Residency selection is a challenging process for medical students, one further complicated in the USA by the recentDobbs v Jackson Women’s Health Organization(Dobbs) decision over-ruling the federal right to abortion. We surveyed medical students to examine howDobbsis influencing the ideological, personal and professional factors they must reconcile when choosing where and how to complete residency.Between 6 August and 22 October 2022, third-year and fourth-year US medical students applying to US residency programmes were surveyed through social media and direct outreach to (...) medical schools. Analysis of quantitative and qualitative data from 494 responses was performed to assess downstream effects ofDobbson residency applicants’ family, health and career choices.Most respondents said changes in abortion access would likely or very likely influence their decision regarding location of considered residency programme (76.9%), where to start a family (72.2%) and contraceptive planning for them or their partner (57.9%). Cis-gender females were more influenced byDobbsregarding where (5 (4, 5) p<0.001) and when (3 (3, 5) p<0.001) to start a family. In qualitative responses, medical trainees highlighted the importance of abortion access for their patients, themselves and their loved ones.Medical trainees are incorporating state abortion access into their residency programme choices. Future physicians care about both the quality of care they will be able to provide and their own health. For personal and professional reasons, reproductive healthcare access is now a key factor in residency match decisions. (shrink)

The plays in this new volume were written early in Marcel’s career, and were published together under the title Le Seuil invisible (The Invisible Threshold) in 1913. The first play, Grace, explores the theme of religious conversion. The drama depicts a crisis between characters of genuine depth and sincerity, who are struggling with different interpretations of shared experiences. Similar themes are addressed but developed differently in the second play, The Sandcastle. This drama explores the confrontation between one’s beliefs and their (...) consequences when faced with challenging family and social circumstances. The play asks us to think about what happens when our beliefs and theories, especially about religion, morality and politics, come up against situations in life that can test them. Both plays illustrate one of the major themes of both Marcel’s dramatic and philosophical work: that life’s most profound, fulfilling experiences are compromised more than ever in what he describes as the modern, broken world (le monde cassé), one unfortunately characterized by alienation, loss of meaning and feelings of despair. (shrink)

In this paper we experimentally investigate the disparity between willingness-to-accept (WTA) and willingness-to-pay (WTP) for risky lotteries. The direction of the income effect is reversed by endowing subjects with the highest price of a lottery when asking the WTP question. Our results show that the income effect is too small to be the only source of the disparity. Since the disparity concentrates on a subsample of subjects, parametric and nonparametric tests of the WTA-WTP ratio may lead to contradictory results. The (...) disparity is significantly reduced when background risk is introduced. That is, putting subjects always into a risky position could improve the contingent valuation method, which is often concerned with the assessment of risky situations such as health risks, automobile safety, etc. (shrink)

BackgroundThe triangle completion test has been used to assess egocentric wayfinding for decades, yet there is little information on its reliability. We developed a virtual reality based test and investigated whether either test of spatial navigation was reliable.ObjectiveTo examine test-retest reliability of the real-world and VR triangle completion tests. A secondary objective was to examine the usability of the VR based test.Materials and methodsThirty healthy adults aged 18–45 years were recruited to this block (...) randomized study. Participants completed two sessions of triangle completion tests in the real-world and VR on the same day with a break between sessions.ResultsIn both test versions distance from the endpoint and angle of deviation showed poor test-retest reliability. Distance traveled had moderate reliability in both the real-world and VR tests. The VR triangle test showed poor correlation with the real-world test.ConclusionThe triangle completion test has poor test-retest reliability and demonstrates poor concurrent validity between the real-world and VR. Nevertheless, it was feasible to translate a real-world test of spatial navigation into VR. VR provides opportunities for development of clinically relevant spatial navigation tests in the future. (shrink)

Although we encounter objects from a particular perspective, what we perceive and remember are typically whole objects. In ‘amodal completion’ our mind automatically fills in objects’ spatially occluded parts, and our memory then often discards information about the orientation from which the objects were perceived. An analogous phenomenon of ‘event completion’ has been demonstrated, which may be understood as the mind automatically filling in temporally occluded parts of events. Exemplifying typical experiments in this paradigm, Strickland and Keil (Strickland (...) and Keil, Cognition 121:409–415, 2011) showed participants videos depicting a causal event (e.g., someone kicking a ball), which was edited so that a crucial part was missing (e.g., the moment of contact between foot and ball). Subjects were more likely to falsely remember having seen the moment of contact if (and only if) it was strongly implied by subsequent footage. We use this phenomenon of event completion as a test case for comparing different theories of reference in memory. We argue that event completion puts pressure on both pure causal and pure descriptive theories of reference, and favors more nuanced hybrids of causal and descriptive theories, which integrate insights from cognitive and epistemic approaches. (shrink)

