The design and use of the Bioethics Consultation Form

The emergence of the ethics consultation as a means to resolve moral crises in clinical medicine has revealed the need for a worksheet that would facilitate intake and analysis. The author developed the Bioethics Consultation Form as an attempt to remedy this need. The form is arranged in an outline format and is a useful asset to ethics committee discussions and record keeping. The first section covers basic intake data concerning the patient's medical and personal information, advance directives, and values, as well as the values of the physician and family. After the intake section is completed with the above data, the ethics consultant then turns to the analysis section. This second section allows for (1) the discussion of conflicting values, (2) the identification of priorities, and (3) the elucidation of ethical norms relevant to the case.The Bioethics Consultation Form was adopted by the Patient Care Advisory committee of the Franklin Square Hospital Center in Baltimore, Maryland in 1986. The methodology in the use of the form will be discussed. Further, the potential spectrum of consultative cases that can be analyzed using the form will be highlighted.     

Differential predictability of preferences and choices

A combined multi-attribute utility and expectancy-value model has repeatedly been found to yield a worse fit to choices than to preference ratings. The present study investigated two possible explanations for this finding. First, people's belief-value structures may change in the choice task as they try to find the best alternative. Second, a difficult choice task may cause the decision maker to use simplifying heuristics. In the first of two experiments, subjective belief-value structures were measured on two occasions separated by about one week. Immediately before the second measurement, different groups of subjects performed a choice task, gave preference ratings, or performed a control task. The results did not support an interpretation of the greater difficulty of predicting choices in terms of changes in belief-value structures. However, the notion of simplifying heuristics received support by the finding that adopting simpler versions of the original model improved the predictions of the choices. In the second experiment, beliefs were measured immediately before or after each of a series of choices or preference ratings. The results indicated that although temporary changes in beliefs may occur, they can hardly provide a full account of the differential predictability of preferences and choices.     

Nonconvergence,improper solutions,and starting values in lisrel maximum likelihood estimation

In the framework of a robustness study on maximum likelihood estimation with LISREL three types of problems are dealt with: nonconvergence, improper solutions, and choice of starting values. The purpose of the paper is to illustrate why and to what extent these problems are of importance for users of LISREL. The ways in which these issues may affect the design and conclusions of robustness research is also discussed.     

Interpersonal problem solving in preschool children: A comparison of assessment procedures using two-dimensional versus three-dimensional stimuli

Two procedures for assessing the social problem-solving strategies of young children were compared: a traditional measure using pictorial stimuli and an alternative measure in which problems were presented using three-dimensional props. Subjects were 48 preschool children ages 3, 4 and 5. Using a counterbalanced, repeated measures design, the two tasks were presented to the children on consecutive days. Children also received the PPVT, and teacher ratings of behavioral adjustment were completed. Children gave more responses and suggested a greater variety of problem-solving strategies when tested with props than when tested with pictures. Response differences to the two testing procedures were greatest for children who were rated by their teachers as impulsive. Results are discussed in terms of the representational competence of the preschool child. Implications of the findings for intervention strategies also are discussed.     

When celebrities talk,children listen: An experimental analysis of children's responses to TV ads with celebrity endorsement

Two studies tested the effects of TV ads with celebrity endorsement on the product preference and understanding of 8- to 14-year-old boys. Study 1 compared two ads for a model racer. One had celebrity endorsement (by a famous race driver) and footage of real automobile racing featuring the celebrity (live action); the second had neither feature. Study 2 employed one ad for a different brand of model racer edited to generate a 2 (endorser presence) by 2 (inclusion of live racetrack action) factorial design. A total of 415 boys were exposed to one of the experimental ads or a control ad, embedded in a new animated children's adventure program. Preference for the advertised brand of model racer (pre- and postviewing) and a number of cognitive variables were assessed. Exposure to endorsement led to increased preference for the toy and belief that the celebrity was expert about the toy. Live action led to exaggerated estimates of the physical properties of the toy and the belief that the ad was not staged. The 8- to 10-year-olds associated the glamour of the endorser with the toy and were more reliant on his advice than were 11- to 14-year-olds. However, the two age groups were not differentially affected by the ads. Contrary to the speculation of many researchers, understanding about advertising intent and techniques and cynicism about ads had almost no influence on product preference after viewing.     

The effects of recency and story content on children's moral judgments

Sixteen stories were read to children at ages 4, 7, and 11 years and to college freshmen (n = 24 per age level) to investigate the effects of recency and specific story content on the development of moral reasoning. The stories consisted of either positive or negative intention and either positive or negative consequence in one of four situations: rule breaking, property damage, property damage with peer interaction, or injury to a person. At each age level, half of the subjects heard the stories with the intention first and the consequence second, and half heard them in the reverse order. Analyses confirmed that in general younger children judged on consequence, whereas older children utilized intention, and that on stories containing intentional injury to a person, the younger child took intention into account. Recency effects were evidenced for both the 4- and 7-year-olds. In the 4-year-old group, however, the recency effects failed to override the salience of negative consequence in contexts of positive intention and negative consequence. This suggests that preschool children may respond primarily to the negative aspect of the story, whether intention or consequence.     

More precisely defining and measuring the order-irrelevance principle

R. Gelman and C. Gallistel (1978, Young Children's Understanding of Number, Cambridge, MA: Harvard Univ. Press) use two definitions of the order-irrelevance principle interchangeably: (1) count tags do not have to be assigned in a fixed order and (2) the order in which elements of a set are enumerated does not affect the cardinal designation of the set. A study involving 107 kindergarten and first grade children indicates that the two are actually distinct concepts. Apparently, a willingness to arbitrarily assign tags is a developmentally less sophisticated ability than--and hence does not necessarily imply--an ability to predict that differently ordered counts produce the same cardinal designation. Thus it appears that evidence of the second ability is necessary to infer a full understanding of the order-irrelevance principle. The first ability alone implies what might better be termed an "order-indifferent tagging scheme." Suggestions for measuring and further researching the order-irrelevance principle are discussed.     

Stimulus context and infant orientation discrimination

In three experiments, the effect of additional "contextual" elements on the discrimination of the orientation of linear and curvilinear segments was investigated with 4-month-old infants. In Experiment 1, paired visual matrices (one which contained some irregularity in orientation of internal elements, vs one which contained no irregularities) were presented. Infants detected irregular matrices significantly better than chance, but such detection was not aided by contextual elements. Discrimination of orientation in Experiment 2 was assessed with a paired-comparison familiarization-novelty paradigm. It was found that the addition of elements here significantly aided discrimination of linear segment orientation, but not curvilinear segment orientation. Experiment 3 investigated why this effect was not found for curvilinear segments; after equating the curvilinear stimuli to linear ones used in Experiment 2 with respect to the closedness of figure, discrimination of curvilinear orientation was observed.