Situation Taxonomy and Behavioral Diagnosis Using Prospective Self-Monitoring Data: Application to Dietary Adherence in Patients with Type 1 Diabetes

The goals of this study were to create a taxonomy of problem situations for diet adherence in persons with insulin-dependent diabetes mellitus (Type 1 diabetes) and a behavioral diagnosis by grouping patients together who have similar adherence problems. In study one, 29 patients with Type 1 diabetes kept food diaries for 4 weeks. Adherence was assessed using eight behavioral measures: (1) compliance with a meal plan, (2) energy intake, (3) protein, (4) carbohydrates, (5) fat, (6) self-reported overeating, (7) self-reported undereating, and (8) ratings of impulsive eating. The occurrence of each behavior was quantified in a wide range of situational contexts including meal, social context, physical location, and mood. Cluster analysis of behaviors, situations, and behaviors-in-situations was used to create a hierarchical classification model consisting of five major categories of adherence problems: (1) compliance with meal plan, (2) undereating, (3) overeating, (4) impulsive eating, and (5) lifestyle differences. Within each category, situations were associated with everyday eating habits and special circumstances such as social events, and meals in restaurants. Grouping patients based on the similarity of their adherence problems resulted in five diagnostic groups: (1) emotional binge eaters, (2) restrained eaters, (3) unrestrained eaters, (4) undereaters, and (5) cyclical diet bingers. In study two, 28 subjects kept diaries during an intervention program designed to enhance dietary adherence. Study two results were similar to study one. Situation taxonomy and behavioral diagnosis are potentially useful ways to understand the intervention needs of those attempting maintaining dietary behavior changes.     

Standard errors for the class of orthomax-rotated factor loadings: Some matrix results

The partial derivative matrices of the class of orthomax-rotated factor loadings with respect to the unrotated maximum likelihood factor loadings are derived. The reported results are useful for obtaining standard errors of the orthomax-rotated factor loadings, with or without row normalization (standardization) of the initial factor loading matrix for rotation. Using a numerical example, we verify our analytic formulas by comparing the obtained standard error estimates with that from some existing methods. Some advantages of the current approach are discussed.Authorship is determined by alphabetical order. The authors contributed equally to the research. Kentaro Hayashi is now at the Department of Mathematics, Bucknell University, Lewisburg, PA 17837 (email: khayashi@Bucknell.edu). Yiu-Fai Yung is now at the SAS Institute, Inc., SAS Campus Drive, Cary, NC 27513 (email: yiyung@wnt.sas.com).Part of the research was completed while Yiu-Fai Yung was a visiting scholar at the Department of Psychology, the Ohio State University. The visit was supported in part by grant N4856118101 from the NIMH and the Mason and Linda Stephenson Travel Award from the Department of Psychology, University of North Carolina at Chapel Hill. The authors are grateful to Michael Browne who suggested some relevant references and provided valuable comments on the research, and to Robert Cudeck who provided the FAS program for the numerical comparison. The expert comments by the reviewers are deeply appreciated.     

Self-Constitution in the Ethics of Plato and Kant

Plato and Kant advance a constitutional model of the soul, in which reason and appetite or passion have different structural and functional roles in the generation of motivation, as opposed to the familiar Combat Model in which they are portrayed as independent sources of motivation struggling for control. In terms of the constitutional model we may explain what makes an action different from an event. What makes an action attributable to a person, and therefore what makes it an action, is that it issues from the person's constitution, and therefore from the person as a whole, rather than from some force working on or in the person. This in turn implies an account of what makes an action good: what makes an action good is that it is deliberated upon and chosen in a way that unifies the person into a constitutional system. Through deliberative action we constitute ourselves as unified agents. Platonic justice and Kant's categorical imperative are shown to be normative standards for action because they are principles of self-constitution.     

In re Edna MF: Case Law Confusion in Surrogate Decision Making

I review the recent case of Edna Folz, a 73 year-old woman who was suffering through the end stages of very advanced Alzheimer's dementia when her case was adjudicated by the Wisconsin Supreme Court. I consider this case as an example of how courts are increasingly misinterpreting the ethical and legal decision-making standards known as substituted judgment and best interests and thereby threatening individuals' treatment decision-making rights as developed by other courts over the past two decades and creating serious roadblocks to health-care providers' ability to render appropriate patient care. The Wisconsin Supreme Court held that Edna's legal guardian could not authorize withdrawal of Edna's treatment, ruling that as a matter of law, if an incompetent person is not in a persistent vegetative state, it is not in his or her best interests for life-sustaining treatment to be withdrawn unless (s)he has executed an advance directive or other statement clearly indicating his or her desires.     

