'Fairness and reasonableness of the child's decision:' a proposed legal standard for children's participation in medical decision making.

Using as illustration the case of Nikolas E., a six-year-old child with HIV/AIDS, this article considers the competing rights of children, parents, and state in cases involving pediatric medical disputes. The article outlines arguments in favor of and against children's participation in medical decisions and describes legal standards currently used in resolving pediatric medical disputes. The article then proposes adoption of a new legal standard described as the 'fairness and reasonableness of the child's decision,' and articulates advantages and disadvantages of such an approach, as well as the factors that should be considered in implementing the standard. Finally, the article argues for a methodology for including children's wishes in pediatric medical decision making that is based upon Monahan and Walker's model for including social science evidence in legal contexts and evaluates alternative strategies for including children meaningfully in the process of making medical decisions that affect them.     

Personality and judgements of abstract,pop art,and representational paintings

This study was concerned with the question of which personality variables are most predictive of judgements of particular types of painting. One hundred and twenty‐one participants rated 24 slides of abstract, pop art, and representational paintings. They then completed two questionnaires which measured sensation seeking (SS) and the ‘Big Five’ personality dimensions. Thrill and Adventure Seeking was positively correlated with a liking of representational art while Disinhibition was associated with positive ratings of abstract art and pop art. Neuroticism was positively correlated with positive ratings of abstract and pop art, while conscientiousness was linked to liking of representational art. Openness to Experience was linked to positive ratings of all three art types. Agreeableness was negatively linked to liking of pop art. It was also found that art education and frequency of visits to art galleries were linked to positive ratings of abstract paintings. Regressional analyses showed about a fifth of the variance could be accounted for by personality and demographic variables. Personality variables were most strongly linked to positive judgements of representational art and least related to ratings of pop art. Overall the sensation seeking variables accounted for more of the variance than the big five dimensions. Copyright © 2001 John Wiley & Sons, Ltd.     

When knowing can replace seeing in audiovisual integration of actions

The ability to predict the effects of actions is necessary to behave properly in our physical and social world. Here, we describe how the ability to predict the consequence of complex gestures can change the way we integrate sight and sound when relevant visual information is missing. Six drummers and six novices were asked to judge audiovisual synchrony for drumming point-light displays where the visual information was manipulated to eliminate or include the drumstick–drumhead impact point. In the condition with only the arm information novices were unable to detect asynchrony whereas drummers were able to. Additionally, in the conditions that included the impact point drummers perceived the best alignment when the sight preceded the sound, while in the arm only condition they perceived the best alignment when the sound occurred together with or preceded the sight, as it would be expected if they were predicting the beat occurrence. Taken together these findings suggest that humans can acquire, through practice, internal models of action which can be used to replace missing information when integrating multisensory signals from the environment.     

Developmental shifts in children's sensitivity to visual speech: a new multimodal picture-word task

This research developed a multimodal picture-word task for assessing the influence of visual speech on phonological processing by 100 children between 4 and 14 years of age. We assessed how manipulation of seemingly to-be-ignored auditory (A) and audiovisual (AV) phonological distractors affected picture naming without participants consciously trying to respond to the manipulation. Results varied in complex ways as a function of age and type and modality of distractors. Results for congruent AV distractors yielded an inverted U-shaped function with a significant influence of visual speech in 4-year-olds and 10- to 14-year-olds but not in 5- to 9-year-olds. In concert with dynamic systems theory, we proposed that the temporary loss of sensitivity to visual speech was reflecting reorganization of relevant knowledge and processing subsystems, particularly phonology. We speculated that reorganization may be associated with (a) formal literacy instruction and (b) developmental changes in multimodal processing and auditory perceptual, linguistic, and cognitive skills.     

