Professional Autonomy and the Normative Structure of Medical Practice

Professional autonomy is often described as a claim of professionalsthat has to serve primarily their own interests. However, it can also beseen as an element of a professional ideal that can function as astandard for professional, i.e. medical practice. This normativeunderstanding of the medical profession and professional autonomy facesthree threats today. 1) Internal erosion of professional autonomy due toa lack of internal quality control by the medical profession; 2)the increasing upward pressure on health care expenses that calls for ahealth care policy that could imply limitations for the professionalautonomy of physicians; 3) a distorted understanding of theprofession as being based on a formal type of knowledge and relatedtechnology, in which other normative dimensions of medical practice areneglected and which frustrates meaningful communication betweenphysicians and patients. To answer these threats a normative structureanalysis of medical practice is presented, that indicates whichprinciples and norms are constitutive for medical practice. It isconcluded that professional autonomy, normatively understood, should bemaintained to avoid the lure of the technological imperative and toprotect patients against third parties' pressure to undertreatment.However, this professional autonomy can only be maintained if members ofthe profession subject their activities and decisions to a criticalevaluation by other members of the profession and by patients and ifthey continue to critically reflect on the values that regulate today'smedicine.     

Severe Withdrawal (and Recovery)

The problem of how to remove information from an agent's stock of beliefs is of paramount concern in the belief change literature. An inquiring agent may remove beliefs for a variety of reasons: a belief may be called into doubt or the agent may simply wish to entertain other possibilities. In the prominent AGM framework for belief change, upon which the work here is based, one of the three central operations, contraction, addresses this concern (the other two deal with the incorporation of new information). Makinson has generalised this work by introducing the notion of a withdrawal operation. Underlying the account proffered by AGM is the idea of rational belief change. A belief change operation should be guided by certain principles or integrity constraints in order to characterise change by a rational agent. One of the most noted principles within the context of AGM is the Principle of Informational Economy. However, adoption of this principle in its purest form has been rejected by AGM leading to a more relaxed interpretation. In this paper, we argue that this weakening of the Principle of Informational Economy suggests that it is only one of a number of principles which should be taken into account. Furthermore, this weakening points toward a Principle of Indifference. This motivates the introduction of a belief removal operation that we call severe withdrawal. We provide rationality postulates for severe withdrawal and explore its relationship with AGM contraction. Moreover, we furnish possible worlds and epistemic entrenchment semantics for severe withdrawals.     

Mental verb input for promoting children's theory of mind: A training study

An experimental study investigated the effect of the type of mental verb input (i.e., input with think, know, and remember) on preschoolers’ theory of mind development. Preschoolers (n = 72) heard 128 mental verb utterances presented in video format across four sessions over two weeks. The training conditions differed only in the way the mental verbs were presented: the form (statement or question), the referent (first person or other person), and the interaction style (overheard or interactive). Children who overheard the characters discussing the mental states of someone else, either in statement or question form, significantly improved in their false belief understanding. These experimental findings demonstrate mental verb utterances about other people, even when not directed to the child, scaffold children's attention to differing perspectives, thus more efficiently promoting some aspects of their ToM development.     

Belief in a just world and wellbeing in Indian schools

This study investigates the meaning of belief in just world (BJW) for students' subjective justice experiences with their parents and teachers and for students' subjective well-being. The hypotheses tested were that the more strongly students endorse BJW, the less the distress at school and depressive symptoms they experience. Two dimensions of BJW were assessed: personal BJW, reflecting the belief that events in one's own life are generally just, and general BJW, reflecting the belief that the world is basically a just place. The participants were 278 Indian students attending ten 10th grade classes at two private English-medium schools. The results showed that only the personal BJW, not the general BJW, was important in explaining justice experiences and wellbeing. The more the students endorsed the belief in personal just world, the more they felt treated justly by their teachers and their parents alike, and the less distress at school and depressive symptoms they experienced. In addition, teacher justice, but not parent justice, explained distress at school. Finally, the effect of personal BJW on depressive symptoms was partly mediated by both teacher and parent justice. This pattern of results persisted when class effects were controlled. Overall, this pattern of results emphasizes the importance of the individual and subjective experience of justice of the teacher behavior for adolescent wellbeing. Implications for further studies on BJW and wellbeing at school are discussed.     

