The Porosity of Autonomy: Social and Biological Constitution of the Patient in Biomedicine

The nature and role of the patient in biomedicine comprise issues central to bioethical inquiry. Given its developmental history grounded firmly in a backlash against 20th-century cases of egregious human subjects abuse, contemporary medical bioethics has come to rely on a fundamental assumption: the unit of care (and the unit of value) is the autonomous self-directing patient. In this article we examine first the structure of the feminist social critique of autonomy. Then we show that a parallel argument can be made against relational autonomy as well, demonstrating how this second concept of autonomy fails to take sufficiently into account an array of biological determinants, particularly those from microbial biology. Finally, in light of this biological critique, we question whether or to what extent any relevant and meaningful view of autonomy can be recovered in the contemporary landscape of bioethics.     

相对剥夺感:概念、测量、影响因素及作用

相对剥夺感(relative deprivation,RD)是指个体或群体通过与参照群体比较而感知到自身处于不利地位,进而体验到愤怒和不满等负性情绪的一种主观认知和情绪体验。目前,相对剥夺感的测量模型主要有个体–群体RD与认知–情感RD的二维垂直结构模型、认知–情感RD的双维结构模型、个体–群体RD的双维结构模型以及RD的三维结构模型。影响相对剥夺感的相关因素主要包括人口统计学变量、个体特征变量和社会环境变量。影响效应方面,相对剥夺感与心理健康、个体行为等个体水平变量以及群际态度、集群行为等群体水平变量的关系是当前关注的焦点。今后研究的重点应包括完善相对剥夺感的概念与结构、注重青少年及特殊群体研究、丰富研究内容和视角、强化纵向干预研究以及本土化和跨文化研究等。     

Dispositional happiness and affective forecasting: General or specific effect?

Recent findings suggest that dispositional traits can influence personal affective forecasting. In this study, we investigated the relationship between dispositional happiness and affective prediction about academic performance among undergraduate students. Participants were asked to predict their emotional reactions on a 7-point Likert scale in regard to an important exam’s result two months prior obtaining their results. All the participants were contacted by SMS (Short Text Message) 8 h after the results were available and were requested to rate their actual emotional feelings on the same scale. According to their scores on the subjective happiness scale, participants were assigned into ‘happy’ and ‘unhappy’ groups. Results show no emotional prediction differences between the two groups for extreme results (i.e. good and bad results). In contrast, happy participants predicted less negative emotional feelings than unhappy ones for moderate results. No differences appear for the emotional feelings assessed the day they received their exam’s scores. These findings support the idea that dispositional happiness is related to emotional prediction and, more particularly, indicate that happiness induces more positive feelings concerning moderate future events, but not for extreme ones. This study suggests that happiness induces a positive view about emotional coping for future intermediate accomplishments only and not a positive view of the future in general.     

Interpolating physical exercise between instigation to aggress and aggression: The role of irritability and emotional susceptibility

Two studies were conducted using the Buss aggression machine paradigm to investigate the mediational role of physical exercise with respect to subsequent aggression in relation to the presence or absence of previous instigation. The irritability level of subjects was taken into account in the first study, and the subject' emotional susceptibility level in the second study. In both studies sex differences were also considered so that each study resulted in a 2 × 2 × 2 × 2 design with ten subjects in each cell. As far as irritability is concerned, experimental subjects (pedaling on a bicycle ergonometer) delivered higher shocks than controls (who just waited out the 10 min the experimental subjects were pedaling), independent of irritability level or of the presence or absence of previous instigation. When emotional susceptibility was taken into consideration, physical exercise associated with high level of emotional susceptibility and previous instigation resulted in increased intensity of the shocks subsequently delivered. These findings are discussed in terms of the importance of stable personality characteristics that may differentially mediate aggression.     

Using hippocampal‐dependent eyeblink conditioning to predict individual differences in spatial reorientation strategies in 3‐ to 6‐year‐olds

The hippocampus is a subcortical structure in the medial temporal lobe involved in cognitive functions such as spatial navigation and reorientation, episodic memory, and associative learning. While much is understood about the role of hippocampal function in learning and memory in adults, less is known about the relations between the hippocampus and the development of these cognitive skills in young children due to the limitations of using standard methods (e.g., MRI) to examine brain structure and function in developing populations. This study used hippocampal‐dependent trace eyeblink conditioning (EBC) as a feasible approach to examine individual differences in hippocampal functioning as they relate to spatial reorientation and episodic memory performance in young children. Three‐ to six‐year‐old children (N = 50) completed tasks that measured EBC, spatial reorientation, and episodic memory, as well as non‐hippocampal‐dependent processing speed abilities. Results revealed that when age was held constant, individual differences in EBC performance were significantly related to individual differences in performance on the spatial reorientation test, but not on the episodic memory or processing speed tests. When the relations between hippocampal‐dependent EBC and different reorientation strategies were explored, it was found that individual differences in hippocampal function predicted the use of geometric information for reorienting in space as opposed to a combined strategy that uses both geometric information and salient visual cues. The utilization of eyeblink conditioning to examine hippocampal function in young populations and its implications for understanding the dissociation between spatial reorientation and episodic memory development are discussed.     

