Does the philosophy of medicine exist?

There has been a great deal of discussion, in this journal and others, about obstacles hindering the evolution of the philosophy of medicine. Such discussions presuppose that there is widespread agreement about what it is that constitutes the philosophy of medicine.Despite the fact that there is, and has been for decades, a great deal of literature, teaching and professional activity carried out explicitly in the name of the philosophy of medicine, this is not enough to establish that consensus exists as to the definition of the field. And even if consensus can be obtained as to what constitutes the philosophy of medicine, this does not mean that it exists as a field.     

The accuracy of maternal self-reports: Agreement between reports on a computer simulation compared with observed behaviour in the supermarket

The validity of maternal self-reports about their parenting behaviour is evaluated with two studies. In both studies, the mothers were observed shopping in the supermarket with their 2-year-old children. One week later they responded to multiple choice questions on a computer that simulated the experience of shopping with their children. The exact agreement between the two types of data was then assessed. The results from the first study involving 28 mothers revealed some agreement, although it was generally low. In an effort to increase the level of agreement, the computer simulation was revised to allow multiple responses and to clarify some of the simulation vigenettes. A replication study resulted in a considerably higher level of agreement for 22 mothers. Implications of this method for researchers and practitioners are discussed.     

Representation of on-line questionnaires in an editable,auditable database

A general way of describing multiple-choice questionnaires for on-line presentation is described. Some of the important features supported include random ordering of and sampling among questions, substitution of specific-question text into boilerplate question and response formats, a limited ability to bypass irrelevant questions, experimenter editing of response arrays, and automatic production of hard-copy versions of the questionnaire for use during computer breakdowns and for archival documentation. All editing operations on both questionnaires and response data create audit trails for future reference.     

The role of physical attractiveness in adjustment.

This article presents a model of how attractiveness influences adjustment and reviews the relevant evidence. The model suggests that attractiveness influences adjustment through a three-stage process. Varying levels of physical attractiveness create differential responses in other people (Stage 1). These differential responses in others as a function of a person's appearance then result in differential treatment of the person (Stage 2), with such differential treatment eventually resulting in differential adjustment (Stage 3). These three stages are considered to occur in a reciprocal manner across the life span. Empirical support is found for each stage from early childhood to adulthood. Attractiveness accounts for 6% to 16% of the variance in measures of subjective adjustment as well as sociometric and behavioral measures of interpersonal adjustment.     

Orientation-contingent color aftereffects mediated by subjective transparent structures

We examined whether the orientation-contingent color aftereffect (the McCollough effect) could be mediated by subjective horizontal and vertical structure induced by the perception of transparency. In our experiments, red vertical bars and green horizontal bars were alternated as an adapting stimulus. After adaptation, subjects (n=6) were asked to adjust the green and red saturation of a test pattern until they obtained a neutral gray. Horizontal and vertical stripes were combined in the test pattern in three different ways: (1) overlapping with a luminance combination that gave rise to a perception of transparent overlays of horizontal and vertical stripes (valid transparency condition), (2) overlapping with luminance combinations that did not induce a perception of transparency (invalid transparency condition) and that appeased more as a patchwork of checks, and (3) presented in adjacent, nonoverlapping areas. Our results showed that the McCollough effect was significantly greater in the valid transparency condition than in the invalid transparency conditions. The effect in the valid transparency condition was nevertheless less strong than was the effect seen with the standard test stimulus made up of nonoverlapping vertical and horizontal stripes, Our results suggest that the McCollough effect can be mediated by the subjective spatial organization (inner representation of vertical and horizontal stripes) that accompanies the perception of transparency in our stimulus.     

Intrusion patterns in rapid serial visual presentation tasks with two response dimensions

A rapid serial visual presentation (RSVP) paradigm using both one and two response dimensions was used to test parallel processing models of stimulus dimensions. Fifty subjects were asked to report the identity and/or color of a target uppercase word inserted in a series of lowercase words. The results produced a predominance of posttarget intrusions for color responses and a predominance of pretarget intrusions for identity responses. The requirement of a response to a second dimension impaired hit rates but did not change the pattern of intrusions. An examination of the distributions of intrusions in each response dimension as a function of the response given to the other dimension showed an unexpectedly high percentage of simultaneous hits, a moderate covariation between both responses, and the same patterns of intrusions when compared with the general distributions. While these results seem to be compatible with parallel models of processing for stimulus dimensions, two modifications to this model are suggested. First, the processing of response dimension(s) needs some attentional resources. Second, provision for a mixed model is indicated, which would include trials where no illusory conjunctions are formed.     

Interpolation in structure from motion

We investigated surface interpolation in displays of structure from motion (SFM). To do so, we introduced a new method for measuring surface perception in dynamic displays—theSFM probe. An SFM probe is a dot that moves rigidly with the dots on a simulated surface, and whose distance from that surface can be adjusted with a joystick or similar control. The displays we studied were random-dot cylinders containing a vertical strip devoid of feature points (thegap). Subjects adjusted an SFM probe, presented in the gap, until the probe dot appeared to be on the surface. Variability in probe-dot placement decreased with increasing texture density on the cylinder and increased with increasing gap width. Subjects showed a consistent bias to place the probe dot outside the cylinder. This bias increased with increasing texture density for the SFM displays. (The opposite bias was found in a static two-dimensional interpolation task with an arc whose curvature matched that of the cylinder: Subjects placed the probe dot inside the arc.) This outside bias is inconsistent with several theoretical approaches to surface interpolation.     

Visually controlled matching of pattern movement

Utrecht Biophysics Research Institute, Rijksuniversiteit Utrecht, Utrecht, The Netherlands Subjects were asked to match the speeds of two moving random-dot patterns seen through circular apertures. The speed of one pattern that moved horizontally toward the right of a computer screen changed continuously. The speed of this pattern represented the target. It was to be matched with the speed of the second pattern, which moved in the opposite direction. The subject controlled the speed of the second pattern by means of an isometric joystick. The distance between the apertures on the screen as well as the subject’s distance from the screen served as experimental parameters. In this way, the effects of both spatialand temporal transients of pattern speed on human tracking performance were studied. To avoid anticipation by the subject, the amplitude and the frequency of the target pattern speed changed pseudorandomly. The accuracy with which the subject performed the matching task was influenced by the mean pattern speed and the parameters of the visual field. Within lower velocity ranges, the subject’s sensitivity to the instantaneous speed differences varied according to Weber’s law. The cross-correlation of the velocity time courses decreased when the mean speed of the target pattern was increased. Two stimulus parameters had a strong influence on the modulation of the correlation value: (1) the angular size of the stimulus on the retina and (2) the retinal eccentricity of the stimulus.