Somatic response to stress, physical symptoms and health service use: The role of current stress

The study examined physical symptoms and health service utilization of subjects high or low on a measure of the tendency to experience stress somatically and high or low on a measure of current stress. High somatic responders reported greater numbers of symptoms than low somatic responders regardless of stress level. However, high somatic responders who were experiencing high levels of current stress reported significantly more symptoms than high somatic responders who were experiencing low levels of stress. These findings indicate that somatic response to stress reflects both a general tendency to focus on physical symptoms, and a specific tendency to focus more on physical symptoms when under stress. Analysis of health service records indicated that high somatic responders had more visits prompted by symptoms than low somatic responders, but did not differ in frequency of health service visits designed to maintain health. The findings further clarify the relationship between somatic response to stress, physical symptoms and health service use.     

The public good that does the public good: A new reading of Mohism

Mohism has long been misrepresented. Mo‐tzu is usually called a utilitarian because he preached a universal love that must benefit. Yet Mencius, who pined the Confucian way of virtue (humaneness and righteousness) against Mo‐tzu's way of benefit, basically borrowed Mo‐tzu's thesis: that the root cause of chaos is this lack of love—except Mencius renamed it the desire for personal benefit. Yet Mo‐tzu only championed ‘benefit’ to head off its opposite, ‘harm’, specifically the harm done by Confucians who with good intent (love) perpetuated rites that did people more harm than good. Mo‐tzu wanted his universal love to be the public good that would actually do the public good (i.e. benefit the collective). And he derived this from Confucius’ teaching of ‘Love (all) men’ and his Golden Rule: Render not what others would not desire. No man desires harm. As a critic of Confucian rites (especially the prolonged funeral), Mo‐tzu worked to replace the blind custom of rites with his rational measure of ‘rightness’: what is right must do good (i.e. benefit the intended recipient). It is not true that Mohists were ‘joyless’ ascetics; they would gladly celebrate a good harvest with wine and folk song—not expensive court music—with the people. Since Mohist discourse is ‘public’ (that is, accountable), it is also only proper that what is ‘right’ should be outer (means‐end efficacy) and not inner as Mencius would insist.     

Book reviews

Enlightenment East and West Leonard Angel, 1994 Albany, State University of New York Press 388 pp.

Visions of Power: Imagining Medieval Japanese Buddhism Bernard Faure, trans, by Phyius Brooks, 1996 Princeton, Princeton University Press 329 pp.

Pāli Buddhism. Curzon Studies in Asian Philosophy Frank J. Hoffman & Deegaixe Mahinda (Eds), 1996 Richmond, Curzon Press xiii + 233 pp., ISBN 0 7007 0359 4, hb £40

Friendship East and West: philosophical perspectives Oliver Leaman (Ed.), 1996 Richmond UK, Curzon Press ix + 288 pp., ISBN 0 7007 0358 6, hb £40

Heidegger's Hidden Sources: East Asian Influences on his work Reinhard May, trans, by GRAHAM PARKES, 1996 London, Routledge xviii+ 121 pp., hb £35.00, pb £11.99

The Social Self in Zen and American Pragmatism Steve Odin, 1996 Albany, SUNY Press xvi + 482 pp., ISBN 0 9714 2492 8, pb $24.95

The Art of living. Aesthetics of the Ordinary in World Spiritual Traditions Crispin Sartwell, 1995 Albany, State University of New York Press xiv+ 163 pp., hb

East‐West Encounters in Philosophy and Religion Ninian Smart & B. Srinivasa Murthy (Eds), 1997 London, Sangam Books xxiii + 411 pp., ISBN 0 8613 2375 0, hb £24.95

Confucianism and Christianity: a comparative study of Jen and Agape Xinzhong Yao, 1996 Brighton, Sussex Academic Press viii+ 164 pp., ISBN 1 8987 2325 7, hb £35 and $55     

Worldly and workaday worries: Contemporary concerns of children and young adolescents

Top-of-the-head worries were elicited from young people, grades 4 to 8, both before and after they completed quantitative risk assessments of specific health and environmental problems. Results revealed that many students carry a substantial worry burden that includes not only personal matters such as grades and social relations, but also concerns about death and about global issues such as homelessness and environmental degradation. The gender and grade differences that emerged were consistent with a developmental extension from self to societal perspectives. Differences in worry profiles from before to after the risk assessment interviews revealed some impact of recent exposure, as illustrated by a pre—post increase from 7% to 30% in students spontaneously expressing AIDS-related concerns. Implications of the breadth and severity of young people's concerns are discussed, as are the ambiguities inherent in standard assessment approaches.This research was supported by grants from the National Institute of Child Health and Human Development (HD27035) and the University of California Universitywide AIDS Research Program (R901040). We very much appreciate the cooperation of Sally Snyder and the Irvine Unified School District, Amy Watson and the Corinne A. Seeds University Elementary School, Trina Panaqua and the Bruin Kids of UCLA, and the Fernald Child Study Center. Special thanks are due to the 4th- through 8th-grade student participants. We are also grateful to Ellen Dellis, Virginia Elderkin-Thompson, Judy Hollingshead, Alison Holman, Judy Koch-Jones, and Kim Witte for their help with the interviews and to Tammy Merlo, Shealen Nash, and Beth Twambley for competent coding assistance. Finally, we thank the anonymous editorial reviewers for constructive comments on the nature of fear and worry.     

