Ethical issues in discharge planning for vulnerable infants and children

Discharge planning for vulnerable infants and children is a collaborative, interdisciplinary, decision-making activity that is grounded in the ethical complexities of clinical practice. Although it is a psychosocial intervention that frequently causes moral distress for professionals and has the potential to inflict harm on children and their families, the process has received little attention from ethicists. An ongoing study of the transition of technology-dependent children from hospital to home suggests that the ethical issues embedded in the discharge-planning process may be concealed by dominant cultural values, institutional policies, clinical standards, historical precedents, and legal regulations.     

Are microsaccades responsible for the gap effect?

Extinguishing a fixation point shortly before, or concurrently with, the onset of a peripheral visual target reduces the latency of saccades to that target. Saslow (1967) hypothesized that thisgap effect might occur because fixation point offsets reduce the incidence of corrective microsaccades with an associated saccadic refractory period. In the present study, a robust gap effect was obtained. However, using a Purkinje image eyetracker with 1 arcmin of resolution, we found that fixation point offsets had no effect on the occurrence of microsaccades and that the occurrence of microsaccades had no impact on the magnitude of the gap effect. Microsaccades therefore do not appear to play any part in the production of the gap effect.     

Discrimination of Facial Identity and Facial Affect by Temporal and Frontal Lobectomy Patients

The purpose of this study was to determine the extent to which lobectomy affects ability to discriminate facial identity or facial expression. Fifteen right temporal, 15 left temporal, 5 right frontal, and 4 left frontal lobectomy patients, pair-matched for age, sex, and education to normal control subjects, participated in this study. Tasks included a Facial Identity Matching Task and a Facial Affect Matching task. The lobectomized patients as a whole were significantly impaired on both tasks (22% decrement in performance). The patients made twice as many errors resulting from perseveration of response-set of the first condition (identity or emotion matching) into the second condition. The site of lobectomy did not influence general performance on any one task or selective performance on any subset of affective categories. It was concluded that all four brain regions play a significant and equal role in face processing, and that circuits more specifically dedicated to visual face processing, which are responsible for hemispheric dominance affects and affect/identity dissociations, are probably located more posteriorly in the brain. Finally, it was concluded that perseveration of acquired habit may, under specific conditions, characterize temporal lobe dysfunction just as much as frontal lobe dysfunction.     

Rewards and organizational commitment across structural characteristics: A meta-analysis

This article uses meta-analysis to summarize previous empirical studies which examine the relationship between actual income/pay satisfaction and organizational commitment (OC) across different structural settings. Twenty-one studies with correlational data on the relationship between OC and income, and 27 studies dealing with OC and pay satisfaction are examined; these studies include 23 and 31 independent samples, respectively. The findings reveal a moderator effect related to type of occupation in the OC-income relationship, and to sector in the OC-pay satisfaction relationship. The findings also show the moderating effect of measurement of OC on pay satisfaction. Theoretical and methodological considerations pertaining to the OC-rewards relationship are discussed. Directions for future research and practical implications are indicated.The authors would like to thank HelenJane Shawyer and Marion Lupu for their editorial assistance.     

Evaluation of a Coeducational Interactive Rape Prevention Program

This article illustrates one way in which counselors can contribute to victim services on campus besides providing direct remedial services. Specifically, the authors describe a project in which they designed, implemented, and evaluated a rape prevention program. The program was coeducational and interactive and was presented to members of sororities and fraternities. Those who participated in the program endorsed fewer rape-supportive attitudes than did the control group immediately following the program, although the two groups no longer differed at the one month follow-up. Recommendations are provided for counselors interested in developing and evaluating similar programs.     

Using sociometric measures to predict help seeking behaviors of youth in a positive peer culture program

Sociometric measures were used to predict help seeking behaviors of youth in a residential treatment center. Seventeen female adolescents with conduct disorders were asked to choose three peers in their group who were most popular, similar, and competent. These sociometric measures were correlated with the degree to which the participants would seek help from their peers across four problem scenarios representing actual situations encountered in residential settings. A multiple linear regression analysis suggested that sociometric measures of “competence” was the best predictor of intentions to seek help across the problem scenarios. Discussion focused on the implications of using sociometric measures within a residential treatment setting.     

Multimethodological approach to examining risk-taking

Research on risk-taking behavior has shown to yield inconsistent findings. Three studies were conducted using four different analysis techniques. The first study used a phenomenological approach and qualitative analysis to gain an understanding of risk-taking. A model of factors relating to risk-taking was developed and tested in a second study. The third study was conducted to develop scales of risk and used magnitude estimation and multidimensional scaling techniques. Results from the studies confirmed the multidimensionality of the construct of risk-taking. Also indicated was a gender difference in risk-taking behavior and perception. These studies expand our knowledge of risk-taking behavior in that 1) a method of categorizing risks was developed, 2) gender similarities and differences in risk-taking were explored, and 3) perceived magnitude and underlying dimensions of risk were developed.