Resolving Ethical Dilemmas in a Tertiary Care Veterinary Specialty Hospital: Adaptation of the Human Clinical Consultation Committee Model

Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of clinical ethics committees as a mechanism to analyze, discuss, and resolve disagreements. The staff of the North Carolina State University Veterinary Hospital, a specialty academic teaching institution, wanted to investigate whether similar success could be achieved in the tertiary care veterinary setting. We discuss the background and rationale for this method, as well as the approach that was taken to create a clinical ethics committee.     

The Experience of Genetic Counselors Working with Patients Facing the Decision of Pregnancy Termination after 24 Weeks Gestation

Prenatal genetic counselors are health care professionals who counsel women making reproductive decisions which include decisions such as terminating pregnancies due to fetal anomalies. Little is known about the experiences and practices of prenatal genetic counselors working with women who have the option of termination after 24 weeks gestation. In this national survey of 168 genetic counselors who have practiced prenatal genetic counseling, we asked about their general practice patterns, including indications for which termination is offered and types of abortion care services that are coordinated by genetic counselors. We report respondents’ self-assessments of level of understanding of federal abortion law and abortion procedures. Seventy-six percent of respondents have offered and counseled on termination after 24 weeks and 93% of respondents believe it is the responsibility of the counselor to discuss this option with patients. However, one-third report that they have some or no understanding of the procedures and three-quarters report that they have some or no understanding of federal abortion law. The results of this study provide insight into knowledge and experiences of genetic counselors working with these patients, allowing for improved genetic counselor training and continuing education to provide better guidance and develop more effective means of assisting patients.     

“There's No Place to Hide”: Exploring the Stressors Encountered by Elite Cricket Captains

This study aimed to enhance understanding of stressors that elite sporting captains face in their role. The autobiographies of 12 international cricket captains were sampled. Stressors relating to the captaincy role were identified, and following thematic analysis, 7 general dimensions of stressors were recognized: multiple roles, team stressors, interactions with players, selection, interactions with other personnel, the media, and extreme situations. It appears that stressors are heightened due to a combination of playing and leadership responsibilities that captains experience. Findings are considered, including how they might be used to inform practitioners and coaches who work with captains.     

Redefining unforgiveness: Exploring victims’ experiences in the wake of unforgiven interpersonal transgressions

This study explored victims’ experiences in the aftermath of unforgiven offenses. Semi-structured interviews with 13 individuals discussing two unforgiven offenses revealed considerable variability in the experiences of unforgiveness, suggesting that unforgiveness may be more multifaceted than previously believed. In addition to the negative emotions and rumination previously posited to characterize unforgiveness, novel themes emerged describing unforgiving cognitions (e.g., the offense is unforgiveable) and construals of the offender. Participants varied along each dimension, resulting in a range of outcomes (e.g., forgiveness, lingering personal distress, finding peace without forgiving). Implications for conceptualizing unforgiveness and counseling those who struggle with unforgiven offenses are discussed.     

Social and Personal Controls and Performance Enhancing Drug Use: Toward an Explanation of Doping Activity among Professional Athletes in Rasht,Iran

The use of performance-enhancing drugs (PED), also known as “doping,” is a common practice among professional athletes in Iran and this global phenomenon is a serious social problem. The main purpose of this research is to test the efficacy of Gottfredson and Hirschi’s conceptualization of low self-control in conjunction with their ideas of effective parenting and rational choice, in explaining why athletes engage in doping activity. Using self-report data from a random sample of 606 professional athletes from Rasht, Iran, the current study indicates that there are significant associations between ineffective parenting, self-control, perceived costs, and doping activity.     

Happy thoughts: Enhancing well-being in the classroom with a positive events diary

Positive psychology interventions (PPIs) are effective in increasing well-being across the population. Whilst educators are recognising the importance of well-being in the classroom and of its long-term impact on life trajectory, the transformative potential of PPIs in educational settings is yet to be fully realised. This study investigates, for the first time, the effects of a PPI in school children by means of a daily dairy. Self-report questionnaires were used to measure well-being in school children aged 8–11 years. Across two studies, children kept a positive events diary, recording three experiences every day for a week. The intervention led to an increase in happiness and a decrease in depressive symptoms immediately following the intervention and at a three-month follow-up. Children who had unhappier baseline scores benefitted more from the intervention. This study demonstrates significant scope, in school settings, for targeted light-touch interventions to promote well-being in those with the greatest need.     

Evidence for a relationship between trait gratitude and prosocial behaviour

Prosocial behaviour towards unrelated others is communally beneficial but can be individually costly. The emotion of gratitude mitigates this cost by encouraging direct as well as “upstream” reciprocity, thereby facilitating cooperation. A widely used method for measuring trait gratitude is the Gratitude Questionnaire (GQ6) [McCullough, M., Emmons, R., &; Tsang, J. (2002). The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology, 82, 112–127. Retrieved from https://doi.org/10.1037/0022-3514.82.1.112]. Here we undertake an assessment of the external validity of the GQ6 by examining its relationship with two incentivized economic games that serve as face valid indices of generosity and reciprocity. In two studies (total N?=?501) we find that trait gratitude as measured by the GQ6 predicts greater donations in a charity donation task as well as greater transfers and returns in an incentivized trust game. These results support the hypothesis that individuals with higher trait gratitude are more generous and trusting on average, and provide initial evidence as to the predictive validity of the GQ6.     

Can Emotions Have Abstract Objects? The Example of Awe

Can we feel emotions about abstract objects, assuming that abstract objects exist? I argue that at least some emotions can have abstract objects as their intentional objects and discuss why this conclusion is not just trivially true. Through critical engagement with the work of Dacher Keltner and Jonathan Haidt, I devote special attention to awe, an emotion that is particularly well suited to show that some emotions can be about either concrete or abstract objects. In responding to a possible objection, according to which we can only feel emotions about things that we take to matter to our flourishing, and thus cannot feel emotions about causally inefficacious abstract objects, I explore how abstract objects can be relevant to human flourishing and discuss some emotions other than awe that can be about abstract objects. I finish by explaining some reasons why my conclusion matters, including the fact that it presents a challenge to perceptual theories of emotion and causal theories of intentionality.     

Motivated attention to fear-related stimuli: Evidence for the enhanced processing of fear in the late positive potential

Differences in the processing of emotions like fear and sadness have important implications for our understanding of many psychological phenomena (e.g., attentional biases, psychopathology). The late positive potential (LPP) is an established event-related potential that reflects motivated attention to emotional stimuli at the neural level with excellent temporal resolution, but has been infrequently used to study differences across emotions. Drawing on functional theories of emotion suggesting that the quick processing of fear-inducing stimuli increases chances of survival, we hypothesized that fear-inducing pictures would produce larger LPP amplitudes compared to other emotions (happy and sad) in the early time windows of the LPP (e.g., 400–700, 700–1000 ms). The results supported our hypothesis, offering new, albeit preliminary, evidence of the differential processing of threat-related stimuli on the LPP.