Towards authentic conversations. Authenticity in the patient-professional relationship

The purpose of this paper is to evaluate the significance of the existential notion of authenticity for medical ethics. This is done by analyzing authenticity and examining its implications for the patient-professional relationship and for ethical decision-making in medical situations. It is argued that while authenticity implies important demand for individual responsibility, which has therapeutic significance, it perpetuates ideas which are antithetical both to authentic interaction between patients and professionals and to fruitful deliberation of moral dilemmas. In order to counteract these consequences, an alternative idea of authenticity is introduced. According to this idea, authenticity is not regarded primarily as individual sovereignty, but as an ability to participate in a dialogue in which the subjectivity of both partners is respected. Such practice, based on mutual trust and responsibility, would enhance common decision-making and overcome the alienation between patients and professionals.     

Sensorimotor synchronization: Motor responses to pseudoregular auditory patterns

Musically trained and untrained subjects (N=30) were asked to synchronize their finger tapping with stimuli in auditory patterns. Each pattern comprised six successive tonal stimuli of the same duration, the first of which was accented by a different frequency. The duration of interstimulus onset intervals (ISIs) gradually increased or decreased in constant steps toward the end of the patterns. Four values of such steps were used in different trials: 20, 30, 45, and 60 msec. Various time-control mechanisms are hypothesized as being simultaneously responsible for subjects’ incorrect reproduction of the internal temporal ratios of the stimulus patterns. The mechanism of assimilation (of a central tendency) led subjects to enforce a regular (isochronous) structure on the patterns. The influence of other time-control mechanisms (distinction, subjective expression of an accent, sequential transfer) was expressed mainly in differences between intertap onset intervals (ITIs) and the corresponding ISIs at the beginning of the patterns. The duration of the first two ITIs was in the majority of the trials in an inverse ratio to the ratio of the respective ISIs. The distortions resulting from the timing mechanisms concerned were more pronounced in the performance of nonmusicians than in that of musicians.     

Beyond belief bias: Reasoning from conceptual structures by mental models manipulation

Mental models constitute an alternative to the rule-based systems in the explanation of human reasoning (Johnson-Laird, 1983). In this paper, we claim that the concept of believability generally used to categorize content and context effects is of little use within a semantic theory. Thus, we propose the use of categories that are directly extracted from subjective relations among concepts within the reasoning problem. We demonstrate that manipulations based on this kind of categorization produce predictable patterns of responses in reasoning problems. We present two experiments to test our predictions, using conditional and syllogistic reasoning problems, and in both cases, we demonstrate the influence of conceptual knowledge not only in natural contexts, but also in experimentally created artificial contexts.     

Text Comprehension Training for Disabled Readers: An Evaluation of Reciprocal Teaching and Text Analysis Training Programs

Forty-six reading disabled adolescents were randomly assigned to one of three 25-hr instructional programs. Two programs provided training in expository text comprehension, and a third offered training in academic problem solving and organizational and study skills (an alternative treatment control). One reading comprehension program was designed to remediate a deficient knowledge base, forcing disabled readers to elaborate and further process new text knowledge, focusing on both specific informational content in a text and knowledge of text structure per se. The second program was patterned after the Palincsar and Brown (1984) reciprocal teaching techniques and focused on training four text comprehension strategies used by skilled comprehenders. Both the “knowledge-base” and the “strategy” training approaches were associated with significant improvement in disabled readers' comprehension skills, although training effects did not generalize across all aspects of reading comprehension performance. Strategy-trained readers applied the trained strategies with equal success on instructed and uninstructed text materials, providing strong evidence of transfer of learning. Knowledge-base readers also demonstrated successful transfer of specifically trained procedures (semantic mapping, text analysis) to unfamiliar text. In both programs, the best outcomes were obtained when specific strategies and operations were targeted for training.     

Sentence processing: Evidence against the serial,independent stage assumption

The assumption that the processing stages involved in sentence comprehension are serially and independently executed was tested in two separate experiments using two new sentence types. One experiment was a sentence-picture verification task, the other was not. In Experiment I, subjects viewed sentences such as It's false that the dots are red and indicated, by pressing the appropriate response key, which of two colors would make the sentence true. In Experiment II, subjects verified sentences such as It isn't true that the dots aren't red against pictures of colored dots. On the strength of Sternberg's additive factor method, present findings challenge the validity of the serial, independent stage assumption, and results are alternatively discussed in terms of a capacity sharing model.This research was supported by PHS research grant MH 23401 to Sam Glucksberg, principal investigator.     

Forest lights: Notes on the conceptualization of the unconscious

Using the metaphor of lights appearing unexplained in the night, the author argues for a conceptualization of the unconscious based on a posture of trust and acceptance rather than one of fear and explanation.His last book,Idea and Experience, dealt with Husserl's project of phenomenology inIdeas I. He has recently completed another book,The Embers and the Stars: A Philosophical Inquiry into the Moral Sense of Nature.