Arguing ‘for’ the Patient: Informed Consent and Strategic Maneuvering in Doctor–Patient Interaction

As a way to advance integration between traditional readings of the medical encounter and argumentation theory, this article conceptualizes the doctor–patient interaction as a form of info-suasive dialogue. Firstly, the article explores the relevance of argumentation in the medical encounter in connection with the process of informed consent. Secondly, it discloses the risks inherent to a lack of reconciliation of the dialectical and rhetorical components in the delivery of the doctor’s advice, as especially resulting from the less than ideal conditions of the internal states of the doctor and the patient, and the lack of symmetry in their status.     

Holding One’s Own

There is a tension with regard to regulative norms of inquiry. One’s commitments must survive critical scrutiny, and if they do not survive, they should be revised. Alternately, for views to be adequately articulated and defended, their proponents must maintain a strong commitment to the views in question. A solution is proposed with the notion of holding one’s own as the virtue of being reason-responsive with the prospects of improving the view in question.

森田疗法与认知行为疗法的比较分析

规律是客观的,而规则具有主观性,虽然两者本质上不同,但他们又是相关的。从口腔临床医学规则的制定过程来看,我们不难得出结论:口腔临床医学规则的制定要遵循临床医学的一般规律,突出口腔临床医学的特点,并受到我国经济、文化、政治等因素的影响,且随着这些因素的改变而改变,以适应新的环境条件。     

材料规则难度对内隐与外显协同学习的影响

选取两种规则难度的人工语法字母串.采用强分离的实验程序,探索了材料规则难度对内隐学习、内隐与外显的协同学习的影响.结果显示: (1)规则难度较大的限定状态人工语法学习中,内隐学习成绩显著好于外显学习;而在难度较小的双条件语法学习中,外显学习显著好于内隐学习. (2)在两种规则难度的材料学习中,内隐与外显的协同学习成绩均好于单独的内隐或者外显学习,具有优势效应. (3)内隐学习获得的规则知识具有可迁移性.     

Loyalty and Creativity in a Disciplinary Organization

The relationship between loyalty to rules and the creativity that attempts to improve those same rules was examined among Norwegian army officers deployed in international operations. Today's army officers are faced with rapidly changing work conditions and unpredictable enemies, both of which challenge and outdate rules and routines. They thus may experience that they are either guided by too few or inadequate rules, or by many rules that need to be constantly updated. Assuming that following rules is advantageous to officers, then, contrary to classical theory, it was hypothesized that officers scoring both low and high on loyalty to rules would score high on creativity. Hierarchical regression analyses revealed a significant U‐shaped relationship between loyalty to rules and creativity.     

Some Closure Properties of Finite Definitions

There is no known syntactic characterization of the class of finite definitions in terms of a set of basic definitions and a set of basic operators under which the class is closed. Furthermore, it is known that the basic propositional operators do not preserve finiteness. In this paper I survey these problems and explore operators that do preserve finiteness. I also show that every definition that uses only unary predicate symbols and equality is bound to be finite.     

Are There Any Rules?

The ``model of rules' that Ronald Dworkin attacks is an absurdmodel of law, if rules are taken to be standards that have nounspecified counterinstances, and whose application isalways uncontroversial. Dworkin gives good reason to thinkthat there are no such standards or virtually none in (e.g.)English law. But the model of rules is not misconceived, asDworkin claims. Rather, it needs a better understanding of the idea of a rule. I argue that the view that the law of a community is a system of rules needs to meet an importantchallenge that Dworkin has raised for jurisprudence: to accountfor the fact that legal rights and duties are frequentlycontroversial. I give an account of social rules thatexplains why controversy over their application in particularcases is common, and can be deep. So controversy gives noreason to reject the model of rules.     

A cautionary note on using internal cross validation to select the number of clusters

A highly popular method for examining the stability of a data clustering is to split the data into two parts, cluster the observations in Part A, assign the objects in Part B to their nearest centroid in Part A, and then independently cluster the Part B objects. One then examines how close the two partitions are (say, by the Rand measure). Another proposal is to split the data into k parts, and see how their centroids cluster. By means of synthetic data analyses, we demonstrate that these approaches fail to identify the appropriate number of clusters, particularly as sample size becomes large and the variables exhibit higher correlations.The authors express their thanks to the Sol C. Snider Entrepreneurial Center, Wharton School, for support of this project.     

Biased judgments of the effects of speed change on travel time,fuel consumption and braking: Individual differences in the use of simplifying rules producing the same biases

The main purpose of this study was to identify different cognitive rules that lead to a particular judgment bias. To fulfill this purpose, a new method Spectral analysis was introduced and applied. Participants judged time saved by driving faster, fuel saved by replacing a car and braking capacity at different speeds. These problems invite the time saving bias (e.g., time saved from speed increases at higher speeds overestimated), the miles per gallon, MPG illusion (misjudgment of fuel saved by replacing a car) and the braking capacity bias (overestimation of braking capacity after speed increase). The average results replicated the biases. Spectral analysis of individual participants and problems showed that a speed difference rule explained about half of the time saving judgments and about three fourth of the MPG judgments. A difference between speeds rule described about one third of the biased braking judgments and a ratio/proportion rule about one fifth of the time saving and MPG judgments. All rules give biased judgments in all three domains. The paper ends with a discussion of hierarchies of cognitive rules, applications of the results, and how to mitigate or avoid the biases and the risks associated with the biases.     

Valuational semantics of rule derivability

If a certain semantic relation (which we call local consequence) is allowed to guide expectations about which rules are derivable from other rules, these expectations will not always be fulfilled, as we illustrate. An alternative semantic criterion (based on a relation we call global consequence), suggested by work of J.W. Garson, turns out to provide a much better — indeed a perfectly accurate — guide to derivability.