Psychological determinants of walking in a Brazilian sample: An application of the Theory of Planned Behavior

Encouraging the use of active travel modes, such as walking or cycling, can contribute to the negative impacts of car overuse, such as sedentarism and obesity, improving individuals' health. Thus, it is important to verify under which circumstances people are willing to use healthier travel modes. A frequently used model to understand walking behavior is Ajzen’s Theory of Planned Behavior, and its extension, the Expanded Theory of Planned Behavior. Although this topic is widely investigated across the world, it is understudied in Brazilian culture. This study reports the psychological determinants of walking behavior in three Brazilian cities, indicating which theoretical model better fits the data: The Theory of Planned Behavior versus Extended Theory of Planned Behavior. Some 3296 residents of Distrito Federal, Florianópolis and Porto Alegre answered a 10-item scale. The face-to-face questionnaires were conducted in the participants’ residence. Most of the respondents were women, with age ranging from 18 to 101 years old. Structural Equation Modeling indicated the Theory of Planned Behavior be more powerful to explain walking behavior than the Expanded Theory of Planned Behavior. Perceived behavioral control and intention were the best predictors of walking. Results indicate that adding variables to the original model not always leads to better goodness of fit indices, suggesting that the components of the Theory of Planned Behavior are satisfactory to explain walking behavior in the Brazilian sample analyzed in this study.     

The construction of emotional experience: State‐related emotional awareness and its application to psychotherapy research and practice

The cognitive–developmental theory of ‘levels of emotional awareness’ (LEA) addresses an individual's capacity to experience and express emotion, a capacity highly relevant to psychotherapy. Previous papers on LEA and psychotherapy addressed the aspect of LEA theory pertaining to the ‘trait’ (i.e. enduring) aspects of an individual's emotional functioning over time. LEA theory also applies to the construction of emotional experience at any given moment, in which levels emerge or disappear in a process of microgenetic construction as a function of arousal and other variables. This state‐related perspective is supported by recent research showing that people vary in their LEA from moment to moment. Momentary changes in LEA correspond to the variations in lived experience that occur in relationships, including the therapy relationship, and provide the context for corrective emotional experiences that promote change. In this paper, the construction of emotional experience at different levels of organisation is discussed separately in relation to clients and therapists. Key phenomena relevant to psychotherapy include the transition from bodily sensations to specific differentiated emotional feelings, the ability to be aware of multiple feelings that may be contradictory or counter‐intuitive, and the appreciation of how complex combinations of feelings may differ in self and other. This perspective adds to the literature on how the integration of emotion and cognition contributes to change in psychotherapy. The clinical and research implications of this perspective are discussed.     

Residential Mobility Fosters Sensitivity to the Disappearance of Happiness

We conducted two studies to examine the hypothesis that residential mobility would evoke anxiety and foster sensitivity to signs of disapproval, such as the disappearance of happiness. American and Japanese participants were asked to watch happy-to-neutral movies and sad-to-neutral movies and judge the point at which they thought that their initial expressions had disappeared. We found that, regardless of cultures, participants who had experienced frequent moving (Study 1) and those asked to imagine and describe a mobile lifestyle of frequent moving (Study 2) judged the disappearance of happy faces faster than those who did not experience or imagine frequent moving. Our results were also in line with the previous finding in which Japanese were more vigilant than Americans in regards to the disappearance of happy faces. Moreover, we found that imagining a mobile lifestyle made participants feel more concerned than when imagining a stable lifestyle. The implications for the social skills needed for people in the globalising world are discussed.     

Development of the Japanese Version of the Generic Conspiracist Beliefs Scale (GCBS-J)

Generic conspiracist belief refers to the general tendency toward conspiracist ideation independent of specific event-based conspiracy theories. The present research aimed to develop a Japanese version of the Generic Conspiracist Beliefs Scale (GCBS-J). In two studies, we examined the factor structure, reliability, and convergent and discriminant validity of the GCBS-J. In Study 1 (N = 600), exploratory factor analysis with a split-half subsample proposed a two-factor solution dissociating extraterrestrial conspiracy from other conspiracist ideations. Subsequent confirmatory factor analysis with the other split-half subsample confirmed the two-factor structure. Study 1 also established convergent validity by indicating strong positive correlations with other measures of conspiracist belief. Study 2 (N = 178) added further evidence to indicate a positive correlation with related psychological constructs, such as paranormal beliefs. Study 2 also confirmed temporal test–retest reliability and the discriminant validity of the GCBS-J by indicating no association with an unrelated construct, namely Big-Five personality traits. These findings suggest that the GCBS-J is a useful tool for assessing generic conspiracist beliefs within Japanese samples.     

Shaping our personal past: Assessing the phenomenology of autobiographical memory and its association with object and spatial imagery

A new instrument has been developed that allows a comprehensive assessment of the relevant dimensions of the phenomenology of autobiographical memories (Assessment of the Phenomenology of Autobiographical Memory, APAM), and their association with visual object and spatial imagery has been examined. An initial version of APAM consisting of 30 items (the first 28 measured on a seven-point Likert-type scale) was developed and administered to a sample of 138 undergraduates. To test whether each item consistently measured the same dimension across different memories, all questions were rated for 12 cues. Results showed that 25 Likert-type items possessed adequate levels of internal consistency and unidimensionality across cues. We also found that higher levels of visual object imagery were associated with more sensory details and recollective qualities of memory, and with stronger experience of sensory and emotional reliving. The theoretical and practical usefulness of APAM as well as the relevance of visual object imagery in the phenomenology of autobiographical memory are discussed.