Discourse on medicine: meditative and calculative approaches to ethics from an international perspective

Heidegger’s two modes of thinking, calculative and meditative, were used as the thematic basis for this qualitative study of physicians from seven countries (Canada, China, India, Ireland, Japan, Korea, & Thailand). Focus groups were conducted in each country with 69 physicians who cared for the elderly. Results suggest that physicians perceived ethical issues primarily through the lens of calculative thinking (76%) with emphasis on economic concerns. Meditative responses represented 24% of the statements and were mostly generated by Canadian physicians whose patients typically were not faced with economic barriers to treatment due to Canada’s universal health care system.     

Effect of arousal and retention delay on memory: a meta-analysis

Two meta-analyses were conducted to examine the magnitude of the interaction between arousal and retention delay on various types of memory, e.g., verbal, visual, etc., as initially reported by Kleinsmith and Kaplan in 1963 and 1964. Results of the first meta-analysis (29 studies, N = 2,637) indicated that the interaction was robust (d = .779), with low arousal leading to better immediate memory than high arousal, whereas high arousal led to better delayed memory than low arousal. Incorporating additional studies, a subsequent meta-analysis (48 studies, N = 3,143) on the effect of arousal on memory, taking retention delay as a moderator, provided further support. At a 2-min. delay, low arousal led to better immediate memory than high arousal (d = -.459). This difference decreased at a 20-min. delay (d = .106), when directions of high and low arousal effects on memory appeared to reverse. At longer delays than 20 min., high arousal led to better delayed memory than low arousal (ds = .753, .219, and .472, for delays of 45-min., 1-day, and more than 1-day, respectively).     

Identification of Early Child and Family Risk Factors for Aggressive Victim Status in First Grade

This prospective investigation sought to discriminate children who were both aggressive towards and victimized by peers in the first grade, from those who were only aggressive, only victimized, or neither (i.e., socially adjusted), using early child and family risk factors. Two hundred thirty-eight children, their mothers, and teachers participated in a longitudinal study since birth. All three aggressor/victim subgroups showed greater temperamental dysregulation than the socially adjusted children, but only aggressive victims had significantly poorer social perception skills. Aggressive victims were distinguished from aggressors by greater exposure to maternal depression and from victims by lower levels of early inhibition, but they shared the experiences of negative family emotional expressiveness with aggressors and greater mother-child negativity with victims. The identification of early risk factors is crucial to prevention and early intervention efforts that have the potential to attenuate the long term emotional, social, and academic problems associated with aggressive victim status.     

Family Therapy for an Adult Child Experiencing Bullying and Game Addiction: An Application of Bowenian and MRI Theories

Bowenian theory and MRI family therapy model were chosen to treat a Korean male adult client whose symptomatic problems were bullying and game addiction. To test its validity of therapeutic effectiveness, the following case analysis methods were used: narrative analysis of interview contents, categorization of the nine sessions of verbatim, videotaping, and notes according to classified concepts (i.e., triangulation), and explanation using matrix and network. Results showed that low level of differentiation, patterns of emotional cutoff, and dynamics of triangulation were clearly present in this client. After MRI family therapy, changes were evident in perceptive references, communication patterns, stress-coping mechanism, symptomatic behaviors, and intra-family relationships.     

Surfing the implicit wave

Implicit learning was investigated in two experiments involving a complex motor task. Participants were required to balance on a stabilometer and to move the platform on which they were standing to match a constantly changing target position. Experiment 1 examined whether a segment (middle third) that was repeated on each trial would be learned without participants becoming aware of the repetitions (i.e., implicitly). The purpose of Experiment 2 was to determine the relative effectiveness of explicit versus implicit learning. Here, two identical segments were presented on each trial (first and last thirds), with participants only being informed that one segment (either first or last) was repeated. The acquisition results from both experiments indicated large improvements in performance across 4 days of practice, with performance on the repeated segments being generally superior to that on the non-repeated segment. On the retention tests on Day 5, errors on the repeated segment(s) were smaller than those on the random segment(s). Furthermore, in Experiment 2, the errors on the repeated-known segment, although smaller than those on the random segment, were larger than those on the repeated-unknown segment. Interview results indicated that participants were not consciously aware that a segment was repeated unless they were informed. These results suggest that implicit learning can occur for relatively complex motor tasks and that withholding information concerning the regularities is more beneficial than providing this information.     

