BackgroundThere is increasing need for peer reviewers as the scientific literature grows. Formal education in biostatistics and research methodology during residency training is lacking. In this pilot study, we addressed these issues by evaluating a novel method of teaching residents about biostatistics and research methodology using peer review of standardized manuscripts. We hypothesized that mentored peer review would improve resident knowledge and perception of these concepts more than non-mentored peer review, while improving review quality.MethodsA partially blinded, randomized, controlled multi-center study (...) was performed. Seventy-eight neurology residents from nine US neurology programs were randomized to receive mentoring from a local faculty member or not. Within a year, residents reviewed a baseline manuscript and four subsequent manuscripts, all with introduced errors designed to teach fundamental review concepts. In the mentored group, mentors discussed completed reviews with residents. Primary outcome measure was change in knowledge score between pre- and post-tests, measuring epidemiology and biostatistics knowledge. Secondary outcome measures included level of confidence in the use and interpretation of statistical concepts before and after intervention, and RQI score for baseline and final manuscripts.ResultsSixty-four residents (82%) completed initial review with gradual decline in completion on subsequent reviews. Change in primary outcome, the difference between pre- and post-test knowledge scores, did not differ between mentored (−8.5%) and non-mentored (−13.9%) residents (p = 0.48). Significant differences in secondary outcomes (using 5-point Likert scale, 5 = strongly agree) included mentored residents reporting enhanced understanding of research methodology (3.69 vs 2.61; p = 0.001), understanding of manuscripts (3.73 vs 2.87; p = 0.006), and application of study results to clinical practice (3.65 vs 2.78; p = 0.005) compared to non-mentored residents. There was no difference between groups in level of interest in peer review (3.00 vs 3.09; p = 0.72) or the quality of manuscript review assessed by the Review Quality Instrument (RQI) (3.25 vs 3.06; p = 0.50).ConclusionsWe used mentored peer review of standardized manuscripts to teach biostatistics and research methodology and introduce the peer review process to residents. Though knowledge level did not change, mentored residents had enhanced perception in their abilities to understand research methodology and manuscripts and apply study results to clinical practice. (shrink)

The Logic of Partial Terms LPT is a strict negative free logic that provides an economical framework for developing many traditional mathematical theories having partial functions. In these traditional theories, all functions and predicates are strict. For example, if a unary function (predicate) is applied to an undefined argument, the result is undefined (respectively, false). On the other hand, every practical programming language incorporates at least one nonstrict or lazy construct, such as the if-then-else, but nonstrict functions cannot be either (...) primitive or introduced in definitional extensions in LPT. Consequently, lazy programming language constructs do not fit the traditional mathematical mold inherent in LPT. A nonstrict (positive free) logic is required to handle nonstrict functions and predicates. Previously developed nonstrict logics are not fully satisfactory because they are verbose in describing strict functions (which predominate in many programming languages), and some logicians find their semantics philosophically unpalatable. The newly developed Lazy Logic of Partial Terms LL is as concise as LPT in describing strict functions and predicates, and strict and nonstrict functions and predicates can be introduced in definitional extensions of traditional mathematical theories. LL is "built on top of" LPT, and, like LPT, admits only one domain in the semantics. In the semantics, for the case of a nonstrict unary function h in an LL theory T, we have $\models_T h(\perp) = y \longleftrightarrow \forall x(h(x) = y)$ , where $\perp$ is a canonical undefined term. Correspondingly, in the axiomatization, the "indifference" (to the value of the argument) axiom $h(\perp) = y \longleftrightarrow \forall x(h(x) = y)$ guarantees a proper fit with the semantics. The price paid for LL's naturalness is that it is tailored for describing a specific area of computer science, program specification and verification, possibly limiting its role in explicating classical mathematical and philosophical subjects. (shrink)

Ethics of Health Care: A Guide for Clinical Practice, 3E is designed to guide health care students and practitioners through a wide variety of areas involving ethical controversies. It provides a background in value development and ethical theories, including numerous real-life examples to stimulate discussion and thought.

