Medical education: The training of ethical physicians

This paper suggests that medical education be revised to assist in diffusing potential ethical dilemmas that arise during health care provision. A revised medical education would emphasize the role of the humanities in the training of physicians, especially in light of recent critiques of the canonical scientific model in general, and more specifically in the use of that model for medical training and practice.I wish to thank Dr. Mary Ann Cutter and Melissa M. Amaro for their critical suggestions.     

The myth of science education

It is argued that the manner in which we teach science in the high schools represents an outdated positivistic conception of science. The standard presentation of a year of each of chemistry, biology and physics should be replaced by an integrated science plus history, philosophy, and sociology of science which would take a total of three years to complete. A proper appreciation for the true nature of science is essential to the continued health of the scientific enterprise.     

RELATING THE PHYSICS AND RELIGION OF DAVID BOHM

Abstract. David Bohm's thinking has become widely publicized since the 1982 performance of a form of the Einstein-Podolsky- Rosen (EPR) experiment. Bohm's holomovement theory, in particular, tries to explain the nonlocality that the experiment supports. Moreover, his theories are close to his metaphysical and religious thinking. Fritjof Capra's writings try something similar: supporting a theory (the bootstrap theory) because it is close to his religious beliefs. Both Bohm and Capra appear to use their religious ideas in their physics. Religion, their source for physical hypotheses, provides the motivation to develop and uphold them.     

The effects of polydrug use with and without cocaine on mother-infant interaction at 3 and 6 months

The face-to-face interactions of 43 polydrug-with-cocaine-using mothers and their infants at 3 and 6 months were compared to 17 non-cocaine-but other-drug-using mothers and 21 mothers who used no drugs during their pregnancy. Coders blind to mothers' drug use status scored 3 min of face-to-face interactions for 16 measures of maternal and infant interactive behaviors. A principal component of 7 behaviors formed a measure of maternal attentiveness; a principal component of 5 behaviors formed a measure of mother-infant dyadic organization; and a principal component of 4 behaviors formed a measure of infant readiness to interact. A measure of maternal interruption was computed as the mean standard score of 3 additional interruptive behaviors. At 3 and 6 months, polydrug-with-cocaine-using mothers were less attentive to interactions, and polydrug-with-cocaine-using mothers and their infants engaged in fewer dyadic interactions than either non-cocaine or non-drug-using mothers. Compared to 3 months, polydrug-with-cocaine-using mothers at 6 months were less attentive to interactions and more frequently interrupted interactions by looking away, redirecting the infant, or withdrawing, whereas non-cocaine-using and non-drug- using mothers showed no change or an improvement in attentiveness to interactions and a decrease in interruptions. No differences emerged in the interactive behaviors of the infants of polydrug- with-cocaine-using, non-cocaine-using, or non-drug-using mothers. Cocaine use represents a significant risk for diminished parental attentiveness and responsiveness to infants and for diminished interactiveness in infants.     

Values of Postpartum Women from the Inner City: An Exploratory Study

An exploratory study of the values of inner-city postpartum women was conducted. Subjects were largely single, with many on/or going on public assistance. Each subject was given the Rokeach Value Scale and asked to prioritize the terminal values (goals) in terms of herself and the instrumental values (means) in terms of what she would like to teach her child. Rankings were compared to corresponding rankings compiled by a national sample, considered a more traditional era, and by marital status within the postpartum mother sample itself. Economic values were ranked higher by inner-city mothers than by the national sample. The top terminal value was family security and the top instrumental value was responsible. When compared by marital status, the only significant difference was the higher ranking of mature love given by married women. Results suggests that the values of the inner-city single postpartum mother can be conceptualized as a mosaic incorporating values shared with the mainstream and values adapted to the conditions of poverty.     

卡车驾驶员速度估计研究

用速度知觉测试仪,对251名男性卡车驾驶员在四种实验条件下的速度估计准确性进行了测量。结果发现：安全组卡车驾驶员的速度估计准确性优于事故组卡车驾驶员,两者在低速条件下差异不显著,高速条件下差异显著;事故组卡车驾驶员的高估次数高于安全组卡车驾驶员,低速条件下两者不显著.高速条件下差异显著;事故多发组与安全组卡车驾驶员的速度估计准确性在高速及低速长距离条件下差异显著;速度及距离对速度估计准确性有显著影响,且两者之间存在显著的交互作用;年龄对速度估计准确性无显著影响。     

Rules of Existential Quantification into "Intensional Contexts"

Propositional and notional attitudes are construed as relations (-in-intension) between individuals and constructions (rather than propositrions etc,). The apparatus of transparent intensional logic (Tichy) is applied to derive two rules that make it possible to export existential quantifiers without conceiving attitudes as relations to expressions (sententialism).     

Latinas with Arthritis: Effects of Illness, Role Identity, and Competence on Psychological Well-Being

Tested a theoretical model on the effects of social role identity, illness intrusion, and competence on psychological well-being among 109 low-income Latinas with arthritis. All six roles studied were rated as highly important identities. Sex-role nontraditionalism was associated with less importance of the homemaker, mother, and grandmother roles. Negative affect increased as a function of intrusions into valued identities. Having important role identities contributed to feelings of competence (i.e., self-esteem and self-efficacy), which in turn, contributed to psychological well-being. Competence also mediated the effects of pain, identity, and illness intrusions on psychological well-being. Results suggest competence processes play an important role in well-being.     

医学伦理学概念之探究

医学伦理学的概念看起来很简单,一般情况下人们便习以为常地接受了作为应用规范伦理学的一个分支的科学地位,而忽视了医学对医学伦理学所起的作用。本文认为：医学伦理学的具体内容是医学科技与伦理道德两因素相互作用的产物,对其相互作用的形式和产物的具体分析和总结便可构成这门学科的理论体系。     

Powerful Pedagogy in the Science-and-Religion Classroom

This essay is a discussion of effective teaching in the science-and-religion classroom. I begin by introducing Alfred North Whitehead's three stages of learning—romance, discipline, and generalization—and consider their implications for powerful pedagogy in science and religion. Following Whitehead's three principles, I develop a number of additional heuristics that deal with active, visual, narrative, cooperative, and dialogical learning styles. Finally, I present twelve guidelines for how to use e-mail and class-based listserves to achieve some of these outcomes.