Measuring Judgments of Professionals: Using Vignettes in a Social Survey About Patient Confusion

The use of a factorial survey to measure the clinical judgments of professionals is described. This design allows the researcher to partial out the effects of variables on clinical decision making while using probability sampling. Methods frequently used to study judgments are reviewed and a study of nurses' judgments about patients' confusional episodes are used to illustrate the application of the factorial survey. Acute confusion in patients is a common clinical problem for nurses working in medical-surgical units in acute care hospitals. Using the factorial survey to study a real-life problem such as confusion demonstrates how this design can be used to test judgments in complex clinical situations, to aid in concept development, and to identify consensus among professionals.     

Individualism-collectivism and self-concept: Social or contextual?

The cultural constructs of individualism and collectivism (I-C) have been closely identified with different conceptions of the self. In contrast to autonomous, abstract self-concepts, it has been argued that collectivists have concepts of self which are interdependent with others and connected with particular contexts. This study investigated the extent to which spontaneous social and contextual self-concepts were connected to each other and to individual-level I-C measures. Questionnaires were administered to adult employee samples in Australia and South-East Asia (N = 581). Although closely intertwined, social and contextual statements were able to be independently tested in relation to I-C. I-C was primarily related to the social-autonomous dimension of self. Controlling for social self-responses, contextual self-concepts were not independently related to any of the measures of I-C.     

Familiarity and pronounceability of nouns and names

Ratings of familiarity and pronounceability were obtained from a random sample of 199 surnames (selected from over 80,000 entries in the Purdue University phone book) and 199 nouns (from the Ku?era-Francis, 1967, word database). The distributions of ratings for nouns versus names are substantially different: Nouns were rated as more familiar and easier to pronounce than surnames. Frequency and familiarity were more closely related in the proper name pool than the word pool, although both correlations were modest. Ratings of familiarity and pronounceability were highly related for both groups. A production experiment showed that rated pronounceability was highly related to the time taken to produce a name. These data confirm the common belief that there are differences in the statistical and distributional properties of words as compared to proper names. The value of using frequency and the ratings of familiarity and pronounceability for predicting variations in actual pronunciations of words and names are discussed.     

Falsifying mental models: Testing the predictions of theories of syllogistic reasoning

Four experiments are reported that tested the claim, drawn from mental models theory, that reasoners attempt to construct alternative representations of problems that might falsify preliminary conclusions they have drawn. In Experiment 1, participants were asked to indicate which alternative conclusion(s) they had considered in a syllogistic reasoning task. In Experiments 2-4, participants were asked to draw diagrams consistent with the premises, on the assumption that these diagrams would provide insights into the mental representation being used. In none of the experiments was there any evidence that people constructed more models for multiple-model than for single-model syllogisms, nor was there any correlation between number of models constructed and overall accuracy. The results are interpreted as showing that falsification of the kind proposed by mental models theory may not routinely occur in reasoning.     

Dating Relationships and the Demand/Withdraw Pattern of Communication

This study examines whether afemale-demand/male-withdraw pattern occurs in datingrelationships and whether this response increases duringdiscussions of difficult topics. One hundred and eightindividuals (women = 60, men = 48) currently in a datingrelationship completed the Communication PatternsQuestionnaire, Short Form (CPQSF) regarding either adifficult or nondifficult discussion. The racialcomposition of the undergraduate student population at thetime the study was conducted was 68.8% Caucasian, 8.9%Hispanic, 8.9% International, 6.0% African American,5.6% Asian American, and 1.8% Native American (data on socioeconomic status were unavailable).Results show that dating couples do employ apredominantly female-demand/male-withdraw pattern, whichincreases in response to difficult discussions. However, this study also found that many dating couplesemployed male-demand/female-withdraw or equaldemand/withdraw patterns. Post hoc tests also showedthat couples exhibiting eitherfemale-demand/male-withdraw or male-demand/female-withdraw patterns weremore ingrained in specific negative behavior patterns,employed more demand/withdraw behaviors, and exhibitedless positive behaviors than couples with an equal demand/withdraw pattern.     

Alcohol Consumption and the Theory of Planned Behavior: An Examination of the Cognitive Mediation of Past Behaviorid

This study examined the predictive power of the theory of planned behavior (TPB) in explaining alcohol consumption in 3 prospective samples of students ( Ns = 178. 176. and 159). Generally, the TPB performed well. with attitudes, subjective norms and perceived behavioral control (PBC) explaining between 28% and 46% of the variability in intentions. Intentions and PBC explained between 12% and 50% of the variability in behavior. Measures of self-identity as a "drinker" and past behavior contributed to predictions of intentions over and above the contribution of attitudes. subjective norms. and PBC. Measures of past behavior but not self-identity consistently contributed to predictions of behavior over and above the contributions from intentions and PBC. The direct relationship between past behavior and intention and between past behavior and behavior (independent of the TPB variables or self-identity) could not be attributed to common method variance.     

Relationship Between Family Dynamics of Caregivers, Depression, and the Likelihood of Institutionalization of Alzheimer's Patients

This study examined the relationship between family dynamics (as measured by the Family Adaptability and Cohesion Evaluation Scale-FACES III), depression, feelings of burden and institutionalization in spouse caregivers (N = 197) of Alzheimer's Disease (AD) patients. All data was previously collected at the New York University Medical Center's Aging and Dementia Research Center between 1987 and 1991. Although no significant results were found between family dynamics and the likelihood of institutionalization, a post-hoc analyses found that AD spouse caregivers with higher scores on family cohesion experienced significantly less burden and depression than caregivers with lower cohesion scores. Implications for future research examining family cohesion, depression, and feelings of burden in AD spouse caregivers are discussed.     

Gadflies and Geniuses in the History of Gas Theory

The history of science has often been presented as a story of the achievements of geniuses: Galileo, Newton, Maxwell, Darwin, Einstein. Recently it has become popular to enrich this story by discussing the social contexts and motivations that may have influenced the work of the genius and its acceptance; or to replace it by accounts of the doings of scientists who have no claim to genius or to discoveries of universal importance but may be typical members of the scientific community at a particular time and place. In this article I consider a different type of story, which further research might reveal to be more common than we now suspect: progress stimulated by gadflies – outspoken critics who challenge the ideas of geniuses, forcing them to revise and improve those ideas, resulting in new knowledge for which the genius gets the credit while the gadfly is forgotten. This revised version was published online in June 2006 with corrections to the Cover Date.