The right to preventive health care

The right to health care is a right to care that (a) is not too costly to the provider, considering the benefits it conveys, and (b) is effective in bringing about the level of health needed for a good human life, not necessarily the best health possible. These considerations suggest that, where possible, society has an obligation to provide preventive health care, which is both low cost and effective, and that health care regulations should promote citizens’ engagement in reasonable preventive health care practices.     

Comparing species decisions in a dichotomous choice task: adjusting task parameters improves performance in monkeys

In comparative psychology, both similarities and differences among species are studied to better understand the evolution of their behavior. To do so, we first test species in tasks using similar procedures, but if differences are found, it is important to determine their underlying cause(s) (e.g., are they due to ecology, cognitive ability, an artifact of the study, and/or some other factor?). In our previous work, primates performed unexpectedly poorly on an apparently simple two-choice discrimination task based on the natural behavior of cleaner fish, while the fish did quite well. In this task, if the subjects first chose one of the options (ephemeral) they received both food items, but if they chose the other (permanent) option first, the ephemeral option disappeared. Here, we test several proposed explanations for primates’ relatively poorer performance. In Study 1, we used a computerized paradigm that differed from the previous test by removing interaction with human experimenters, which may be distracting, and providing a more standardized testing environment. In Study 2, we adapted the computerized paradigm from Study 1 to be more relevant to primate ecology. Monkeys’ overall performance in these adapted tasks matched the performance of the fish in the original study, showing that with the appropriate modifications they can solve the task. We discuss these results in light of comparative research, which requires balancing procedural similarity with considerations of how the details of the task or the context may influence how different species perceive and solve tasks differently.     

Embodying the sacred and profane: how temporal empires,narratives of salvation,and the prison regime value bodies in the United States

Although analyses of the ‘sacred’ and ‘profane’ tend to remain within the discipline of religious studies, categories of sacrality and profane-ness actively shape and label all bodies in the United States. Combining theories of the sacred and profane with formulations of race, gender and sexuality, I investigate the social de/valuation of specific bodies at the turn of the twentieth and twenty-first centuries. During each period, three structural factors influence these categorisations: empires of hegemonic social time, dominant Christian narratives of salvation and the role of prison. A comparative analysis demonstrates both continuity and specificity in producing sacred and profane bodies.     

An electrophysiological dissociation of craving and stimulus-dependent attentional capture in smokers

It has been suggested that over the course of an addiction, addiction-related stimuli become highly salient in the environment, thereby capturing an addict’s attention. To assess these effects neurally in smokers, and how they interact with craving, we recorded electroencephalography (EEG) in two sessions: one in which participants had just smoked (non-craving), and one in which they had abstained from smoking for 3 h (craving). In both sessions, participants performed a visual-search task in which two colored squares were presented to the left and right of fixation, with one color being the target to which they should shift attention and discriminate the locations of two missing corners. Task-irrelevant images, both smoking-related and non-smoking-related, were embedded in both squares, enabling the shift of spatial attention to the target to be examined as a function of the addiction-related image being present or absent in the target, the distractor, or both. Behaviorally, participants were slower to respond to targets containing a smoking-related image. Furthermore, when the target contained a smoking-related image, the neural responses indicated that attention had been shifted less strongly to the target; when the distractor contained a smoking-related image, the shift of attention to the contralateral target was stronger. These effects occurred independently of craving and suggest that participants were actively avoiding the smoking-related images. Together, these results provide an electrophysiological dissociation between addiction-related visual-stimulus processing and the neural activity associated with craving.     

Ethics Consultation Quality Assessment Tool: A Novel Method for Assessing the Quality of Ethics Case Consultations Based on Written Records

Although ethics consultation is offered as a clinical service in most hospitals in the United States, few valid and practical tools are available to evaluate, ensure, and improve ethics consultation quality. The quality of ethics consultation is important because poor quality ethics consultation can result in ethically inappropriate outcomes for patients, other stakeholders, or the health care system. To promote accountability for the quality of ethics consultation, we developed the Ethics Consultation Quality Assessment Tool (ECQAT). ECQAT enables raters to assess the quality of ethics consultations based on the written record. Through rigorous development and preliminary testing, we identified key elements of a quality ethics consultation (ethics question, consultation-specific information, ethical analysis, and conclusions and/or recommendations), established scoring criteria, developed training guidelines, and designed a holistic assessment process. This article describes the development of the ECQAT, the resulting product, and recommended future testing and potential uses for the tool.     

