Dilemmas in military medical ethics since 9/11

The attack on the United States by terrorists on 9/11 and the war with Iraq have raised new ethical questions for the military and for military physicians (Herman 2002; Elshtain 2003). How and when attacks may occur now is less predictable. Planes have been hijacked, and persons dressed as civilians may carry bombs to blow themselves and others up. These dangers pose an increased threat, and, thus, there is a need for new defensive measures. How far these measures should go is, however, greatly open to debate. One of the most difficult ethical question raised for the military and military doctors by these developments is what interrogation methods are permissable when questioning captured terrorists. The licitness of different interrogation practices is, however, only one of the ethical problems potentially encountered by military physicians now having to treat terrorists and POWs. The following discussion presents the major concerns regarding this and other issues.     

The Mozart Effect: An Artifact of Preference

The "Mozart effect" reported by Rauscher, Shaw, and Ky (1993, 1995) indicates that spatial-temporal abilities are enhanced after listening to music composed by Mozart. We replicated and extended the effect in Experiment 1: Performance on a spatial-temporal task was better after participants listened to a piece composed by Mozart or by Schubert than after they sat in silence. In Experiment 2, the advantage for the music condition disappeared when the control condition consisted of a narrated story instead of silence. Rather, performance was a function of listeners' preference (music or story), with better performance following the preferred condition.     

“Why My Child?”: Parental Attributions for Children's Special Needs1

Although research exists on how attributions for traumatic life events are related to adjustment, little has focused on parents’ attributions for their children's special needs. Parents were interviewed twice over 1 year about their attributions for their children's special needs. We used parents’ open-ended responses during the initial interview to construct a ratings survey for the second interview. Parents of children with Down's syndrome made attributions to genetic fluke, age, and fate/God's will; parents of autistic children made attributions to heredity and environment; parents of developmentally delayed children made attributions to medical problems and stress during pregnancy. Self-blame attributions and attributions to the environment were related to worse adjustment, whereas attributions to fate/God's will were related to better adjustment. Implications for family interventions and physicians are discussed.     

Mother-child play and maltreatment: a longitudinal analysis of emerging social behavior from infancy to toddlerhood

Mother-child play of maltreating and nonmaltreating families was analyzed when infants were 12 months old (Time 1), and 2 years old (Time 2), as a context to examine children's developing cognitive and social skills. At Time 1, infants from abusing families demonstrated less independent and more imitative behavior during play than did infants from neglecting and nonmaltreating families, suggesting a delay in emerging social behaviors. In this longitudinal follow-up, mother-child play was reassessed 1 year later (N = 78), with a focus on children's engagement in nonplay and pretend play and on children's abilities to initiate social exchanges and respond to parental requests. Play and social behavior were coded from semistructured and unstructured play paradigms at both time points. Maternal attention-directing behavior and limit setting also was assessed. At Time 2, children from abusing, neglecting, and nonmaltreating families did not differ in cognitive play complexity. However, children from abusing families engaged in less child-initiated play than did children from neglecting and nonmaltreating families, demonstrating less socially competent behavior. Longitudinal analyses revealed child initiated play at Time 2 was negatively associated with abuse and with maternal physical attention directing behavior at Time 1. Child negative reactivity at Time 2 was positively associated with Time 1 maternal physical behavior and child imitation and with Time 2 maternal controlling behavior. Implications for early intervention efforts are emphasized.     

A progressive model for teaching children with autism to follow gaze shift

Gunby, Rapp, Bottoni, Marchese and Wu (2017) taught three children with autism spectrum disorder to follow an instructor's gaze shift to select a specific item; however, Gunby et al. used different types of prompts with each participant. To address this limitation, we used a progressive training model for increasing gaze shift for three children with autism spectrum disorder. Results show that each participant learned to follow an adult's shift in gaze to make a correct selection. In addition, two participants displayed the skill in response to a parent's gaze shift and with only social consequences; however, the third participant required verbal instruction and tangible reinforcement to demonstrate the skill outside of training sessions.