Ethical issues in biomedical research: Perceptions and practices of postdoctoral research fellows responding to a survey

We surveyed 1005 postdoctoral fellows by questionnaire about ethical matters related to biomedical research and publishing; 33% responded. About 18% of respondents said they had taken a course in research ethics, and about 31% said they had had a course that devoted some time to research ethics. A substantial majority stated willingness to grant other investigators, except competitors, access to their data before publication and to share research materials. Respondents’ opinions about contributions justifying authorship of research papers were mainly consistent but at variance with those of many biomedical journal editors. More than half said they had observed what they considered unethical research practices. To increase the chances of getting a grant funded, 27% said they were willing to select or omit data to improve their results; to make publication of their work more likely or to benefit their career, 15% would select or omit data and 32% would list an undeserving author. Of respondents who thought they had been unfairly denied authorship on a paper, or been listed with or asked to list an undeserving author, 75% said they would be willing to list an undeserving author (P<0.001). Having taken a course dealing with research ethics had no effect on stated willingness to select or omit data or to fabricate data in the future, but was positively associated with willingness to grant undeserved authorship (P<0.04). Although these results do not controvert research demonstrating the effectiveness of ethics courses during professional education, they indicate that the research environment is a powerful component of a trainee’s experience and ethical development. Preliminary results of this work were presented in part as a poster at the forumEthics, Values, and the Promise of Science, presented by Sigma Xi, The Scientific Research Society, 25–26 February 1993 in San Francisco, California, USA.     

Gender differences in the perception of sexuality: Methodological considerations

The present study of gender differences in the perception of sexuality was designed to systematically vary verbal and nonverbal videotaped cues of a conversation between a male-female dyad. Comparisons were made between 78 males and 99 females who were primarily Caucasian and enrolled in general psychology courses. Participants were able to either see and hear, to only see, or to only hear the same interaction. In the see and hear condition, there were no gender differences in the perception of sexuality; in the see only condition, females rated the actress lower in sexuality; and in the hear only condition, males rated the actress higher in sexuality. Results indicate that methodological differences may account for contradictory findings in prior studies.     

Addressing the Complexities of Culture and Gender in Counseling

The purpose of this article is to describe a model for organizing and systematically considering 9 complex and overlapping cultural influences that counselors need to be addressing in their work: Age and generational influences, Disability, Religion, Ethnicity, Social status, Sexual orientation, Indigenous heritage, National origin, and Gender (which together form the slightly misspelled acronym ADRESSING). The ADRESSING model is particularly useful in helping counselors and educators to (a) examine their own biases and areas of inexperience regarding minority cultures and (b) consider the salience of multiple cultural influences and identities with their clients.     

Attitude and the perception of faces

To assess the effects of affective orientation on the judgment of facial attriutes, 165 subjects were asked to make judgments of the attributes of each of two faces. For each face, subjects were either given no information about the person in the photo, or were given biographical information connoting either a favorable or unfavorable personality. It was predicted that when subjects make judgments along dimensions that were evaluatively loaded (e.g., smilling vs frowning mouth), manipulated attitude would influence these judgments. For the seven dimensions rated by the subjects, four dimensions showed the predicted effect. The other three dimensions, which did not show the effect, were the only ones that showed a significant effect due to the face itself. It was concluded that for dimensions that are not highly structured by the characteristics of the face, attitude can significantly influence judgments of facial attributes.     

Recognition of alphabetic characters during voluntary eye movements

In this paper we reconsider the question of vision during eye movements using a novel display procedure which guarantees that the eye was not stopped at any time during the eye movement. The results of our experiment lead us to conclude that true “saccadic suppression,” is a most elusive phenomenon. Furthermore, a brief analysis of the optics of the eye movement suggests that a substantial amount the elevation of visual threshold during eye movements can be attributed to simple retinal smear if one acknowledges the dominating importance of edge effects in visual threshold measurements.     

The Nursing Stress Scale: Development of an instrument

Despite increased recognition of the stress experienced by hospital nursing staffs and its effects on burnout, job satisfaction, turnover, and patient care, few instruments exist that can be used to measure stress. This paper describes the development of an instrument, the Nursing Stress Scale (NSS). It consists of 34 items that describe situations that have been identified as causing stress for nurses in the performance of their duties. It provides a total stress score as well as scores on each of seven subscales that measure the frequency of stress experienced by nurses in the hospital environment. The Nursing Stress Scale was administered to 122 nurses on five hospital units. Factor analysis indicated seven major sources of stress that closely paralleled the conceptual categories of stress on which the scale was based. Test-retest reliability as well as four measures of internal consistency indicated that the Nursing Stress Scale and its seven subscales are reliable. Validity was determined by correlating the total score from the Nursing Stress Scale with measures of trait anxiety, job satisfaction, and nursing turnover hypothesized to be related to stress. In addition, the ability of the scale to differentiate hospital units and groups of nurses known to experience high levels of stress resulting in staff turnover was examined.     

Dialogue Groups in the 21st Century: An Extension of Practice

Experts in group dynamics are needed to work with societal-level identity groups to facilitate productive dialogue in lieu of destructive action or stalemate. Group therapists can promote dialogue about feelings and thoughts regarding societal-level identity issues that contribute to stuck destructive intra and intergroup relationships. After an introduction to the politics of identity and the importance of societal-level groups, the theory and practice of dialogue groups will be introduced and our own dialogue group described.     

A Value-Added Health Systems Science Intervention Based on My Life,My Story for Patients Living with HIV and Medical Students: Translating Narrative Medicine from Classroom to Clinic

Journal of Medical Humanities - In 2018-2019, at the Keck School of Medicine of the University of Southern California (KSOM), we developed and piloted a narrative-based health systems science...     

Go Set a Watchman: revealing phantom narratives and shattering projections in the era of Black Lives Matter

Harper Lee’s novels, To Kill a Mockingbird and Go Set a Watchman, are examined through the lens of reader-response theory and the Jungian concept of the cultural complex or phantom narratives. Socio-historical context includes the American civil rights movement of the 60’s as well as Black Lives Matter. The clinical and institutional implications are briefly considered.     

Ethics and Relationship: From Risk Management to Relational Engagement

In this article, the underlying assumptions of the current ACA Code of Ethics ( 2014a ) are examined as they are embedded in historical and cultural contexts. A relational ethic situated within relational‐cultural theory that provides an alternative framework for understanding ethics in a relational and compassionate way is presented.