Influence of Physicians’ Beliefs on Propensity to Include Religion/Spirituality in Patient Interactions

Journal of Religion and Health - This study examines physicians’ beliefs, their perceptions of whether religion impacts health outcomes, and their propensity to discuss religion/spirituality...     

Hypothetical Retrospection

Moral theory has mostly focused on idealized situations in which the morally relevant properties of human actions can be known beforehand. Here, a framework is proposed that is intended to sharpen moral intuitions and improve moral argumentation in problems involving risk and uncertainty. Guidelines are proposed for a systematic search of suitable future viewpoints for hypothetical retrospection. In hypothetical retrospection, a decision is evaluated under the assumption that one of the branches of possible future developments has materialized. This evaluation is based on the deliberator’s present values, and each decision is judged in relation to the information available when it was taken. The basic decision rule is to choose an alternative that comes out as morally acceptable (permissible) from all hypothetical retrospections.

Self-Control: A Function of Knowing When and How to Exercise Restraint

ABSTRACT— To successfully pursue a goal in the face of temptation, an individual must first identify that she faces a self-control conflict. Only then will the individual exercise self-control to promote goal pursuit over indulging in temptation. We propose a new model that distinguishes between the problems of conflict identification and those of conflict resolution. We then review research on the factors that influence conflict identification and those that determine conflict resolution.     

Replacement—A Sheffer Stroke for Belief Change

By replacement is meant an operation that replaces one sentence by another in a belief set. Replacement can be used as a kind of Sheffer stroke for belief change, since contraction, revision, and expansion can all be defined in terms of it. Replacement can also be defined either in terms of contraction or in terms of revision. Close connections are shown to hold between axioms for replacement and axioms for contraction and revision. Partial meet replacement is axiomatically characterized. It is shown that this operation can have outcomes that are not obtainable through either partial meet contraction or partial meet revision.     

Reading the Bible in America: The Moral and Political Attitude Effect

The Bible is an important text in American history, but research analyzing the social consequences of reading the Bible is very limited. Research focusing on religious practices or religiosity with Bible reading as part of a scale shows a tendency towards conservatism and traditionalism, as do more literalist views of the Bible. In the present study, biblical literalism is treated as a powerful context guiding one’s reading. The focus here is a quantitative view of Bible reading, deploying two ‘conservative’ and two ‘liberal’ moral/political scales and two competing views for how Bible reading may function. Results indicate that Bible reading is positively related to both of the liberal scales as well as the conservative scales for non-literalists, but not for those with literalist Bible views. The findings begin to show the importance of independent Bible reading, how it may function differently for literalists and non-literalists, and highlights the degree to which literalism and Bible reading are different constructs.     

Investigating medical decision‐making capacity in patients with cognitive impairment using a protocol based on linguistic features

A critical question is whether cognitively impaired patients have the competence for autonomous decisions regarding participation in clinical trials. The present study aimed to investigate medical decision‐making capacity by use of a Swedish linguistic instrument for medical decision‐making (LIMD) in hypothetical clinical trials in patients with Alzheimer's disease (AD) and mild cognitive impairment (MCI). Three comparable groups (age, education) participated in the study: AD (n = 20; MMSE: 24.1 ± 3.3) and MCI (n = 22; MMSE: 26.7 ± 2.4) patients and healthy controls (n = 37; MMSE: 29.1 ± 1.0). Medical decision‐making capacity was operationalized as answers to questions regarding participation in three hypothetical clinical trials. Answers were scored regarding comprehension, evaluation and intelligibility of decisions, and a total LIMD score was used as the measure of medical decision‐making ability. Groups differed significantly in LIMD with AD patients performing worst and MCI poorer than the control group. A strong association was found between all LIMD scores and diagnosis which supported the assertion that LIMD as it is designed is a one‐dimensional instrument of medical decision‐making capacity (MDMC). The results indicate that a fundamental communicative ability has an impact on the competence for autonomous decisions in cognitive impairment.     

I don’t care about others’ approval: Dysphoric individuals show reduced effort mobilization for obtaining a social reward

Past research on reduced reward responsiveness in depression and dysphoria has mainly focused on monetary rewards. However, social rewards are important motivators and might be especially impaired in depression. The present study tested the hypothesis that nondysphoric individuals would mobilize more effort during a memory task without a clear performance standard when anticipating social approval for good performance. In contrast, dysphoric individuals were expected to be less sensitive to this reward and to mobilize less effort. Effort mobilization in this 2 (dysphoric vs. nondysphoric) × 2 (no reward vs. social approval) between-persons study was operationalized by participants’ cardiovascular reactivity. Results confirmed that nondysphorics had higher reactivity of systolic blood pressure, diastolic blood pressure, and heart rate when expecting to enter their name in the alleged “best list”, whereas dysphorics had lower cardiovascular reactivity. The present study expands evidence for reduced reward responsiveness in depression and dysphoria from an effort mobilization perspective by demonstrating reduced effort-related cardiovascular reactivity to social rewards.     

Busy Streets Theory: The Effects of Community‐engaged Greening on Violence

Lack of maintenance on vacant neighborhood lots is associated with higher levels of depression, anxiety, and stress for nearby residents. Overgrown grasses and dense brush provide hiding spots for criminals and space to conduct illicit activities. This study builds upon previous research by investigating greening programs that engage community members to conduct routine maintenance on vacant lots within their neighborhoods. The Clean & Green program is a community‐based solution that facilitates resident‐driven routine maintenance of vacant lots in a midsized, Midwestern city. We use mixed effects regression to compare assault and violent crime counts on streets where vacant lot(s) are maintained by community members (N = 216) versus streets where vacant lots were left alone (N = 446) over a 5‐year timeframe (2009–2013). Street segments with vacant lots maintained through the Clean & Green program had nearly 40% fewer assaults and violent crimes than street segments with vacant, abandoned lots, which held across 4 years with a large sample and efforts to test counterfactual explanations. Community‐engaged greening programs may not only provide a solution to vacant lot maintenance, but also work as a crime prevention or reduction strategy. Engaging the community to maintain vacant lots in their neighborhood reduces costs and may increase the sustainability of the program.