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.     

Coping with phonological assimilation in speech perception: evidence for early compensation

The pronunciation of the same word may vary considerably as a consequence of its context. The Dutch word tuin (English, garden) may be pronounced tuim if followed by bank (English, bench), but not if followed by stoel (English, chair). In a series of four experiments, we examined how Dutch listeners cope with this context sensitivity in their native language. A first word identification experiment showed that the perception of a word-final nasal depends on the subsequent context. Viable assimilations, but not unviable assimilations, were often confused perceptually with canonical word forms in a word identification task. Two control experiments ruled out the possibility that this effect was caused by perceptual masking or was influenced by lexical top-down effects. A passive-listening study in which electrophysiological measurements were used showed that only unviable, but not viable, phonological changes elicited a significant mismatch negativity. The results indicate that phonological assimilations are dealt with by an early prelexical mechanism.     

The nature and treatment of stuttering as revealed by fMRI A within- and between-group comparison

This article reviews some of our recent functional magnetic resonance imaging (fMRI) studies of stuttering. Using event-related fMRI experiments, we investigated brain activation during speech production. Results of three studies comparing persons who stutter (PWS) and persons who do not stutter (PWNS) are outlined. Their findings point to a region in the right frontal operculum (RFO) that was consistently implicated in stuttering. During overt reading and before fluency shaping therapy, PWS showed higher and more distributed neuronal activation than PWNS. Immediately after therapy differential activations were even more distributed and left sided. They extended to frontal, temporal, and parietal regions, anterior cingulate, insula, and putamen. These over-activations were slightly reduced and again more right sided two years after therapy. Left frontal deactivations remained stable over two years of observation, and therefore possibly indicate a dysfunction. After therapy, we noted higher activations in persons who stutter moderately than in those who stutter severely. These activations might reflect patterns of compensation. We discuss why these findings suggest that fluency-inducing techniques might synchronize a disturbed signal transmission between auditory, speech motor planning, and motor areas.

Educational objectives: The reader will learn about and be able to: (1) identify regions of brain activations and deactivations specific for PWS; (2) describe brain activation changes induced by fluency shaping therapy; and (3) discuss the correlation between stuttering severity and brain activation.     

Confronting prejudice (literally): reactions to confrontations of racial and gender bias

Participants in two studies reported how they would feel, think, and behave after being confronted about either gender-biased or equivalent racial-biased responses. In Study 2, whether the confrontation was from a target group member (Black or female) or nontarget (White or male) group member was manipulated. Regardless of confronter status, allegations of racial bias elicited more guilt and apologetic-corrective responses and greater concern over having offended the confronter than similar confrontations of gender bias, which elicited more amusement. Target confrontations elicited less guilt but greater discomfort than nontarget confrontations and were associated with feelings of irritation and antagonism among more prejudiced participants. In addition, participants perceived a target's confrontation as more of an overreaction than the same confrontation from a nontarget. The implications of these findings for prejudice-reduction efforts are discussed.     

Culture Is More than a Static Residual: Introduction to the Special Section on Culture and Foreign Policy

The literature on international relations frequently refers to culture in broad, macro-level ways to explain what cannot be explained by economic or military power. The assumptions that culture is simple, uniform and the opposite of power are, in the view of the authors, erroneous. Also, the authors note that there is a lack of scholarly interaction among psychologists interested in cross-cultural phenomena and international relations specialists interested in questions of identity and foreign policy. As an introduction to a special section on culture and foreign policy, this article calls for more communication among these scholarly communities; provides a set of observations about foreign policy and culture understood as a complex, dynamic concept; and calls for specific kinds of studies to better understand foreign policy in the context of cultural complexity and richness.     

Deductivism Within Pragma-Dialectics

The present paper elaborates a deductivist account of natural language argu-ment in the context of pragma-dialectics. It reviews earlier debates, criticizes some standard misconceptions in the literature, and argues that the identification and analysis of deductive argument schemes can be the basis of a compelling theory of argumentative discourse.     

Discovering the Alphabetic Principle: A Lost Opportunity for Educational Reform

We review the recently published report by the Committee on the Prevention of Reading Difficulties in Young Children from a behavior analytic perspective. The authors prescribe what children should learn to be successful readers based on the correlates of reading and the developmental progression of reading errors. The report offers no discussion of theoretical models that can be used by teachers and parents to reform reading instruction or specific procedures that have been shown to be effective at promoting various reading skills. We discuss these omissions in terms of the level of research included in the review, the authors' structural approach to synthesizing this research, and the constructivist orientation common to many early childhood educators. The paper concludes by identifying models and strategies from the behavior analysis literature that can be used to guide instruction and offers a modest suggestion for future reviews of reading research.     

Anxiety Symptomatology in Mexican-American Adolescents

Mexican-American adults and adolescents in general have been reported to have high levels of anxiety symptomatology. In our study of a tri-ethnic sample of 2528 junior and senior high school students, the Youth Self Report (YSR) version of the Child Behavior Checklist (CBCL) and a sociodemographic questionnaire was used to assess the anxiety symptoms of Hispanic youth. We compared the ratings on anxiety symptoms, using Achenbach's anxiety subscale on the YSR, between two populations. The anxiety levels of youth in coastal southeast Texas (Galveston County) were compared to the anxiety levels of youth in the lower Rio Grande Valley. We found that Mexican-Americans of the Lower Rio Grande Valley scored higher on anxiety symptoms than the tri-ethnic population of Galveston County. Other factors associated with higher anxiety scores for Mexican-American youths included being born outside the US, linguistic fluency, father absent from the home, mother's education, and household size. Multiple regression analyses showed that socio-economic status (SES), family composition, and linguistic fluency had a greater relative impact on anxiety symptomatology than all other factors, both for the total sample as well as for the Mexican-American sample. These results parallel previous findings, with Mexican-American adults, which suggest either higher risk for anxiety symptomatology or a culturally related bias in the reporting of such symptoms.     

A Jewish View of Human Learning

This paper offers a rabbinic reading of the Hebrew Bible's conception of human learning. Although addressed to adults, and focused on initiation of both young and old into its vision of the good, the Bible nonetheless offers a conception of how children ought to be educated. Central to this pedagogy is the view that education is fundamentally an ethical activity whose purpose is to nurture and affirm the moral potential of each person through the internalization of divine teachings.