Ethics in Community-University-Artist Partnered Research: Tensions,Contradictions and Gaps Identified in an ‘Arts for Social Change’ Project

Academics from diverse disciplines are recognizing not only the procedural ethical issues involved in research, but also the complexity of everyday “micro” ethical issues that arise. While ethical guidelines are being developed for research in aboriginal populations and low-and-middle-income countries, multi-partnered research initiatives examining arts-based interventions to promote social change pose a unique set of ethical dilemmas not yet fully explored. Our research team, comprising health, education, and social scientists, critical theorists, artists and community-activists launched a five-year research partnership on arts-for-social change. Funded by the Social Science and Humanities Research Council in Canada and based in six universities, including over 40 community-based collaborators, and informed by five main field projects (circus with street youth, theatre by people with disabilities, dance for people with Parkinson’s disease, participatory theatre with refugees and artsinfused dialogue), we set out to synthesize existing knowledge and lessons we learned. We summarized these learnings into 12 key points for reflection, grouped into three categories: community-university partnership concerns (n?=?3), dilemmas related to the arts (n?=?5), and team issues (n?=?4). In addition to addressing previous concerns outlined in the literature (e.g., related to consent, anonymity, dangerous emotional terrain, etc.), we identified power dynamics (visible and hidden) hindering meaningful participation of community partners and university-based teams that need to be addressed within a reflective critical framework of ethical practice. We present how our team has been addressing these issues, as examples of how such concerns could be approached in community-university partnerships in arts for social change.     

The effect of identical word pairs on people's metamemory judgments: What are the contributions of processing fluency and beliefs about memory?

Judgments of learning (JOLs) are higher for identical pairs (dog–dog) than for related pairs (dog–cat). This identical effect may be mediated (a) by processing fluency (i.e., identical pairs are processed faster than related pairs) or (b) by a belief that identical pairs are better remembered or (c) by both factors. In the present work, we assessed the contribution of both factors. We evaluated whether a measure of processing fluency (i.e., self-paced study) mediated the relationship between pair type and JOLs (Experiment 1) and attempted to disrupt processing fluency using an AlTeRnAtInG presentation format (Experiment 2). We also evaluated whether judgments made in the absence of processing fluency demonstrated the identical effect (Experiment 3), and, finally, we had participants read a vignette about an experiment that included both pair types and estimate which pairs would be best remembered (Experiment 4). Evidence from all experiments converged on the conclusion that people's beliefs about how variables affect memory—and not differential fluency—best explain the identical effect, although we cannot entirely rule out the possibility that fluency plays a small role. The outcomes were consistent with the analytic-processing theory of JOLs—namely, when instructed to make JOLs, people adopt an analytic problem-solving approach that involves identifying variation across pairs that plausibly relate to memory and then use this variation to make JOLs.     

Implicit theories of online trolling: Evidence that attention‐seeking conceptions are associated with increased psychological resilience

Three studies were conducted to investigate people's conceptions of online trolls, particularly conceptions associated with psychological resilience to trolling. In Study 1, a factor analysis of participants’ ratings of characteristics of online trolls found a replicable bifactor model of conceptions of online trolls, with a general factor of general conceptions towards online trolls being identified, but five group factors (attention‐conflict seeking, low self‐confidence, viciousness, uneducated, amusement) as most salient. In Study 2, participants evaluated hypothetical profiles of online trolling messages to establish the validity of the five factors. Three constructs (attention‐conflict seeking, viciousness, and uneducated) were actively employed when people considered profiles of online trolling scenarios. Study 3 introduced a 20‐item ‘Conceptions of Online Trolls scale’ to examine the extent to which the five group factors were associated with resilience to trolling. Results indicated that viewing online trolls as seeking conflict or attention was associated with a decrease in individuals’ negative affect around previous trolling incidents. Overall, the findings suggest that adopting an implicit theories approach can further our understanding and measurement of conceptions towards trolling through the identification of five salient factors, of which at least one factor may act as a resilience strategy.