Kidney Transplants From Young Children and the Mentally Retarded

Kidney donation by young children and the mentally retarded has been supported by court decisions, arguments based on obligations inherent in family relationships, an array of contextual factors, and the principle of beneficence. These justifications for taking organs from people who cannot protect themselves are problematic and must be weighed against our obligation to protect the vulnerable. A compromise solution is presented that strongly protects young children and the mentally retarded but does not abdicate all responsibility to relieve suffering. Guidelines are proposed that prohibit the retrieval of kidneys from young children and the mentally retarded but permit one exception. They would allow retrieval of a kidney when the consequence to a first order relative with whom the donor has a meaningful and valuable relationship is otherwise imminent death. This would be done in accordance with additional guidelines that minimize harm to the donor. Since most patients with end stage renal disease can be maintained on dialysis the need for a kidney to prevent death should be an uncommon occurrence. This compromise is proposed as a solution to a dilemma that exists because two ethical principles are in conflict and one cannot be honored without violating the other.     

A demonstration of the value of interchangeable observers

The remarkably high agreement between observers using the SRIC, the TSBC, and the CFRS makes the observers interchangeable. This agreement is a product of the intensive and extensive training and monitoring of full-time observers, the use of categories rather than continua, the low degree of interpretation required by the procedures, the use of lay language, the immediate recording after short observational periods, and the familiar and standard setting. Other important features include use of rates, emphasis on time, concern for positive behavior, and close linkages between concepts and categories so that concepts are explicitly specified. Taken together, these characteristics make these systems powerful instruments for the guidance of treatment and the prediction of outcomes. The key to their success seems to be the recording of simple actions and action sequences (the basic phenomena of psychology) as the basic data from which a variety of useful indexes can be readily formed.Preparation of this article was supported by Grant MH-30654 from the National Institute of Mental Health to S. Duncan and D. Fiske.Presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979, as part of a symposium on New assessment systems for residential treatment, management, research, and evaluation.     

Early Childhood Externalising Behaviour Problems: Child, Parenting, and Family-related Predictors Over Time

This study examined the dynamic relationships between child, parenting, and family-related predictor variables and early childhood externalising behaviour problems. A community sample of 395 Australian children was followed longitudinally, and assessed at 4 and 6 years with the Child Behavior Checklist, Teacher Report Form, and standard measures of parenting, temperament, and familial adversity. Variables based on the average scores across the two assessments and the change in scores between assessments were utilised as predictors of parent-reported and teacher-reported externalising behaviour problems at age 6. It was hypothesised that both higher average scores and more detrimental changes in scores, would independently predict externalising problems at age 6. Multivariable analyses found that the presence of parent-reported child externalising problems in six-year-olds were predicted by: (i) the presence of parent-reported child externalising problems at age 4, (ii) higher average “teacher-reported child externalising behaviour,” “inflexible temperament,” “non-persistent temperament,” and “over-reactive parenting,” and (iii) an increased “inflexible temperament” score between age 4 and age 6. The presence of teacher-reported child externalising problems at age 6 was predicted by higher average “parent-reported child externalising behaviour,” and “over-reactive parenting.” The results provide further evidence of the adverse impact of continuing high levels of temperament difficulties and over-reactive parenting on externalising behaviour in early childhood. However, contrary to expectations, the contribution of including the dynamic change scores was limited.     

Strategic navigation of two-dimensional alley mazes: comparing capuchin monkeys and chimpanzees

Planning is an important component of cognition that contributes, for example, to efficient movement through space. In the current study we presented novel two-dimensional alley mazes to four chimpanzees and three capuchin monkeys to identify the nature and efficiency of planning in relation to varying task parameters. All the subjects solved more mazes without error than expected by chance, providing compelling evidence that both species planned their choices in some manner. The probability of making a correct choice on mazes designed to be more demanding and presented later in the testing series was higher than on earlier, simpler mazes (chimpanzees), or unchanged (capuchin monkeys), suggesting microdevelopment of strategic choice. Structural properties of the mazes affected both species' choices. Capuchin monkeys were less likely than chimpanzees to take a correct path that initially led away from the goal but that eventually led to the goal. Chimpanzees were more likely to make an error by passing a correct path than by turning onto a wrong path. Chimpanzees and one capuchin made more errors on choices farther in sequence from the goal. Each species corrected errors before running into the end of an alley in approximately 40% of cases. Together, these findings suggest nascent planning abilities in each species, and the prospect for significant development of strategic planning capabilities on tasks presenting multiple simultaneous or sequential spatial relations. The computerized maze paradigm appears well suited to investigate movement planning and spatial perception in human and nonhuman primates alike.     

从“关系”的思维模式来探索朱熹宇宙本体论

本论文的目的在于运用“关系范畴”说明朱熹的宇宙本体论。近代以后对宋明理学的研究受到西方一些思想的影响 ,而以西方的思维模式来说明理学的范畴 ,最终丧失了理学本来所具有的哲学意义。因此 ,本论文要论证冯友兰先生所主张的“共相”和“殊相”不能说明朱熹理学的本来意义。本论文试图用“阴阳 ,动静关系”范畴来说明朱熹的宇宙本体论 ,说明阴阳两个体一方面保存自己的个体性 ,而另一方面也维持相生的整体性 ,并进一步说明个体必须以整体为依归 ,整体必须以个体为前提。     

Decision support for real-time, dynamic decision-making tasks

By definition, dynamic decision making dictates that multiple and interrelated decisions be made in a continuously changing environment. Such decision making is difficult and often taxes individuals’ cognitive resources. Here I investigated ways in which to support decision making in these environments. I evaluated three forms of decision support: outcome feedback, cognitive feedback, and feedforward that incorporated (to varying degrees) common features of learning theories associated with dynamic tasks. Participants in a laboratory experiment performed a real-time, dynamic decision-making task while receiving one of the different types of decision support. During the first 2 days, individuals received one type of decision support, but on the third day they performed the task without this support. Participants who received feedforward improved their performance considerably and continued to exhibit improved performance even after discontinuation of the decision support on the third day. Neither outcome feedback nor cognitive feedback resulted in improved performance. More research is necessary to conclusively identify the best forms of dynamic decision-making support and their durability when transferred to new tasks.