The healing relationship: Edmund Pellegrino’s philosophy of the physician–patient encounter

Theoretical Medicine and Bioethics - In this paper I briefly summarize Pellegrino’s phenomenological analysis of the ethics of the physician–patient relationship. In delineating the...     

An examination of the psychometric properties of scores on the Family Strain Index (FSI) in a general community sample

Given the potentially harmful effects of parenting stress on parents, children, and their relationship, it is critical to have a reliable and valid measure of parenting stress in clinical and community samples. The Family Strain Index (FSI) is a brief questionnaire designed to measure stress and demand on parents of children with ADHD. The present study is the first to evaluate the psychometric properties of scores on the FSI in a general community sample. Parents (89% mothers) of 550 preschool children (aged 2–5 years; 50% boys) sampled through 17 kindergartens located in Danish cities and villages completed the FSI, the ADHD Rating Scale (RS)‐IV Preschool Version, and a background questionnaire. FSI scores were characterized by restricted range and floor effects. The scale's construct validity was not supported and the measurement repeatability after 1 month was low. The scale did have convergent validity as levels of parenting stress were associated with perceived ADHD behavior in off‐spring, but overall, results did not encourage the use of the FSI as a measure of parenting stress in the general population. Measures that include more normative events may be more appropriate when attempting to capture parenting stress in general community samples.     

A case for a certainty norm of assertion

According to the widely endorsed Knowledge Account of Assertion, the epistemic requirements on assertion are captured by the Knowledge Norm of Assertion, which requires speakers only to assert what they know. This paper proposes that in addition to the Knowledge Norm there is also an Epistemic Propositional Certainty Norm of Assertion, which enjoins speakers only to assert p if they believe that p on the basis of evidence which makes p an epistemic propositional certainty. The paper explains how this propositional certainty norm accounts for a range of data related to the practice of assertion and defends the norm against general objections to certainty norms of assertion put forward by Duncan Pritchard, John Turri, and Timothy Williamson, by drawing on linguistic theories about epistemic modals and gradable predicate semantics. Together these considerations show that the prospects of a certainty account of assertion are much more promising than is usually assumed.

     

Psychological type preferences of female Bible College students in England

A sample of 122 female students attending a Pentecostal Bible College in England completed Form G (Anglicised) of the Myers‐Briggs Type Indicator (MBTI). The data demonstrated preferences for extraversion over introversion, for sensing over intuition, for feeling over thinking, and for judging over perceiving. The predominant type was ISFJ (16%), followed by ESFJ (12%). Comparison with the population norms demonstrated an over‐representation of intuitives among this sample of Bible College students.     

A dual-networks architecture of top-down control

Complex systems ensure resilience through multiple controllers acting at rapid and slower timescales. The need for efficient information flow through complex systems encourages small-world network structures. On the basis of these principles, a group of regions associated with top-down control was examined. Functional magnetic resonance imaging showed that each region had a specific combination of control signals; resting-state functional connectivity grouped the regions into distinct 'fronto-parietal' and 'cingulo-opercular' components. The fronto-parietal component seems to initiate and adjust control; the cingulo-opercular component provides stable 'set-maintenance' over entire task epochs. Graph analysis showed dense local connections within components and weaker 'long-range' connections between components, suggesting a small-world architecture. The control systems of the brain seem to embody the principles of complex systems, encouraging resilient performance.     

Unidirectional interference in use of nondominant hand during concurrent Grooved Pegboard and random number generation tasks

The interference effect between Grooved Pegboard task with either hand and the executive task of cued verbal random number generation was investigated. 24 normal right-handed subjects performed each task under separate (single-task) and concurrent (dual-task) conditions. Articulatory suppression was required as an additional secondary task during pegboard performance. Analysis indicated an unambiguous distinction between the two hands. Comparisons of single-task and dual-task conditions showed an asymmetrical pattern of unidirectional interference with no practice effects during pegboard performance. Concurrent performance with nondominant hand but not the dominant hand of random number generation performance became continuously slower. There was no effect of divided attention on pegboard performance. Findings support the idea that the nondominant hand on the pegboard and random number tasks draw from the same processing resources but that for the executive aspect random number generation is more sensitive to changes in allocation of attentional resources.     

Ingroup bias in the minimal group paradigm shown by three‐person groups with high or low state self‐esteem

From social identity theory a negative relation between self‐esteem and ingroup bias can be deducted. Much research has been done to test this proposition and largely failed to confirm this relation. Unlike many existing studies, we conducted an experiment in which (a) self‐esteem is not conceived as a trait entity but much more situation‐specific, (b) the self‐esteem manipulation is not relative to the outgroup, and (c) the measure of intergroup differentiation is unrelated to the self‐esteem manipulation. We categorised our participants into two arbitrary minimal groups (Klee or Kandinsky fans) and afterwards formed homogeneous three‐person groups (all persons were either Klee or Kandinsky fans). We manipulated the state self‐esteem of these real groups by giving them positive or negative feedback concerning their performance in a problem‐solving task. Afterwards, all groups distributed money to ingroup and outgroup members via Tajfel distribution matrices. Low state self‐esteem groups were found to exhibit stronger ingroup bias than high state self‐esteem groups overall, although the variability of intergroup discrimination was larger in the low state self‐esteem groups, pointing to more heterogeneous reactions to low state self‐esteem. Copyright © 2002 John Wiley & Sons, Ltd.