Jewish medical ethics in the care of the cancer patient

The care of the patient with cancer requires the development not only of a medical plan, but an ethical plan as well. This plan should integrate the physician's and the patient's perceptions of medical and ethical propriety. Jewish biomedical ethical principles are based on the teaching of the Old Testament and its various interpretations. In this paper, I discuss how these principles can be used to help guide the physician caring for the patient with cancer. Other ethical systems could be applied in a similar fashion.     

Efficient pain assessment in clinical settings.

The need for efficient and practical assessment techniques of the multidimensional nature of chronic pain remains paramount in clinical settings. Visual analogue scales (VASs) and simple behavioral observation methods have been proposed as efficient, reliable, and valid measures of the subjective (sensory and affective) and overt behavioral aspects of the pain experience. The relationships among VASs and the UAB Pain Behavior Scale were examined among 48 chronic pain patients. Ratings of overt behavior were significantly related to both the VAS sensory and VAS affective ratings. Regression analysis indicated that the VAS scores accounted for significant amount of the variance (27.7%) in UAB scores. Moreover, the affective dimension of self-reported pain tended to be more strongly related to the visible manifestations of pain than were ratings of pain intensity.     

Residential and community treatment services utilized by a sample of youth with severe emotional disturbances

Analyzed case records to determine the costs and service usage patterns for a group of 25 youth randomly selected from the case load of a regional mental health agency. Study participants had extensive histories of publicly supported psychiatric hospitalizations. An average of 36.2 contacts per youth (905 total contacts) with human services providers were documented. Approximately 2 out of every 5 contacts resulted in out-of-home placements. The estimated cost of providing services to the 25 youth exceeded 3 million dollars. The types and costs of treatment services provided to study participants are discussed.     

American Indian Secondary School Students' Preferences for Counselors

Researchers examined the importance of similar ethnicity and the preference for a counselor of the same sex among American Indian secondary school students.     

Parent-tutoring procedures: Experimental analysis and validation of generalization in oral reading across passages,settings, and time

A study that involved parents as reading tutors was carried out at home during the summer with four elementary children, three with learning disabilities. One purpose was to determine the effects of tutoring in the basal reader on reading rates at home. Another purpose was to determine potential generalization effects as a result of parent tutoring on different academic tasks at home and, later at school, on different and similar tasks. A combination multiple-baseline and reversal design tested for replication and generalization effects. Increases in correct rates were noted for the targeted variables across conditions. The results indicated that parents tutoring with school basal texts during the summer produced marked increases in reading rates that generalized at home to different academic tasks and at school to different and similar tasks. This suggests that parents, when using specific tutoring procedures, can increase their children's academic skills.     

Relationship of testosterone to men's family functioning at mid-life: A research note

Sociobiological theory suggests that aggression coupled with altruism is highly adaptive for males in all social systems, including the family, whereas sex-role convergence theory indicates that lower levels of aggression are most adaptive for men, particularly at mid-life. The purpose of this study was to determine the role that testosterone, as a proxy for aggression, plays as an adaptive mechanism in the lives of middle-aged males. The sample used in this study consisted of 37 middle-aged (39–50 years of age) males employed in professional occupations in a midwestern metropolitan area. Testosterone levels were regressed on factors typically found to be related to male satisfaction with family life at mid-life: marital satisfaction, parent-adolescent communication, amount of emotional expressiveness, and androgynous characteristics; recent positive and negative stressors and trait anxiety were statistically controlled. Results of step-wise multiple regression analysis indicated that low levels of testosterone were significantly (R = .34, P < .01) related to enhanced marital and parental relationships and androgynous behaviors; however, emotional expressiveness was significantly related to high levels of testosterone.     

Challenging occupational stereotypes: Women's training roadshows and guidance at school level

The views that women and girls hold about themselves contribute to the segregation of women in the labour market. Women's Training Roadshows are an example of initiatives aimed at 'cultural interruption', in that they attempt to challenge occupational stereotypes. This paper evaluates the Cardiff Women's Roadshow from the schoolgirls' perspective and discusses the implications of the findings for careers guidance at school level.     

A longitudinal comparison of couples with sex-typical and non-sex-typical orientations to intimacy

The present study was designed to investigate the relationship experience of males and females who do not conform to sex-typical orientations to intimacy. One hundred sixty-three couples' and 88 nondating singles' (total N=414) responses to the Relationship World Index—Version 2 (RWI-2) were analyzed via discriminant analysis to determine if subjects' sex could be predicted accurately upon the basis of their RWI-2 scores. One discriminant function was found which was significant by the Wilks' lambda test [x²(60)=140.57, p<.001]; the procedure correctly classified 76% of the respondents. Those who were classified correctly were considered sex-typical and the remaining 24% of the sample was considered non-sex-typical in their orientations to intimacy. Additional analyses using data from a 6-month longitudinal study located qualities which significantly distinguished sex-typical from non-sex-typical subjects and couples in which at least one member was non-sex-typical from couples in which both members were classified as sex-typical.     

Optic aphasia, optic apraxia, and loss of dreaming

A 47-year-old man with a left temporo-occipital infarct in the area of the posterior cerebral artery is presented. The neuropsychological examination did not reveal aphasia or gross mental deficits. The patient presented with alexia without agraphia, color agnosia, but few visual perceptual deficits. The main impairment was in confrontation naming; he was incapable of naming objects and pictures, not from lack of recognition (excluding visual agnosia) but from lack of access to the appropriate word (optic aphasia). The patient also exhibited a deficit in the evocation of gesture from the visual presentation of an object (optic apraxia) and a difficulty in "conjuring up" visual images of objects (impaired visual imagery) and loss of dreams. The fundamental deficit of this patient is tentatively explained in terms of visuoverbal and visuogestural disconnection and a deficit of mental imagery.