Moral Theory and Theorizing in Healthcare Ethics

This paper takes up the question of the role of philosophical moral theory in our attempts to resolve the ethical problems that arise in health care, with particular reference to the contention that we need theory to be determinative of our choice of actions. Moral theorizing is distinguished from moral theories and the prospects for determinacy from the latter are examined through a consideration of the most promising candidates: utilitarianism, deontology and the procedures involved in reflective equilibrium. It is argued that the current lack of any generally accepted method of solving moral problems, together with the extreme improbability of philosophy achieving a plausibly determinate theory, should encourage us to approach the problems in a spirit of agnosticism regarding the way in which theoretical material might be of relevance. The practical test for both moral theorizing and moral theories is thus not determinacy but the degree to which they increase our understanding of moral problems by serving, as they do in philosophy, as a means of inquiry into their nature.     

Recognition of own- and other-race faces in autism spectrum disorders

Empirical data regarding the extent of face recognition abnormalities in autism spectrum disorder (ASD) is inconsistent. Here, 27 ASD and 47 typically developing (TD) children completed an immediate two-alternative forced-choice identity matching task. We contrasted recognition of own- and other-race faces, and, counter to prediction, we found a typical advantage for recognizing own- over other-race faces in both the ASD and TD groups. In addition, ASD and TD groups responded similarly to stimulus manipulations (use of identical or different photographs for identity matching and cropping stimuli to remove hair information). However, age-standardized scores varied widely within the ASD sample, and a subgroup of ASD participants with impaired face recognition did not exhibit a significant own-race recognition advantage. An explanation regarding early experience with faces is considered, and implications for research of individual variation within ASD are discussed.     

The other-race effect does not rely on memory: Evidence from a matching task

Viewers are typically better at remembering faces from their own race than from other races; however, it is not yet established whether this effect is due to memorial or perceptual processes. In this study, UK and Egyptian viewers were given a simultaneous face-matching task, in which the target faces were presented upright or upside down. As with previous research using face memory tasks, participants were worse at matching other-race faces than own-race faces and showed a stronger face inversion effect for own-race faces. However, subjects' performance on own and other-race faces was highly correlated. These data provide strong evidence that difficulty in perceptual encoding of unfamiliar faces contributes substantially to the other-race effect and that accounts based entirely on memory cannot capture the full data. Implications for forensic settings are also discussed.     

Mental representations of familiar faces

The Bruce and Young (1986) framework makes a number of important distinctions between the types of representation needed to recognize a familiar face. Here, we return to these, focussing particularly on face recognition units. We argue that such representations need to incorporate idiosyncratic within-person variability, asking questions such as 'What counts as a picture of Harrison Ford?'. We describe a mechanism for achieving this, and discuss the relation between image variability and episodic face memories, in the context of behavioural and neurophysiological data.     

Threat and defense as goal regulation: from implicit goal conflict to anxious uncertainty, reactive approach motivation, and ideological extremism

Four studies investigated a goal regulation view of anxious uncertainty threat (Gray & McNaughton, 2000) and ideological defense. Participants (N = 444) were randomly assigned to have achievement or relationship goals implicitly primed. The implicit goal primes were followed by randomly assigned achievement or relationship threats that have reliably caused generalized, reactive approach motivation and ideological defense in past research. The threats caused anxious uncertainty (Study 1), reactive approach motivation (Studies 2 and 3), and reactive ideological conviction (Study 4) only when threat-relevant goals had first been primed, but not when threat-irrelevant goals had first been primed. Reactive ideological conviction (Study 4) was eliminated if participants were given an opportunity to attribute their anxiety to a mundane source. Results support a goal regulation view of anxious uncertainty, threat, and defense with potential for integrating theories of defensive compensation.     

