Testing Kohn's self-reliance hypothesis among high school adolescents

Melvin Kohn and his associates have established that self-reliance promotes a sense of well-being (lower levels of fatalism) among adults. The present study attempts to test this proposition among adolescents. Instead of the usual job-related activities, however, it incorporates an alternative measure of self-reliance--high school curriculum assignment. Consistent with previous findings among adults, the results of this study show that self-reliance among adolescents also promotes a sense of well-being: students enrolled in tracks where close supervision is kept to a minimum and the exercise of initiative is emphasized tended to exhibit lower levels of fatalism. The implications of this finding for adolescents are discussed.     

Body-image disturbances and bulimia nervosa: An empirical analysis of recent revisions of the DSM-III

In the recent revision of the DSM-III, the diagnosis of bulimia nervosa includes the criterion of persistent overconcern with body shape and weight, which may be conceptualized as a form of body-image disturbance. The new diagnostic criteria for bulimia nervosa include only those who exhibit a binge-purge eating patern, excluding binge-eaters who, in the older DSM-III, receive a diagnosis of bulimia. This study was conducted to investigate body-image disturbances in bulimia nervosa and simple bulimia (i.e., binge-eating without purging). The experimental design included two control groups, obese and normal subjects, in order to determine whether the binge-eater had body-image disturbances different form those of normal and overweight samples. The study evaluated 596 subjects (417 normals, 109 bulimia nervosa subjects, 50 binge-eaters, and 30 obese subjects) in terms of perception of current body size and selection of ideal body size. Results indicated that the bulimia nervosa group selected a current body size larger than that selected by normals and an ideal body size smaller than that chosen by normals. However, bingeeaters did not differ from the obese control group on either current or ideal body size. These results are discussed in terms of the recent debate regarding the diagnosis of bulimia nervosa and sociocultural influences upon body-image disturbances.     

Germ-line gene therapy and the medical imperative.

Somatic cell gene therapy has yielded promising results. If germ cell gene therapy can be developed, the promise is even greater: hundreds of genetic diseases might be virtually eliminated. But some claim the procedure is morally unacceptable. We thoroughly and sympathetically examine several possible reasons for this claim but find them inadequate. There is no moral reason, then, not to develop and employ germ-line gene therapy. Taking the offensive, we argue next that medicine has a prima facie moral obligation to do so.     

Cochlear implants and the claims of culture? A response to Lane and Grodin

Because I reject the notion that physical characteristics constitute cultural membership, I argue that, even if the claim were persuasive that deafness is a culture rather than a disability, there is no reason to fault hearing parents who choose cochlear implants for their deaf children.     

Better communication between engineers and managers

This article is concerned with ways better communication between engineers and their managers might help prevent engineers being faced with some of the ethical problems that make up the typical course in engineering ethics. Beginning with observations concerning the Challenger disaster, the article moves on to report results of empirical research on the way technical communication breaks down, or doesn’t break down, between engineers and managers. The article concludes with nine recommendations for organizational change to help prevent communications breakdown. The author holds a National Science Foundation grant to integrate ethics into technical courses. Among his recent publications are: To Make the Punishment Fit the Crime (Westview, 1992), AIDS: Crisis in Professional Ethics (Temple, 1994), and Justice in the Shadow of Death (Rowman and Littlefield, 1996).     

Use of a virtual reality car-driving stressor in cardiovascular reactivity research

Eighteen subjects (11 males, 7 females) completed a virtual reality car-driving stressor on two occasions several weeks apart. Immediately before and throughout task performance, blood pressure, cardiac output, and total peripheral resistance were assessed. Reactivity scores were calculated for each parameter for each subject as the arithmetic difference between task level and baseline level. The task elicited considerable hemodynamic activation on each occasion of testing, as well as high levels of self-reported task realism, engagement, excitement, and nervousness. Correlation analyses of both absolute and reactivity scores revealed evidence of test-retest reliability. Males were found to exhibit greater absolute levels of and greater increases in systolic blood pressure. The development of tasks suitable for inclusion in a battery of behavioral stressors, responses to which may help identify those at risk for later disease, is of considerable interest in cardiovascular behavioral medicine. The present findings suggest that the virtual reality car-driving task may be useful in this context.     

Evaluating the effectiveness of workshop interventions on contraceptive use among first-year college students

This study tested the effectiveness of 4 interventions designed to affect contraceptive knowledge, attitudes, and use among first-year Syracuse University students in New York State in the US. Pre- and post-tests obtained data on demographic characteristics, sexual behavior, contraceptive knowledge, sexual opinions, contraceptive attitudes, and contraceptive progress on a 5-step scale. Group 1 (79 students) received contraceptive information (CI) only. Group 2 (76) received CI and a cognitively oriented intervention. Group 3 (73) received CI and an experience-oriented intervention. Group 4 (77) received a combined cognitively and experience-oriented intervention with CI. The control group included 57 people. 78% on the pretest, and 84% on the post-test, had engaged in sexual intercourse for the first time in high school. 200 indicated previous intercourse in the past 3 months. Groups varied significantly in their knowledge, beliefs, and practices. All groups had greater contraceptive knowledge than control groups. Greater behavior beliefs about contraceptive use occurred in Groups 1 and 2. Groups 3 and 4 showed greater increases in positive attitudes toward use. All intervention students showed greater increases in positive attitudes toward a contraceptive process. Greater increases in the intention to use birth control occurred in Groups 3 and 4. Groups 2, 3, and 4 showed greater increases in reported use of birth control. Group 4 intervention was the most effective for males. Females were influenced by all interventions. Findings affirm the importance of including attitudinal components in sexuality and contraception workshops.