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It is acknowledged that health technology assessment (HTA) is an inherently value-based activity that makes use of normative reasoning alongside empirical evidence. But the language used to conceptualise and articulate HTA's normative aspects is demonstrably unnuanced, imprecise, and inconsistently employed, undermining transparency and preventing proper scrutiny of the rationales on which decisions are based. This paper – developed through a cross-disciplinary collaboration of 24 researchers with expertise in healthcare priority-setting – seeks to address this problem by offering a clear definition of key terms and distinguishing between the types of normative commitment invoked during HTA, thus providing a novel conceptual framework for the articulation of reasoning. Through application to a hypothetical case, it is illustrated how this framework can operate as a practical tool through which HTA practitioners and policymakers can enhance the transparency and coherence of their decision-making, while enabling others to hold them more easily to account. The framework is offered as a starting point for further discussion amongst those with a desire to enhance the legitimacy and fairness of HTA by facilitating practical public reasoning, in which decisions are made on behalf of the public, in public view, through a chain of reasoning that withstands ethical scrutiny.
A substantial body of evidence suggests that favoring reason over intuition (employing an analytic cognitive style) is associated with reduced belief in God. In the current work, we address outstanding issues in this literature with two studies examining the relationship between analytic cognitive style (as measured by performance on the Cognitive Reflection Test) and belief in God. First, prior research focused on Judeo-Christian cultures, and it is uncertain whether the results generalize to other religious systems or beliefs. Study 1 helps to address this question by documenting a negative correlation between CRT performance and belief in God, r = −.18, in a sample of 513 participants from India, a majority Hindu country. Second, among 150 participants from the United Kingdom, Gervais et al. (2018) reported the first and (to date) only evidence for a positive relationship between CRT and belief in God. In Study 2, we assess the robustness of this result by recruiting 547 participants from the United Kingdom. Unlike Gervais et al., using the same items, we find a negative correlation between CRT and belief in God (r = −.19). Our results add further support to the argument that analytic thinking undermines belief in God.
A widely used measure of individual propensity to utilize analytic processing is the Cognitive Reflection Test (CRT), a set of math problems with intuitively compelling but incorrect answers. Here, we ask whether scores on this measure are temporally stable. We aggregate data from 11 studies run on Amazon Mechanical Turk in which the Cognitive Reflection Test (CRT) was administered and identify N = 3,302 unique individuals who completed the CRT two or more times. We find a strong correlation between an individual’s first and last CRT performance, r = .806. This remains true even when constraining to data points separated by over 2 years, r = .755. Furthermore, we find that CRT scores from one timepoint correlated negatively with belief in God and social conservatism from the other timepoint (and to a similar extent as scores gathered at the same timepoint). These results show that CRT scores are stable over time, and – given the stable relationship between CRT and religious belief and ideology – provide some evidence for the stability of analytic cognitive style more generally.
Four experiments examine how lack of awareness of inequality affect behaviour towards the rich and poor. In Experiment 1, participants who became aware that wealthy individuals donated a smaller percentage of their income switched from rewarding the wealthy to rewarding the poor. In Experiments 2 and 3, participants who played a public goods game – and were assigned incomes reflective of the US income distribution either at random or on merit – punished the poor (for small absolute contributions) and rewarded the rich (for large absolute contributions) when incomes were unknown; when incomes were revealed, participants punished the rich (for their low percentage of income contributed) and rewarded the poor (for their high percentage of income contributed). In Experiment 4, participants provided with public education contributions for five New York school districts levied additional taxes on mostly poorer school districts when incomes were unknown, but targeted wealthier districts when incomes were revealed. These results shed light on how income transparency shapes preferences for equity and redistribution. We discuss implications for policy-makers.
Whitehouse's model explains when people engage in self-sacrifice, but not who is most likely to do so. We propose incorporating individual differences, such as cognitive style (one's inclination toward intuition versus deliberation), and argue that individuals who rely on intuition may be more likely to (1) develop group identity fusion after an emotional experience and (2) engage in pro-social self-sacrifice.
Passing the MRCPsych Clinical Assessment of Skills and Competencies (CASC) is a significant challenge for trainee psychiatrists. We describe the process of setting up a new educational intervention of a simulated CASC examination incorporating peer observation, and report the findings from these events.