Computational complexity is a discipline of computer science and mathematics which classifies computational problems depending on their inherent difficulty, i.e. categorizes algorithms according to their performance, and relates these classes to each other. P problems are a class of computational problems that can be solved in polynomial time using a deterministic Turing machine while solutions to NP problems can be verified in polynomial time, but we still do not know whether they can be solved in polynomial time as well. A (...) solution for the so-called NP-complete problems will also be a solution for any other such problems. Its artificial-intelligence analogue is the class of AI-complete problems, for which a complete mathematical formalization still does not exist. In this chapter we will focus on analysing computational classes to better understand possible formalizations of AI-complete problems, and to see whether a universal algorithm, such as a Turing test, could exist for all AI-complete problems. In order to better observe how modern computer science tries to deal with computational complexity issues, we present several different deep-learning strategies involving optimization methods to see that the inability to exactly solve a problem from a higher order computational class does not mean there is not a satisfactory solution using state-of-the-art machine-learning techniques. Such methods are compared to philosophical issues and psychological research regarding human abilities of solving analogous NP-complete problems, to fortify the claim that we do not need to have an exact and correct way of solving AI-complete problems to nevertheless possibly achieve the notion of strong AI. (shrink)

We distinguish traditional cognition theories from hierarchically complex stacked neural networks that meet many of Newell's criteria. The latter are flexible and can learn anything that a person can learn, by using their mistakes and successes the same way humans do. Shortcomings are due largely to limitations of current technology.

The claim defended in the paper is that the mechanistic account of explanation can easily embrace idealization in big-scale brain simulations, and that only causally relevant detail should be present in explanatory models. The claim is illustrated with two methodologically different models: Blue Brain, used for particular simulations of the cortical column in hybrid models, and Eliasmith’s SPAUN model that is both biologically realistic and able to explain eight different tasks. By drawing on the mechanistic theory of computational explanation, I (...) argue that large-scale simulations require that the explanandum phenomenon is identified; otherwise, the explanatory value of such explanations is difficult to establish, and testing the model empirically by comparing its behavior with the explanandum remains practically impossible. The completeness of the explanation, and hence of the explanatory value of the explanatory model, is to be assessed vis-à-vis the explanandum phenomenon, which is not to be conflated with raw observational data and may be idealized. I argue that idealizations, which include building models of a single phenomenon displayed by multi-functional mechanisms, lumping together multiple factors in a single causal variable, simplifying the causal structure of the mechanisms, and multi-model integration, are indispensable for complex systems such as brains; otherwise, the model may be as complex as the explanandum phenomenon, which would make it prone to so-called Bonini paradox. I conclude by enumerating dimensions of empirical validation of explanatory models according to new mechanism, which are given in a form of a “checklist” for a modeler. (shrink)

This paper aims to present and discuss an argumentation against the Turing test (TT), which we shall call the CCSC (Complete Conversation System Claim). Exemplary arguments of the CCSC type include Lem’s “Space Gramophone,” the “machine equipped with a dictionary” proposed by Shannon and McCarthy, Block’s “Aunt Bubbles,” and Searle’s “Chinese Room” argument. CCSC argumentation is constructed to show that the TT is not properly designed and, consequently, is not a good hallmark of intelligence. Based on the original TT (...) rules reconstruction, I argue that CCSC-type argumentation seems to be aimed at a certain interpretation of the TT, which, as I demonstrate, commits the straw man fallacy. In light of the results presented by Łupkowski and Wiśniewski, I also discuss whether a complete conversation system is theoretically possible. (shrink)

Unfortunately, reading Chow's work is likely to leave the reader more confused than enlightened. My preferred solutions to the “controversy” about null- hypothesis testing are: (1) recognize that we really want to test the hypothesis that an effect is “small,” not null, and (2) use Bayesian methods, which are much more in keeping with the way humans naturally think than are classical statistical methods.