Hempel's paradox of the ravens has to do with the question of what constitutes confirmation from a logical point of view; Wason 's selection task has been used extensively to investigate how people go about attempting to confirm or disconfirm conditional claims. This paper presents an argument that the paradox is resolved, and that people's typical performance in the selection task can be explained, by consideration of what constitutes an effective strategy for seeking evidence of the tenability of universal or (...) conditional claims in everyday life. (shrink)

ETHICS ON THE JOB guides the reader through a step-by-step analysis to help them make good decisions in the face of ethical conflict. With the RESOLVEDD strategy, the authors have devised a powerful system for ethical decision-making in the workplace, which they teach students to implement through timely case studies and detailed analyses. Students develop a working grasp of important philosophical principles and their application in ethical conflicts, and learn to apply the RESOLVEDD strategy to ethical issues in their own (...) lives. A classic text in ethical decision-making, ETHICS ON THE JOB is widely used in business ethics classes and corporate training programs across the country. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version. (shrink)

ABSTRACTTreating conditionals as probabilistic statements has been referred to as a defining feature of the “new paradigm” in cognitive psychology. Doing so is attractive for several reasons, but it complicates the problem of assessing the merits of conditional arguments. We consider several variables that relate to judging the persuasiveness of conditional arguments with uncertain premises. We also explore ways of judging the consistency of people's beliefs as represented by components of conditional arguments. Experimental results provide evidence that inconsistencies in beliefs (...) are more prevalent if the arguments’ components are spatially and temporally dispersed than if they are contiguous in space and time. This supports the idea that assuring the consistency among even a small number of beliefs is difficult to do, especially if the beliefs in question are not brought into consciousness at the same time; but consistency can be enhanced when beliefs are considered simultaneously or nea... (shrink)

Neither employer expectations of loyalty, nor good treatment of employees by employers, nor employee appreciation of employers, nor the duty of nonmaleficence, nor the intention to be loyal, nor the duty not to act disloyally provide a basis for a moral or ethical duty of employee loyalty. However, in addition to the law, a pledge to be loyal can obligate one to be loyal. But if the specific content of such a pledge is unstated, the conduct required by the pledge (...) may be indefinite. Moreover, the content and implications of loyalty are fluid, varying from context to context. Consequently, there is only a limited basis for the thesis that employees owe loyalty to their employers. (shrink)

Exploration of the fundamental motivations for attributing moral responsibility to various kinds of collectives serves as the basis for understanding the meaning of such attributions. Such attributions have a mid-range, limited justification. The analysis has broad implications for a wide variety of writings on aspects of collective moral responsibility, revealing serious deficiencies of any theory of corporate moral personhood.

Peter French has argued that conglomerate collectivities such as business corporations are moral persons and that aggregate collectivities such as lynch mobs are not. Two arguments are advanced to show that French's claim is flawed. First, the distinction between aggregates and conglomerates is, at best, a distinction of degree, not kind. Moreover, some aggregates show evidence of moral personhood. Second, French's criterion for distinguishing aggregates and conglomerates is based on inadequate grounds. Application of the criterion to specific cases requires an (...) additional judgment of a pragmatic nature which undermines any attempt to demonstrate French's thesis that actual conglomerates are moral persons and aggregates are not. Thus, French's theory is seriously lacking both empirical basis and empirical relevance. (shrink)

The Argument from Uncertainty in the abortion debate is the argument that because the moral status of the fetus is uncertain, abortion policies should afford it maximum protection in order to avoid doing very great evil. Three versions of the argument are developed, and each is based upon an unfounded assumption of a burden of proof in the abortion debate. Each is found to make an unwarranted assumption, or to beg the question, and each fails to provide reasonable support for (...) its conclusion. (shrink)

