The pros and cons of funnel plots as an aid to risk communication and patient decision making

Funnel plots, which simultaneously display a sample statistic and the corresponding sample size for multiple cases, have a range of applications. In medicine, they are used to display treatment outcome rates and caseload volume by institution, which can inform strategic decisions about health care delivery. We investigated lay people's understanding of such plots and explored their suitability as an aid to individual treatment decisions. In two studies, 172 participants answered objective questions about funnel plots representing the surgical outcomes (survival or mortality rates) of institutions varying in caseload, and indicated their preferred institutions. Accuracy for extracting objective information was high, unless question phrasing was inconsistent with the plot's survival/mortality framing, or participants had low numeracy levels. Participants integrated caseload‐volume and outcome‐rate data when forming preferences, but were influenced by reference lines on the plot to make inappropriate discriminations between institutions with similar outcome rates. With careful choice of accompanying language, funnel plots can be readily understood and are therefore a useful tool for communicating risk. However, they are less effective as a decision aid for individual patient's treatment decisions, and we recommend refinements to the standard presentation of the plots if they are to be used for that purpose.     

On the universality of the attribution‐affect model of helping

Although Pilati et al.'s (2014) findings question the strong quantitative universality of the attribution‐affect model of helping, they are consistent with a weak form of quantitative universality, as well as with the qualitative universality of the theory. However, universality is put into question by previous studies revealing significant and sizeable between‐study differences in the strength of the causal paths postulated by the theory. These differences may in part reflect differences in the type of helping situations studied.     

God,Yoga, and Karate

We investigate the location patterns of organizations that embody key religious‐spiritual traditions and that have grown to prominence in the latter 20th and early 21st centuries: evangelical churches, yoga, and martial arts. The distribution of key cultural organizations depends on the degree to which they are able to frame themselves in relation to one another and to core American traditions. Organizations associated with the American religious divide are more polarized in their social appeal and spatial distributions, and those framed as broadly neutral elements of popular culture are more widely distributed. Using a national database of local amenities, we find that theologically conservative churches are popular in many neighborhoods but concentrated in less‐educated and nonwhite areas. Yoga studios are less geographically dispersed and more spatially concentrated in college‐educated and white areas. Compared to these, martial arts schools, sports clubs, and other pop‐culture amenities are more widely distributed across different types of areas.     

Examining Biases and White Privilege: Classroom Teaching Strategies That Promote Cultural Competence

This article will discuss in-depth how a variety of effective classroom teaching strategies have been employed to assist White counseling trainees in developing a non-racist White racial identity (i.e., by examining biases and exploring privilege) thereby increasing cultural competence. Specifically, this article will address the utility of implementing classroom teaching strategies that promote both cognitive understanding and affective processing of biases and White privilege for White trainees. It will outline the efficacy of specific didactic (e.g., lecture, videos, discussions, readings) and experiential (e.g., small group interviews, journaling, autobiographies, modeling) in creating a non-racist White racial identity, thereby promoting cultural competence.     

Processing of Numerical and Proportional Quantifiers

Quantifier expressions like “many” and “at least” are part of a rich repository of words in language representing magnitude information. The role of numerical processing in comprehending quantifiers was studied in a semantic truth value judgment task, asking adults to quickly verify sentences about visual displays using numerical (at least seven, at least thirteen, at most seven, at most thirteen) or proportional (many, few) quantifiers. The visual displays were composed of systematically varied proportions of yellow and blue circles. The results demonstrated that numerical estimation and numerical reference information are fundamental in encoding the meaning of quantifiers in terms of response times and acceptability judgments. However, a difference emerges in the comparison strategies when a fixed external reference numerosity (seven or thirteen) is used for numerical quantifiers, whereas an internal numerical criterion is invoked for proportional quantifiers. Moreover, for both quantifier types, quantifier semantics and its polarity (positive vs. negative) biased the response direction (accept/reject). Overall, our results indicate that quantifier comprehension involves core numerical and lexical semantic properties, demonstrating integrated processing of language and numbers.     