The present work is focussed on the completeness of physics, or what is here called the Completeness Thesis: the claim that the domain of the physical is causally closed. Two major questions are tackled: How best is the Completeness Thesis to be formulated? What can be said in defence of the Completeness Thesis? My principal conclusions are that the Completeness Thesis can be coherently formulated, and that the evidence in favour if it significantly outweighs that against it. In opposition to (...) those who argue that formulation is impossible because no account of what is to count as physical can be provided, I argue that as long as the purpose of the argument in which the account is to be used are borne in mind there are no significant difficulties. The account of the physical which I develop holds as physical whatever is needed to fix the likelihood of pre-theoretically given physical effects, and hypothesises in addition that no chemical, biological or psychological factors will be needed in this way. The thus formulated Completeness Thesis is coherent, and has significant empirical content. In opposition to those who defend the doctrine of emergentism by means of philosophical arguments I contend that those arguments are flawed, setting up misleading dichotomies between needlessly attenuated alternatives and assuming the truth of what is to be proved. Against those who defend emergentism by appeal to the evidence, I argue that the history of science since the nineteenth century shows clearly that the empirical credentials of the view that the world is causally closed at the level of a small number of purely physical forces and types of energy is stronger than ever, and the credentials of emergentism correspondingly weaker. In opposition to those who argue that difficulties with reductionism point to the implausibility of the Completeness Thesis I argue that completeness in no way entails the kinds of reductionism which give rise to the difficulties in question. I argue further that the truth of the Completeness Thesis is in fact compatible with a great deal of taxonomic disorder and the impossibility of any general reduction of non-fundamental descriptions to fundamental ones. In opposition to those who argue that the epistemological credentials of fundamental physical laws are poor, and that those laws should in fact be seen as false, I contend that truth preserving accounts of fundamental laws can be developed. Developing such an account, I test it by considering cases of the composition of forces and causes, where what takes place is different to what is predicted by reference to any single law, and argue that viewing laws as tendencies allows their truth to be preserved, and sense to be made of both the experimental discovery of laws, and the fact that composition enables accurate prediction in at least some cases. (shrink)

(NOTE: This is a transcript of the class. FOR THE FULL PAPER, please click on "Maxson J. McDowell".) A complete transcript of an experiment performed within a class on dream interpretation. Knowing only the dreamers age and gender, we interpreted his dream from its text. Our interpretation included predictions about the dreamer's psychological issues, and about his defenses. It also identified a series of jokes within the dream which would tend to penetrate the dreamer's defenses. When we had finished our (...) 'blind' interpretation, the bringer of the dream gave us more information about the dreamer against which we tested the accuracy of our predictions. A paper on this experiment has been submitted for publication. A link to an AUDIO-RECORDING of this class is given on the first page of this transcript. (shrink)

This thesis offers a re-definition of Kantian a priorism by expanding the notions surrounding it from within a Piagetian genetic epistemological viewpoint. ;In particular, the notion of "noumenon" is re-examined from within this viewpoint, and extended to all structural facets of the genetic epistemological knowing "situation". ;By means of these re-examinations of classical epistemological notions, the various forms of knowledge characteristically produced from within the bounds of that knowing "situation" can then be structurally located with respect to intent and focus (...) of the knowing activity, thereby making it possible to show the phenomenological connection between all these forms of knowledge, as well as to legitimize each form under the canopy of a common set of functional principles, such as truth, objectivity, progress, etc. This in turn allows for a re-definition of the Piagetian scientifically oriented "epistemic subject" into what I call the "complete epistemic subject", which takes account of all the forms of knowing occurring within the structure of the genetic epistemological "situation". ;Particularly are art and science focused upon as test cases for the re-oriented a priorism presented. ;Following the epistemological argument, the classical Progressive educational argument will be re-examined to determine whether any altered approaches and educational ideals result from analyzing the meaning of the "natural man" and "democratic man" and how these analyses can be seen to refer to an expanded type of knowing subject, the "complete epistemic subject". (shrink)