Context The attitudes of medical professionals towards physician assisted dying have been widely discussed. Less explored is the level of agreement among physicians on the possibility of ‘rational suicide’—a considered suicide act made by a sound mind and a precondition of assisted dying legislation. Objective To assess attitudes towards rational suicide in a representative sample of senior doctors in England and Wales. Methods A postal survey was conducted of 1000 consultants and general practitioners randomly selected from a commercially available database. (...) The main outcome of interest was level of agreement with a statement about rational suicide. Results The corrected participation rate was 50%; 363 questionnaires were analysed. Overall 72% of doctors agreed with the possibility of rational suicide, 17% disagreed, and 11% were neutral. Doctors who identified themselves as being more religious were more likely to disagree. Some doctors who disagreed with legalisation of physician assisted suicide nevertheless agreed with the concept of rational suicide. Conclusions Most senior doctors in England and Wales feel that rational suicide is possible. There was no association with specialty. Strong religious belief was associated with disagreement, although levels of agreement were still high in people reporting the strongest religious belief. Most doctors who were opposed to physician assisted suicide believed that rational suicide was possible, suggesting that some medical opposition is best explained by other factors such as concerns of assessment and protection of vulnerable patients. (shrink)

The term “exchange paradox” refers to a situation in which it appears to be advantageous for each of two holders of an envelope containing some amount of money to always exchange his or her envelope for that of the other individual, which they know contains either half or twice their own amount. We review several versions of the problem and show that resolving the paradox depends on the specifics of the situation, which must be disambiguated, and on the player's beliefs. (...) The latter psychological variables are part and parcel of the resolution. Assuming reasonable subjective distributions, exchanging cannot always be advantageous for both players. We suggest several deep-rooted psychological reasons for the considerable difficulty people demonstrably have in dealing with this problem. Implicit widespread and compelling assumptions—that affect judgement in diverse contexts—obstruct the solution. Analysing this paradox underscores the close connection between psychology and probability theory. (shrink)

Reciprocal altruism involves foregoing an immediate benefit for the sake of a greater long-term reward. It follows that individuals who exhibit a stronger preference for future over immediate rewards should be more disposed to engage in reciprocal altruism – in other words, ‘patient’ people should be more cooperative. The present study tested this prediction by investigating whether participants’ contributions in a public-good game correlated with their ‘discount rate’. The hypothesis was supported: patient people are indeed more cooperative. The paper discusses (...) alternative interpretations of this result, and makes some suggestions for future research. (shrink)

The “exchange paradox”—also referred to in the literature by a variety of other names, notably the “two-envelopes problem”—is notoriously difficult, and experts are not all agreed as to its resolution. Some of the various expressions of the problem are open to more than one interpretation; some are stated in such a way that assumptions are required in order to fill in missing information that is essential to any resolution. In three experiments several versions of the problem were used, in each (...) of which the information given was sufficient to determine an optimal choice strategy when it exists or to justify indifference regarding keeping or trading when such a strategy does not exist. College students who were presented with the various versions of the problem tended to base their choices on simple heuristics and to give little evidence of understanding the probabilistic implications of the differences in the problem statements. (shrink)

There can be little sense to claims that living men are responsible for the oppression of women in the past, or that men who have not oppressed women still bear responsibility for such oppression.

The "two-envelopes" problem has stimulated much discussion on probabilistic reasoning, but relatively little experimentation. The problem specifies two identical envelopes, one of which contains twice as much money as the other. You are given one of the envelopes and the option of keeping it or trading for the other envelope. Variables of interest include the possible amounts of money involved, what is known about the process by which the amounts of money were assigned to the envelopes, and whether you are (...) allowed to know how much money is in the envelope in hand before deciding whether to keep or trade. In an earlier study, Butler and Nickerson found that when participants were allowed to know how much was in the envelope in hand, they generally elected to trade if that amount was small relative to the range of possibilities and to keep otherwise. The present experiments showed that this propensity was independent of the amount of money in the envelopes. Participants made decisions with a strong bias for avoiding the risk of losing by trading, particularly when the amount in hand was known and large relative to the range of possible amounts, regardless of the absolute value of the gamble. The results illustrate the dependence of thinking on the context in which it occurs, and demonstrate a tendency to treat quantities that are large or small relative to a particular context in which they are encountered as though they were large or small in a more general sense. (shrink)

