Casuistry and clinical ethics

For the last century, moral philosophy has stressed theory for the analysis of moral argument and concepts. In the last decade, interest in the ethical issues of health care has stimulated attention to cases and particular instances. This has revealed the gap between ethical theory and practice. This article reviews the history and method of casuistry which for many centuries provided an approach to practical ethics. Its strengths and weaknesses are noted and its potential for contemporary use explored.     

Monocular-contingent and binocular-contingent aftereffects

Alternate monocular and binocular exposure to complementary stimulation can yield opposite but coexisting aftereffects that are contingent on whether the test display is viewed with one eye or two eyes. The motion aftereffect was studied by adapting each eye separately to a contracting spiral and both eyes together to an expanding spiral. The stationary test spiral subsequently appeared to be expanding when viewed monocularly, but to be contracting when it was seen with both eyes open. With respect to the McCollough effect, after monocular exposure to red-vertical and green-horizontal gratings and binocular exposure to red-horizontal and green-vertical gratings, the appearance of the color of the test gratings when viewed with one eye was different from that when viewed with both eyes. Opposite, coexisting aftereffects induced by complementary stimulation can be interpreted as evidence that there are unique binocular aspects to visual function.     

Some evidence for correlated separate activation in a simple letter-detection task

This study investigates the separate activation versus coactivation issue for redundant targets in a simple letter-detection paradigm with latency as the dependent variable. The results of a one-response visual-search task are reported. Since, on single-target trials, only the target was presented and no accompanying noise element, no “distraction decrement” caused by irrelevant noise elements (Grice et al., 1984) was to be expected. The data obtained showed a clear redundantsignal effect. Subsequent detailed analysis of the latency data using Miller’s (1982) procedure indicated that the results were consistent with a separate activation model and failed to provide convincing evidence in favor of coactivation models. A further analysis of the data indicated that, in the present study, the separate channels were negatively correlated for a range of fast RTs and positively correlated for intermediate and larger RTs. No evidence in favor of Grice et al.’s (1984) distraction-decrement hypothesis was found. The conclusions of this study are that (1) a separate activation model summarizes the essential features of information processing in this simple visual search task, and (2) no convincing evidence in favor of coactivation in visual search tasks has been reported in the literature up to now.     

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.     

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.     

Modeling feature perception in brief displays with evidence for positive interdependencies

Recent studies have begun to test certain fundamental assumptions underlying popular models of feature perception. This research is continued here. It was discovered that every basic assumption that was open to test in the present study was disconfirmed. However, several new characteristics of line and curve feature perception were discovered: (1) Feature perception sensitivity was inversely related to the number of features present in a stimulus pattern, and the decision criteria for reporting a feature decreased with the number of features contained in a pattern; (2) the decrements in sensitivity reported in (1) were greater for features lying inside a pattern than for those on the exterior; and (3) feature perception sensitivity actually improved if another feature was known to be correctly perceived during the same trial. Likewise, feature sensitivity decreased if another feature was missed on any trial. At the present time, a system that first extracts global and then local (more detailed) featural information provides a basis that qualitatively accounts for our findings and is also compatible with several other studies in the literature.     

Measurement of social-evaluative anxiety in junior high school students

This paper provides some initial normative and validity data on the Social Avoidance and Distress (SAD) and the Fear of Negative Evaluation (FNE) scales for junior high school students. Findings indicated: the level of social-evaluative anxiety does not significantly vary during the junior high school years or between sexes, junior high school students report similar levels of FNE to college students but less SAD, a significant positive correlation between treatment subjects' SAD scores and peer sociometric ratings of social-evaluative anxiety, and subjects treated for social anxiety reported significantly less SAD and FNE at follow-up assessment. Recommendations for future research and clinical use of the SAD and FNE are offered.