A measurement model of women's behavioral risk taking.

The current study was designed to gain a better understanding of the nature of the relationship between substance use and sexual risk taking within a community sample of women (N = 1,004). Using confirmatory factor analysis, the authors examined the factor structure of sexual risk behaviors and substance use to determine whether they are best conceptualized as domains underlying a single, higher order, risk-taking propensity. A 2 higher order factor model (sexual risk behavior and substance use) provided the best fit to the data, suggesting that these 2 general risk domains are correlated but independent factors. Sensation seeking had large general direct effects on the 2 risk domains and large indirect effects on the 4 first-order factors and the individual indicators. Negative affect had smaller, yet still significant, effects. Impulsivity and anxiety were unrelated to sexual health risk domains.     

Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.     

The semantic organization and classification of fourteen words by aphasic patients

The purpose of this study was to assess both conceptual knowledge and classification skills in nonfluent and fluent aphasia by focusing on the aphasics' appreciation of class and function relations. The results illustrated that fluent and nonfluent aphasics appreciated both class and function relations. However, further study revealed that even though the fluent aphasic may know the function of an item, he is impaired in his ability to use this information. The nonfluent aphasics also illustrated this tendency not to use their knowledge about function, but to a lesser extent and without the consistency found in the performance of fluent aphasics.     

Representation by counsel: Right or obligation?

Since the Supreme Court's decision in Faretta v. California (1975), courts have generally permitted defendants to represent themselves, as long as they are competent to do so. The problem lies in the definition of competency to waive counsel, which has been vaguely defined by the courts. Little is known about the frequency of, or reasons for, attempts to waive counsel, about the process of forensic evaluation of such competency, and about the success of such attempts. The authors briefly review the case law on competency to waive representation, report on a longitudinal prospective study of these issues in a population of defendants referred to an inpatient forensic facility for evaluation of all types of competency related to their criminal prosecutions, and discuss the significance of the issue for forensic clinicians. A key question for courts, lawyers, and clinicians is whether a competency evaluation can be invoked to overcome a defendant's constitutional rights to self-representation and bail.     

Suggestiveness in photospread line-ups: Similarity induces distinctiveness

The present research examined whether line-ups based on target (‘suspect’) face similarity are biased or suggestive. Four experiments are described in which subjects constructed photographic line-ups by selecting foils similar in appearance to a target. Later, another group of subjects who had not seen the faces before (mock witnesses) were asked to pick out the targets from the line-ups. All four experiments showed that mock witnesses selected the target significantly more often than expected by chance, thereby demonstrating suggestiveness. Three alternative line-up construction methods were also evaluated. In these methods, foil selection was based not only on target similarity but also on similarity with one or more of the other line-up faces. Results showed that alternative line-up targets were not selected significantly more often than chance, suggesting that bias was reduced. An overall analysis showed that the alternative line-ups were significantly less suggestive than target-based line-ups. The results indicate that foil selection procedures that incorporate foil-to-foil similarity produce fairer line-ups than those exclusively based on target similarity.     

Sex role orientations,attributions for achievement,and personal goals of Chinese youth

The role of women in the People's Republic of China has changed dramatically in the last 40 years. This study assesses what impact these changes have had on the attitudes of Chinese youth. The sample consisted of 164 subjects (77 men and 87 women) who completed the Bem Sex Role Inventory, the Objective Fear of Success Measure, a locus of control scale, and a personal goals questionnaire. They also evaluated a painting attributed to artists of different gender and status. The results indicate that the sex role orientations of Chinese students were similar to those of American students. On the Bem inventory, the direction of the sex differences on the sex role scales was the same for U.S. and Chinese students, but the latter had a sex role orientation that, in our culture, is regarded as more “traditional.” Chinese women were significantly more likely to endorse statements expressing fear of success than were Chinese men. On the locus of control measures, Chinese women were more likely than men to attribute their achievement successes to luck and failures to a lack of ability. The women students also attributed affiliation outcomes more to luck than did the men. The most important personal goal cited by both men and women was that of career success. Chinese men placed greater importance than women on achieving wealth, and their expectancy of actually becoming wealthy was higher. Finally, in an evaluation of a painting, Chinese men, but not the women, devalued a painting when it was supposedly the work of a female student artist.     

Just health care (II): Is equality too much?

In a previous essay I criticized Engelhardt's libertarian conception of justice, which grounds the view that society's obligation to assure access to adequate health care for all is a matter of beneficence [1]. Beneficence fails to capture the moral stringency associated with many claims for access to health care. In the present paper I argue that these claims are really matters of justice proper, where justice is conceived along moderate egalitarian lines, such as those suggested by Rawls and Daniels, rather than strong egalitarian lines. Further, given the empirical complexity associated with the distribution of contemporary health care, I argue that what we really need to address the relevant policy issues adequately is a theory of health care justice, as opposed to an all-purpose conception of justice. Daniels has made an important start toward that goal, though there are some large policy areas which I discuss that his account of health care justice does not really speak to. Finally, practical matters of health care justice really need to be addressed in a ‘non-ideal’ mode, a framework in which philosophers have done little.