Three standard psychometric tests were administered to parents who volunteered their children for a randomised, double-blind placebo-controlled trial of a new asthma drug and to a control group of parents whose children were eligible for the trial but had declined the invitation. The trial took place at a children's hospital in Australia. The subjects comprised 68 parents who had volunteered their children and 42 who had not, a participation rate of 94 per cent and 70 per cent, respectively. The responses (...) of these parents to the Gordon Survey of Interpersonal Values Questionnaire, the Coopersmith Self-Esteem Inventory and the Cattell Sixteen Personality Factor Questionnaire were analysed by computer. There was a marked difference between the psychological profiles of the two groups of parents. Volunteering parents put more value on benevolence while non-volunteering parents were more concerned with power and prestige. The self-esteem of volunteering parents was much lower than that of non-volunteering parents. Finally, volunteering parents were more introverted, exhibited greater anxiety and low supergo, while non-volunteering parents appeared to have greater social confidence and emotional stability. Since an individual's values, self-esteem and personality may be important antecedents of behaviour, these findings suggest that parents who volunteer their children for clinical research are not only socially disadvantaged and emotionally vulnerable, but may also be psychologically predisposed to volunteering. Furthermore, these findings provide evidence for the existence of a psychosocial 'filter' effect of the informed consent procedure, which may be discouraging the better educated, more privileged and psychologically resilient members of society from participation as research subjects. (shrink)

The issue of aftercare for participants in clinical research was explored in the context of an asthma drug trial. Although there may be financial constraints and practical difficulties with implementation, the results show that it may be feasible for clinical investigators and commercial sponsors to take on some limited responsibility for the medical care of research subjects after clinical trials. However, the ethical implications for this practice remain unclear. On the one hand, society may have a moral obligation to compensate (...) and reward some of its members who assume the risk of research subjects for the benefit of society as a whole. On the other hand, the promise of aftercare may provide an inducement to volunteers which, under certain conditions may be considered morally wrong and scientifically unsound. (shrink)

This target article draws together two groups of experimental studies on the control of human movement through peripheral feedback and centrally generated signals of motor commands. First, during natural movement, feedback from muscle, joint, and cutaneous afferents changes; in human subjects these changes have reflex and kinesthetic consequences. Recent psychophysical and microneurographic evidence suggests that joint and even cutaneous afferents may have a proprioceptive role. Second, the role of centrally generated motor commands in the control of normal movements and movements (...) following acute and chronic deafferentation is reviewed. There is increasing evidence that subjects can perceive their motor commands under various conditions, but that this is inadequate for normal movement; deficits in motor performance arise when the reliance on proprioceptive feedback is abolished either experimentally or because of pathology. During natural movement, the CNS appears to have access to functionally useful input from a range of peripheral receptors as well as from internally generated command signals. The unanswered questions that remain suggest a number of avenues for further research. (shrink)

Unlike its predecessors, this systematic survey of the law of Athens is based on explicit discussion of how the subject might be studies, incorporating topics such as the democratic political system and social structure. Technical and legal terms are explained in a comprehensive glossary.

Objectives: This study aimed to determine attitudinal and self reported behavioural variations between medical students in different years to scenarios involving academic misconduct.Design: A cross-sectional study where students were given an anonymous questionnaire that asked about their attitudes to 14 scenarios describing a fictitious student engaging in acts of academic misconduct and asked them to report their own potential behaviour.Setting: Dundee Medical School.Participants: Undergraduate medical students from all five years of the course.Method: Questionnaire survey.Main measurements: Differences in medical students’ attitudes (...) to the 14 scenarios and their reported potential behaviour with regards to the scenarios in each of the years.Results: For most of the scenarios there was no significant difference in the response between the years. Significant differences in the responses were found for some of the scenarios across the years, where a larger proportion of year one students regarded the scenario as wrong and would not engage in the behaviour, compared to other years. These scenarios included forging signatures, resubmitting work already completed for another part of the course, and falsifying patient information.Conclusion: Observed differences between the years for some scenarios may reflect a change in students’ attitudes and behaviour as they progress though the course. The results may be influenced by the educational experience of the students, both in terms of the learning environment and assessment methods used. These differences may draw attention to the potential but unintentional pressures placed on medical students to engage in academic misconduct. The importance of developing strategies to engender appropriate attitudes and behaviours at the undergraduate level must be recognised. (shrink)

