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.     

The order of continuous,partial and nonreward trials and resistance to extinction

In the first experiment rats were given either 16 or 48 nonrewarded or continuously rewarded trials prior to 24 continuously or partially rewarded trials, followed by extinction. Increased resistance to extinction was found for increasing numbers of nonrewarded trials when they were followed by partial reward, but not when followed by continuous reward. Similarly, more continuously rewarded trials followed by partial reward tended to increase resistance to extinction. Because of the theoretical importance of the effect of continuous reward followed by partial, a second experiment was performed where the range of the number of continuously rewarded trials was extended to 0, 48, and 96. Contrary to many theoretical predictions, resistance to extinction increased as a function of increasing amounts of continuous reward.     

Arbitrariness of frustration: Inhibition or instigation effects on aggression

The purpose of the present research was to assess the relative influence of instigation or inhibition in mediating retaliation after arbitrary or non-arbitrary frustration. Sixty-four men were asked to learn a concept that was being taught by a peer. Although all men were frustrated, half were deliberately frustrated while the other half were not deliberately frustrated by the teacher. Following the task, the learner was given the opportunity to prevent the teacher from gaining employment under conditions where his evaluation was either anonymous or to be made public. The results of a 2 × 2 analysis of variance yielded several significant effects. The data revealed that subjects rejected the teacher more when the frustration was arbitrary than when it was non-arbitrary. Moreover, when the evaluation was anonymous, subjects rejected the teacher more than when the evaluation was to be made public. Furthermore, the difference in the amount of rejection expressed between arbitrary and non-arbitrary conditions was greater when the evaluation was anonymous than when it was public. These results were interpreted as demonstrating the greater contribution of instigatory rather than inhibitory factors in expressing aggression following deliberate or non-deliberate frustration.     

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.     

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.