How bad can a good enough parent be?

Almost everyone accepts that parents must provide a good enough upbringing in order to retain custodial rights over children, but little has been said about how that level should be set. In this paper, I examine ways of specifying a good enough upbringing. I argue that the two dominant ways of setting this level, the Best Interests and Abuse and Neglect Views, are mistaken. I defend the Dual Comparative View, which holds that an upbringing is good enough when shortfalls from the best alternative upbringing in terms of the child's interests are no more significant than the parents' interest.     

Psychological predictors for health-related quality of life and disability in persons with chronic obstructive pulmonary disease (COPD)

Objective: Individuals with chronic obstructive pulmonary disease (COPD) exhibit low physical and mental health-related quality of life (HRQL) and high susceptibility to disability. We investigated the influence of psychological factors on HRQL and disability in COPD individuals recruited from the general population. In line with Leventhal’s common sense model, we expected psychological factors to be associated with HRQL and disability even after controlling for medical status.

Methods: Individuals with COPD (n = 502; 59.7 years old; GOLD grades were I: 3%, II: 17%, III: 34%, IV: 46%) were assessed through an online survey administered via COPD patient organisations in Germany. Individuals filled in the Short Form Health Survey (SF-12), COPD Assessment Test, Patient Health Questionnaire (modules: GAD-2, PHQ-15, PHQ-9), Brief Illness Perception Questionnaire, a questionnaire that assesses causal illness attributions, and the internal illness-related locus of control scale of the ‘KKG questionnaire for the assessment of control beliefs about illness and health’. Multiple linear regressions were calculated.

Results: The investigated factors explained high variances (disability = 56%, physical HRQL = 28%, mental HRQL = 63%, p ≤ .001). Better mental health, more optimistic illness perceptions, attribution to psychological causes, and stronger internal locus of control were associated with lower disability and better HRQL. Comorbid somatic symptoms contributed to high disability and low quality of life.

Conclusion: Psychological factors, such as illness perception, attribution and internal locus of control, were associated with disability and HRQL. These factors should be considered when designing treatments for individuals with COPD, and adequate interventions should be provided to enhance illness understanding and self-management skills.     

Human dignity – the foundation of political human rights? Empirical research among youth in Germany

This article focuses on political human rights and on the empirically assessed legitimation of these rights. This research considers the rights of refugees, the active and passive right to vote, and the right of protest. Given that the research is empirical research, respondents are requested to express agreement, disagreement or neutrality. The assumption is that contextual factors influence people’s assessment of rights. One contextual factor is, firstly, the concept of human dignity. International human rights covenants regard human dignity as the very foundation of all rights. That said, the concept of human dignity is subject to different understandings and – certainly in the past – the understanding of what constitutes human dignity has varied. Dignity can be related to the appreciation of the person given by others, to the moral behaviour of a person, and it can be understood as inherently related to the individual as a human being. It is this last understanding that forms the basis of modern declarations of human rights. Furthermore, the respondents’ value orientations and religious beliefs, along with society’s socio-political perception, will be examined to ascertain whether these factors have any influence on respondents’ attitudes towards political rights. The key question is: does human dignity influence people’s view of the legitimacy of political rights and do other factors also count? The empirical analysis was undertaken done with German youth (N=2244). Findings show that the concept of inherent human dignity is a strong predictor for respondents’ attitudes towards political rights, but that it is not the unique predictor; relevant concepts are the value orientation of youth and their socio-political orientation. The significance of religious beliefs as a predictor is low.     

WISC-IV GAI and CPI profiles in healthy children and children with learning disabilities

IntroductionIn addition to the FSIQ, the General Ability Index (GAI) and the Cognitive Proficiency Index (CPI) are two ancillary scores that can be calculated for the Wechsler Intelligence Scale. The GAI and the CPI have been proposed to assist in identifying cognitive strengths and weaknesses, and thus to provide different views into individual's cognitive abilities.ObjectiveThe purpose of the present study is to provide the frequency of GAI/CPI score difference by direction, the frequency of FSIQ/GAI score difference, and the frequency of FSIQ/CPI score difference, for the French Wechsler Intelligence Scale for Children and Adolescents–Fourth Edition (WISC-IV).MethodThese frequencies are provided for a sample of healthy children (n = 483), and for a sample of children with learning disabilities (LD, n = 370). The GAI comprises verbal comprehension and perceptual reasoning subtests, while CPI comprises working memory and processing speed subtests.ResultsResults indicated that the healthy sample performed better than the LD sample for all composite scores. The FSIQ was lower than the GAI for both groups and this difference was slightly larger for the LD sample (−1.35 points vs. −3.22 points). The GAI was higher than the CPI for both samples, but this difference was not significantly larger for the LD sample (4.2 points vs. 6.16 points). Finally, while the FSIQ was higher than the CPI for both groups, this difference was not larger for the LD sample (2.85 points vs. 2.95 points).ConclusionThese findings support the use of the GAI and the CPI, in addition to the FSIQ.     

