Age rationing,the virtues,and wanting more life

The goal of this paper is to show that Callahan's reasons for withholding life extending care cannot be made out exclusively in terms of contemporary notions of distributive justice and fair allocation. I argue that by relying on a notion of justice which links the merit of the individual with the fairness of a social pattern of shares, Callahan imputes vice to the elderly as he denies them eligibility for life-prolonging care. Aristotle's doctrine of the mean is a useful tool for character evaluation. One can speak meaningfully of a proper disposition of a person of a certain type (an elderly person) with respect to the good of continued life. I claim that the mean of one's disposition with respect to the good of continued life would be relative to one's age group, and would be determined by that principle by which an elderly person of practical wisdom would determine it. This leads to very different conclusions than those drawn by Callahan.     

Brief report: A clinical tracking system for helping see the forest through the trees

Adults with developmental disabilities who display behavior disorders repressent some of our field's biggest challenges. Those who provide direct support for such individuals are sometimes frightened and often frustrated by the occurrence of these behaviors parrticularly if neither they nor the agencies for whom they work have been successful in alleviating them. Under such circumstances the agency may secure the services of a consultant. At such times the consultant may find it diffcult to obtain information [from which to generate plausible hypothese and design interventionl plans] that is not unduly influenced by the emotions of the moment. This article describes a stop-gap system that can be used under such circumstsances to gather and analyze valuable longitudinal behavioual ecological data. The basic assumptions and strategies of this system are explained and illustrated through three case studies.     

Mediators in the Relationship Between Parental and Peer Characteristics and Beer Drinking by Early Adolescents1

Social learning theory suggests that parents and peers influence adolescent drinking directly by providing social reinforcement and models for imitation, and indirectly by first influencing various expectations adolescents form about drinking. In this study, longitudinal data were used to investigate several mediators that could account for the relationships between adolescent beer drinking and parent and peer drinking behaviors and attitudes. The results show that peer drinking indirectly influences adolescent drinking by shaping adolescents' norms on drinking, drinking preferences, and expected consequences of drinking related to friends and problem behavior, whereas parental alcohol use and peer attitude toward alcohol largely directly influence adolescent beer drinking. The results suggest that influence is in large part direct or indirect depending on the source of the influence. In addition, different types of mediators may account for different relationships.     

Accuracy and bias in estimates of others' knowledge

Perspective-taking is central to much social interaction, but the processes by which it is accomplished are poorly understood. The current study examines accuracy and bias in one type of perspective-taking: inferences about what others know. Twenty-two New York City landmarks were presented in three conditions: Picture Only, Picture-+ Name and Name Only. Subjects estimated the proportion of short- and long-term New York City residents who could identify each landmark from its picture. They also rated their subjective recognition of the stimuli. Subjects in all three conditions were good at estimating stimulus identifiability, but their estimates were biased in the direction of their own knowledge. Estimates of the difference in identifications by short-and long-term residents were relatively inaccurate, probably because the two groups differed less than anticipated. For most but not all subjects, subjective feelings of recognition were significantly correlated with estimates of identifiability. We conclude that perceptions of the distribution of knowledge are socially shared.     

Predicting emotional concomitants of learned helplessness: The role of motivational orientation

Previous theoretical and empirical analyses indicate that an extrinsic motivational orientation, i.e., performing activities to please others or concern with criticism, predicts the cognitive and behavioral deficits associated with learned helplessness. Conversely, intrinsically motivated students, who perform activities for the inherent pleasure of mastery over challenge, have been shown to be virtually resilient to successive failure experiences and even show a facilitation effect. However, research has not yet addressed the extent to which motivational orientation predicts the emotional deficits associated with helplessness—namely, depression and a maladaptive attributional style. Furthermore, no research has examined the relative predictability of these variables to investigate subjects' feelings after an experimental manipulation of failure. The present research found support for the proposition that an extrinsic motivational orientation predicts depression and the Expanded Attributional Style Questionnaire. More importantly, our findings demonstrated that an extrinsic motivational orientation was a more reliable predictor of subjects' feelings after a failure manipulation than either depression or a maladaptive attributional style. These findings are discussed in light of intervention strategies to attenuate the development of an extrinsic motivational orientation in students.     