This study investigates priming in an implicit word stem completion (WSC) task by analyzing the effect of linguistic stimuli characteristics on said task. A total of 305 participants performed a WSC task in two phases (study and test). The test phase included 63 unique-solution stems and 63 multiple-solution stems. Analysis revealed that priming (mean = 0.22) was stronger in the case of multiple-solution stems, indicating that they were not a homogeneous group of stimuli. Thus, further analyses were (...) performed only for the data of the unique-solution stems. Correlations between priming and familiarity, frequency of use, and baseline completion were significant. The less familiar words, which were less frequent, had higher priming values. At the same time, the stems with lower baseline completion generated more priming. A regression analysis showed that baseline completion was the only significant predictor of priming, suggesting that the previous processing of the stimuli had a greater impact on the stimuli with low baseline performance. At the same time, baseline completion showed significant positive correlations with familiarity and frequency of use, and a negative correlation with length. When baseline completion was the dependent variable in the regression analysis, the significant variables in the regression were familiarity and length. These results were compared with those obtained in a study using word fragment completion (WFC) by Soler et al. (2009), in which the same words and procedure were employed. Analysis showed that the variables that correlated with priming were the same as in the WSC task, and that completion baseline was the variable that showed the greatest predictive power of priming. This coincidence of results obtained with WFC and WSC tasks highlights the importance of controlling the characteristics of the stimuli used when exploring the nature of priming. (shrink)

To avoid post-neurosurgical language deficits, intraoperative mapping of the language function in the brain can be complemented with preoperative mapping with functional magnetic resonance imaging. The validity of an fMRI “language localizer” paradigm crucially depends on the choice of an optimal language task and baseline condition. This study presents a new fMRI “language localizer” in Russian using overt sentence completion, a task that comprehensively engages the language function by involving both production and comprehension at the word and sentence level. (...) The paradigm was validated in 18 neurologically healthy volunteers who participated in two scanning sessions, for estimating test–retest reliability. For the first time, two baseline conditions for the sentence completion task were compared. At the group level, the paradigm significantly activated both anterior and posterior language-related regions. Individual-level analysis showed that activation was elicited most consistently in the inferior frontal regions, followed by posterior temporal regions and the angular gyrus. Test–retest reliability of activation location, as measured by Dice coefficients, was moderate and thus comparable to previous studies. Test–retest reliability was higher in the frontal than temporo-parietal region and with the most liberal statistical thresholding compared to two more conservative thresholding methods. Lateralization indices were expectedly left-hemispheric, with greater lateralization in the frontal than temporo-parietal region, and showed moderate test-retest reliability. Finally, the pseudoword baseline elicited more extensive and more reliable activation, although the syllable baseline appears more feasible for future clinical use. Overall, the study demonstrated the validity and reliability of the sentence completion task for mapping the language function in the brain. The paradigm needs further validation in a clinical sample of neurosurgical patients. Additionally, the study contributes to general evidence on test–retest reliability of fMRI. (shrink)

The present study explores the idea that human linguistic communication co-opted a pre-existing population-wide behavioural system that was shared among social group members and whose structure reflected the structure of the environment. This system is hypothesized to have emerged from interactions among individuals who had evolved the capacity to imitate arbitrary, functionless behaviour. A series of agent-based computer simulations test the separate and joint effects of imitation, pattern completion behaviour, environment structure and level of social interaction on such (...) a population-wide behavioural system. The results support the view that a system that could be co-opted for linguistic communication might arise in a population of agents equipped with arbitrary imitation for the purposes of pattern completion interacting in certain kinds of structured environments. Such pre-linguistic behavioural system could have bootstrapped communication and paved the way for biological capacities widely believed to be necessary for communication, such as shared intentionality and symbolicity, to evolve. (shrink)

Our goal was to test the efficiency and accuracy of a complementary morning report, after recall cue, of an experience made and first described during the night. Twenty participants were awakened 10 min after the onset of the second REM sleep. Upon awakening, on one night they described the dream they just had and on the other night they were presented a 4-min video, then had to describe it. A new description requested in the morning after a recall cue (...) yielded an important amount of new information both for the film and the dreams, and for the film, where the accuracy could be checked, 86% of this new information was accurate. Some aspects of the results pointed to an effect of hypermnesia. In conclusion, the morning additional information after recall cue stems from a good access to the memory of the night experience. (shrink)

