factors

Deliberate self-harm (DSH) is a strong predictor of suicide in schizophrenia. The aim of this review was to identify risk factors for DSH in schizophrenia. This systematic review of the international literature examined cohort and case-control studies of patients with schizophrenia or related diagnoses that reported DSH as an outcome. Studies were identified by searching electronic databases and reference lists, and by consulting international experts. Fourteen studies met the eligibility criteria. Of the 29 variables examined by two or more studies, five (past or recent suicidal ideation, previous DSH, past depressive episode, drug abuse or dependence, and higher mean number of psychiatric admissions) were associated with an increased risk of DSH, and one (unemployment) was associated with a reduced risk. Schizophrenic patients with these risk factors need careful follow-up and monitoring, with treatment of any associated comorbid depression or drug abuse. Large, prospective studies of DSH in schizophrenia are needed to further define risk factors and to build on the findings of this review.     

Aging and conditional probability judgments: a global matching approach

Age differences in bias in conditional probability judgments were investigated based on predictions derived from the Minerva-Decision Making model (M. R. P. Dougherty, C. F. Gettys, & E. E. Ogden, 1999), a global matching model of likelihood judgment. In this study, 248 younger and older adults completed frequency judgment and conditional probability judgment tasks. Age differences in the frequency judgment task are interpreted as an age-related deficit in memory encoding. Older adults' stronger biases in the probability judgment task point to age differences in criterion setting. Age-related biases were eliminated when age groups were equated on memory encoding by means of study time manipulation. The authors conclude that older adults' stronger judgment biases are a function of memory impairment.     

Do chickens (Gallus gallus f. domestica) decompose visual figures?

To investigate whether learning to discriminate between visual compound stimuli depends on decomposing them into constituting features, hens were first trained to discriminate four features (red, green, horizontal, vertical) from two dimensions (colour, line orientation). After acquisition, hens were trained with compound stimuli made up from these dimensions in two ways: a separable (line on a coloured background) stimulus and an integral one (coloured line). This compound training included a reversal of reinforcement of only one of the two dimensions (half-reversal). After having achieved the compound stimulus discrimination, a second dimensional training identical to the first was performed. Finally, in the second compound training the other dimension was reversed. Two major results were found: (1) an interaction between the dimension reversed and the type of compound stimulus: in compound training with colour reversal, separable compound stimuli were discriminated worse than integral compounds and vice versa in compound training with line orientation reversed. (2) Performance in the second compound training was worse than in the first one. The first result points to a similar mode of processing for separable and integral compounds, whereas the second result shows that the whole stimulus is psychologically superior to its constituting features. Experiment 2 repeated experiment 1 using line orientation stimuli of reversed line and background brightness. Nevertheless, the results were similar to experiment 1. Results are discussed in the framework of a configural exemplar theory of discrimination that assumes the representation of the whole stimulus situation combined with transfer based on a measure of overall similarity.     

Index of suspicion: feeling not believing

Throughout the U.S., state laws require professionals who work with children to report cases of suspected child abuse to child protection services. Both practically and conceptually, however, significant problems arise from a lack of clarity regarding the threshold that has been set for reporting. Specifically, there is no consensus as to what constitutes reasonable suspicion, and little direction for how mandated reporters should gauge their legal and professional responsibilities when they harbor suspicion. In this paper we outline the context of the problem, discuss the nature and scope of its conceptual underpinnings, and offer recommendations for moving towards a concrete, practical solution.     

Senior capstone design and ethics: A bridge to the professional world

A senior level capstone design experience has been developed and offered with a particular emphasis on many of the professional issues raised in Accreditation Board for Engineering and Technology (ABET) Engineering Criterion IV. The course has sought to develop student awareness of the ethical foundation of the engineering profession, the global and societal framework within which engineers practice, and the environmental impact on engineering. The capstone design course also focused upon improving the technical communications skills of the graduating senior class with both extensive instruction in writing and multiple workshops dealing with the art of making an effective oral presentation. The effectiveness of the design course was assessed using Kirkpatrick’s model for evaluating training programs. An earlier version of this paper was presented at the “Ethics and Social Responsibility in Engineering and Technology” meeting, New Orleans, 2003.     

A longitudinal study of gender-related cognition and behaviour

Gender schema theory proposes that children's acquisition of gender labels and gender stereotypes informs gender-congruent behaviour. Most previous studies have been cross-sectional and do not address the temporal relationship between knowledge and behaviour. We report the results of a longitudinal study of gender knowledge and sex-typed behaviour across three domains in children tested at 24 and 36 months (N = 56). Although both knowledge and sex-typed behaviour increased significantly between 2 and 3 years, there was no systematic pattern of cross-lagged correlations between the two, although some concurrent relationships were present at 24 months. Future longitudinal work might profitably focus on younger children using reliable preverbal measures of gender knowledge and employing a shorter lag between measurement times.     

Gender and culture differences in emotion

In this article, the authors report a secondary analysis on a cross-cultural dataset on gender differences in 6 emotions, collected in 37 countries all over the world. The aim was to test the universality of the gender-specific pattern found in studies with Western respondents, namely that men report more powerful emotions (e.g., anger), whereas women report more powerless emotions (e.g., sadness, fear). The authors expected the strength of these gender differences to depend on women's status and roles in their respective countries, as operationalized by the Gender Empowerment Measure (GEM; United Nations Development Programme Human Development Report 2002). Overall, the gender-specific pattern of women reporting to experience and express more powerless emotions and men more powerful emotions was replicated, and only some interactions with the GEM were found.     

Immediate spatial distortions of pointing movements induced by visual landmarks

We tested the influence of two horizontally aligned visual landmarks on pointing movements to memorized targets, to investigate whether the visuomotor system can make use of an egocentric representation unaffected by visual context. The endpoints of pointing movements were systematically distorted toward the nearest visual landmark, indicating that spatial representations included both target and nontarget information. These distortions were not due to the presence of the landmarks during the movement but, rather, to their presence in the encoding phase. Qualitatively similar distortions were present even with the shortest possible retention phase, when the target was extinguished at movement onset. Finally, we found the same pattern of distortion when participants were forced to remember the target within an allocentric frame of reference. We argue that even early memory representations for pointing movements are influenced by visual information in the surrounding visual field.