Justice and care: The implications of the Kohlberg-Gilligan debate for medical ethics

Carol Gilligan has identified two orientations to moral understanding; the dominant ‘justice orientation’ and the under-valued ‘care orientation’. Based on her discernment of a ‘voice of care’, Gilligan challenges the adequacy of a deontological liberal framework for moral development and moral theory. This paper examines how the orientations of justice and care are played out in medical ethical theory. Specifically, I question whether the medical moral domain is adequately described by the norms of impartiality, universality, and equality that characterize the liberal ideal. My analysis of justice-oriented medical ethics, focuses on the libertarian theory of H.T. Engelhardt and the contractarian theory of R.M. Veatch. I suggest that in the work of E.D. Pellegrino and D.C. Thomasma we find not only a more authentic representation of medical morality but also a project that is compatible with the care orientation's emphasis on human need and responsiveness to particular others.     

Counseling: A conversion experience

In this article, the experience of conversion, which is usually delegated to the realm of spiritual studies, is applied to the counseling experience. It is posited that a person who goes through a successful counseling process will experience a turning around, will cease leading life in a dysfunctional way, and will move forward in a manner by which the person experiences life in a new perspective. This new perspective brings the person wholeness and balance.     

A Test of Bipolar and Androgyny Perspectives of Masculinity and Femininity: The Effect of Participation in an Outward Bound Program

ABSTRACT The purposes of the present investigation are to examine theoretical issues in androgyny theory by testing the effect of participation in the Outward Bound program on measures of masculinity (M) and femininity (F) Bipolar conceptualizations of MF posit that an increase in either M or F must lead to a decrease in the other, whereas androgyny theory posits M and F to be independent constructs Consistent with a priori predictions based on the nature of the Outward Bound program, participation substantially enhanced M and had a small positive effect on F The results were reasonably consistent for male and female participants, for single-sex and mixed-sex groups, and across responses to three different MF measures Results support the androgyny interpretation of MF and demonstrate the effectiveness of the Outward Bound program in changing MF The results contradict the bipolar perspective that an increase in M must be accompanied by a decrease in F     

The Attitudes Toward Women Scale for Adolescents (AWSA): A study of reliability and validity

This study describes the development of the Attitudes Toward Women Scale for Adolescents (AWSA), an instrument based on the short form of the Spence-Helmreich Attitudes Toward Women Scale (AWS). The AWSA has been tested in four samples of adolescents. Internal consistency estimates and test-retest stability indicated high reliability. Hypotheses formulated to test the construct validity of the scale were largely supported. AWSA permits the examination of how boys' and girls' attitudes toward women influence the life paths that adolescent girls begin to pursue.This research was supported by grants to A. Petersen from the Spencer Foundation, the National Institute of Mental health (MH 30252/38142), and the Judith Baskin Offer Fund.     

Specific language impairment in children: A cross-linguistic study

A common profile in English-speaking specifically language-impaired children is a moderate deficit across a broad range of linguistic features and a more marked, selective impairment in using bound morphemes and components of the verb system. To gain a clearer understanding of the nature of these more serious problems, we examined the speech of monolingual Italian-speaking as well as English-speaking children with specific language impairment. The evidence suggested that phonological factors contributed significantly to these children's extraordinary problems with particular linguistic features. Contrary to expectations, other marked deficits seemed more related to the opacity of the rules involved and homonymity with other morphemes than to problems with formal grammatical devices in general or components of the verb system in particular.     

The Rotter locus of control scale: The comparison of alternative response formats and implications for reliability, validity, and dimensionality

Participants completed the Rotter internal/external (IE) instrument using three different response formats before and after completion of the Outward Bound program, and were evaluated by external observers at the end of the intervention. Multitrait-multimethod analyses indicated that five specific IE facets identified in previous research were consistently distinguished with each of the response formats. While responses were substantially more internal after the intervention, effect sizes varied with the IE facet and with the response format. Observer responses were significantly correlated with self-responses, and provided additional support for the construct validity of responses to the Rotter instrument and the interpretation of the intervention effect. Nevertheless, problems with the Rotter instrument were identified, and the implications for further research were discussed.