The United States has long been a model for accessible, affordable education, as exemplified by the country's public universities. And yet less than 60 percent of the students entering American universities today are graduating. Why is this happening, and what can be done? Crossing the Finish Line provides the most detailed exploration ever of college completion at America's public universities. This groundbreaking book sheds light on such serious issues as dropout rates linked to race, gender, and socioeconomic status. Probing (...) graduation rates at twenty-one flagship public universities and four statewide systems of public higher education, the authors focus on the progress of students in the entering class of 1999--from entry to graduation, transfer, or withdrawal. They examine the effects of parental education, family income, race and gender, high school grades, test scores, financial aid, and characteristics of universities attended. The conclusions are compelling: minority students and students from poor families have markedly lower graduation rates--and take longer to earn degrees--even when other variables are taken into account. Noting the strong performance of transfer students and the effects of financial constraints on student retention, the authors call for improved transfer and financial aid policies, and suggest ways of improving the sorting processes that match students to institutions. An outstanding combination of evidence and analysis, Crossing the Finish Line should be read by everyone who cares about the nation's higher education system. (shrink)

In this article, the insertion of a two-staged highly interesting question in an online, survey-based field experiment is shown to produce better survey completion rate (i.e., decreases completion refusal by 8%) and sample representativeness (increases the number of moderate answer patterns by 12%) than a typical (same) highly interesting question at the beginning of a survey only. Using nonparametric tests and subgroup probability analysis, measured effects include survey completion rates, response bias and reported demographic differences. In regards (...) to sample representativeness, the results also raise questions about the sensitivity of the conventional practice of comparing early to late respondent means scores as a method of investigating nonresponse bias in marketing research. Alternative approaches to measuring potential non-response bias are compared with the tradition of comparing early-wave verses late-wave mean respondent differences. The results indicate that the conventional mean test fails to identify differences in nonresponse bias; the scores of highly interested or opposed respondents in the first waves produce equivalent means to the scores of the less interested or opposed respondents in the latter wave between the surveys (e.g., 1's and 5's vs. 2's and 4's, both averaging to 3's) that are identifiable through kurtosis and probability analysis. (shrink)

In this paper, we explore and discuss the use of the concept of being affected in biomedical decision making processes in Germany. The corresponding German term ‘Betroffenheit’ characterizes on the one hand a relation between a state of affairs and a person and on the other an emotional reaction that involves feelings like concern and empathy with the suffering of others. An example for the increasing relevance of being affected is the postulation of the participation of people with disabilities and (...) chronic or acute diseases in the discourse, as partly realized in the German National Ethics Council or the Federal Joint Committee. Nevertheless, not only on the political level, the resistance against the participation of affected people is still strong; the academic debate seems to be cross-grained, too. Against this background, we explore the meaning and argumentative role of the concept of being affected as it is used by affected and lay people themselves. Our analysis is based on four focus group discussions in which lay people, patients and relatives of patients discuss their attitudes towards biomedical interventions such as organ transplantation and genetic testing. This setting allows for a comparison of how affected and non-affected people are concerned and deliberate about medical opportunities, but also of how they position themselves as being affected or non-affected with respect to (scientific) knowledge and morality. On this basis, we discuss the normative relevance of being affected for the justification of political participation. (shrink)

In this piece, I argue that Hume wrote his Essays to continue writing on political issues after he rather abruptly ended his Treatise, Book 3. Initially he wrote some essays in the vein of Addison and Steele, but he rejected these essays as “frivolous.” In writing on political issues, he became a master essayist and his essays withstood the test of time. “Political” should here be taken in the wider sense as topical issues which readers could immediately recognize as (...) being relevant. (shrink)

We show, within the framework of Bishop's constructive mathematics, that (sequential) completeness of the locally convex space $\mathcal{D} (\mathbb{R})$ of test functions is equivalent to the principle BD-N which holds in classical mathemtatics, Brouwer's intuitionism and Markov's constructive recursive mathematics, but does not hold in Bishop's constructivism.

A considerable body of research has documented the emergence of what appears to be instrumental helping behavior in early childhood. The current study tested the hypothesis that one basic psychological mechanism motivating this behavior is a preference for completing unfinished actions. To test this, a paradigm was implemented in which 2-year-olds (n = 34, 16 female/18 male, mostly White middle-class children) could continue an adult’s action when the adult no longer wanted to complete the action. The results showed that (...) children continued the adult’s actions more often when the goal had been abandoned than when it had been reached (OR = 2.37). This supports the hypothesis that apparent helping behavior in 2-year-olds is motivated by a preference for completing unfinished actions. (shrink)

