Construction and validation of a physician career development inventory

The development and psychometric characteristics of the Medical Career Development Inventory (MCDI) are described. The MCDI represents the initial construction of a career maturity measure for a homogeneous population of adults who encounter a common set of vocational development tasks. The inventory is intended to measure both degree of vocational development and readiness to cope with the developmental tasks encountered in a physician's career. The MCDI includes 35 items that address coping behaviors germane to dealing with the vocational tasks constituting the career development continuum of physicians. Initial evaluation of the MCDI's psychometric properties with a sample of 160 student-physicians supported the content validity of the items, construct validity of the scales, and criterion validity of the inventory.     

Alcoholics treated by individualized behavior therapy: One year treatment outcome

One-year treatment outcome results are reported for 70 male alcoholics who, while hospitalized at Patton State Hospital, served as subjects in an experiment evaluating ‘Individualized Behavior Therapy (IBT)’ techniques. Initially, subjects had been assigned to a controlled drinking or non-drinking (abstinence) treatment goal, and then were randomly assigned to either an experimental group receiving IBT or a control group receiving conventional state hospital treatment. One year follow-up results demonstrated that IBT treated subjects had functioned significantly better than control subjects. Dependent variable measures included daily drinking disposition, general emotional adjustment, vocational satisfaction, occupational status, driving status and an index of residential status and stability. The results support the view that some ‘alcoholics’ can acquire and maintain controlled drinking behavior over at least a 1-yr follow-up interval. The difficulties of designing and applying sophisticated follow-up procedures and measures are discussed.     

Testing hypotheses about other people: The use of historical knowledge

Three experiments were conducted to examine the use of historical knowledge to test contemporary hypotheses about the personal attributes of other people. In the first and second experiments, participants read an extensive account of events in one week of the life of a woman named Jane. Two days later, they used this previously learned information to test hypotheses about Jane's suitability for one of two jobs: either the rather extraverted job of real estate salesperson, or the rather introverted job of research librarian. In their hypothesis-testing activities, participants first reported all those previously learned facts that they regarded as relevant to assessing Jane's suitability for the job under consideration, and then reported their judgments of her job suitability. Participants reported greater amounts of hypothesis-confirming than hypothesis-disconfirming factual material. Moreover, having tested hypotheses about Jane's suitability for one job, participants judged her to be better suited for that job than for the other job. In the third experiment, participants framed hypotheses for assessing job suitability and defined the task of testing these hypotheses. Participants framed hypotheses in terms of those attributes whose presence would confirm the hypotheses and defined the hypothesis-testing task as one of preferentially collecting hypothesis-confirming evidence. The nature and consequences of confirmatory hypothesis-testing strategies are discussed.     

A new look at selective exposure

The relevance of the personality dimension “repression-sensitization” (D. Byrne in B. A. Maher (Ed.), Progress in experimental personality research, Vol. 1, NY: Academic Press, 1964, pp. 169–219) to selective exposure processes was investigated. Experimental repressors (who typically employ “avoidance” strategies in dealing with threatening stimuli) and experimental sensitizers (who generally “approach” threatening stimuli) were allowed to choose and keep one of two pairs of painting reproductions, each pair containing one positively and one negatively valued painting. After the decision, which experimental subjects believed terminated the experiment, subjects were allowed to inspect the alternatives ad libitum for 75 sec. Eye gaze during this period was unobtrusively videotaped. Compared to their matched controls, who were simply asked to inspect the paintings in order to decide which ones they liked best, experimental repressors inspected paintings that were consonant with their choices and avoided looking at paintings that were dissonant with their decisions. Experimental sensitizers did not manifest such postdecisional selective exposure. The implications of these results for past and future research on dissonance-produced selective exposure were discussed.     

Antecedents of educational/career preferences and choices

The primary purpose of this study was to investigate the influence of social reinforcement, modeling, direct reinforcement, and words and images on the acquisition of career-related preferences. The study also examined the mediating role of career decision-making skills (CDMS) on the factors influencing preference. Finally, the combined influence of career-related preferences and CDMS on certainty about career choices was investigated. A total of 47 college students completed a questionnaire describing antecedent factors influencing their preference for a major or a career and evaluating the degree of influence of each factor. Students' scores on a vocational maturity inventory were the basis for dividing them in high and low groups. Students identified social reinforcement as the most important antecedent for their career preference. Results indicated that CDMS mediate the influence of models and direct reinforcement on career preference. Career-related preference was a better predictor of career certainty among low than high maturity students. Findings support and extend a social learning theory of career development.     

Ethics and Imagination

Cognitive semantics has made important empirical findings about human conceptualization. In this paper some findings concerning moral concepts are analyzed and their implications for medical ethics discussed. The key idea is that morality has to do with metaphors and imagination rather than with well-defined concepts and deduction. It is argued that normative medical ethics to be psychologically realistic should take these findings seriously. This means that an imaginative casuistry is to be preferred compared to principlism and to other forms of casuistry. Furthermore, the metaphorical character of central principles in medical ethics such as autonomy, utility, justice, and integrity is indicated. Such principles are interpreted as rules of thumb summarizing the collective wisdom concerning prototype cases.     

Perspectival representation and fallacies in metaethics

Abstract

The prevailing theoretical framework for theorising about representation construes all representation as involving objective representational contents. This classic framework has tended to drive philosophers either to claim that evaluative judgements are representations and therefore objective, or else to claim that evaluative judgements are not really representations, because they are not objective. However, a more general, already well-explored framework is available, which will allow theorists to treat evaluative judgements as full-fledged representations (thus doing justice to their representational aspects) while leaving open whether they are objective. Such a more general conception of representational content is exemplified, e.g. by Lewis’s ‘centred contents’ and Gibbard’s framework of ‘contents of judgement’, thus it is not new. I shall start in §1 by introducing the more general framework of perspectival contents and then illustrate in §2 how awareness of it can help expose the fallaciousness of certain widely used forms of argumentation in metaethics.