Weathering the great recession: Psychological and behavioral trajectories in the transition from school to work

Studies of career development highlight the importance of finding a good "fit" between individual values, needs, and abilities and the experiences and rewards to be found in particular occupations. Rapid economic change and labor market turbulence make career choice and development life-long processes. Still, early careers are particularly unstable, as young workers move from "survival jobs" to "career jobs" in their quest for a good person-job fit. Little is known, however, about the psychological orientations and behaviors in the postadolescent period that foster longer term success in the world of work. The maintenance of high aspirations, crystallization of career goals, and intensive job search may be particularly important. Using multilevel latent class analysis applied to longitudinal data obtained from 1,010 youth surveyed by the ongoing Youth Development Study (YDS), we examine the interrelations of psychological orientations and behaviors indicative of agentic striving from age 18 to 31 years. In addition, we assess how these trajectories influence adaptation to declining labor market conditions during the severe economic recession that began in 2007. We find that those who maintain high aspiration and certainty over career goals were better insulated against unemployment between 2007 and 2009 (ages 33-35), even when educational and self-identified career attainments, adolescent achievement orientations, and social background variables indicative of advantage are controlled. They also had higher hourly wages in 2009. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Forgivingness and subjective well-being in adulthood: The moderating role of future time perspective

This cross-sectional study tested the hypothesis that future time perspective moderates the association between forgivingness and subjective well-being. Results from a sample of adults (N = 962, 19-84 years) indicate that time perspective and forgivingness were strongly associated with positive affect, life satisfaction and optimism. In support of the hypothesis, forgivingness was more strongly associated with positive well-being for those who perceived their future time as limited as compared to those with an open-ended time perspective. The moderating effect of future time perspective holds over and above the effect of chronological age. Moderating effects were not found for negative affect and pessimism. The results underscore the importance of perceived time horizons for the interplay between forgivingness and well-being.     

Separating mental transformations and spatial compatibility effects in the own body transformation task

Laterality judgments about the left or right hand of a schematic human figure, made from the perspective of the figure, are faster and more accurate when the figure is presented in back-facing view as compared to front-facing view. Mental perspective transformation accounts of this finding have recently been challenged on grounds of a confounding of facing direction with spatial stimulus-response (S-R) compatibility (Gardner and Potts in Acta Psychol 137: 371-381, 2011). We report two experiments that introduced stimulus figures in an orientation that was neutral in terms of spatial S-R compatibility. Results revealed a stable back-facing advantage that cannot be explained by compatibility conflicts. Comparisons of these neutral stimuli and conditions with figures presented in upright or upside-down orientation, however, confirmed a substantial impact of spatial S-R compatibility in the latter conditions. The present experiments show that it is possible to distinguish between mental transformation and incompatibility costs allowing future work to focus on the specialized mental spatial transformation processes.     

Feeling the need for (personalized) speed: how natural controls and customization contribute to enjoyment of a racing game through enhanced immersion

Prior research suggests that video game features that appear natural or that otherwise allow players to identify with their in-game experience will promote enjoyment. Using a 2 × 2 experiment, this study demonstrates the positive effects of a steering-wheel controller and the opportunity to customize the driven vehicle on enjoyment of a console driving game, as mediated by transportation and challenge-skill balance. The role of presence is also probed, with results suggesting no direct link to enjoyment.     

Dyadic Coping Among Couples with COPD: A Pilot Study

COPD (chronic obstructive pulmonary disease) is associated with psychological distress for patients as well as their partners. Dyadic coping can be negatively impacted by stressors. This study's objective was to compare the dyadic coping of couples in which one partner suffered from COPD with healthy couples of the same age. A total of 43 complete couples with COPD and 138 healthy couples participated in this pilot study. The surveys were sent by mail. The response rate of the COPD sample was 24.3%. In order to analyze the effect of gender and role (patient vs. partner) on dyadic coping, linear mixed models were calculated. To analyze the effect of gender and group (COPD group vs. normative comparison group) on dyadic coping, two-way analyses of variance were calculated for independent samples. COPD patients and their partners indicated that the patients received more support and were less able to provide support to their partners. This difference was also evident in comparison with the normative comparison group. In addition, couples with COPD perceived higher levels of negative coping and provided a considerably lower assessment of their positive dyadic coping. The dyadic coping of couples with COPD is unbalanced and more negative when compared to that of healthy couples. Interventions aimed at supporting COPD couples should seek to improve couples' dyadic coping in addition to individual coping strategies.