Is premedical education dehumanizing? A literature review

The thesis is examined that medical schools tend to recruit those who, because of a single-minded pursuit of admission, lack the breadth of interest and the social experience necessary for the development of a socially sensitive and emotionally mature personality. This negative characterization, labeled “the premed syndrome,” has been linked to a perceived lack of physician concern for patients, interpersonal warmth, and humanitarian care. This paper reviews the various published arguments advanced by proponents and opponents of this view, analyzing the presumed roots and implications and proposed remedies.     

Waning of panic sensations during prolonged hyperventilation

Recent theories about panic emphasize that a hyperventilatory positive feedback loop is involved in panic: catastrophic misinterpretation of bodily sensations may trigger anxiety, anxiety may stimulate hyperventilation, hyperventilation may promote the salience of feared sensations etc. Such models leave unexplained how and when panics come to an end. It was hypothesised that panic with hyperventilation may end because pronounced hyperventilation becomes, in the course of time, less powerful in generating perceivable bodily sensations. Twenty healthy subjects hyperventilated forcefully and experienced clear panic symptoms as defined by DSM IIIR. When pCO2 was kept 55% below base line for 90 min, panic symptoms waned. The mean intensity of the symptoms declined as did the number of symptoms occurring. No panic symptoms were observed in the control group (n = 20) who ventilated normally. In so far as hyperventilation is involved in the positive feedback loops that characterize panic, panic attacks may be time-limited because sensations induced by hyperventilation become less salient even if massive hyperventilation continues. As to the explanation of the reported phenomenon, it is suggested that, apart from habituation, local physiological changes due to prolonged hyperventilation may produce a decrease in interoceptive input.     

Individual Reactions to New Technologies in the Workplace: The Role of Gender as a Psychological Construct

Using the theory of planned behavior (TPB), individual reactions to a new technology and technology usage behavior were studied over a 12-month period among 552 employees being introduced to a new computer-based system in the workplace. When considering gender as a psychological construct by employing Bern's Sex Role Inventory (BSRI), important distinctions were revealed. Specifically, masculine gender-typed individuals exhibited the same pattern as did men in previous research; feminine gender-typed individuals were different from women in that they were influenced only by subjective norm and PBC. The balanced decision-making process was observed only in the case of individuals categorized as androgynous. The high percentage of women who tested to be androgynous explains the divergence in results from the previous work, and provides evidence of changing gender roles for women in today's organizations and society.     

Are cognitive differences between immigrant and majority groups diminishing?

A review is given of scores on various cognitive measures, comparing groups of ethnic Dutch and non‐Western immigrants using a large number of datasets. The research shows that there are large group differences in school results, work proficiency, and g for Turks, Moroccans, Surinamese, Netherlands Antilleans, and Indonesians from the Moluccans compared with ethnic Dutch. However, South‐East Asians score higher, and persons with one immigrant and one ethnic Dutch parent score only slightly below the mean of the Dutch. When comparing first‐generation disadvantaged immigrant groups with later generations the data show substantial improvements for g, a remarkable stability of educational differences for younger children, and a clear improvement in educational achievement at the end of primary school. Indirect data on intergenerational improvements in work proficiency appear suggestive of a trend of closing gaps. Some of the data reflect higher cognitive capacities over time, and this enhances integration of immigrants into Dutch society. Causes of group differences and improvements in mean level of g are discussed. Copyright © 2004 John Wiley & Sons, Ltd.     

Deconstructing the Time-Out: What Do Mothers Understand About a Common Disciplinary Procedure?

Time-out (TO) is one of the most common and effective disciplinary tactics used to address problem behavior; however, parents rate TO as one of the least useful behavior modification techniques. This may be due to a discrepancy between empirically supported TO procedures and how mothers are actually conducting TO. Fifty-five mothers were asked to define TO, provide information on how they conduct TO, and identify errors in TO procedures. Results indicate that maternal knowledge and implementation of TO differs considerably from the empirical ideal, potentially impacting the utility and frequency of TO usage in the home to address child problem behaviors.     

Acceptance and Commitment Therapy for Posttraumatic Stress Disorder in Early Psychosis: A Case Series

Persons with psychosis often report high levels of posttraumatic stress disorder (PTSD) symptoms, which render them more vulnerable to relapse, symptom exacerbation, and reduced well-being. However, less is known about how to adequately accommodate the needs of persons recovering from a first episode of psychosis, presenting with PTSD. Further, the existing evidence-based interventions for PTSD seem less equipped to deal with serious mental disorder and comorbid conditions. This study aimed to assess the efficacy, acceptability, and safety of Acceptance and Commitment Therapy (ACT) for persons suffering from PTSD with comorbid trauma and psychosis. Three consecutively referred participants meeting ICD-10 criteria for PTSD and a first-episode nonaffective psychotic disorder were treated in an outpatient service within a case-series analysis. A manual-guided ACT intervention of 12 sessions showed clinically relevant improvement on self-report measures of PTSD symptoms and emotional distress. These initial findings are promising and appear to justify a more controlled evaluation of this brief intervention.     

Measurement as transcendental–empirical <Emphasis Type="Italic">écart</Emphasis>: Merleau-Ponty on deep temporality

Merleau-Ponty’s radical reflection conceptualizes the transcendental and the empirical as intertwined, emerging only via an écart. I advance this concept of transcendental empirical écart by studying the problem of measurement in science, in both general and quantum mechanical contexts. Section one analyses scientific problems of measurement, focusing on issues of temporality, to show how measurement entails a transcendental that diverges with the empirical. Section two briefly interprets this result via Merleau-Ponty’s concept of depth, to indicate how measurement reveals a temporality that is not an already given ground that would guarantee the transcendental in advance: temporality is instead ‘deep,’ itself engendering a divergence of transcendental and empirical operations that first allows for measurement and sense.