The causal compatibility question asks whether a given causal structure graph — possibly involving latent variables — constitutes a genuinely plausible causal explanation for a given probability distribution over the graph’s observed categorical variables. Algorithms predicated on merely necessary constraints for causal compatibility typically suffer from false negatives, i.e. they admit incompatible distributions as apparently compatible with the given graph. In 10.1515/jci-2017-0020, one of us introduced the inflation technique for formulating useful relaxations of the causal compatibility problem in terms of (...) linear programming. In this work, we develop a formal hierarchy of such causal compatibility relaxations. We prove that inflation is asymptotically tight, i.e., that the hierarchy converges to a zero-error test for causal compatibility. In this sense, the inflation technique fulfills a longstanding desideratum in the field of causal inference. We quantify the rate of convergence by showing that any distribution which passes the nth-order inflation test must be On−1/2$\begin{array}{} \displaystyle {O}{\left(n^{{{-}{1}}/{2}}\right)} \end{array}$-close in Euclidean norm to some distribution genuinely compatible with the given causal structure. Furthermore, we show that for many causal structures, the (unrelaxed) causal compatibility problem is faithfully formulated already by either the first or second order inflation test. (shrink)

In United States v. Hensley, a unanimous Court set forth the rule that, "if police have a reasonable suspicion, grounded in specific and articulable facts, that a person they encounter was involved in or is wanted in connection with a completed felony, then a Terry stop may be made to investigate that suspicion." By expanding the scope of the Terry doctrine, Hensley strengthened the power of law enforcement officials to "stop and frisk" individuals who they believe may pose a threat (...) to the themselves and/or the public. Prior to Hensley, the Court's decisions merely sanctioned Terry stops of individuals that law enforcement officers reasonably suspected were about to commit a crime, or were committing a crime at the time of the stop. Thus, by authorizing Terry stops based on an officer's reasonable suspicion that an individual was involved in an already-completed felony, Hensley extended the types of situations under which law enforcement officers may engage in Terry stops. While explicitly expanding the scope of Terry v. Ohio in the context of completed felonies, the Hensley decision left open one major issue-whether the balancing test set forth in Hensley applies to investigatory stops based on an officer's reasonable suspicion that an individual was involved in a completed misdemeanor. With no answer from the Court, lower federal and state courts have attempted to answer this question on their own; in doing so, they have diverged on the issue. Most recently, in United States v. Grigg, the Ninth Circuit expanded the scope of Hensley and applied its balancing approach to Terry stops for completed misdemeanors. This Note argues against the Ninth Circuit's approach and rather for a per se rule against Terry stops for completed misdemeanors. This Note proposes that, in light of the inherent differences between misdemeanors and felonies, Hensley's balancing test should not extend to completed misdemeanors. Furthermore, the use of Terry stops for completed misdemeanors does not further the government and public interest in crime prevention and solving past crimes to an extent great enough to outweigh the great intrusion on privacy rights that Terry stops cause. Additionally, a per se rule provides for efficiency and guidance to police enforcement on routine patrols. Under such an approach, it is easier for private citizens to comprehend and appreciate their rights and understand when those rights are being violated. (shrink)

This paper aims to solve a potential problem for the methodology of constitutive inference offered by Harbecke. The methodology is ultimately based on Mill’s “method of difference”, which requires a complete variation of factors in a given frame. In constitutive contexts, such a complete variation is often impossible. The offered solution utilizes the notion of a “mechanism slice”. In a first step, an example of a currently accepted explanation in neuroscience is reconstructed, which serves as a reference point of the (...) subsequent discussion. The regularity theory of mechanistic constitution and the corresponding methodology of constitutive inference are then introduced. Eventually, it is argued that the proposed solution accommodates well all schematic situations in which the impossibility of varying all test factors could be expected either to lead to false inferences or to preclude the establishment of correct constitutive claims. (shrink)

The present experiment investigates the involvement of awareness in functional dissociations between explicit and implicit tests. In the explicit condition, participants attempted to recall lexically or semantically studied words using word stems. In the implicit condition, they were instructed to complete each stem with the first word which came to mind. Subjective awareness was subsequently measured on an item-by-item basis. As voluntary retrieval strategies are known to be time consuming, the time taken to complete each stem was recorded. In the (...) explicit task, semantically studied words were associated with higher levels of recall and faster response times than lexically studied words. By contrast, in the implicit task, these effects failed to reach significance, although deep encoding made the contents of memory more accessible to awareness. As expected, performance was slower in the explicit than in the implicit task, but in the latter condition, times to produce old words with and without awareness were comparable, and both of these responses were produced more quickly than control words. This finding suggests that although participants may become aware in implicit paradigms, they do not adopt voluntary retrieval strategies. (shrink)

