An ethical dilemma: Information control in cancer care

Cancer is a group of diseases that are complicated by various treatment choices available. Information exchange between a patient and physician is critical in helping people to understand what is happening to them and what options for therapy are recommended and available. When information is not exchanged, information control by one or both of the participants occurs. Information needs to be taken into account by both health care professional and patients in making decisions during the crucial phases of care. The phases of care presented are a diagnosis, treatment, the decision, and a recurrence. Factors that influence effective information exchange among patient-provider systems are discussed.     

Conditional mechanisms of decision making

Decision making is an important link in the central part of a reflex—the “mental element” according to Sechenov. The reflex nature of this mental process is revealed in experiments where a voluntary motor reaction is chosen unconsciously as a response to subliminal conditional visual stimuli. Thus, learning which is reflected by “advance” or prior decision making can be performed unconsciously through a conditional reflex. But, once elaborated, temporary connections are preserved only in shortterm memory. They are not transferred to long-term memory, as in the case of recognition of signals. Decision making, being the central mental part of the reflex, like any activity of the brain, is performed in time by a certain cortical structure. Analysis of P₃₀₀ amplitudes shows that decision making is related to local activation of the frontal parts of the cerebral hemispheres. We suggest that the local activation of these areas is induced by conditional excitation of the neuronal mechanisms of focused attention. It provides a “command” to perform a voluntary motor reaction adequate to the conditions at hand. A large part of latency of voluntary motor response of man is spent on decision making, especially in discrimination of signals and in choice of reactions.     

Cognitive arithmetic: Evidence for right hemispheric mediation in an elementary component stage

Earlier studies involving the lateralization of arithmetic abilities have provided evidence for both right and left hemisphere superiorities. It is argued here that part of this inconsistency could be due to the complexity of the arithmetic computations which have been examined. The present studies examined a subprocess shown to be involved in more complex tasks, such as subtraction. The subprocess is the identification of which of two numbers is greater, and was tested by the flashing of a pair of digits to either the left or right visual field. Errors, reaction-times to make a decision, and examination of hand × visual field interactions all indicated that this subprocess is mediated by the right hemisphere. Correlational analysis was used to identify the operations underlying the observed lateralization of this ability. This analysis indicated that an operation indexed by the spatial order in which the digits were presented was effective in the right hemisphere but not the left hemisphere. Speculations on the nature of these operations were presented.     

The relationship of extraversion,neuroticism, and sensation-seeking to questionnaire-derived measures of nervous system properties

Five obliquely rotated factor analyses were performed on items from Eysenck and Eysenck’s (1975) EPQ, Zuckerman’s (1975) Sensation-Seeking Scale, and Strelau’s (1972) temperament inventory (STI), administered to 277 subjects (Ss). The analyses were used to examine the relationships between the personality dimensions E, N, L, P and Sensation-Seeking, which pertain mainly to social situations, attitudes and feelings, and questionnaire-derived measures of nervous system properties, which, while validated on experimental indices of nervous system properties derived from Nebylitsyn’s (1972) model, are expressed as characteristic features of social behavior, work style and activity. Four factors were identified—extraversion/strength of excitation/mobility; self-control of affect/stability/caution; strength of inhibition/verbal control/motor expressiveness/ nonmanipulativeness; and sensation-seeking/nervousness. The results offer support for Eysenck’s claim of some identity between excitatory strength and E, for the reported relationship between E and mobility, and for Eysenck’s conditioning postulate. They also suggest that similar temperamental variables underlie individual differences in both social and occupational/motor activity. Since Strelau’s STI items are validated on experimental indices of nervous system properties, it follows that typological characteristics may be inferred from questionnaire data derived from both behavioral categories.     

Target-size influences on reaction time with movement time controlled

The variable that affect motor programming time may be studied by changing the nature of the response and measuring the subsequent changes in reaction time (RT). One notion of motor programming suggests that aiming responses with reduced target size and/or increased target amplitude require more "complex" motor programs that require longer RTs. In a series of five experiments which movement time (MT) was experimentally varied target size neither influences RT when the movement amplitude was 2 or 30 cm nor when the target sizes differed by as much as a factor of 16:1. Increasing the movement amplitude from 15 to 30 cm also had no influence on RT. Movement time, however, did affect RT, with 200-msec movements having longer RTs than 120-msec movements. Target size and movement amplitude did not appear to be factors that influence programming time or program complexity.     

The memory drum theory after twenty years: comments on Henry's note

The difference between the Henry "memory-drum" theory and our version is that ours includes, an additional assumption that, after programming has occurred, the resultant representation can be stored in short-term memory. Otherwise, the essential ideas are the same in the two theories. Implications of the presently available data for the distinction between the theories are discussed. Regardless of how one evaluates our added assumption, it is clear that the essential insight of the Henry theory has fared very well in the 20 years since the theory first appeared in print.     

Relations between level of ego development and adjustment pattern in adolescents

The present study was designed to assess the relation between Loevinger's hierarchy of ego development stages, measured by the Washington University Sentence Completion Test, and adjustment patterns as measured by the Minnesota Multiphasic Personality Inventory. A total of 150 high school students between the ages of 14 and 15, 75 boys and 75 girls, served as subjects. It was hypothesized that certain adjustment patterns were more prevalent at certain points of the ego development hierarchy than at others, specifically: (a) hypochondriasis and psychopathic deviance at the ego stages below conformity; (b) hysteria at the conformist ego level; and (c) obsessive-compulsiveness and paranoia at the ego stages above conformity. All of these hypotheses, except that regarding psychopathic deviance, were supported by the data. One unpredicted relationship, a tendency for depression to be most characteristic of the conformist ego group, was found.     

Nursing: Significance for spiritual care

Nurses can be seen to contribute significantly to the spiritual objectives and programs in hospitals and other health agencies under religious auspices. One impressive example is nursing involvement with and cooperation in the pastoral care program at North Carolina Baptist Hospital in Winston-Salem. At this hospital the nurse is both an assistant to and a coworker with the chaplain and functions in many ways as facilitator and supporter in his spiritual mission.     

Systems approach to the concept of niche

Conclusion The systems approach to niche presented herein stands as an example of the unifying potential of mathematical system theory when applied to concepts and principles of ecology. Beginning with subjective concepts from the naturalistic tradition, the niche was framed in the formalism of general system theory. So modeled, it appeared as a restriction of a more general construct, the environ. Both niches and environs are implementable in the context of ecosystem models, and with the growing ability of ecologists to construct such models, system theoretic niches and environs both should serve in the future to clarify old problems of ecology, and make it possible to raise new classes of problems. The nature of niches, always difficult conceptually for the ecologist, may now give way to further development, both theoretical and empirical.