The rationing of health care: A doctor's dilemma

Physicians are currently presented with very difficult ethical issues regarding who receives what level of medical care and for how long. A meaningful response to these perplexing issues necessitates a collaboration of doctors with others steeped in religious and ethical traditions. This paper addresses the complicated issue of the rationing of health care, and this issue is then addressed by responses from representatives of the religious community. This symposium took place at the New York Hospital—Cornell Medical Center in March 1991.The Rev. Curtis W. Hart, M.Div. is Director of Pastoral Care and Education at the New York Hospital—Cornell Medical Center.The Rev. Paul Conner, O.P., is Associate Professor and Director of the Master's Program in Public Health Care Ethics at New York Medical College. Larry Rasmussen, Th.D., is Reinhold Niebuhr Professor of Social Ethics at Union Theological Seminary in New York. Dr. Harlan J. Wechsler is Rabbi of Congregation Or Zarua and Visiting Professor of Philosophy at Jewish Theological Seminary in New York.     

The differential validity of hyperactivity/attention deficits and conduct problems among mentally retarded children

The independence of hyperactivity, attention deficits, and conduct problems among mentally retarded children was addressed using factors of the Conners' Teacher Rating Scale-39 (CTRS-39) and the more recently developed IOWA Conners' inattention/overactivity (IO) and aggression (A) subscales. CTRS-39 ratings were obtained for children of normal intelligence and for mentally retarded children. Differences between the groups were examined as were intercorrelations of the Conners' factors and IOWA subscales. Conduct problems proved to be less strongly associated with hyperactivity and attention deficits among mentally retarded children compared to children of normal intelligence. However, attention problems and conduct problems may be associated with mental retardation in general. Implications of these data and CTRS scoring system recommendations for mentally retarded children are discussed.     

Social reactions to depictions of casual and steady acquaintance rape: The impact of AIDS exposure and stereotypic beliefs about women

While much of the early research on the social perception of sexual assault focused on instances of stranger rape, recent work has indicated that acquaintance rape occurs much more frequently. The purpose of the present investigation was to examine a gender role socialization analysis of acquaintance rape. The subjects in the present investigation, predominately Caucasian-American females (i.e., over 90% were nonminority), were first preclassified as either traditional or nontraditional in their gender role views about women. We then examined their perception of rape victims and rape perpetrators as a function of whether the rape occurred between casual dating partners vs. long-term steady daters, and also as a function of whether the assailant exposed the rape victim to the disease AIDS (vs. no exposure to AIDS). The results indicated that individuals who varied in their stereotypic views about women differed in their reactions, with more traditional subjects being more likely to negatively evaluate the rape victim and less likely to evaluate the rapist in an unfavorable manner. In addition, it was found that when rape victims were exposed to AIDS, the social perceptions of others were strongly influenced, with casual-dating rape acquaintances being more likely to bear the onus of a negative reaction from others.     

The stability of individual differences in gender typing: Implications for understanding gender segregation

The stability of individual differences has important implications for understanding the origins of gender-typed behaviors. For example, if some children have a stronger preference for same-sex playmates (gender segregation) than do others, then exploring characteristics that may differentiate these children from their peers (e.g., preference for gender-typed toys or teacher proximity) should prove fruitful. Otherwise, research might be focused more appropriately on group-level processes or situational factors rather than individual differences. In the current study, 57 2 1/2- to 3-year-olds from middle-class Canadian homes were observed repeatedly during free play at their preschools. Four aspects of gender typing (gender segregation, use of masculine and feminine gender-typed toys, teacher proximity) were measured so that the stability of individual differences and relations among the measures could be assessed. Stable individual differences were found for all four measures among boys, and for two of the measures (feminine toy play, teacher proximity) among girls. In addition, boys who played most frequently with masculine toys rarely were observed in proximity to the teacher. However, there was no relation between gender segregation and the other indices of gender typing.     

Concurrent Use of Cigarettes,Alcohol, and Coffee1

The interrelationships between cigarette, alcohol, and coffee use were examined in 307 U.S. army trainees and 304 U.S. enlisted army personnel. Usage patterns indicated distinct gender differences in this occupational setting. Among women, cigarette use and alcohol consumption were positively correlated; whereas for men, cigarette and coffee use were positively related. For both males and females, alcohol and coffee use were only weakly correlated. As demonstrated in other studies, nonsmokers showed a consistent pattern of abstention from coffee and alcohol or moderate alcohol use.     

The myth of science education

It is argued that the manner in which we teach science in the high schools represents an outdated positivistic conception of science. The standard presentation of a year of each of chemistry, biology and physics should be replaced by an integrated science plus history, philosophy, and sociology of science which would take a total of three years to complete. A proper appreciation for the true nature of science is essential to the continued health of the scientific enterprise.     

Affective influences on individual and group judgments

Do emotional states influence the social judgments made by groups and individuals? Based on affect-cognition theories and research on group judgmental shifts, we predicted that group discussion will enhance positive mood effects on judgments, but inhibit affectively-based distortions in dysphoric moods. Positive, neutral and negative moods were induced using audiovisual presentations. Individual and group consensus judgments of nine person categories on three judgmental dimensions (evaluation, competence and self-confidence) were obtained in two experimental sessions separated by a two-week interval. Results showed that individuals made more positive judgments when happy, and more negative judgments when sad than did controls. Group discussion resulted in a further polarization of positive judgments, and the attenuation of negative judgments. The findings are interpreted as evidence for the important role affect plays in mediating both individual cognitive processes and interactive social behaviours. The implications of the results for contemporary affect-cognition theories and models of group behaviour are considered.     

Internalizing and externalizing characteristics of sexually and/or physically abused children

This study evaluates the behavioral consequences of childhood abuse (sexual, physical, or both), with particular focus on prevalence of posttraumatic stress disorder (PTSD). Three abuse type groups and nonabused controls were contrasted on behavioral rating scales and on structured psychiatric interview data. The participants (109 abused children and 16 normal control children) were recruited from Arkansas Children’s Hospital and local agencies for abused children. As expected, proportionately more females than males were sexually abused. Overall, males were rated as more disturbed than females. Type of abuse did not consistently influence behavioral ratings. Externalizing scores were significantly higher than internalizing scores in all abused groups. PTSD was diagnosed in 50% of the abused children, with a higher rate for boys who had been sexually abused as opposed to physically abused only (58% versus 13%). The most frequent comorbid condition with PTSD was Separation Anxiety. Sexually abused boys were hospitalized for psychiatric treatment at a higher rate than were other abused children.