Studies of categorical induction typically examine how belief in a premise (e.g., Falcons have an ulnar artery) projects on to a conclusion (e.g., Robins have an ulnar artery). We study induction in cases in which the premise is uncertain (e.g., There is an 80% chance that falcons have an ulnar artery). Jeffrey's rule is a normative model for updating beliefs in the face of uncertain evidence. In three studies we tested the descriptive validity of Jeffrey's rule and a related probability (...) theorem, the rule of total probability. Although these rules provided good approximations to mean judgments in some cases, the results from regression and correlation analyses suggest that participants focus on the parts of these rules that are associated with the highest overall probability. We relate our findings to rational models of judgment. (shrink)

An experiment is proposed to test Bell’s theorem in a purely macroscopic domain. If realized, it would determine whether Bell inequalities are satisfied for a manifestly local, classical system. It is stressed why the inequalities should not be presumed to hold for such a macroscopic system without actual experimental evidence. In particular, by providing a purely classical, topological explanation for the EPR-Bohm type spin correlations, it is demonstrated why Bell inequalities must be violated in the manifestly local, macroscopic domain, (...) just as strongly as they are in the microscopic domain. (shrink)

Background: Moral case deliberation is a form of clinical ethics support to help healthcare professionals in dealing with ethically difficult situations. There is a lack of evidence about what outcomes healthcare professionals experience in daily practice after moral case deliberations. The Euro-MCD Instrument was developed to measure outcomes, based on the literature, a Delphi panel, and content validity testing. To examine relevance of items and adequateness of domains, a field study is needed. Aim: To describe experienced outcomes after participating in (...) a series of moral case deliberations, both during sessions and in daily practice, and to explore correlations between items to further validate the Euro-MCD Instrument. Methods: In Sweden, the Netherlands, and Norway, healthcare institutions that planned a series of moral case deliberations were invited. Closed responses were quantitatively analyzed. The factor structure of the instrument was tested using exploratory factor analyses. Ethical considerations: The study was approved in Sweden by a review board. In Norway and the Netherlands, data services and review boards were informed about the study. Results: The Euro-MCD Instrument was completed by 443 and 247 healthcare professionals after four and eight moral case deliberations, respectively. They experienced especially outcomes related to a better collaboration with co-workers and outcomes about individual moral reflexivity and attitude, both during sessions and in daily practice. Outcomes were experienced to a higher extent during sessions than in daily practice. The factor structure revealed four domains of outcomes, which did not confirm the six Euro-MCD domains. Conclusion: Field-testing the Euro-MCD Instrument showed the most frequently experienced outcomes and which outcomes correlated with each other. When revising the instrument, domains should be reconsidered, combined with theory about underlying concepts. In the future, a feasible and valid instrument will be presented to get insight into how moral case deliberation supports and improves healthcare. (shrink)

Background Noninvasive prenatal testing (NIPT) provides important benefits yet raises ethical concerns. We surveyed Canadian pregnant women and their partners to explore their views regarding pressure to test and terminate a pregnancy, as well as other societal impacts that may result from the routinization of NIPT.Methods A questionnaire was offered (March 2015 to July 2016) to pregnant women and their partners at five healthcare facilities in four Canadian provinces.Results 882 pregnant women and 395 partners completed the survey. 64% of (...) women anticipated feeling no pressure to take the test if it were offered routinely, and 39% were not concerned about routinization leading to increased pressure to terminate a pregnancy of a fetus with Down Syndrome. Regarding other social concerns possibly resulting from routinization, pregnant women were most concerned regarding a reduction in resources available for people with Down Syndrome and their families and least concerned regarding a decrease in the population of people with Down Syndrome.Conclusions Our findings reflect the concerns expressed by pregnant women and their partners, both personal (pressure to test, pressure to terminate) and societal (e.g., regarding potential negative impact on people with disabilities and their families). Even if most women were not concerned about feeling pressured to test due to NIPT routinization, a large minority express concerns that should not be taken lightly. Moreover, a majority of respondents were concerned regarding pressure to terminate pregnancies due to NIPT routinization as well as regarding most societal impacts they were queried on, especially the possible future reduction in resources available for people with DS and their families. Canadian policy-makers should consider these potential negative ramifications of NIPT and ensure that appropriate social policies accompany its implementation. (shrink)