Medication effects in the classroom: Three naturalistic indicators

Hyperactive and comparison boys participated in 5-week summer enrichment programs that included classroom activities and structured assessments of peer interaction patterns. During the 3rd and 4th weeks of these programs, a double-blind, methylphenidate-placebo crossover design was implemented within the hyperactive group. Three heterogeneous indicators of everyday behaviors were obtained: number of negative incidents noted by staff, quality of handwriting, and number of times the teacher called the boys' names aloud in the classroom. Medication effects emerged for each of these indicators. When hyperactive boys were taking placebos, they were involved in more negative incidents, their handwriting was poorer, and their names were called more frequently than when the boys were taking methylphenidate. Interrelationships among the measures suggest moderate cross-situational generality of medication responsiveness. Discussion focused on the bandwidth of medication effects and the need to examine the social ramifications of child treatments.This research was supported in part by NIMH grant 29475 and NIDA grant 01070. We gratefully acknowledge the participation of the data coders and the many summer school staff. Special thanks go to Mike Berlin, Barry E. Collins, and Sharon Dotemoto. Methylphenidate and placebo were supplied by Ciba-Geigy, Summit, New Jersey.     

Nonverbal Counting in Humans: The Psychophysics of Number Representation

In a nonverbal counting task derived from the animal literature, adult human subjects repeatedly attempted to produce target numbers of key presses at rates that made vocal or subvocal counting difficult or impossible. In a second task, they estimated the number of flashes in a rapid, randomly timed sequence. Congruent with the animal data, mean estimates in both tasks were proportional to target values, as was the variability in the estimates. Converging evidence makes it unlikely that subjects used verbal counting or time durations to perform these tasks. The results support the hypothesis that adult humans share with nonverbal animals a system for representing number by magnitudes that have scalar variability (a constant coefficient of variation). The mapping of numerical symbols to mental magnitudes provides a formal model of the underlying nonverbal meaning of the symbols (a model of numerical semantics).     

The impact of politeness and relationship on perceived quality of advice about a problem

Advice is a common but potentially problematic way to respond to someone who is distressed. Politeness theory (Brown & Levinson, 1987) suggests advice threatens a hearer's face and predicts that the speaker‐hearer relationship and the use of politeness strategies can mitigate face threat and enhance the effectiveness of advice messages. Students (N=384) read 1 of 16 hypothetical situations that varied in speaker power and closeness of the speaker‐hearer relationship. Students then read 1 of 48 advice messages representing different politeness strategies and rated the message for regard shown for face and for effectiveness. However, neither speaker‐hearer relationship nor politeness strategies was consistently associated with perceived threat to face or perceived advice effectiveness. We suggest revisions to politeness theory and additional factors that may affect judgments of face sensitivity and advice effectiveness.     

Direct Perceptions of Carol Fowler's Theoretical Perspective

ABSTRACT

Carol Fowler has had a tremendous impact on the field of speech perception, in part by having people disagree with her. The disagreements arise, as they often do, from 2 incompatible sources: her positions are often misunderstood and thus “disagreed” with only on the surface, and her positions are rejected because they challenge deeply held, intuitively appealing positions without being shown to be wrong. The misunderstandings center largely on the assertion that perception is “direct.” This is often taken to mean that we have access to the speaker's vocal tract by some means other than the (largely acoustic) speech signal, when, in fact, it asserts that the signal is sufficient to directly specify that production. It is unclear why this misunderstanding persists; although there are still issues to be resolved in this regard, the stance is clear. The challenge to “acoustic” theories of speech perception remains, and thus direct perception is still controversial, as it seems that acoustic theories are held by a majority of researchers. Decades' worth of evidence showing the lack of usefulness of purely acoustic properties and the coherence gained by a production perspective have not changed this situation. Some attempts at combining the 2 perspectives have emerged, but they largely miss the Gibsonian challenge that Fowler has espoused: perception of speech is direct. It looks as though it will take some further decades of research and discussion to fully explore her position.     

Resilient Response to Battering

Spouse abuse remains an important social problem. Recent research has begun to explore resiliency in a variety of areas: Why, despite harsh life circumstances, do some people survive and later thrive after experiencing trauma? What are the processes associated with a successful departure from abuse? The authors worked with a local shelter to identify three groups of women: (a) those currently at the shelter; (b) those who had been away from an abusive relationship for at least one year; and (c) those who were identified by shelter staff as having demonstrated a resilient response to battering, and compared experiences and recommendations between groups and discuss clinical and service implications.