CLIMATE CHANGE AND THE CLASH OF WORLDVIEWS: AN EXPLORATION OF HOW TO MOVE FORWARD IN A POLARIZED DEBATE

The current gridlock around climate change and how to address our global sustainability issues can be understood as resulting from clashes in worldviews. This article summarizes some of the research on worldviews in the contemporary West, showing that these (ideal‐typical) worldviews have different, and frequently complementary, potentials, as well as different pitfalls, with respect to addressing climate change. Simultaneously, the overview shows that, because of their innate reflexivity and their capacity to appreciate and synthesize multiple perspectives, individuals inhabiting integrative worldviews may have particular potentials with respect to addressing climate change. In the conclusion I argue that the policy challenge is to develop strategies that inspire the different worldview groups to actualize their potentials while mitigating their pitfalls, as well as to unite and mobilize them around a single vision that speaks to them all.     

THE HUMAN BEING SHAPING AND TRANSCENDING ITSELF: WRITTEN LANGUAGE,BRAIN, AND CULTURE

Recent theological anthropology emphasizes a dynamic and integral understanding of the human being, which is also related to Karl Rahner's idea of active self‐transcendence and to the imago Dei doctrine. The recent neuroscientific discovery of the “visual word form area” for reading, regarded in light of the concept of cultural neural reuse, will produce fresh implications for the interrelation of brain biology and human culture. The theological and neuroscientific parts are shown in their mutual connections thus articulating the notion that human beings shape and transcend themselves both at the biological and at the cultural level. This will have relevant implications for the timely topic of human uniqueness in science and theology, and in proposing a new research perspective in which theology may consider culture along with its biological import, but not necessarily in strictly evolutionary terms alone.     

Effects of International Student Counselors' Broaching Statements About Cultural and Language Differences on Participants' Perceptions of the Counselors

Undergraduates (N = 135) evaluated 1 of 4 simulated 1st counseling sessions. Two international counselors (Canadian and Korean) alternated between making or not making broaching statements about their language and cultural differences. Significant main effects for counselor nationality and interaction effects between counselor nationality and broaching were found. Participants perceived the Canadian counselor more positively and the Korean counselor less positively in the broaching condition. Participants' cognitive flexibility was a significant covariate of their perceptions. Un grupo de estudiantes universitarios (N = 135) evaluó 1 de 4 sesiones iniciales de consejería simuladas. Dos consejeros internacionales (canadiense y coreano) alternaron entre hacer comentarios o no para abordar las diferencias entre sus idiomas y culturas. Se encontraron efectos principales significativos en relación a la nacionalidad del consejero y una interacción entre la nacionalidad y el abordamiento. Los participantes percibieron al consejero canadiense de forma más positiva y al consejero coreano de forma menos positiva en la situación de abordamiento. La flexibilidad cognitiva de los participantes fue una covariable significativa en su percepción.     

Between acculturation and self-assertion: individualisation in the German-Jewish context of the German Empire and the Weimar Republic and its contribution to the development of modern sociology

Abstract

Using the example of four German-Jewish scholars of the 19^th and 20^th centuries – Moritz Lazarus (1824–1903), Hermann Cohen (1842–1918), Georg Simmel (1858–1918) and Alfred Schütz (1899–1959), who all maintained intense connections to their Jewish backgrounds – this article aims to illustrate that Jewish traditions held favourable conditions for processes of religious and social individualisation. The focus of the analysis is placed on the figure of the stranger, a theme all four authors dealt with in their work. On the one hand they investigated the stranger as a biblical figure with social-ethical implications (Lazarus and Cohen); on the other, they developed a sociological approach by analysing the role of the stranger in the construction of society (Schütz and Simmel). This article strives to illustrate how a particular religious ideal – the commandment of love for one's neighbour and the recognition of the stranger as a fellowman – has been transformed into a sociological concept for the promotion of individuality. Reconstructing this context also means exploring the history of sociology as a scientific discipline in Germany and to look into the attempts of sociologists to understand otherness in the multicultural societies of the 21st century.