Anchoring in a novel bimanual coordination pattern

Anchoring in cyclical movements has been defined as regions of reduced spatial or temporal variability [Beek, P. J. (1989). Juggling dynamics. PhD thesis. Amsterdam: Free University Press] that are typically found at movement reversal points. For in-phase and anti-phase movements, synchronizing reversal points with a metronome pulse has resulted in decreased anchor point variability and increased pattern stability [Byblow, W. D., Carson, R. G., & Goodman, D. (1994). Expressions of asymmetries and anchoring in bimanual coordination. Human Movement Science, 13, 3-28; Fink, P. W., Foo, P., Jirsa, V. K., & Kelso, J. A. S. (2000). Local and global stabilization of coordination by sensory information. Experimental Brain Research, 134, 9-20]. The present experiment examined anchoring during acquisition, retention, and transfer of a 90 degrees phase-offset continuous bimanual coordination pattern (whereby the right limb lags the left limb by one quarter cycle), involving horizontal flexion about the elbow. Three metronome synchronization strategies were imposed: participants either synchronized maximal flexion of the right arm (i.e., single metronome), both flexion and extension of the right arm (i.e., double metronome within-limb), or flexion of each arm (i.e., double metronome between-limb) to an auditory metronome. In contrast to simpler in-phase and anti-phase movements, synchronization of additional reversal points to the metronome did not reduce reversal point variability or increase pattern stability. Furthermore, practicing under different metronome synchronization strategies did not appear to have a significant effect on the rate of acquisition of the pattern.     

The Significance of Identity in Muslim–Christian Encounter

Encounters between Muslims and Christians are influenced by many factors. In this article a contextual study of a religiously diverse neighbourhood in Leeds, a northern English city, is used to illustrate some of the patchwork of related and overlapping identities which Muslims and Christians negotiate in their everyday encounters. Ethnicity, socio-economic status, and encounter with people of other religions are all found to influence how Muslims and Christians relate to each other and to the secular environment.     

Visible Speech as a Function of Image Quality: Effects of Display Parameters on Lipreading Ability

Two experiments are reported that examine effects of certain visual display parameters on subjects' ability to lipread numbers. The quality of the image of the speaker's face is altered by varying temporal resolution (frame rate), spatial resolution (number of pixels) and contrast resolution (number of grey scale levels). In Experiment 1, combinations of these variables are examined in a repeated measures design and reliable effects of reducing both frame rate and number of grey levels are evident. In Experiment 2, the frame rate and grey scale settings are factorially combined on a between-subjects basis, and practice is given so that subjects can adapt to the display conditions to which they are exposed. Effects of frame rate and grey scale are again statistically significant, and additive. Lipreading performance improves over the short duration of the experiment, but both image variables continue to affect performance. The effect size of the grey scale factor decreases with practice, but not that of frame rate. The results are discussed with regard to the kinds of relevant visual cues that may be affected by image degradation. Implications for the planned development of low cost digital communication are also considered. Trading off one image variable at the expense of another may be necessary to meet bandwidth limitations, and data such as those presented will be necessary to decide on a combination of parameter values to satisfy human performance and technical criteria.     

Should We Be Talking About Ethics or About Morals?

This article seeks to revisit the distinction between the words ethics and morals. First, we understand the word ethics to be focused on the way we seek to live our own life, and hence to connote a relativistic and essentially subjective perspective, whereas we understand the word morals to be focused on the way we should live our lives together, especially through sensitivity to viewpoints other than our own. Second, we perceive a usefulness in such a differentiation when the ethical values of those in a dilemmatic situation are conflicted in order to prioritize moral decision making in contemporary society. We argue that in our current era, characterized by a multiplicity of faiths and by pronounced value pluralism, a philosophical basis for moral decision making needs to be clearly attuned with intersubjectivity and interconnectivity among people. It should be able to determine principles of conduct toward others, no matter how one’s own ethical values, conceptions of the good, or life choices might differ from those of others. To do this, we relocate ethical decision making away from an essentially monological reflection on our own values and purposes into a social space wherein we have an inclusive, noncoercive, and reflective dialogue.     

Daily Reports of Stress,Mood, and Physical Health in Middle Childhood

Most empirical work examining stress in children focuses on major life events, like divorce of parents, while fewer studies consider the role of daily stressors, or the routine challenges of day-to-day living. Existing work on children’s daily stress is lacking such that it primarily: (1) focuses on children who are ill, disabled, or who face significant environmental risks, (2) relies on retrospective reports, (3) relies on parent or teacher reports of stressors experienced by children, or (4) does not comprehensively examine the role of stress on mood and health. In the current study, we explored daily experiences of stress, mood, and physical health symptoms across five consecutive days in 25 children between 8 and 10 years old. Results showed that children reported a variety of types of stressors, and that more stressors were reported by older children, girls, and on weekdays compared to weekends. Daily reports of stress were linked to same day reports of physical health symptoms but not mood, however the presence of both negative mood and daily stress was associated with even more same day health symptoms. This study extends prior work by examining children’s stress at the daily level as well as relying on children’s self-reports of their stress, mood, and physical health symptoms.