Optimizing preoperative expectations in cardiac surgery patients is moderated by level of disability: the successful development of a brief psychological intervention

Patients’ expectations have shown to be a major psychological predictor of health outcome in cardiac surgery patients. However, it is unclear whether patients’ expectations can be optimized prior to surgery. This study evaluates the development of a brief psychological intervention focusing on the optimization of expectations and its effect on change in patients’ expectations prior to cardiac surgery. Ninety patients scheduled for coronary artery bypass graft were randomly assigned to (1) standard medical care, (2) additional expectation manipulation intervention (EMI), and (3) additional attention control group. Therapists’ fidelity to intervention manuals and patients satisfaction with the intervention were assessed for both active intervention conditions. Patients’ expectations about post-surgical disability, treatment control, personal control, and disease duration were assessed before and after the psychological intervention. Demographical, medical, and psychosocial characteristics and disability were assessed at baseline. Treatment fidelity and patient satisfaction was very high in both intervention conditions. Only patients receiving EMI developed higher personal control expectations and longer (more realistic) expectations of disease duration. The effect of intervention group on patients’ disability expectations and patients’ personal control expectations was moderated by patient’s level of disability. EMI patients with low to moderate disability developed positive expectations whereas patients with high disability did not. This study shows the successful development of a short psychological intervention that was able to modify patients’ expectations, especially in those with low to moderate disability. Given the robust association of expectations and surgery outcome, such an intervention might offer the opportunity to enhance patients’ health following cardiac surgery.     

L’affaire Lambert et ses enjeux constitutionnels

Despite a great number of legal analyses concerning the Vincent Lambert Case, only few of them adopt a constitutional point of view. This lack questions the relevance of Constitutional Law to protect rights and liberties. That is particularly true concerning the matter of the end of life. The right to life and the patient's right to consent (and refuse) to a medical treatment are not specifically enshrined by French constitution, (set aside the simple right to live freely). Therefore, this legal vagueness may lead to various interpretations of the fundamental law, which could promote rights and liberties as a tool protecting one's life, as well as it may recognize a real right to die.     

Human rights and religious education in the contentious context of conflict-troubled societies: perspectives from human rights education

This article explores some of the tensions that are created from the entanglement of religion and human rights and offers a possible response to these tensions in the context of religious education in conflict-troubled societies. It is suggested that a historicised and politicised approach in religious education in conjunction with human rights education perspectives can promote three important aims: taking power relations between peoples, societies and cultures as sources of problematising the meaning(s) and consequences of both religion and human rights; developing a teaching and learning process in and through which the emphasis is not on identification with religious or cultural identity, but rather a process through which new and productive ways of relationality with the ‘other’ are developed; and, encouraging students to interrogate moralistic discourses of religion or human rights that often prevent the enactment of friendship, compassion and shared fate.     

Taxonomy of moderators that govern explicit memory in individuals with intellectual disability: Integrative research review

This integrative research review aims to discover moderators that influence explicit memory performance of individuals with intellectual disability (ID). We reviewed 47 explicit memory studies (since 1990) that were conducted in populations with ID. We suggest a taxonomy of moderators related to the participants, encoding and retrieval stages, where only an interrelation between the three dictates memory performance. We found that individuals with nonspecific ID can achieve the same level of recognition as individuals with typical development (TD) with the same chronological age when all encoding moderators are favorable. Recognition tests facilitate recollection more than free recall in all etiologies. The performance of individuals with ID was poorer than that of individuals with TD in all auditory memory tasks. Spatial location memory varied with task demands, practice, intention, age and intelligence. We conclude with suggestions for further research and educational implications.     

Asynchrony in Attitudes Toward Abortion and Gay Rights: The Challenge to Values Alignment

Political commentators tend to assume that Americans who share a particular religious affiliation think similarly about values issues and that values questions are aligned. Although religious affiliation is a strong predictor of attitudes toward abortion and gay rights, there is differentiation within denominational subgroups with respect to both; for example, while majorities of mainline Protestants and Catholics favor gay marriage, many of their respective co‐religionists do not. Further, aggregate survey data shows asynchrony in within‐group attitudes on abortion and gay rights; for example, whereas Hispanic Catholics are more likely to support gay marriage than legal abortion, black Protestants are more likely to support legal abortion than gay marriage. Abortion and gay equality are discrete issues and give rise to divergent attitudes based on the lived reality of different ethnoreligious groups. These findings challenge the utility of the construct of the “values voter,” and underscore that abortion and gay rights should be recognized as separate public policy domains.