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.     

Achieving sex education program outcomes: points of view from students and alumni

Several inherent limitations to secondary school sex education program evaluations are: limited generalizability, lack of longitudinal research, and no clear consensus of program outcomes. With a Bureau of Health Education, Center for Disease Control study as the criterion for program outcomes, a study was undertaken to examine the immediate and long-term impact of sex education upon program participants. Two of the 20 schools in the CDC study identified as having exemplary sex education programs provided access to their students and alumni. Inventories which measured perceived achievement of 33 sex education outcomes were piloted for reliability and validity. Each inventory examined participant changes in knowledge, understanding of self, values, interaction skills, self-esteem, and fear of sex-related activities. Students were surveyed in school; alumni were surveyed through the mail. Response rates ranged from 30 to 100 percent for students and alumni at both schools. Overall there was no statistically significant difference between the perceptions of students and alumni as to achievement of investigated outcomes. Alumni responses at one school did, however, indicate some potentially weak areas of their school's program with respect to values and interaction skills outcomes. It appears that program impact may decrease with time. Thus, isolating and addressing the factors involved may be necessary. This would assist program planners and instructors to strengthen curricula and program activities in order to enhance the overall impact of sex education. The present study supports the notion that positive gains are achieved as a result of each school's sex education program, and these gains remained over time.     

Decision making styles and progress in occupational decision making

This study provides a reexamination of the role of different decisional strategies in facilitating progress in occupational decision making. Although the assumptions that a rational decision making style is the preferred mode of vocational functioning has been endorsed in a variety of career theories and interventions, there has been conflicting evidence about the validity of this assumption. To examine the role of different decisional approaches in the progress of making an occupational decision, the rational, intuitive, and dependent decision making style scores of 71 undergraduate students were used to predict progress in occupational decision making. The results of the regression analyses failed to provide support for the assumption that a rational style is the most effective in accomplishing this careerrelated task, but indicated strong support for the conclusion that the use of dependent decisional strategies is damaging, particularly in early stages of the decisional process.     

Developmental analysis of the effects of reward on selected Wechsler subscales

The authors recently proposed that adverse effects of material rewards on Wechsler subscale performance may be the result of a reward-produced developmental regression. The present study further explores that idea through an attempt to replicate earlier findings with adults and to extend the inquiry to children. Selected Wechsler subscales were administered to 32 subjects at each of three ages (5, 10, and 18 years) under either reward or nonreward conditions. Subscales were chosen to represent both algorithmic and heuristic types of tasks. Reward and nonreward groups (8 males and 8 females per group at each age) were matched initially on age and ability. For adults, consistent with earlier findings, reward had an adverse effect on performance on the heuristic subscales and tended to facilitate performance on the algorithmic subscales. However, rewards generally had no effect at the fourth-grade level and had a reverse effect at the nursery school level, i.e., rewards facilitated heuristic and hampered algorithmic performance. These findings appear to be more consistent with an explanation based on developmental regression than on any available alternative mechanism.     

Potential Social Action As A Function Of Expectation-Outcome Discrepancies Among Employed And Unemployed University Graduates

Full-time employed (N = 255), partly employed (N = 48), and unemployed (N = 43) male and female university graduates completed a questionnaire that included measures designed to assess expected job levels and current job levels and two measures of potential social action (willingness to volunteer actions and hours to a fictional Campaign to Assist Unemployed Youth). Comparisons between groups and the results of multiple regression analyses provided mixed support for the prediction that larger negative gaps between expected and current employment status would be associated with a greater willingness to assist the Campaign. The unemployed respondents tended to volunteer more actions and more hours to the Campaign than did the other two groups. A multiple regression analysis showed that the current level by expected level interaction term was statistically significant as predicted, but only for the fully employed graduates. Within the full-time employed group, female graduates and those from the humanities/social sciences/education schools expressed more willingness to assist the Campaign than did male graduates and those from the sciences/medicine schools of the university. Results were discussed in relation to current research on relative deprivation and reported affect and to recent studies of job satisfaction.     

Science as a justification for psychology as a social institution

Psychology seeks to justify its claims to privilege as a social institution largely on the basis of its scientific knowledge claims. These knowledge claims tend to be based on, and to reflect a particular view about the nature of science which is under increasing challenge. This situation is discussed and some of its implications examined.     

Cognitive Impairment and Personality Adjustment in Vietnam Veterans

This study investigated the intellectual functioning and personality characteristics of 81 Australian ex-servicemen, 42 of whom had served in Vietnam. A Cognitive Impairment Model (SCIM) developed by Savage (1978, 1981, 1984) enabled intellectual functioning levels, intellectual deterioration and learning ability in the verbal and performance modalities to be asses. The Clinical Analysis Questionnaire (CAQ) of Krug (1980) based 00 Cattell's theory and personality measurement techniques provided an assessment of normal personality characteristics and clinical factors. The data suggested that the two groups, Australian ex-servicemen and Australian Vietnam veterans, were relatively homogeneous with regard to cognitive functioning and gave no indication of impairment in their intellectual levels or of their learning ability. Significant personality differences were, however, found between the two groups of ex-servicemen. The Vietnam veterans showed significantly more tension, depression, guilt, resentment, alienation and hypochondriasis than their colleagues who had remained in Australia. They were more withdrawn from others and from reality and had more abnormal thought than the ex-servicemen who had not been to Vietnam. The cognitive data do not support the view that Vietnam veterans suffered from any serious cognitive impairment. The personality data, however, suggest a significant “Psycbological Stress Syndrome” in these Vietnam veterans which required professional psychological treatment.