Despite the fact that the nature of the properties of causation is rarely discussed within the mental causation debate, the implicit assumption is that they are universals as opposed to tropes. However, in recent literature on the problem of mental causation, a new solution has emerged which aims to address the problem by appealing to tropes. It is argued that if the properties of causation are tropes rather than universals, then a psychophysical reductionism can be advanced which does not face (...) the problem of multiple realizability. However, the 'trope solution' rests upon the assumption that one can combine a trope monism with a type dualism. I argue that such a combination cannot be allowed. Given a plausible interpretation of types within a trope ontology, trope monism in fact entails type monism. Consequently, if one identifies mental tropes with physical tropes, one must also identify mental and physical types and in doing so face a modified version of the multiple realizability argument. (shrink)

In this paper I argue that RadicalInterpretation (RI), taken to be a methodological doctrine regarding the conditions under which an interpretation of an utterance is both warranted and correct, has unacceptable implications for the conditions on (ascriptions of) understanding. The notion of understanding at play is that which underwrites the testimonial transmission of knowledge. After developing this notion I argue that, on the assumption of RI, hearers will fail to have such understanding in situations in which we should want to (...) maintain otherwise. The overall effect of the argument is to provide a heretofore unexamined source of motivation for anti-individualistic approaches to the semantics of utterances. (shrink)

This paper summarizes the longstanding debate over psychology's fragmentation by illustrating two principal impediments to the fostering of consensus and unity. The paper then discusses the important benefits of past dialogue concerning these issues, suggesting that some progress has been made in dealing with problems of disunity and fragmentation, particularly at the metatheoretical and philosophical levels. This general discussion then forms the backdrop for the following articles, which together form a single argument in favor of a hermeneutic approach to the (...) problem of fragmentation. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:HUME'S BUNDLES, SELF-CONSCIOUSNESS AND KANT Even if we are inclined to view Hume's attempt to explain ascriptions of personal identity as an abysmal failure, we might still be sympathetic toward his proposal to replace the going substance theory of the nature of mind with his bundle account. Thus we might fault Hume for erecting an unachievably high standard for personal identity, or round on him for excluding bodily criteria (...) 2... from his solution, but nonetheless applaud his spiriting away of the Cartesian soul substance leaving his "true idea of the human mind" (261) as a collection of perceptions in its stead. However, Hume's concern to give an account of the idea of the unity of a human mind in terms of related perceptions has run into notoriously rough sledding, not the least of which is the fact that Hume himself in his Appendix to "Of Personal Identity" seems to abandon his bundle theory in despair. In this paper I shall first be concerned to examine the criticism of his bundle theory which Hume brings forth in the Appendix and explain why I think the core difficulty remains insoluble for Hume. I shall then go on to suggest that the unworkability of Húmete bundle theory is directly tied to his failure to appreciate certain features of the peculiarly first person nature of his question about the make-up of minds. In thus emphasizing the place of the first person voice in my interpretation I am stealing a leaf, if not a chapter, from Kant. But this is as it should be since one of the aims of this essay is to provide an interpretation of Hume's difficulties with his account of the nature of mind which explains part of the reason why 'self-consciousness' (or 'apperception') looms so very large in the Critique of Pure Reason attack upon Hume's type of bundle theory. 60. 1. Hume's Second Thoughts In a burst of self criticism at the Appendix to the section on personal identity, Hume brings forth this objection to his own efforts:...Having thus loosen' d all our particular perceptions, when I proceed to explain the principle of connexion, which binds them together, and makes us attribute to them a real simplicity and identity; I am sensible, that my account is very defective, and that nothing but the seeming evidence of the precedent reasonings cou'd have indue' d me to receive it (635). After additional reflections Hume encapsulates his objection thus:...All my hopes vanish, when I come to explain the principles, that unite our successive perceptions in our thought or consciousness (6SS-6). What is the defect Hume calls to our attention? Notice first that the footnote on page 635 explicitly refers us back to that part of his account Hume considers defective; and when we look back to the text of the Treatise in question, page 260, we find it is precisely there that Hume uses the analogy of a republic to sketch his bundle theory of the unity of mind in terms of the two associative principles, resemblance and causation. So it must somehow be that this account in terms of the associative principles is mistaken. But what then is the mistake? According to Hume it is that he cannot 'explain' the principles which unite the discrete percepts. Now it seems to me there are only two possible things Hume could mean in saying this. He could mean either (1) that the principles which connect the percepts of one mind are instances of the associative principles, but he cannot explain them; or (2) there must be other, non-associative, principles which connect the percepts of a single mind and these he cannot explain. 61. I think we can safely conclude (1) cannot represent Hume's misgivings when he says he is unable to explain the uniting principles of the mental bundles. There is first the fact that he does not call into question his general programme of accounting for the nature of the unity of complex things by the principles of causation, resemblance and contiguity — for example, ships, plants, animals, houses and rivers (e.g. 257f) — but only his... (shrink)