Research without Consent: Exception from and Waiver of Informed Consent in Resuscitation Research

The ethical concept of Informed Consent provides individuals with the right and the opportunity to approve of events that will occur regarding his or her own person. In medicine, informed consent is obtained for treatment and for research participation. However, under some circumstances, prospective informed consent cannot be obtained because of the devastating clinical condition of the patient. In emergency circumstances, treatment is never withheld if obtaining informed consent from a critically ill person is not possible or if a delay while seeking surrogates would further endanger life. In emergency research circumstances, waiving informed consent for study participation is fraught with additional ethical considerations. This article will review a presentation given at the June 2, 2006 conference entitled “The Ethics of Research in Emergency Medicine”. An earlier version of this paper was presented at: The 7th International Conference on Bioethics on “The Ethics of Research in Emergency Medicine”, held on June 2, 2006, Warsaw, Poland.     

Age-related differences in the use of background layout in visual search

The effect of background layout on visual search performance, and more specifically on the tendency to refixate previously inspected locations and objects, was investigated. Older and younger adults performed a search task in which a background layout or landmark was present or absent in a gaze contingent visual search paradigm. Regardless of age, participants demonstrated fewer refixations when landmarks were present, with older adults showing a larger landmark advantage. This visual search advantage did not come at the cost of saccadic latency. Furthermore, the visual search performance advantage obtained in the presence of a background layout or landmark was observed both for individuals with small and large memory spans.     

Work-family climate, organizational commitment, and turnover: Multilevel contagion effects of leaders

This paper presents empirical research analyzing the relationship between work-family climate (operationalized in terms of three work-family climate sub-scales), organizational leadership (i.e., senior manager) characteristics, organizational commitment and turnover intent among 526 employees from 37 different hotels across the US. Using multilevel modeling, we found significant associations between work-family climate, and both organizational commitment and turnover intent, both within and between hotels. Findings underscored the importance of managerial support for employee work-family balance, the relevance of senior managers’ own work-family circumstances in relation to employees’ work outcomes, and the existence of possible contagion effects of leaders in relation to work-family climate.     

Change in emotional processing during a dialectical behavior therapy-based skills group for major depressive disorder

Across studies, paying attention to and analyzing one's emotions has been found to be both positively and negatively correlated with depression symptoms. One way of reconciling these seemingly contradictory findings is the possibility that attending to emotions in a skillful manner may help to reduce depression whereas attending to emotions with limited skill may be counterproductive. Dialectical behavior therapy (DBT) is a clinical intervention designed to foster adaptive awareness, expression, regulation, tolerance, and acceptance of emotions. Results of the present report come from a pilot study of a 16-week DBT-based skills training group for treatment-resistant major depressive disorder (MDD) as an adjunctive treatment to pharmacotherapy. Patients were randomized to treatment or a waitlist control group. A significant interaction revealed that increases in emotional processing were associated with decreases in depression symptoms in the DBT-based skills group; however, increases in emotional processing in the waitlist condition were associated with increases in depression. Results offer preliminary support for the idea that participating in DBT-based skills training may help individuals with treatment-resistant MDD to develop skills that facilitate processing emotions in a way that helps to reduce rather than exacerbate depression symptoms.     

The relationship between career adaptability, person and situation variables, and career concerns in young adults

We surveyed 245 first-year university students using measures of career concerns, career adaptability (career planning, career exploration, self-exploration, decision-making, self-regulation), goal-orientation (learning, performance-prove, performance-avoid) and social support (family, friends, significant others), and tested: (a) whether the career adaptability variables could be represented by a second-order factor of career adaptability; (b) whether career adaptability, goal-orientation and social support were associated with fewer career concerns; and (c) whether career adaptability mediated the relationship between goal-orientation and social support and career concerns. The study demonstrated that the career adaptability variables were inter-related and could be represented by a higher-order factor. Decision-making and self-exploration were negatively associated with career concerns, and decision-making mediated the relationship between goal-orientation and career concerns. Having more of a learning orientation was associated with more decision-making and fewer career concerns, whereas holding a performance-prove orientation was associated with poorer decision-making and more career concerns.     

Asking ‘why’ still increases intrusions: A response to Ayduk and Kross (2008)

In their response piece, Ayduk and Kross (Ayduk, O., & Kross, E. (2008). Asking ‘why’ from a distance facilitates emotional processing: a reanalysis of Wimalaweera and Moulds (2008). Behaviour Research and Therapy) raised a number of interesting and important points regarding the findings reported in our recently published paper (Wimalaweera, S., & Moulds, M.L. (2008). Processing memories of anger-eliciting events: the effect of asking ‘why’ from a distance. Behaviour Research and Therapy, 46, 402-409.). Their additional analyses of our dataset resulted in a thought-provoking response to our paper. We are grateful for their interest in and consideration of our findings, and for the opportunity to respond to their concerns. We concur with many of the points that they raised. Nonetheless, a number of their procedures and interpretations warrant comment and clarification. Most critically, we correct what appears to be a fundamental misunderstanding of our argument that encouraging distanced-why recall facilitates rather than results in avoidance. In so doing, we address their repeated criticism that the avoidance subscale of the Impact of Event Scale was omitted from the original analyses. Second, we address the rationale for the lack of consistency in the inclusion of all of the experimental conditions in the additional analyses, particularly in light of the theoretical relevance of the immersed-what condition to elucidating the processes that facilitate emotional processing. We call for a consistent analytic strategy, emphasize the need for replication with larger samples, and urge caution in the extrapolation of experimental findings to clinical recommendations.     

Learning to label letters by sounds or names: a comparison of England and the United States

Learning about letters is an important foundation for literacy development. Should children be taught to label letters by conventional names, such as /bi/ for b, or by sounds, such as /b/? We queried parents and teachers, finding that those in the United States stress letter names with young children, whereas those in England begin with sounds. Looking at 5- to 7-year-olds in the two countries, we found that U.S. children were better at providing the names of letters than were English children. English children outperformed U.S. children on letter-sound tasks, and differences between children in the two countries declined with age. We further found that children use the first-learned set of labels to inform the learning of the second set. As a result, English and U.S. children made different types of errors in letter-name and letter-sound tasks. The children's invented spellings also differed in ways reflecting the labels they used for letters.     

Erratum: Durable and generalized effects of spatial experience on mental rotation: Gender differences in growth patterns

The above article (DOI: 10.1002/acp.1420 ) was published online on 26 November 2007 and in print in Volume 22: 996‐1013, 2008. A printing error was subsequently identified in the article. Page 996: Missing author information. Should read Dr. Nora S. Newcombe, Temple University, Philadelphia, USA, National Science Foundation Grants REC‐0337360 and SBE0541957.