Narrative unity and clinical judgment

Alasdair MacIntyre's recent thinking both about the concept of a practice and the existence of narrative unity in human life raises important questions about how we should view clinical medicine today. Is it possible for clinical medicine to pursue patient well-being in a society (allegedly) afflicted with what he calls ‘modernity’? Here it is argued that MacIntyre's pessimistic view of the individual in contemporary society makes his call for patient autonomy in the clinical setting pointless. Finally, recent work in gerontology is cited to make three points: first, MacIntyre's pessimism about us is too extreme; second, the concept of a ‘fictionalized’ personal history is closer to reality than either MacIntyre's notion of narrative unity or the ideas of his imagined opponent (Sartre); and finally, we should not expect clinical medicine to produce patient well-being, when this is understood narratively.     

Decision factors affecting line orientation judgments in the method of single stimuli

Just noticeable differences in orientation are smaller at principal standard orientations than at oblique standard orientations when they are measured with the method of single stimuli. We determined whether this oblique effect is due to an anisotropy in decision factors. A first series of experiments showed that the subjects compare the stimulus with an internal criterion, and that this decision rule is used at all standard orientations. A second series of experiments determined the influence on the oblique effect of nonsensorial variables related to criterion setting. The results strongly suggest that the effect is not due to a criterial noise anisotropy and that criterion-setting processes are similar at principal and oblique standard orientations. The latter conclusion was also supported by an analysis of the sequential stimulus and response dependencies in this task. Hence, it appears that the oblique effect in line orientation discrimination, when it is measured with the method of single stimuli, is due not to decision factors but to a sensorially based anisotropy.     

A model for courseware development in psychology

Many behavioral scientists are aware of the advantages of a systematic approach to research and the development of software used in research. However, coordinated and systematic efforts to develop instructional materials in the behavioral sciences are relatively rare. This paper and the symposium of which it is a part describe a systematic effort funded by FIPSE to assess the needs for microcomputer tools and courseware in the undergraduate curriculum in psychology and to stimulate the development of high-quality materials. The conceptual bases for development of materials are vertical and horizontal integration-the development of courseware that spans the curriculum from introductory to advanced, specialized, courses, and the systematic use of materials within a course and across courses and subject areas. The activities of the project, as well as implications for other computer-based development projects, are discussed.     

The University Of Colorado Meaning Norms

There exist surprisingly few normative lists of word meanings even though homographs—words having single spellings but two or more distinct meanings—are useful in studying memory and language. The meaning norms that are available all have one or more weaknesses, including: (1) the collection of free associates rather than meanings as responses to the stimulus words; (2) the collection of single rather than multiple responses to the stimulus words; (3) the inclusion of only the two most frequently occurring meaning categories, rather than all meaning categories, for the stimulus words; (4) omission of the responses typical of each meaning category; (5) inadequate randomization of the presentation order of the stimulus words; and (6) unpaced presentation of the stimulus words. We have compiled meaning norms for 90 common English words of low, medium, and high concreteness using a methodology designed to correct these weaknesses. Analysis showed that words of medium concreteness have significantly more first-response meanings than do words of either low or high concreteness, lending support to the view that concreteness is a categorical, rather than a continuous, semantic attribute.     

Memory cueing and instructional effects on Wason’s selection task

The present study examined the hypothesis that violation and role-playing instructions are necessary conditions for facilitation on Wason’s selection task and that facilitation due to memory cueing via thematic content is secondary. The results of a factorial experiment employing these factors did not support the hypothesis. Memory cueing was indicated as the primary factor, but violation instructions did increase the amount of facilitation observed. This interactive effect and the nature of facilitation by memory cueing are briefly discussed.     

Death and dying in medicine: What questions are still worth asking?

Theoretical Medicine and Bioethics -     

An analysis of some sensitizing agents in the pathogenesis of stress-induced gastric erosive disease

Prior surgical implantation of a venous catheter sensitized rats to coldimmobilization stress. Three of six catheterized females succumbed during the stress. The remaining rats fell into two groups in terms of their core temperature at the end of the stress period: Male uncatheterized rats had higher temperatures than rats in the other three groups. No relation was found between catheter patency and magnitude of hypothermia. Degree of gastric disease paralleled the core temperature findings in that the male uncatheterized rats had significantly fewer gastric erosions than the rats in the other three groups. Additionally, a robust effect of gender was found with uncatheterized females showing more hypothermia and more gastric disease than uncatheterized males. A subsequent experiment was conducted to evaluate whether anesthesia or wearing the protective spring was responsible in part for the sensitization seen. Here, the gender difference was less although females consistently averaged lower core temperatures after stress than did males. Despite similar core temperatures after stress, females that were prepared with the protective spring apparatus developed more gastric disease than female controls or similarly treated males. Thus, the additional sensitization exhibited by females in the first experiment may relate to the fact that both catheterization and the taping procedure were sensitizers while only catheterization was a sensitizer for males.     

Frames of reference in preschoolers’ perception of motion

Experiments 1 and 2 established children’s (mean age 3 years, 7 months) subject-relative and object-relative motion thresholds at 1°31.37′/sec and 1°9.33′/sec, respectively, speeds well above those found for adults. Experiment 3 established that preschoolers, like adults, attribute object-relative motion to the smaller of two objects, with the inducing properties of the larger stimulus greatest when it is surrounding rather than adjacent to a smaller stimulus. The inducing advantage of surroundedness was equivalent for a single-element square frame and a multielement six-dot frame.     

Locus of control and delinquency

A sample of delinquent and nondelinquent male adolescents was assessed with respect to locus of control and intellectual achievement responsibility. Data were also gathered concerning age, family size, birth order, socioeconomic status, race, and school grade. Results were subjected to a multivariate analysis and showed support for a multidimensional model of locus of control. There was no difference in expectancy of control for negative academic events between delinquents and nondelinquents. In general, birth order and delinquency were the two most important determinants of locus of control. Results are discussed in terms of previous literature on locus of control with particular consideration paid to expectations of control.