Lying to Insurance Companies: The Desire to Deceive among Physicians and the Public

This study examines the public's and physicians' willingness to support deception of insurance companies in order to obtain necessary healthcare services and how this support varies based on perceptions of physicians' time pressures. Based on surveys of 700 prospective jurors and 1617 physicians, the public was more than twice as likely as physicians to sanction deception (26% versus 11%) and half as likely to believe that physicians have adequate time to appeal coverage decisions (22% versus 59%). The odds of public support for deception compared to that of physicians rose from 2.48 to 4.64 after controlling for differences in time perception. These findings highlight the ethical challenge facing physicians and patients in balancing patient advocacy with honesty in the setting of limited societal resources.     

Evaluations and grassroots politics: The case of Switzerland

The Swiss political system is unique in Europe, both as regards the widely developed rights of its citizens to take a direct hand in the political process and as regards the strong tradition of federalism and the broad-based powers of the Cantons, despite their smallness. Seen in this way, Switzerland, therefore, offers interesting illustrative material for investigating the “strain” placed by “grassroots politics” on the institutional design of evaluations. Werner Bussmann, Ph.D, is director of the “Effectiveness of Public Policies” (NFP 27) research program funded by the Swiss National Science Foundation, in Bern, Switzerland. He also holds a post at the Federal Office of Justice. His research interests include intergovernmental relations, evaluation and organizational learning.     

A multidimensional approach to skilled perception and performance in sport

Three experiments examined the relative importance of attributes determined largely by the efficiency of the visual/central nervous system versus cognitive domain‐specific skills, in the determination of expertise in soccer. In Experiment 1, expert and intermediate soccer players were assessed on various non‐specific abilities including: processing (simple reaction time, peripheral reaction time, visual correction time), optometric (static, dynamic and mesopic acuity), and perimetric parameters (horizontal and vertical peripheral range). In Experiment 2, domain‐specific variables were assessed including complex decision speed and accuracy, number of visual fixations, fixation duration, and fixation location in solving game problems. Stimuli were initially presented by slides (Experiment 2) and later by 16 mm film (Experiment 3). Eye movements were recorded and analysed. A stepwise discriminant analysis of both non‐specific abilities and soccer‐specific skills revealed an average squared canonical correlation=0.84, with the significant step variables all being domain‐specific skills. Copyright © 1999 John Wiley & Sons, Ltd.     

Exposure to violence, quality of life, and health status in a group of farm workers in South Africa: a preliminary report

Farm workers (N=52), ages 18 to 60 years (M=34.1, SD=11.1), completed the Survey of Exposure to Community Violence, General Health Questionnaire-28, and the Quality of Life Inventory. Farm workers reported average Exposure to Violence, very low Quality of Life, and subaverage Health Status. No significant correlation was found between scores on Exposure to Violence and Quality of Life. Exposure to Violence was significantly correlated with poor Health Status in women but not in men. The implication of these results is discussed.     

Immunizing the self: self-concept stabilization through reality-adaptive self-definitions

Processes of self-concept immunization are introduced as a way of reconciling self-concept protection against threatening information with the necessity of acknowledging own failure or losses. Self-immunization works by adaptively changing the subjective operationalization of personal traits, such that skills that individuals believe themselves to be good at are conceived as highly diagnostic, whereas skills that persons do not believe they possess are considered less diagnostic. Three studies are presented to investigate this stabilizing process. Correlational as well as experimental and longitudinal data support the assumption that self-immunization stabilizes central and abstract aspects of the self-concept without ignoring negative information on concrete skills.     

Book reviews

Women in the Footsteps of the Buddha. Struggle for Liberation in the Therigāthā . Katheryn R. Blackstone, 1998, London, Curzon Press xiv + 186 pp., ISBN 0 7007 0962 2

The Supreme Wisdom of the Upanisads. An Introduction. Klaus G. Witz, 1998, Delhi, Motilal Banarsidass xxv + 558 pp., hb Rs 700, ISBN 81 208 1573 4

The Original Analects: Sayings of Confucius and his Successors. E. Bruce Brooks & A. Takeo Brooks (Trans.), 1998 New York, Columbia University Press 368 pp., ISBN 0 2311 0430 8     

Sources of auditory masking in infants: distraction effects.

Previous work has demonstrated that infants' thresholds for a pure tone are elevated by a masker more than would be predicted from their critical bandwidths. The present studies explored the nature of this additional masking. In Experiment 1, detection thresholds of 6-month-old infants and of adults for a 1-kHz tone were estimated under three conditions: in quiet, in the presence of a 4- to 10-kHz bandpass noise at 40 dB SPL, and in the presence of the same noise at 50 dB SPL. The noise was gated on at the beginning of each trial. Adult thresholds were the same in all three conditions, indicating that little or no sensory masking took place in the presence of the noise. Infant thresholds were about 10 dB higher in the presence of the noise. We term this effect distraction masking. In Experiment 2, the effect of gating the noise on at trial onset was examined. Thresholds for the same tone were estimated in quiet and in the presence of the band-pass noise at 40 dB SPL, but the noise was presented continuously during the session. Under these conditions, distraction masking was still observed for infants. These findings suggest that a masker can have nonsensory effects on infants' performance in a psychoacoustic task.