Trends in married couples' time use: Evidence from 1977–78 and 1987–88

Conflicting evidence regarding married couples' time use trends has recently emerged in the literature. A critical review of this literature suggests that variations in data quality and methodological approaches may be responsible for many of the observed differences. Capitalizing on the insights gained from this review, a trend analysis of couples' time use is presented in this paper. The analysis is based on two cross-sections of time diary data collected from two-parent, two-child households. The results suggest that the relationships between socioeconomic variables and couples' time use changed during the period from 1977–78 to 1987–88. On average, these changes lead to an increase of over seven hours per week in married women's productive work time (i.e., market work plus household work). Correspondingly, the productive work time of husbands increased by an average of three and one-half hours per week. Both increases came at the expense of time that was formerly spent in more leisure-oriented activities.Financial support for the collection of the data used in this study was provided by the Utah State Agricultural Experiment Station and the University of Utah Research Committee. A grant of computer time from the Utah Supercomputing Institute, which is funded by the State of Utah and the IBM Corporation, is greatfully acknowledged. Additional support has been provided by the Department of Home Economics and Consumer Education at Utah State University where Dr. Zick was on leave during the 1989–90 academic year. W. Keith Bryant, Ken R. Smith, and an anonymous reviewer each gave helpful comments on an earlier draft of this article.     

Respect for autonomy and medical paternalism reconsidered

We offer a critique of one prominent understanding of the principle of respect for autonomy and of analyses of medical paternalism based on that understanding. Our main critique is that understanding respect for autonomy as respect for freedom from interference is mistaken because it is overly influenced by ‘four-alarm’ cases, because it fails to appreciate the full dimensions of legal self-determination (one of its main sources), because it conflates the research and therapeutic settings, and because it fails to appreciate themes of authority and power that have historically shaped the principle of respect for freedom from interference. We argue that respect for autonomy involves more than just freedom from interference and, on this basis, offer a critique of prevailing accounts of medical paternalism.     

The relationship between moral philosophy and medical ethics reconsidered

Medical ethics often is treated as applied ethics, that is, the application of moral philosophy to ethical issues in medicine. In an earlier paper, we examined instances of moral philosophy's influence on medical ethics. We found the applied ethics model inadequate and sketched an alternative model. On this model, practitioners seeking to change morality "appropriate" concepts and theory fragments from moral philosophy to valorize and justify their innovations. Goldilocks-like, five commentators tasted our offerings. Some found them too cold, since they had already abandoned applied ethics; others too hot, since they still find the applied ethics model to their taste. We reply that the appropriation model offers an empirically testable account of the historical relationship between moral philosophy and medical ethics that explains why practitioners appropriate concepts and fragments from moral philosophy. In contrast, the now fashionable common morality theory neither explains moral change nor why practitioners turn to moral philosophy.     

An ethical framework for the responsible management of pregnant patients in a medical disaster

The ethics of managing obstetric patients in medical disasters poses ethical challenges that are unique in comparison to other disaster patients, because the medical needs of two patients--the pregnant patient and the fetal patient--must be considered. We provide an ethical framework for doing so. We base the framework on the justice-based prevention of exploitation of populations of patients, both obstetric and non-obstetric, in medical disasters. We use the concept of exploitation to identify a spectrum from ethically acceptable, to ethically challenging, to ethically unacceptable, management of obstetric patients in medical disasters. We also address the ethics of the care of obstetric and neonatal patients when the resources of a hospital are completely overwhelmed in a large-scale medical disaster.     

Group comparisons of DSM-IV subtypes of chronic depression: validity of the distinctions, part 2

The nosology of chronic depression in Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV, American Psychiatric Association, 1994) is highly complex and requires clinicians to differentiate among several chronic course subtypes. This study replicates an earlier investigation (J. McCullough et al., 2000; see record 2000-05424-007) that found few differences among Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.; DSM-III-R; American Psychiatric Association, 1987) categories of chronic depression. In the present study, 681 outpatients with chronic major depression, double depression, recurrent major depression without full interepisode recovery, and chronic major depression superimposed on antecedent dysthymia were compared. Few differences were observed on a broad range of demographic, clinical, psychosocial, family history, and treatment response variables. The authors suggest that chronic depression should be viewed as a single, broad condition that can assume a variety of clinical course configurations.     

Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life

The effect of a grateful outlook on psychological and physical well-being was examined. In Studies 1 and 2, participants were randomly assigned to 1 of 3 experimental conditions (hassles, gratitude listing, and either neutral life events or social comparison); they then kept weekly (Study 1) or daily (Study 2) records of their moods, coping behaviors, health behaviors, physical symptoms, and overall life appraisals. In a 3rd study, persons with neuromuscular disease were randomly assigned to either the gratitude condition or to a control condition. The gratitude-outlook groups exhibited heightened well-being across several, though not all, of the outcome measures across the 3 studies, relative to the comparison groups. The effect on positive affect appeared to be the most robust finding. Results suggest that a conscious focus on blessings may have emotional and interpersonal benefits.     

Christ,the Karamazovs,and Compensational Theodicies

This article draws from Ivan Karamazov a two‐fold challenge to the goodness of God: that no one can forgive the infliction of suffering upon the innocent and that, even when forgiven, this suffering costs more than any good brought out of it. It then looks to Alyosha for a response to these challenges, suggesting that Christ can forgive because of the cross and that his doing so puts the innocent to a choice: either to join their suffering to his – and so maintain God's goodness – or to lose their innocence. This response helps supply another defect of theodicies that appeal to the compensatory goods that God brings out of innocent suffering, namely that it seems to make some kind of salvation necessary and not gratuitous. For here all innocent suffering is joined to the cross and so part of the economy of redemption, not something prior to redemption that renders it necessary.