Beyond medical ethics: New directions for philosophy and medicine

A unique relationship exists between physicians and philosophers — one that expands on the constructive potential of the liaison between physicians and, for example, theologians, on the one hand, or, social workers on the other. This liaison should focus in the scientific aspects of medicine, not just the ethical aspects. Philosophers can provide physicians with a perspective on both the philosophy and the history of medicine through the ages — a sense of how medicine has adapted to the social cultural and ethical needs of each period. This perspective, while emphasizing medicine asscience, should not be limited to matters of methodology, or to criteria for distinguishing science from other intellectual pursuits, but should be concerned also with the history, sociology and politics of science. Both physicians and philosophers stand to gain from a strengthening of their active liaison now as never before; but most of all, the public will be the beneficiary.     

Converging evidence that fear of success is multidimensional

Fear of Success (FOS) was originally conceived as a unidimensional motive. However, there is both theoretical and empirical support for the hypothesis that FOS is multidimensional. We factor analyzed the responses of 236 undergraduates to twenty-oneConcern Over the Negative Consequences of Success items and found four factors. Our four factors show considerable overlap with dimensions based on theoretical accounts of FOS etiology as well as with the factor structures obtained from two other factor analytic studies. Thus, there is converging evidence that FOS is multidimensional. The relationship between multidimensional FOS and a multidimensional approach to achievement motivation is discussed.     

Explaining Choices in Procedural and Distributive Justice Across Cultures

A previous study (Leung, Bond, & Schwartz, 1990) established that an expectancy-valence model could be used effectively to explain behaviours in three social domains both within and across cultures. In this study the model was applied to the domains of resource allocation and conflict resolution in order to pinpoint which expectancies and which valences were carrying the explanatory weight of the respondents' behavioural strategies. For both Israeli and Hong Kong students the expectancies and, less strongly, the valences tapping harmony and performance quality were important for resource allocation; those tapping animosity reduction and process control, for conflict resolution. Suggestions were offered for broadening the net of explanatory constructs for future work aimed at specifying subjective factors associated with justice-related behaviours.     

Noncompliance with Persuasive Appeals for a Prosocial,Altruistic Act: Blood Donating1

Effects of persuasive messages, responsibility denial (RD), and attitude-accessing on blood-giving attitudes, intentions, moral obligations, and behavior were examined. In Study 1, participants (n= 84) who heard a message emphasizing moral reasons for donating indicated a more favorable postmessage attitude and stronger moral obligation to donate than participants exposed to a message aimed at reducing fear, a combined moral and fear- reduction message, or no message. Combined message participants showed greatest intent to donate, yet only 14% of all participants attended a campus drive. In Study 2, low (n= 52) and high (n= 60) RD individuals heard the message arguments and were asked to access their attitudes. Low compared to high RD individuals stated a stronger sense of moral obligation, particularly when they accessed their thoughts relevant to blood donating, and behavioral intention, especially in the combined message condition. Few participants attended a blood drive (12.5%), yet most were low RD individuals from the nonaccessed attitude condition (83%). Results suggest that few individuals will engage in the altruistic act of blood donating, despite the experimental use of persuasive messages and accessing issue-relevant attitudes.     

Life event categories differentially predict psychopathology symptom levels.

The present study used a prospective design to investigate whether eight categories of daily negative life events or "hassles" differentially predict psychopathology levels, and/or changes in psychopathology levels over 1 month in a mixed-sex, nonclinical sample of undergraduate subjects. Hassles were assessed using the Revised Hassles Scale (HS-R; DeLongis, 1985); psychopathology was assessed using the Hopkins Symptom Checklist (SCL-90; Derogatis, Lipman, & Covi, 1973) on two occasions, separated by 1 month. Scores on all eight HS-R subscales predicted Time 2 scores on most or all of the SCL-90 psychopathology scales. However, the magnitudes of these correlations varied widely, indicating that these subscales may be substantially different in their abilities to predict psychopathology levels.     

Are insomniacs sleepy during the day? A pupillometric assessment.

A biodevelopmental model of insomnia is articulated specifying coordinated nighttime (disturbed sleep pattern) and daytime (no excessive daytime sleepiness) characteristics defining an insomnoid classification in at-risk groups: short sleepers and older adults. Pupillometry is proposed as a useful means of discriminating degree of daytime sleepiness to aid in the differential diagnosis of insomnia and insomnoid states, and the present study tested the discriminative validity of this approach. Noninsomniac (n = 34) and insomniac (n = 29) college students submitted to four 10 min pupillometry sessions tracking daytime sleepiness from morning arising to bedtime. Pupil diameter proved to be an able discriminator of these two groups though substantial overlap of the two distributions was also noted. The results supported the sensitivity of pupillometry in detecting daytime sleepiness, but yielded alternative interpretations. We observed statistical differentiation in insomniac and noninsomniac daytime sleepiness, but substantial, functional overlap between these groups. Assessment and treatment implications arising from the biodevelopmental model were hypothesized.     

Reaction time to threat stimuli in panic disorder and social phobia

Two studies assessed response time among clinically anxious subjects and normal controls when presented with threat, positive and neutral stimuli under perceptual (lexical decision) and semantic (category decision) task conditions. In Study 1, panic disorder subjects' (n = 14) performance was compared to that of matched normal controls (n = 14) while in Study 2 social phobic subjects (n = 24) were compared to matched normal controls (n = 24). Relative to matched normal controls, panic disorder subjects but not social phobics tended to show greater slowing in performance on the more cognitively complex (category) task. A second finding, consistent across both studies was that, compared to the normal control groups, both panic and social phobic groups showed significantly slowed responses to threat words in both the perceptual and semantic tasks. Such findings are directly counter to the predictions of a mood congruence hypothesis. This apparent contradiction is resolved by a review of the literature which indicates that mood-related facilitation effects are obtained only in tasks which tap awareness of threat information rather than speed of response. It is suggested that while anxiety may produce enhanced awareness of threat, it may inhibit responsiveness to it. The results of these studies are seen as consistent with ethological theories of inhibited motoric responses under certain threat conditions. Furthermore, the findings suggest that caution is indicated in interpreting slowed reaction time to threat stimuli in tasks such as the Stroop color naming task as purely the result of attentional processes.