Cardiovascular medicine at face value: a qualitative pilot study on clinical axiology

Introduction

Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.

Results

We point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.

Conclusion

We establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion.

     

Assessing Emotional Reactivity: Psychometric Properties of the Perth Emotional Reactivity Scale and the Development of a Short Form

The Perth Emotional Reactivity Scale (PERS) is a 30-item self-report measure of trait levels of emotional reactivity. In this article, we examine the psychometric properties of the PERS subscale and composite scores in an adult community sample (N = 428), and develop an 18-item short form of the measure (PERS–S). The PERS and PERS–S are designed to assess the typical ease of activation, intensity, and duration of one's emotional responses, and do so for positive and negative emotions separately. Our confirmatory factor analyses supported that the PERS and PERS–S both had the same theoretically congruent factor structure, and that all subscale and composite scores displayed high internal consistency reliability. Correlations with scores from established measures of psychopathology and emotion regulation also supported the validity of PERS and PERS–S scores. Our data therefore suggest that the PERS–S subscale and composite scores retain the psychometric strengths of their longer PERS counterparts. We conclude that both forms of the measure have good utility. Clinical and research applications are discussed.     

Evidence of precurrent responses expanding equivalence classes in a delayed matching-to-sample task

Delayed matching to sample (DMTS) increases the probability of equivalence class formation. Precurrent responses can mediate the retention interval in DMTS trials and control the selection of comparisons. In human participants, precurrent responses usually consist of naming the experimental stimuli based on their similarities to meaningful stimuli with preexperimental history. We tested whether precurrents expand classes by serving as nodes between experimental and meaningful stimuli. A DMTS (2 s) was used throughout the entire experiment. Eleven undergraduates learned A1B1 and A2B2 relations and then were submitted to ArC trials that required them to answer math problems presented during the DMTS interval: when the sample was A1, the problems resulted in 12 and C1 was correct; when the sample was A2, they resulted in 9 and C2 was correct. Response-as-node tests assessed whether participants would relate B1 and C1 to the printed number 12 and B2 and C2 to the printed number 9. Ten participants responded accordingly to this pattern, showing that the responses to the problems expanded the classes. Parity tests using the words “even” and “odd” further confirmed this hypothesis. These results contribute to understanding why DMTS enhances equivalence performances. Implications of using this procedure in stimulus-equivalence studies are discussed.     

The Validity of the Massie-Campbell Attachment During Stress Scale (ADS)

The present study is the first step towards validating the Massie-Campbell attachment during stress scale (ADS). The ADS is a one-page guide to standardized observation of mother-infant interactions meant to detect insecure attachment behaviors. So far it was used infrequently in scientific research but it is widely applied in the Chilean public health system. To establish the ADS’s convergent, concurrent, and construct validity, the ADS was compared with the Strange Situation Procedure (SSP) and correlated with maternal sensitivity. Videotapes of the SSP were coded with the ADS and the resulting ADS attachment classifications were compared with the SSP classifications. It was found that the ADS can distinguish moderately well between securely attached and non-securely attached mother-infant dyads, and the ADS was also associated with observed maternal sensitivity. However, the ADS suffers from a number of limitations that warrant further study. In particular, the ADS proved unable to detect resistantly attached mother-infant dyads. Revision of the scale and its scoring rules seems necessary in order to improve its validity as a screening device in scientific research and clinical practice.     

Apathy and Depression as Predictors of Activities of Daily Living Following Stroke and Traumatic Brain Injuries in Adults: A Meta-Analysis

Neuropsychology Review - Apathy and depression are common sequelae of acquired brain injury (ABI). Apathy is a syndrome characterized by diminished motivation and purposeful behaviours. Depression...     

Correction to: Apathy and Depression as Predictors of Activities of Daily Living Following Stroke and Traumatic Brain Injuries in Adults: a Meta‑Analysis

Neuropsychology Review - A correction to this paper has been published: https://doi.org/10.1007/s11065-021-09509-0     

The Prevalence and Characteristics of Alexithymia in Adults Following Brain Injury: A Meta-Analysis

Neuropsychology Review - Alexithymia is the inability to identify and describe one’s own emotions. Some research suggests that organic alexithymia may occur after acquired brain injury (ABI)....