The importance of a holistic concept of health for health care. Examples from the clinic

One of my main points in this study is that the knowledge of orthodox medical theory is an incomplete guide for practical action when relating to our patients' specifically human problems. By following a holistic perspective on patients' health and on our medical enterprise we will be more efficient as doctors. This standpoint is illuminated by means of two case reports. Instead of focusing on symptoms as such and letting them refer to orthodox medical theory, I explicitly relate to the patients as if they are conveying a personal meaning by means of experienced symptoms. The experience of illness could be a successful strategy on the existential level although destructive on the technical biological level. A holistic theory of health can give doctors a good conceptual base when relating to people whose presented illnesses are to be regarded explicitly as their way of making themselves understood. The doctor's understanding of the patient's illness, of the theory of health, and of how health is regained, is dependent on the doctor's having the courage to reduce the distance to the patient, the courage to participate and be changed.     

The Ramsey Test and Conditional Semantics

Proponents of the projection strategy take an epistemic rule for the evaluation of English conditionals, the Ramsey test, as clue to the truth-conditional semantics of conditionals. They also construe English conditionals as stronger than the material conditional. Given plausible assumptions, however, the Ramsey test induces the semantics of the material conditional. The alleged link between Ramsey test and truth conditions stronger than those of the material conditional can be saved by construing conditionals as ternary, rather than binary, propositional functions with a hidden contextual parameter. But such a ternary construal raises problems of its own.     

Assessment of retrieval strategy in incidental, intentional, and inclusion tests with word-fragment cues

The purpose of this study was to assess retrieval strategy in incidental, intentional, and inclusion tests with word-fragment cues following a levels-of-processing manipulation at study. The results of Exp. 1 showed small levels-of-processing effects in incidental tests, and most subjects reported involuntary rather than voluntary retrieval of study-list words. In an intentional test, although levels of processing had a much greater effect, quite a few subjects also reported involuntary rather than voluntary retrieval of study-list words, and these subjects showed a smaller effect of levels of processing than subjects reporting voluntary retrieval. These results suggest that subjects given instructions for both voluntary and involuntary retrieval of study-list words in an inclusion test might not in fact attempt voluntary retrieval at all, but simply adopt an involuntary retrieval strategy. The results of Exp. 2 provided evidence to support this suggestion. The general implication is that where test contamination refers to subjects' failure to use retrieval strategies in accordance with test instructions, inclusion tests can be contaminated, as well as incidental or intentional tests, and that it is always necessary to obtain converging evidence about the actual strategies subjects use.     

Referenzsemantik in der Partnermodellierung

How can we explain that an assertion on something perceived can be understood in the same manner by somebody who cannot perceive that scene? This problem bases the interest in computational linguistics in how listener modeling could possibly be harmonized with reference semantics. Mental images substituting real perception appear as a way out. The architecture of the listener model has to be adapted to the creation and use of such pictorial data structures. Furthermore, the relation between the latter and a verbal (i. e., propositional) representation must be understood. The resulting architecture of a listener model with reference semantics can be employed to solve communicational problems from three general classes in a better way, as is demonstrated by an example implementation.     

Input- and output-monitoring in implicit and explicit memory

Previous experiments have shown that the procedure of questioning subjects retrospectively about the input and output status of information (input and output monitoring) is a useful method for assessing the awareness states of subjects during implicit and explicit memory tasks. The main purpose of the present study was to investigate whether the previous findings could be extended to other implicit and explicit memory tasks. We were especially interested in whether differences in input- and output-monitoring performance can be observed when both the implicit and explicit memory tasks are conceptual ones. In a final test phase, the target items from the study phase and new distractor items were presented. In a recognition-like situation, subjects had to decide whether an item had been presented in the study phase (input status), as well as whether they had produced the item in the memory-test phase (output status). In all three experiments judgments about the input status - but only for those items that had been produced in the implicit or in the explicit memory test - were more precise after explicit than after implicit memory testings. This finding was not influenced by the distinction between perceptual and conceptual-memory tasks (Exp. 1), and was obtained under conditions in which the implicit and the explicit memory tasks were both conceptual and differed only in test instructions (Exps. 2 and 3). These results suggest that not only subjects performing a perceptual test of implicit memory, but also subjects in a conceptual implicit test were less aware of using information from a previous study episode than subjects who received memory instructions. It is concluded that requiring judgments about the input status of information is a good method for assessing subjects test awareness and is preferable to the use of a questionnaire (Exp. 3). In contrast, in all three experiments no differences were found with the output-monitoring measure between implicit and explicit test conditions.     

Reply to William R. Ferrell’s paper “A model for realism of confidence judgments: Implications for underconfidence in sensory discrimination”

Ferrell’s decision-variable partition model and our subjective distance model belong to the same family of Thurstonial models. The subjective distance model is limited to sensory discrimination with the method of constant stimuli and rooted in such notions as discriminal dispersion and sense distance. Ferrell’s model is intended to be wider in scope and to apply to both cognitive and sensory tasks. Both models need supplementary assumptions to predict calibration phenomena. The point of departure for us is the fact that the model predicts under-confidence under “guessing” and the empirical finding that people are about 100% correct when they report “absolutely certain.” Ferrell makes assumptions about cutoffs on the decision variable. The respondent is assumed to adjust or not adjust cutoffs according to “cues to difficulty.” We disagree with Ferrell’s claim that the hard-easy effect is explained by the respondent’s failure to adjust cutoffs sufficiently when there is a change in level of difficulty, and argue that this amounts to little more than a translation of the hard-easy effect into the lingua of Ferrell’s decision-variable partition model. Our argument is that the hard-easy effect is a consequence of the post hoc division of items according to solution probability. In addition, error variance may contribute to regression effects that enlarge the hard-easy effect. Finally, in contrast to Ferrell’s position, we regard inference (cognitive uncertainty) and discrimination (sensory uncertainty) as different psychological processes. An understanding of calibration in these two areas requires separate models.     

Axiomatic justifications of the utility principle: A formal investigation

It is argued that existing axiomatic theories of utility do not provide the utility principle or the principle of maximising expected utility with a formal justification. It is also argued that these theories only put mild constraints on a decision-maker in a decision-context. Finally, it is argued that the prospects are not particularly bright for finding formal non-circular arguments for the utility principle that do not rely on the law of large numbers.     

Post‐conversion experiences of native British converts to Islam

Research¹ has been carried out on native British converts to Islam. It was based on formal interviews with 70 converts to Islam, 50 males and 20 females. Interviews were done in various parts of England. The sample consïsted of 66 English, 3 Irish, and 1 Welsh. Fifty‐one had been Anglicans, 12 Catholics, 3 Methodists, and 4 Jews. The research was designed to find out the pre‐conversion, conversion, and post‐conversion experiences of the converts interviewed. The present article is part of the research, looking at the converts’ post‐conversion experiences with regard to intellectual, moral, and social changes, changes in beliefs and practices, behaviour, and social relations.