The study examined whether test awareness contributes to age effects in priming. Younger and older adults were given two priming tests . Awareness was assessed using both a standard post-test questionnaire and an on-line measure. Results from the on-line awareness condition showed that, relative to older adults, younger adults showed higher levels of priming and awareness, and a stronger relationship between the two, suggesting that awareness could account for age differences in priming. In contrast, in the post-test (...) questionnaire condition, there was no age effect in word-stem completion or category production priming, despite the fact that awareness was greater in younger than older adults in the word-stem completion test and that category production priming was dependent on awareness in both age groups. These results suggest that awareness may mediate age effects in priming, but only under conditions of relatively high levels of awareness. (shrink)

Ethics support services like Moral Case Deliberation intend to support healthcare professionals in ethically difficult situations. To assess outcomes of MCD, the Euro-MCD Instrument has been developed. Field studies to test this instrument are needed and have been conducted, examining important outcomes before MCD participation and experienced outcomes. The current study aimed to describe how participants’ perceive the importance of MCD outcomes after MCD; compare these perceptions with those before MCD participation; and test the factor structure of these (...) outcomes. Swedish, Norwegian and Dutch healthcare professionals rated the importance of outcomes in the Euro-MCD Instrument after four and eight MCDs. Ratings were compared with those before MCD participation using paired and independent samples t-tests. The factor structure was tested using exploratory factor analyses. After 4 and 8 MCDs, 443 respectively 247 respondents completed the instrument. More than 69% rated all MCD outcomes as ‘quite’ or ‘very’ important, especially outcomes from Enhanced Collaboration, Improved Moral Reflexivity and Improved Moral Attitude. Significant differences for 16 outcomes regarding ratings before and after MCD participation were not considered meaningful. Factor analyses suggested three categories, which seemingly resemble the domains Improved Moral Reflexivity, Enhanced Collaboration and a combination of Improved Moral Attitude and Enhanced Emotional Support. After participation in MCDs, respondents confirmed the importance of outcomes in the Euro-MCD Instrument. The question on perceived importance and the categorization of outcomes need reconsideration. The revised instrument will be presented elsewhere, based on all field studies and theoretical reflections. (shrink)

Debate persists over the place of conscience in medicine. Some argue for the complete exclusion of conscientious objection, while others claim an absolute right of refusal. This paper proposes that claims of conscientious objection can and should be permitted if they concern kinds of actions which fall outside of the normative standard of medicine, which is the pursuit of health. Medical practice which meets this criterion we call medicine qua medicine. If conscientious refusal concerns something consonant with the health-restoring aims (...) of medicine, it entails a desertion of professional duty. If, however, it relates to something other than medicine qua medicine, it can rightly be refused. It thus becomes possible to test instances of conscientious objection to determine their validity, and thereby conserve both the principle of conscientious objection and define its scope. This test of conscience prevents arbitrary discrimination, and preserves doctors’ agency. It is a theoretical razor rooted in the pra... (shrink)

IntroductionIn this study, we tested a simple, active “ethical consistency” intervention aimed at reducing researchers’ endorsement of questionable research practices (QRPs).MethodsWe developed a simple, active ethical consistency intervention and tested it against a control using an established QRP survey instrument. Before responding to a survey that asked about attitudes towards each of fifteen QRPs, participants were randomly assigned to either a consistency or control 3–5-min writing task. A total of 201 participants completed the survey: 121 participants were recruited from a (...) database of currently funded NSF/nih scientists, and 80 participants were recruited from a pool of active researchers at a large university medical center in the southeastern US. Narrative responses to the writing prompts were coded and analyzed to assist post hoc interpretation of the quantitative data.ResultsWe hypothesized that participants in the consistency condition would find ethically ambiguous QRPs less defensible and would indicate less willingness to engage in them than participants in the control condition. The results showed that the consistency intervention had no significant effect on respondents’ reactions regarding the defensibility of the QRPs or their willingness to engage in them. Exploratory analyses considering the narrative themes of participants’ responses indicated that participants in the control condition expressed lower perceptions of QRP defensibility and willingness.ConclusionThe results did not support the main hypothesis, and the consistency intervention may have had the unwanted effect of inducing increased rationalization. These results may partially explain why RCR courses often seem to have little positive effect. (shrink)