Withdrawal Aversion and the Equivalence Test

If a doctor is trying to decide whether or not to provide a medical treatment, does it matter ethically whether that treatment has already been started? Health professionals sometimes find it harder to stop a treatment (withdraw) than to refrain from starting the treatment (withhold). But does that feeling correspond to an ethical difference? In this article, we defend equivalence—the view that withholding and withdrawal of treatment are ethically equivalent when all other factors are equal. We argue that preference for withholding over withdrawal could represent a form of cognitive bias—withdrawal aversion. Nevertheless, we consider whether there could be circumstances in which there is a moral difference. We identify four examples of conditional nonequivalence. Finally, we reflect on the moral significance of diverging intuitions and the implications for policy. We propose a set of practical strategies for helping to reduce bias in end-of-life decision making, including the equivalence test.     

Sequential development of helping behavior: A cognitive-learning approach

It is suggested that cognitive, social-perspective, and moral skills, on the one hand, and a self-regulatory skill on the other, determine the extent, quantity, and quality of helping acts. A framework for the analysis of helping behavior development by integrating cognitive-development- and social-learning approaches is suggested. The framework proposes that altruistic behavior is a specific, highest-level kind of helping behavior. Helping behavior develops sequentially as its quality changes. The quality of the helping behavior is reflected in individuals' motivation to act. Empirical evidence supporting the suggested framework is presented, and the contribution of this framework for the study of prosocial behavior is discussed.     

The effects of distance between interactants and subject anxiety on conjugate lateral eye movements

Ehrlichman and Weinberger (1978, Psychological Bulletin 85, 1080-1101) have suggested that the distance between participants during face-to-face interviewing may be a significant determinant of directional patterns of conjugate lateral eye movements (CLEMS). As predicted, at the longer, social distance CLEMS were dependent on the verbal or spatial nature of questions; when interactants were at a closer, personal distance CLEMS became more consistent in direction, regardless of problem type. Distance manipulation also differentially altered CLEM patterns for the two sexes.     

Plenary address – A year of living ‘dangerously’: Reflections on risk,trust, trauma and change

This paper examines the role of emotions in the construction and performance of mis/trustful relations; with medical professionals, their technologies, and ultimately, with oneself. Using personal experience of two common conditions as illustrative examples, it questions what it means and feels like to trust, and how, where and by whom such feelings can be enhanced or undermined. It explores some of the ways in which discourses of risk are mobilized and embodied to create a crisis of trust, asking; what kind of selves and emotionalities surface, and what are the health outcomes, when bodies are viewed as ‘at risk’? Visualizing technologies that probe the interior for data play an increasingly prominent role in healthcare, and are typically considered more trustworthy sources of knowledge about the body than anything that might be produced by the tech-free sensing self. However, not all (even ‘physical’) trauma can be seen or quantified, and not all information is equal. The paper reflects on the emotional dissonance that ensues when one's own perceptions and representations are at odds with those of medical experts for whom one is supposed to perform trust. It examines the feeling rules that are broken when we fail to appreciate our treatment at their hands, and asks: What happens when we resist expert author-ity by telling different stories about our embodied selves, ones that make space for emotions in contexts where they are rarely seen to count, and where only what can be measured matters?     

A reexamination of mental arithmetic models and data: A reply to Ashcraft

In a review of the chronometric literature, M. Ashcraft (1982, Developmental Review, 2, 213–236) concludes that adults store each basic arithmetic fact in a table-like retrieval network. In my commentary (1983, Developmental Review, 3, 225–230), I argued that procedural knowledge (stored rules, principles, or heuristics) might be a cognitively more economical basis for generating many number combinations. In this paper, I draw an analogy between this alternative model of number fact representation and how computers efficiently reconstruct arithmetic combinations, note that the research findings do not clearly support any one model of mental arithmetic, and attempt to address Ashcraft's (1983, Developmental Review, 3, 231–235) criticisms of my model.     

Reclaiming “Natural Partnership and Communication”

The massive scale of forced displacement across the globe discloses the fractured state of the modern international order. Francisco de Vitoria’s theological approach to the law of nations, in the context of the Spanish conquest of the Americas, had a significant influence on this order’s development. This paper argues that recovering his innovative insights today can help refurbish a collective sense of international responsibility for refugees. Vitoria’s bold assertion of indigenous Americans’ dominion affirmed all human beings as members of a world commonwealth with equal claims to basic rights. The “right to travel” he articulated, by its orientation to “natural partnership and communication,” can promote refugee rights and global fraternity.     

A longitudinal study on the relationship between adolescents’ medical drama viewing and speeding

The present study aimed to examine whether watching medical drama had a long-term protective effect on speeding behavior. Specifically, this research examined the extent to which medical drama viewing in adolescence predicts risk perceptions, crash fear, speeding attitudes and self-reported speeding behavior in early adulthood. Using a longitudinal research method, 487 adolescents (M_age = 17.7 at baseline) who responded to an earlier survey were re-interviewed five years later. Structural equation modeling indicated that more medical drama viewing at baseline was associated with increased risk perception and higher driving-related fear five years later. The fear of being involved in a traffic crash appeared to be associated with less favorable attitudes toward speeding. Furthermore, in line with the expectations, these speeding attitudes were a significant predictor of self-reported speeding behavior. These results help to provide a better understanding of the relationship between media use and subsequent risk-taking, and have implications for prevention efforts.