Ethical dilemmas in pharmacy practice

The purpose of this study was to document the responses of pharmacy students and pharmacists to various ethical dilemmas. The responses of the first professional year students, third professional year students and pharmacists were evaluated and compared. In most instances, responses indicated a high priority for patient/client welfare. Pharmacists and students reportedly act with regard to the dignity of life, individual freedom, and an inner sense of right.     

Implicit and explicit memory without awareness

Summary Three experiments are reported which investigate the conscious status of subjects during an implicit-memory test. In all experiments the subjects either named each visually presented target item or generated each item from an anagram in a first phase of incidental learning. In a second phase, they were either given a visual word-stem completion task as an implicit-memory test or given a recognition task (Experiment 1), or a cued-recall task (Experiments 2 and 3) as explicit-memory tests. Finally, in a third phase the subjects were required to make decisions about the input status (i. e., they had to decide whether the item was present in the first phase) as well as about the output status of information (i. e., they had to decide whether the item had been completed, recognized or recalled in the second phase). A generation effect (i. e., generated items were remembered better than named items) was evident in the recognition and recall data, but only for items whose recognition or recall was accompanied by conscious recollection of their previous occurrence in the study list. Judgments about the input status were more precise, given that items had been consciously recognized or recalled rather than completed. The same pattern of findings was observed for judgments about the output status. The results are interpreted as evidence that subjects in implicit-memory tests are less aware of the fact that some of their productions are relevant to prior experiences. In addition, they are less aware of the fact that they are retrieving information from their memories. However, the same state of nonawareness may be present in explicit-memory tests, as was revealed by the performance of subjects on those items whose recognition or recall was not accompanied by conscious recollection.     

Employee recognition: A procedure to reinforce work attendance

An employee recognition program to improve work attendance was conducted for one year in 1986 as part of a 3-year study using the awarding and posting of attendance certificates as the primary method of employee recognition. Compared to sick leave usage during 1985, those employees in the recognition group decreased their use of sick leave by 28%. In 1987, the year following the end of the recognition program, the average sick leave returned to a level higher than the 1986 level. In addition, the sick leave of a nonintervention control group of employees showed a sequential increase each year from 1985 to 1987, with their use in 1986 being 16% greater than those employees in the employee recognition group.     

Adolescent sexuality in a therapeutic community: staff countertransference issues

Issues connected with sexuality such as heterosexual relationships, homosexuality, sexual identity, and seductiveness, create conflict and countertransference dilemmas for staff who work with psychiatric patients in a therapeutic community. When the therapeutic community is composed of adolescents, these issues are exacerbated since sexual identity and sexual development are major concerns. The staff reacts strongly to the issue of self-determination and violation/infringement on a basic human need. These philosophical differences have their roots in countertransference feelings. Staff sometimes find it difficult to confront adolescents on emotionally charged issues that have a sexual coloring. A system is proposed for articulating and working through these feelings. A unique solution is posited for solving this conflictual attitude (based on object relations theory), whereby the residential treatment center serves as the analog of the home in order to allow adolescents to develop a sense of self before they can move on to the halfway house where heterosexual behavior is allowed (as part of the therapeutic process). This facilitates the meeting of the "self" with the "other." This procedure is explored in light of Sullivan's concept of intimacy.     

Donor and recipient: Social development,social interaction,and evolutionary processes

This review examines recent books on altruism and prosocial behaviour. Psychological approaches, biological approaches, and economic approaches are covered. The list of variables known to influence prosocial behaviour includes situational determinants, motivational orientations, and personality variables. Psychological theories emphasizing norms, cost-benefit calculations, and developmental factors have been used successfully to explain prosocial behaviour. Attention is given to models of helping and social and therapeutic treatment programmes. Genetic variables in prosocial behaviour are also reviewed.     

Two issues concerning tonal hierarchies: comment on Castellano, Bharucha, and Krumhansl

First, because tonal hierarchies exist in the music of long-established traditions, we may assume that they confer certain processing advantages. Such hierarchies capitalize on certain properties of the pitch memory system that do not require a tonal setting for demonstration. Furthermore, they facilitate the generation of hierarchical representations of sequential patterns of pitches, and such representations enable considerable parsimony of encoding. Second, the listener's establishment of a tonal hierarchy involves a process of key attribution. This process draws not only on the identities of the notes presented but also draws on their orderings. Certain sequential grouping factors are involved here that can also be shown to exist outside a tonal setting. We are therefore dealing with an elaborate bootstrapping operation, through which both a key and a sequential representation are arrived at by the listener.     

“And Yet It Moves”: Dream and Reality of the Ecumenical Movement

This article offers an overview of the 11th Assembly of the World Council of Churches, which met in Karlsruhe, Germany, in August–September 2022. It sets out the context in which the assembly took place, the main issues discussed, and perspectives for the future. The article argues that the assembly in Karlsruhe demonstrated that the ecumenical movement still is alive and can offer enormous potential in a world at the brink of a new East–West divide, facing a significant weakening of multilateral structures of cooperation, and even the threat of nuclear war. Moreover, the Karlsruhe assembly demonstrated that on subjects such as the Middle East, peace ethics, and nationalism, and in the deep commitment and spiritual life of its participants, the ecumenical movement is vital and vibrant and represents a countercultural force against rigid nationalisms.