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.     

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.     

Relationships between adolescent drug use and parental drug behaviors

The present study examined some previously reported relationships between drug use by adolescents and perceived attitudes and behaviors of their parents. An anonymous questionnaire was administered to the student body of an inner-city secondary school for difficult students. Relationships between parental use of drugs and adolescent use of the same drugs were moderate and roughly equivalent across drugs. However, parental use of marijuana was strongly related to the adolescent's use of other, harder drugs such as opiates, cocaine, amphetamines, and barbiturates. This finding is explained within the framework of Kandel's postulated stages of drug initiation. It points to a need for further study of parental influences, which may be increasingly problematic as more individuals who have grown up in our marijuana-accepting society become parents of adolescents.     

Attentional strategies and the visual control of discrete movements

The relationship between the availability of visual information and attention demands during the production of a discrete motor act was examined. Subjects were required to move a linear slide a distance of 15 cm in both 150 and 600 msec conditions under three light manipulations, viz., light always on; light always terminated as movement began; or, subject was unsure as to whether light would stay on or terminate. A simple key press by the index finger of the opposite hand to a tone was used as a secondary task and a measure of attention demands. The light manipulation influenced attention demands on the rapid 150 msec movement such that more attention was demanded when the subject knew the light would terminate. No such attentional strategy differences were found with the slow 600 msec movement. These findings suggest that task constraints in the form of kinematic criteria, together with the perceived availability of visual information, contribute to determining attentional strategy in movement production.     

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.     

An empirical investigation of self-esteem as a composite construct

Three measures of chronic self-esteem, plus four measures developed to assess situational components of self-esteem (task-specific self-esteem and social self-esteem), were administered to 238 undergraduates at a large, urban university and a community college in the southeastern United States. Evidence for a composite construct of self-esteem was found. Results also indicate task-specific self-esteem correlates as high as .42 (p < .01) with chronic self-esteem and as high as .76 (p < .01) with social self-esteem. Task-specific self-esteem was found to be a better predictor of grade point average than chronic or social self-esteem. Suggestions are made for further research on the situational components of self-esteem to extend current findings.