Moderating effects of age and context on the relationship between gender,sex role differences,and coping

We examined age, gender, sex role, and context differences in type of coping among adolescents through older adults. They were given measures of coping and sex role orientation for both relationship and achievement contexts. Emotion-focused coping decreased with age, with high-femininity individuals reporting higher levels of coping. Older low-feminine adults reported greater use of emotion-focused coping than all other subjects except adolescents. Problem-focused coping showed an upward trend with age for low-feminine subjects. High-feminine subjects followed a similar trend until adulthood and then showed a decrease. Achievement and relationship contexts moderated the relationship between age, gender, sex role orientation, and problem-focused coping. Results are discussed in terms of sex roles and adult development.     

Disordered eating and sex role characteristics in young women: Implications for sociocultural theories of disturbed eating

The sociocultural model of disordered eating proposed by Boskind-White and White (1986) predicts that women with disordered eating will be high in feminine characteristics, while that of Steiner-Adair (1986) predicts they will ascribe to high levels of masculine traits in their ideal woman and perceive a greater discrepancy between their actual and ideal masculine characteristics. To test these predictions 149 women completed questionnaire assessing sex role characteristics and eating attitudes. Positive correlations were found between measures of disordered eating and the extent to which women believed they possessed negative feminine characteristics. There was a greater discrepancy between self and ideal masculine positive scores in subjects with greater eating disturbances. Aspects of sociocultural models of disordered eating receive support from the data.     

Cognitive appraisal of daily hassles in college students displaying high or low irrational beliefs

It is argued that Lazarus' construct of cognitive appraisal in life stress might usefully be related to Ellis' ABC model. To test the hypothesized role of cognitive appraisal in Lazarus' model of life stress, 240 male and female undergraduate students completed the Hassles Scale and the Irrational Beliefs Test (IBT). Based upon their scores on the IBT, subjects displaying high irrational beliefs differed significantly from subjects displaying low irrational beliefs in reported hassles frequency (higher for high irrational belief subjects) and reported hassles intensity (greater for high irrational belief subjects). Results are interpreted specifically as supportive of the cognitive appraisal construct in Lazarus' life stress model and generally as quite consistent with RET theory. An attempt is made to relate the cognitive appraisal construct to the ABC model in RET theory.Susan Mills Harran is a graduate of the M.S. Psychology program at Villanova University and is currently a Ph.D. candidate in clinical psychology at Hahneman University.Daniel J. Ziegler is Professor of Psychology, former Chair of the Psychology Department, and current Dean of the Graduate School at Villanova University.     

Anticruelty care: commentary

The anticruelty policy is a best-interests test for treatment plans including decisions to forgo life-sustaining therapy for certain incompetent patients. In connection with specific proposed therapy, the policy requires no reference to the patient's unknowable values, subjective experiences, or quality of life. The decision to undertake a treatment plan derives from the caregiver's knowledge of burdens and benefits of that treatment when used in caring for the competent or for those incompetents capable of growth or repair. The caregiver should weigh the potentially cruel effects of treatment against the likelihood of reducing suffering or encumbrance with the treatment. The terms "burden" and "benefit," in fact, are replaced by the terms "cruelty" and "beneficence," as the relevant opposing outcomes that must be weighed. Thus, the anticruelty policy shifts our scrutiny from experiences of the patient that we cannot evaluate to the proposed actions of the competent decision makers and caregivers. Notably, it is a protreatment policy when the goals of medicine are attainable; and it is an anticruelty policy when they are not. The policy does evaluate the world of the patient to the extent that it requires a judgment based upon external appearances about patient pleasure or happiness in living. It presumes to universalize larger societal values about cruelty, beneficence, compassionate concern for the helpless, and certain rights of individuals. And it presumes to universalize on the patient's behalf specific medical values about hopeless injury, timely death, the goals of medicine, and cruelty, which should remain open to societal discussion and revision. The presented definition of hopeless injury does not require brain death, coma, or persistent vegetative state. Specifically, the policy holds that death is timely for a patient with hopeless injury, and that prevention of death for such patients is not a goal of medicine but a cruelty.