Drawing from the study of human reasoning, Argumentation describes different types of arguments and explains how they influence beliefs and behaviour. Raymond Nickerson identifies many of the fallacies, biases, and other flaws often found in arguments as well as 'stratagems' that people regularly use to persuade others. Much attention is given to the evaluation of arguments. Readers will learn a new schematic for evaluating arguments based on cognitive science. As a source for understanding and evaluating arguments in decision-making, it (...) is ideal for courses on cognition, reasoning, and psychology. (shrink)

Often viewed as the deep common core of all religions, spirituality has been addressed in a direct philosophical manner only occasionally. After noting some recent philosophical literature, a questionnaire for evaluating a person’s spirituality is described, and a general theory of spirituality is advanced. Spirituality is, generally, the yearning for, quest for, experience of or belief in a great reality that is largely beyond ordinary experience and that inspires one’s interior, private life and one’s behavior and ultimate values. This idea (...) illuminates the main questions of the philosophy of religion, and also questions of the consistency of thought and action, essentialism, naturalism, religious liberalism, and the reproductive fallacy. (shrink)

Two experiments were conducted with variants of Wason's (1966) selection task. The common focus was the effect of differences in the sizes of the sets represented by P and not-Q in assertions of the form _If P then Q_ (conditional) or _All P are Q_ (categorical). Results support the conclusion that such set size differences affect the strategies people adopt when asked to determine, efficiently, the truth or falsity of such assertions, but they do not entirely negate the tendency to (...) select the term represented by P (the antecedent of the conditional or the subject of the categorical) in preference to the term represented by not-Q (the complement of the consequent of the conditional or the complement of the predicate of the categorical). Several possible explanations of this perseverance are considered. Results also support the conclusion that people find it easier to assess categorical assertions than logically equivalent conditional assertions. (shrink)

Participants attempted to solve a modified version of Wason's selection task. Variables were: sizes of the sets referenced by a specified assertion, form of the assertion, thematic content of the assertion, and the need for sampling or not. In Experiment 1, participants were given enough information to determine the truth or falsity of the specified assertion with certainty; in Experiment 2, they had to rely on sampling and could not determine the assertion's truth or falsity with certainty. Performance was better (...) in Experiment 1 than in Experiment 2, but in both cases much better than what is typically obtained with the conventional selection task. The results support the hypothesis that performance of the selection task is sensitive to the sizes of the sets involved, add credence to the conclusion that framing the task in a thematically meaningful way can facilitate performance, and demonstrate that facilitation does not require deontic reasoning or a well-known convention being involved. The relationship between expressed confidence and level of performance is consistent with other studies showing the former to be a good predictor of the latter. (shrink)

This little textbook of 146 pages clarifies the basic concepts of ethics, introduces basic ethical principles, explains a strategy for ethical decision-making in difficult cases, and offers forty-five case descriptions for students to apply the RESOLVEDD strategy.

This is a book for practical, ethical decision-makers. The first half of the book presents a strategy for making ethical decisions in the presence of a conflict of values. The main theories of ethics are presented, along with strategies for applying and evaluating their import. Two cases are described and analyzed in full, following the RESOLVEDD strategy. The second half presents detailed descriptions of 45 ethical conflicts that are found in contemporary workplaces, and that can be addressed using the RESOLVEDD (...) strategy. (shrink)

Elqayam & Evans (E&E) argue that the major objective of research on human thinking should be the development of descriptive theories, and they challenge normativism the belief that people ought to conform to a normative standard” (target article, sect. 1, para. 10). I contend that although their argument for the importance of developing descriptive theories is compelling, normative theories are also important, not only for improving thinking but for investigating and understanding it as well.

Introduction This book is about reasoning. It is not a textbook in the conventional sense. Nor does it provide a prescription for how to reason effectively. ...

To the evolutionarily oriented clinical psychiatrist, the discipline of behavioural ecology is a fertile basic science. Human psychology discusses variation in terms of means, standard deviations, heritabilities, and so on, but behavioural ecology deals with mutually incompatible alternative behavioural strategies, the heritable variation being maintained by negative frequency-dependent selection. I suggest that behavioural ecology should be included in the interdisciplinary dialogue recommended by Keller & Miller (K&M). (Published Online November 9 2006).