Toward the Scientific Study of Polytheism: Beyond Forced‐Choice Measures of Religious Belief

This article argues that zero‐sum, forced‐choice approaches to measuring religious belief do not work well outside of the Abrahamic world. Positive‐sum approaches to measuring religious beliefs (in the plural) are better suited to the study of polytheistic societies. Using results from a nationally representative survey conducted in 2011 Taiwan, we demonstrate that in a polytheistic society like Taiwan, religious belief is not zero sum. We also contrast our results with those of the Taiwan Social Change Survey (TSCS), and seek to show that our positive‐sum approach to measuring religious beliefs can help us better understand the disparate causes and consequences of different religious beliefs in polytheistic societies. The challenge of Christocentrism in quantitative studies of religion is also discussed.     

Perceptions of personal sex discrimination: the role of belief in a just world and situational ambiguity

The roles of belief in a just world (BJW) and discrimination against ones' group in perceptions of personal discrimination were examined. Female participants (n = 63) were personally discriminated against in a laboratory setting. We manipulated whether the experimenter appeared to discriminate against other participants, which presumably made the presence of personal discrimination less ambiguous, or did not appear to discriminate against others, which presumably made personal discrimination more ambiguous. In the no group discrimination condition, but not in the group discrimination condition, participants' perceptions of being personally discriminated against depended on individual differences in BJW: Women with a strong BJW perceived less personal discrimination than those with a weak BJW. Also, strong BJW women in the group discrimination condition perceived less personal discrimination than strong BJW women in the no group discrimination condition.     

Belief in a just world, teacher justice, and bullying behavior

The relation between school students' belief in a just world (BJW) and their bullying behavior was investigated in a questionnaire study. The mediating role of teacher justice was also examined. Data were obtained from a total of N = 458 German and Indian high school students. Regression analyses revealed that the more strongly students believed in a personal just world and the more they evaluated their teachers' behavior toward them personally to be just, the less bullying behavior they reported. Moreover, students with a strong BJW tended to evaluate their teachers' behavior toward them personally to be more just, and the experience of teacher justice mediated the relation between BJW and less bullying perpetration. This pattern of results was as expected and consistent across different cultural contexts. It persisted when neuroticism, sex, and country were controlled. The adaptive functions of BJW and implications for future school research are discussed.     

道德判断中心理状态和事件因果关系的作用:兼对道德判断双加工过程理论的检验

考察青少年儿童和成人在道德判断中利用心理状态和事件因果关系信息的差异,并验证道德判断双加工过程理论.以道德判断中“行为坏的”程度和“应担负的道德责任程度”作为判断问题类型,共有10～11岁和13～15岁的青少年儿童及大学生各120名,完成道德判断测试任务.结果表明在不同的道德判断问题类型下,事件中他人愿望和信念、因果关系信息的作用模式是不同的,支持道德判断双加工过程理论.10～11岁儿童和13～15岁青少年在判断行为坏的程度时,利用心理状态信息和因果关系信息与成人类似.在判断应担负的道德责任程度时,10～11岁儿童更注重行为结果,并且不能综合应用心理状态信息和事件的因果关系信息.13～15岁青少年的道德判断中心理状态信息和事件因果关系信息的作用与成人的情况类似,但在进行应担负的道德责任程度判断时,还不能融合信念与因果关系信息进行道德判断.研究结果为道德判断双加工过程理论提供了支持,而且表明从儿童青少年到成人,利用心理状态和因果关系信息进行道德判断存在不断发展和成熟的过程.