Risky drinking in college changes as fraternity/sorority affiliation changes: a person-environment perspective.

This study aimed to resolve the direction of the relation between Greek affiliation and substance use by taking advantage of the quasi-experimental nature of change in college fraternity/sorority affiliation. Precollege individual differences and college substance use were examined as a function of time-varying Greek status to characterize self-selection (by which heavy substance users opt into Greek systems) and socialization (by which Greek systems foster heavy substance use). Prospective data on continuously enrolled college students (N=2,376), assessed at precollege and in the first 6 semesters of college, were used. Latent class analysis indicated 4 discrete groups of status: constant Greek members (30%), constant nonmembers (64%), late joiners (2%), and droppers (4%). Random coefficient models demonstrated disaffiliation with Greek systems is associated with decreases in risky drinking and alcohol-conducive environmental factors (peer norms and alcohol availability), whereas affiliation is associated with increases, indicating Greek socialization via sociocognitive and physical environments. Future Greeks differed from nonmembers in diverse individual characteristics and heavier substance use at precollege, suggesting multiple selection paths into Greek systems. Findings suggest a reciprocal relation between Greek environment and individuals in determining the trajectories of college drinking and heterogeneity in drinking as functions of changes in Greek affiliation.     

Drinking motives as mediators in the relation between personality disorder symptoms and alcohol use disorder

Research shows high comorbidity between Cluster B Personality Disorders (PDs) and Alcohol Use Disorders (AUDs). Studies of personality traits and alcohol use have identified coping and enhancement drinking motives as mediators of the relation among impulsivity, negative affectivity or affectivity instability, and alcohol use. To the extent that certain PDs reflect extreme expression of these traits, drinking motives were hypothesized to mediate the relation between PD symptoms and presence/absence of an alcohol use disorder (AUD). This hypothesis was tested using a series of cross-sectional and prospective path models estimating the extent that coping and enhancement drinking motives mediated the relation between cluster A, B, and C PD symptom counts and AUD diagnosis among a sample of 168 young adults between ages 18 and 21. Enhancement motives mediated the cross-sectional relation between Cluster B symptoms and AUD. Prospectively, enhancement motives partially mediated the relation between Cluster B personality symptoms and AUD through the stability of Year 1 AUD to Year 3 AUD. Results suggest that enhancement motives may be especially important in understanding the relation between Cluster B personality disorders and AUDs.     

Hypothetico-Deductivism is Still Hopeless

Since Christensen refuted the Bootstrap theory of confirmation in 1990, there have been some trials to improve the Hypothetico-Deductive theory of confirmation. After some trials, Gemes (1998) declared that his revised version completely overcame the difficulties of Hypothetico-Deductivism without generating any new difficulties. In this paper, I will assert that Gemes's revised version encounters some new difficulties, so it cannot be a true alternative to the Bootstrap theory of confirmation and to classical Hypothetico-Deductivism. Also I will assert that, in principle, such new difficulties cannot be overcome by any trials dependent only on formal logic.     

Pictorial rehearsal effects in younger and older adults

Abstract

In three studies, we examined pictorial rehearsal effects in younger and older adults. Concrete and abstract line drawings that varied in the amount of pictorial detail were presented for study under different presentation conditions. In the pictorial rehearsal condition, each picture was followed by a blank rehearsal interval where the picture was no longer presented. In all three experiments, the poststimulus interval enhanced picture recognition for both age groups, relative to a control condition where no rehearsal interval occurred. These findings suggest that older adults, like younger adults, form and maintain visual images across a blank rehearsal interval. Implications of these findings for current views on imaginal processes in older adults are discussed.     

The Collective Preference for Shared Information

Decision-making groups prefer to discuss shared information that all members know instead of unshared information that a single member knows. This bias toward discussing shared information can lead groups to make suboptimal decisions when unshared information is critical for good decision making. This preference for discussing shared information may stem from group members' positive evaluations of each other's task capabilities when shared information is communicated. Members who already are perceived as capable (i.e., those high in status, experts, and leaders) need not bolster their image by communicating shared information. Instead, they discuss unshared information more than members perceived as less capable. As members low in status gain respect by communicating shared information, they may risk mentioning unshared information later during discussion. Assigning group leaders, informing members of their expert roles, and allowing ample time for discussion may increase groups' discussion of unshared information.