Philosophy of medicine in the Netherlands

This report explores the relationship between philosophy and medicine in the Netherlands. In Section 1 we outline the ups and downs of medico-philosophical research in our country: pre-war flourishing, post-war decline, and modern renaissance. In Section 2 we review recent Dutch literature in the philosophy of medicine. The topics dealt with include methodology of medical science, alternative medicine, the basic concepts of medicine, anthropological medicine, medicalization, medicine and culture, and health care ethics.     

Role perceptions: Variations by sex and roles

A Role Perception Scale utilizing a combined projective-objective methodology was developed to assess female and male perceptions of each of three single roles — work, marriage, and parent — and two combined roles — work-marriage and work-parent. Research participants were 134 college students, 88 females and 46 males. Factor analysis of the objective scale, the only part to be scored, resulted in two major orthogonal factors labeled role engagement and competition factors. Sex and role differences for each factor were analyzed using 2×5 split block analysis of variance design with repeated measures. On three out of the five single and combined roles women perceived more engagement than men. In general males perceived roles as more competitive. These sex differences and patterns identified in within-sex analyses across roles are discussed.Parts of this paper were presented at the American Psychological Association Convention, Washington, D.C., September 1976. Research was supported in part by the Dean's Development Fund, New York University, School of Education, Health, Nursing, and Arts Professions. Both authors are senior authors. The order of names is randomly determined. The authors wish to thank Philip Merrifield and Barbara Hummel-Rossi for their statistical assistance in data analysis.     

An information processing system for the psychiatric emergency room

An information processing system for a psychiatric emergency room is described. Several studies are presented that show the utility of the system. In the first study, variables involved in diagnosis are explicated. The second study attempts to determine the characteristics that distinguish recidivists from nonrecidivists at an emergency room. The third study attempts to find patient variables related to success in short-term treatment programs. The final study is aimed at discovering whether there are psychopathological effects related to the use of inhalants. Together, these studies show the potential of a mental health information system for learning more about the nature of mental disorders and their treatment.     

Attitudes and duration of unemployment among sixteen-year-old school-leavers

Research is reported which looks at the possibility of using attitude measures to identify, before they leave school, those low-attaining pupils at risk of longer periods of unemployment, and therefore in particular need of support, information and skills. Two independent assessments of attitudes were used: ratings by class teachers, and attitude scales. Findings were largely negative: we cannot predict, through the use of attitude measures alone, which pupils will take longest to find jobs. A variety of other factors influencing duration of unemployment are discussed, together with some implications for careers teaching in schools.     

Component analysis of the type A coronary-prone behavior pattern in male and female college students

Two studies investigated the psychological dimensions encompassed by the Rosenman Structured Interview (SI) method of assessing the Type A behavior pattern. In Study 1, female students completed the SI and Jenkins Activity Survey (JAS). Factor analysis of the verbal stylistic and answer content components of the SI yielded a 5-factor solution, with one factor--Clinical Rating--accounting for most nonerror variance in Type A ratings. The remaining factors were derived from answer content and correlated more substantially with JAS Type A ratings than with SI Type A ratings. In Study 2, male and female college students completed the SI and JAS and a battery of questionnaires that tap trait dimensions implied by the conceptual definition of Type A. For both males and females, SI ratings of Type A could almost be completely predicted by scores on the Clinical Rating factor. For both sexes, content dimensions of the SI related to other measures of Type A and to Type A-consistent traits, whereas the Clinical Rating factor was only modestly associated with such traits. Moreover, sex differences were observed in the trait constellations composing SI and JAS definitions of Type A. These results suggest that a discrepancy exists between conceptual and operational definitions of the Type A pattern.     

A case report of pathological rule-governed syllable intrusion

A detailed analysis of a unique speech disturbance, marked by the frequent appearance in the speech stream of a meaningless intrusive syllable, is presented. Following a lengthy thoracic surgery, an American English speaking patient began to speak with non-English prosodic patterns, which evolved to a conspicuous intrusion in his speech of the syllable /sis/. This syllable and its variants were attached to words in a manner which conformed to the regular phonological rules in English (for formation of plural, possessive, and third person singular morphemes). The distribution and frequency of the intrusive syllable are described, and possible explanations for the abnormal occurrence of this particular syllable are discussed.     

Programmed stuttering therapy for children: Comparison of four establishment programs

Four different establishment programs (programmed traditional, delayed auditory feedback, pause, and gradual increase in length and complexity of utterance) for improving the fluency of school-age children who stutter were compared. The programs were carried out by eight public school clinicians with 16 children (eight elementary and eight junior-senior high school) in their respective schools. All four programs produced important improvement in the speech fluency of the 16 children. All the children demonstrated transfer of fluency to extratraining settings. The delayed auditory feedback program required the least therapy hours, but it was difficult for the clinicians to operate correctly. The gradual increase in length and complexity of utterance programs produced the best overall results. The transfer and maintenance programs provided for additional generalization and permanency of fluency. Follow-up revealed that the children continued their increased level of fluency.