The mentor and the trainee in academic clinical medicine

Medicine is a scientific discipline, but it is sometimes difficult to separate what is scientific and what is a clinical, practical activity. Man is the object, but he is always the subject of medical research and therefore these two elements become closely bound together by a thread of moral interdependencies. Every mentor of a young academic and all institutions dealing with the teaching of and research into medicine must understand multidimensional, multifaceted, and multilevel aspects of their activity and give them due regard in the educational process. The educational mission of an academic institution and of the teacher working there may be summed up in one phrase: Teach thinking! At the same time, the task of a school and the individual mentor is to teach the student to distinguish personal freedom from a lack of the feeling of responsibility. The medieval principle “Universitas magistrorum et scholarium”, and thus the corporation, the community of teachers and students, has not lost any of its relevance and value today. The situation is, in its far-reaching consequences, tragic in which the “insufficiently tutored teach”. Both physician and teacher, and especially physician-teacher, are not only professions, but also callings. This paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.     

Probability logic,logical probability,and inductive support

This paper seeks to defend the following conclusions: The program advanced by Carnap and other necessarians for probability logic has little to recommend it except for one important point. Credal probability judgments ought to be adapted to changes in evidence or states of full belief in a principled manner in conformity with the inquirer’s confirmational commitments—except when the inquirer has good reason to modify his or her confirmational commitment. Probability logic ought to spell out the constraints on rationally coherent confirmational commitments. In the case where credal judgments are numerically determinate confirmational commitments correspond to Carnap’s credibility functions mathematically represented by so—called confirmation functions. Serious investigation of the conditions under which confirmational commitments should be changed ought to be a prime target for critical reflection. The necessarians were mistaken in thinking that confirmational commitments are immune to legitimate modification altogether. But their personalist or subjectivist critics went too far in suggesting that we might dispense with confirmational commitments. There is room for serious reflection on conditions under which changes in confirmational commitments may be brought under critical control. Undertaking such reflection need not become embroiled in the anti inductivism that has characterized the work of Popper, Carnap and Jeffrey and narrowed the focus of students of logical and methodological issues pertaining to inquiry.     

Psychiatry Residents' Attitudes on Ethics and Professionalism: Multisite Survey Results

Recent studies show that psychiatry residents express a relatively greater need for ethics curricula than their colleagues in other specialties. Such studies have been limited in their generalizability because they were conducted at one site. This study of 151 psychiatry residents at seven U.S. psychiatry programs aims to address that limitation. Residents were surveyed on issues pertaining to ethics and professionalism education. Participants were found to support such curricula during training and to value its relevance to the practice of psychiatry. Gender differences and the influence of the “hidden curriculum” on such results merit further study.     

Under the Corporate Radar: Examining Insider Business Cybercrime Victimization through an Application of Routine Activities Theory

ABSTRACT

Cybercrime is recognized as one of the top threats to UK economic security. On a daily basis, the computer networks of businesses suffer security breaches. A less explored dimension of this problem is cybercrimes committed by insiders. This paper provides a criminological analysis of corporate insider victimization. It begins by presenting reviews of insider criminal threats and routine activities theory as applied to cybercrime. Analysis of the nationally representative Cardiff University UK Business Cybercrime Survey then informs statistical models that predict the likelihood of businesses suffering insider cyber victimization, using routine activities and guardianship measures as predictors.     

Mass psychology of the led and the leaders

Abstract

Some salient features of a Sullivanian perspective are given as a background for a discussion of the case of Anna. Lived experience is mentioned as of equal importance as fantasy. Technically, analytic inquiry in the form of questions is stressed. In his review of the case presentation, the author observes that too much emphasis is given to content, compared to form. He notes that the therapist does not report key transference and non-transference interactions with the patient and further suggests that the patient still has significant narcissistic problems. He suggests that it is time to confront the patient with her characterological ways of relating to the analyst.     

Homicide as conflict resolution

Homicide research at societal, subcultural, and interaction levels of analysis has not produced a comprehensive model for the killer‐victim transaction. But rules for organizing the experience of homicide can be generated from Simmel's definition of conflict as a “resolution of divergent dualisms” (1955:11). A model of homicide as a form of conflict resolution is demonstrated through interviews with a random sample of 35 adjudicated killers. Respondents’ definitions of homicide correspond to the conflict resolution model, with their verbal accounts, their socio‐psychological orientation to the victim at the point of the killing, their method of killing, and the general dynamics of the killer‐victim transaction, all varying as a resolution of a distinctive relationship, either between lovers, adversaries, or strangers. The situational definition casts homicide within the realm of normal behavior and at the same time delineates its distinctive features.     

Homicide and suicide: Structure and process

This article brings together major new findings on homicide and suicide in order to contribute to an awareness of the similarities and differences between the two at both the structural and process levels of analysis, to make causal inferences, and to stimulate future research. Both homicide and suicide are processes of fixation on conflict resolution. The process of conflict resolution in turn is conditioned by structural disorganization. The process of fixation is conditioned by structural segregation, taking the particular form of estrangement, self‐reliance, and partial isolation. Intentional suicide, as distinct from intentional homicide, involves a negative fixation on self resulting primarily from the physical or psychological unavailability of a victim. The lack of a victim leaves the would‐be suicide feeling overwhelmed by the emotion that he or she fears. This process is conditioned by age and societal centralization, which together deny opportunities for homicide and detract from the kind of social support that might make life seem worthwhile.