掩蔽刺激的空间参考框架对视觉表象旋转的影响

本实验通过将具有参考框架信息的前置刺激改为掩蔽刺激,进一步探讨参考框架的变化和表象旋转的过程。结果表明：１、因掩蔽刺激而引起的主观参考框架的产生是瞬间完成的,而不是由原先直立的参考框架经过连续旋转后形成的。２、显示了倾斜字母的加工不完全是整体表象的线性旋转过程,而可能是整字一成分的混合加工过程。     

Practice variability in prenatal genetic counseling

This study demonstrated that the content of prenatal genetic counseling sessions varied from counselor to counselor and from center to center. The study was designed to examine which specific issues were included by genetic counselors in prenatal genetic counseling sessions, and to determine which factors led genetic counselors to include or exclude this information from such sessions. Data were collected by randomly surveying 200 full, master degree members of the National Society of Genetic Counselors (NSGC). Respondents provided information by deciding which of 45 specific issues they would include in a standard prenatal genetic counseling session, and which one factor from a bank of 11 factors most accurately described the reason for this decision. The results indicated that the issues included/excluded from sessions varied widely among genetic counselors. The results also indicated that Patient Education/Informed Decision Making (34.5%) played the largest role in decision making overall, with Standard at Center/Departmental Policy (17.6%), Personal Experience/Preference (12.4%), and Applicability (10.9%) serving as the next three most important reasons for including or excluding issues from prenatal genetic counseling sessions.     

A comment on ‘some standard errors in item response theory’

In maximum likelihood estimation the standard error of the location parameter of the three parameter logistic model can be large, due to inaccurate estimation of the lower asymptote. Thissen and Wainer who demonstrated this effect, suggested that the introduction of a prior distribution for the lower asymptote might alleviate the problems. Here it is demonstrated in some detail that the standard error of the location parameter can be made acceptably small in this way.The author thanks Pieter Vijn for his helpful comments.     

SOCIAL VALIDATION: THE EVOLUTION OF STANDARDS OF COMPETENCY FOR TARGET BEHAVIORS

The use of social validation procedures has become widespread in recent years. Although most researchers have used social validation procedures to select target behaviors and to evaluate whether the changes produced by a treatment program should be considered socially useful, little attention has been focused upon using the social validation process to determine the optimal levels for target behaviors. This paper suggests several ways in which social validation procedures can be employed in order to select when and how much to change target behaviors.     

The aggression test as a taxonomic tool: Evaluation in sympatric and allopatric populations of wood-ant species

Ant-workers of Formica lugubris and F. rufa from colonies living sympatrically (from the same area) and allopatrically (from different areas) were tested in pairs using a laboratory aggression test. The aim was to verify whether sharing the same area of origin influences the relationships among heteroeolonials between and within these species which belong to the F. rufa group. The results suggest that a similar degree of agonistic behaviour (ritualised aggression) was shown in sympatric and allopatric conspecific dyads of both species studied. The interactions between F. lugubris and F. rufa were characterised by a low level of overt aggression both in sympatric and allopatric pairs, confirming the interspecific tolerance observed in our previous studies on these wood-ant species. This reduced aggressiveness between workers of F. lugubris and F. rufa coming from the same or a different area can be interpreted on the basis of their sharing common signals, such as odours and patterns of behaviour. Therefore, their mutual tolerance and acceptance can be indicative of a phylogenetic closeness between such species. We propose that an aggression test can be a valid tool for elucidating systematic problems in this taxonomically difficult group of ants. © 1993 Wiley-Liss, Inc.     

Marital satisfaction in covenant versus standard marriages: Is there a difference?

After the rapid increase of the American divorce rate in the late 20th century, one of the most conspicuous efforts of the marriage movement in the 1990s that was used to increase marital stability was the legislation of the covenant marriage license, a more restricted marriage license issued in three different states of the U.S. To investigate the marital life of newlywed covenant versus standard couples, a large-scale 5-year couple study was conducted between 1998 and 2003 in Louisiana. The present study uses this large-sample, multiple-wave, multiple-group dyadic dataset to examine differences in co-development and divorce rates in 297 covenant and 380 standard mixed-sex couples using a multiple group growth curve modeling and survival analysis. We examined differences in marital trajectories between covenant and standard couples as well as between husbands and wives in each marital group. The results show (1) that the couples in both groups experienced, on average, declines in marital satisfaction, and such a decline was slower in covenant husbands than their wives as well as those in standard marriages, and (2) that co-development in marital satisfaction was more prominent in standard marriages than in covenant marriages, meaning standard couple's marital satisfaction declined at a more similar rate than that of covenant couples. We provide possible explanations and discuss practical implications.