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Trevor M Bibler, Myrick C Shinall, Devan Stahl
Significant challenges arise for clinical care teams when a patient or surrogate decision-maker hopes a miracle will occur. This article answers the question, "How should clinical bioethicists respond when a medical decision-maker uses the hope for a miracle to orient her medical decisions?" We argue the ethicist must first understand the complexity of the miracle-invocation. To this end, we provide a taxonomy of miracle-invocations that assist the ethicist in analyzing the invocator's conceptions of God, community, and self...
May 2018: American Journal of Bioethics: AJOB
Rebecca L Johnson, Becky Bui, Lindsay L Schmitt
The most recent edition of the American Psychological Association (APA) Manual states that two spaces should follow the punctuation at the end of a sentence. This is in contrast to the one-space requirement from previous editions. However, to date, there has been no empirical support for either convention. In the current study, participants performed (1) a typing task to assess spacing usage and (2) an eye-tracking experiment to assess the effect that punctuation spacing has on reading performance. Although comprehension was not affected by punctuation spacing, the eye movement record suggested that initial processing of the text was facilitated when periods were followed by two spaces, supporting the change made to the APA Manual...
August 2018: Attention, Perception & Psychophysics
Robert Noggle
Cass Sunstein and Richard Thaler recommend helping people make better decisions by employing 'nudges', which they define as noncoercive methods of influencing choice for the better. Not surprisingly, healthcare practitioners and public policy professionals have become interested in whether nudges might be a promising method of improving health-related behaviors without resorting to heavy-handed methods such as coercion, deception, or government regulation. Many nudges seem unobjectionable as they merely improve the quality and quantity available for the decision-maker...
March 2018: Bioethics
Laura Nimmon, Terese Stenfors-Hayes
BACKGROUND: Modern healthcare is burgeoning with patient centered rhetoric where physicians "share power" equally in their interactions with patients. However, how physicians actually conceptualize and manage their power when interacting with patients remains unexamined in the literature. This study explored how power is perceived and exerted in the physician-patient encounter from the perspective of experienced physicians. It is necessary to examine physicians' awareness of power in the context of modern healthcare that espouses values of dialogic, egalitarian, patient centered care...
April 18, 2016: BMC Medical Education
Suzanne Koven
The woman sits perched on the end of my exam table, leaning forward, blond curls tumbling over her eyes, her precarious posture mirroring her emotional state. Though the symptom she describes is relatively minor — some diarrhea on and off — she appears distraught. She grips the table as if doing so..
February 18, 2016: New England Journal of Medicine
Yehuda Z Cohen, Saul Haber
No abstract text is available yet for this article.
July 7, 2015: Annals of Internal Medicine
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