Applying evidence to support ethical decisions: Is the placebo really powerless?

Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and “knowledge framing”. While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing — which is only conceptually different from placebo — is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the effects of knowledge framing and its impact on ethical, medical, economical and legal decisions. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003.     

Are country level prevalences of rule violations associated with knowledge overclaiming among students?

Cultural norms of behaviour influence desirable and problematic behaviours of individuals. In particular, cultural norms should influence individuals' dishonesty. In a recent Nature study, prevalence of rule violations was introduced as a new country‐level measure of behavioural norms. However, information on individuals' actual honesty was not available due to characteristics of the experimental design. Overcoming this limitation, we show that country‐level behavioural norms are related to individual‐level knowledge overclaiming behaviour (i.e., claiming to know concepts that do not exist, a measure of individuals' actual behavioural dishonesty) among 290,954 students from 57 countries (from the 2012 PISA study). Our study represents a crucial test of the argument that cultural norms influence individual's behaviour and of the validity of the measurement of countries' prevalences of rule violations. These results imply that shaping the behaviour of today's students may result in new behavioural norms that emphasise honesty and rule adherence more strongly.     

Morpho-orthographic segmentation without semantics

Masked priming studies have repeatedly provided evidence for a form-based morpho-orthographic segmentation mechanism that blindly decomposes any word with the mere appearance of morphological complexity (e.g., corn + er). This account has been called into question by Baayen et al. Psychological Review, 118, 438–482 (2011), who pointed out that the prime words previously tested in the morpho-orthographic condition vary in the extent to which the suffix conveys regular meaning. In the present study, we investigated whether evidence for morpho-orthographic segmentation can be obtained with a set of tightly controlled prime words that are entirely semantically opaque. Using a visual lexical decision task, we compared priming from truly suffixed primes (hunter-HUNT), completely opaque pseudo-suffixed primes (corner-CORN), and non-suffixed primes (cashew-CASH). The results show comparable magnitudes of priming for the truly suffixed and pseudo-suffixed primes, and no priming from non-suffixed primes, and therefore provide further important evidence in support of morpho-orthographic segmentation processes operating in the absence of any possible role for semantics.     

Group climate in a stress discussion group for medical interns

In order to better characterize group process, the short form of the Group Climate Questionnaire (GCQS) was used to study a stress discussion group for medical interns. This group was found to be significantly different from a normative psychotherapy group sample along three major dimensions: Engaged, Avoiding and Conflict. The group members were cohesive, involved and open, yet respectful of each other's privacy. These results are discussed with respect to the group's goals and leadership.The authors thank George Fein, Ph.D., for statistical assistance.     

Syllable frequency and syllable structure in apraxia of speech

Recent accounts of the pathomechanism underlying apraxia of speech (AOS) were based on the speech production model of Levelt, Roelofs, and Meyer, and Meyer (1999)1999. The apraxic impairment was localized to the phonetic encoding level where the model postulates a mental store of motor programs for high-frequency syllables. Varley and Whiteside (2001a) assumed that in patients with AOS syllabic motor programs are no longer accessible and that these patients are required to use a subsyllabic encoding route. In this study, we tested this hypothesis by exploring the influence of syllable frequency and syllable structure on word repetition in 10 patients with AOS. A significant effect of syllable frequency on error rates was found. Moreover, apraxic errors on consonant clusters were influenced by their position relative to syllable boundaries. These results demonstrate that apraxic patients have access to the syllabary, but that they fail to retrieve the syllabic motor patterns correctly. Our findings are incompatible with a subsyllabic route model of apraxia of speech.     

Is there really a single factor of personality? A multirater approach to the apex of personality

A GFP is controversially debated on regarding the hierarchical structure of personality. Apart from theoretical argumentations, support for the existence of such a factor calls on the intercorrelations repeatedly found between personality domains. The current study used a data set containing one self-rating and two peer-ratings in order to replicate recent methodological approaches in modeling the GFP but also to apply a specific multirater approach able to disentangle method biases and to correct for nested data structure. Results did show the emergence of a GFP when modeled only with peer- or self-ratings, but did not support the idea of a GFP when modeled with multirater nested data. Findings are discussed including an interpretation of the GFP as successful impression management.