Love's labor in the health care system: working toward gender equity

In this commentary on Eva Feder Kittay's Love's Labor: Essays on Women, Equality, and Dependency, I focus on Kittay's dependency theory. I apply this theory to an analysis of women's inadequate access to high-quality, cost-effective healthcare. I conclude that while quandaries remain unresolved, including getting men to do their share of dependency work, Kittay's book is an important and original contribution to feminist healthcare ethics and the development of a normative feminist ethic of care.     

Post-Traumatic Stress Disorder as a Consequence of a Toxic Spill in Northern California

This study examined the development of post-traumatic stress disorder (PTSD) and associated features in residents of Dunsmuir, California, following a toxic spill. Classification of PTSD was based on a cutoff score from the Impact of Event Scale. It was predicted that greater exposure to the spill would increase the risk of PTSD and associated symptoms among spill residents; that those classified with PTSD would report more symptoms than would those without PTSD and controls; and that litigants would be classified with PTSD more than would nonlitigants. Results suggest that spill residents classified with PTSD had greater levels of tension, depression, anxiety, anger, fatigue, and confusion than did spill residents without PTSD and control residents with and without PTSD. Spill residents with PTSD reported more memory problems and sleep disorders than did those without PTSD and control residents with and without PTSD. Measures of physiological arousal showed that spill residents had higher systolic blood pressure several hours after a stressful interview than did control residents without PTSD. Pulse rates several hours after a stressful interview were higher for spill residents with and without PTSD than for control residents with PTSD. Results suggest that exposed residents are at risk for developing PTSD and associated symptoms.     

Predictors of children's entertainment television viewing: Why are they tuning in?

Three hundred and twenty six 3- and 5-year-olds (N = 160 3-year-olds) participated in a longitudinal study of the sociological and ecological predictors of children's general audience and child entertainment viewing. Viewing was assessed through five weekly diaries for each child, completed by families over a two-year period. Concurrent analyses of program availability, family demographics/attributes, and child characteristics indicated that children who were frequent viewers of entertainment programs had parents who had limited education, access to cable, and incorporated television into their activities. Although parental regulation and encouragement played a role in children's viewing experiences, particularly at 5 and 7 years of age, the strongest long-term predictors on children's entertainment viewing were parents' education, family size, and the age and sex of the child. Parents need to become more aware of their role in shaping their children's viewing habits. Responsibility for improving children's television viewing experiences, however, should not rely solely with parents but must be shared by educators, broadcasters, and legislators.     

An epistemic solution to Goodman's new riddle of induction

Goodman'snew riddle of induction can be characterized by the following questions: What is the difference between ‘grue’ and ‘green’?; Why is the hypothesis that all emeralds are grue not lawlike?; Why is this hypothesis not confirmed by its positive instances?; and, Why is the predicate ‘grue’ not projectible? I argue in favor of epistemological answers to Goodman's questions. The notions of ‘lawlikeness’, ‘confirmation’, and ‘projectibility’ have to be relativized to (actual and counterfactual) epistemic situations that are determined by the available background information. In order to defend this thesis, I discuss an example that is less strange than the grue example. From the general conclusions of this discussion, it follows that ‘grue’ is not projectible in the actual epistemic situation, but it is projectible in certain counterfactual epistemic situations.     

Effect of physical attractiveness on opposite- and same-sex evaluations

After reading an essay attributed to a college freshman, male and female college students evaluated both the essay's quality and the writer's ability. By means of a photograph, the subjects knew writer's sex and physical attractiveness (high, medium, or low). The essays also varied in “objective” quality (high, medium, or low). Significant main effects for essay quality were found in all dependent measures and a sigrdficant main effect for physical attractiveness was found for Composite Essay Quality. Analysis of significant three-way interac-tions between physical attractiveness, sex-of-subject, and sex-of-writer for the Composite Essay Quality and Writer's Overall Ability revealed that individuals of high and medium physical attractiveness were evaluated differently by members of the opposite sex or same sex. That is, highly attractive individuals received the highest evaluations from members of the opposite sex, while individuals of medium physical attractiveness received the highest evaluations from members of the same sex. Results are discussed in terms of the importance of physical attractiveness to relationships between members of the same and opposite sex.     

Diabetes and psychological co-morbidity in children with a family history of early-onset type 2 diabetes

The present study was conducted to evaluate for depressive symptoms and undiagnosed diabetes in children with familial history of early-onset type 2 diabetes. Studies have shown that diabetes doubles the risk for depression and that the duration of diabetes is related to the severity of the depression. Individuals with depression are also said to be at greater risk for developing diabetes. In many cases diabetes is detected whilst screening for depression. Fifty-three children aged between 6 and 17 years were screened for diabetes and assessed for depressive symptoms using the Children Depression Rating Scale, revised version (CDRS-R). Thirty-six (68.0 %) of the children with a family history of early-onset type 2 diabetes had CDRS-R scores consistent with likely or very likely major depressive disorders. Depressive symptoms score was predicted best by the number of generations of diabetes in the family, with an associated r = .65 and adjusted R(2) = .41. As the generations of diabetes increased, the more likely it was for a child to have diabetes (r = .38, p = .005). Four (7.5%) of the children were diagnosed with diabetes. The findings suggest that depressive symptoms are common in children with a family history of early onset type 2 diabetes and may co-exist with diabetes. The independent variable that reliably predicted the child depressive symptoms score was the number of generations of diabetes in the family.     

Bidirectionality of parallel process and the ego syntonic learning system

A model is presented of an ego syntonic learning system which functions through the use of the parallel process. It is proposed that a bidirectional parallel process may be observed across various teaching modalities and used to understand learning problems in a group psychotherapy training pmgram. One stream of parallel process issues from the trainees, who unconsciously act out their unresolved conflicts and unsatisfied learning needs in the training program. The second stream emanates from the training staff, whose unresolved conflicts over leadership and training philosophies interfere with optimal learning conditions for the trainees. Clinical examples illustrate this bidirectional phenomenon.An earlier version of this paper was presented at the Seventh Annual Conference of the Canadian Group Psychotherapy Association, Ste. Jovite, Quebec, October 1986.