Results
The training events involved a series of simulated scenarios followed by personalised feedback from examiners. Peer observation was a fundamental part of the events and was viewed positively by the trainees with perceived improvements in knowledge and skills. Differences in self-rated and examiner-rated competence were observed more often in those who subsequently failed the CASC.
Clinical implications
Simulated CASC examination as a training event with a strong focus on observing and learning from peers provides a useful learning experience and supports trainees who are preparing for the CASC examination.
There is an increased appreciation of the need for horizon scanning: the identification and assessment of issues that could be serious in the future but have currently attracted little attention. However, a process is lacking to identify appropriate responses by policy makers and practitioners. We thus suggest a process and trial its applicability. Twelve environmental conservation organizations assessed each of 15 previously identified horizon scanning issues for their impact upon their organization and the urgency with which they should consider the issue. They also identified triggers that would result in changes in their scoring of the likely urgency and impact of the issues. This process enables organizations to identify priority issues, identify issues they can ignore until there are further developments, benchmark priorities across organizations and identify cross-organizational priorities that warrant further attention, so providing an agenda for collation of evidence, research and policy development. In this trial the review of responses by other organizations resulted in the upgrading of response by a substantial proportion of organizations for eight of the 15 issues examined. We suggest this approach, with the novel components of collaborative assessment and identification of triggers, could be adopted widely, both within conservation organizations and across a wider range of policy issues.
Recent research has established that individuals with amnestic mild cognitive impairment (aMCI) have impaired prospective memory (PM); however, findings regarding differential deficits on time-based versus event-based PM have been less clear. Furthermore, the diagnostic utility of PM measures has received scant attention. Healthy older adults (n = 84) and individuals with aMCI (n = 84) were compared on the Cambridge Prospective Memory Test (CAMPROMPT) and two single-trial event-based PM tasks. The aMCI participants showed global impairment on all PM measures. Measures of retrospective memory and complex attention predicted both time and event PM performance for the aMCI group. Each of the PM measures was useful for discriminating aMCI from healthy older adults and the time- and event-based scales of the CAMPROMPT were equivalent in their discriminative ability. Surprisingly, the brief PM tasks were as good as more comprehensive measures of PM (CAMPROMPT) at predicting aMCI. Results indicate that single-trial PM measures, easily integrated into clinical practice, may be useful screening tools for identifying aMCI. As PM requires retrospective memory skills along with complex attention and executive skills, the interaction between these skills may explain the global PM deficits in aMCI and the good discriminative ability of PM for diagnosing aMCI. (JINS, 2012, 18, 295–304)
The Seychelles Warbler was once a highly threatened single-island endemic species with a population of 26 individuals confined to Cousin Island in the inner Seychelles. Following long-term management of Cousin, the population steadily recovered to around 300- 360 birds. Given the vulnerability of one small island in the Indian Ocean, the possibility of establishing the species on additional islands had been proposed as a priority conservation measure. This paper describes the successful translocation of 29 Seychelles Warblers from Cousin to Aride, summarizes the ecological studies carried out prior to, during and after the translocation and documents the subsequent establishment of the new population. It is considered that the Seychelles Warbler will soon no longer be a globally threatened species.
By
Callie Marie Rennison, Assistant Professor of Criminology and Criminal Justice, University of Missouri–St. Louis,
Michael Rand, Chief of Victimization Statistics, U.S. Bureau of Justice Statistics
Edited by
James P. Lynch, John Jay College of Criminal Justice, City University of New York,Lynn A. Addington, American University, Washington DC
If we knew more about the character of both offenders and victims, the nature of their relationships and the circumstances that create a high probability of crime conduct, it seems likely that crime prevention and control programs could be made much more effective.
The President's Commission on Law Enforcement and the Administration of Justice, 1967a
For more than 30 years, the National Crime Victimization Survey (NCVS) and its predecessor the National Crime Survey (NCS) have provided detailed information about the nature and extent of personal and property victimization in the United States. Much of our current understanding about crime, such as the most vulnerable segments of the population, the proportion of crime involving weapons, the types of injuries sustained in violent crimes, and the extent of reporting to police, is derived from the NCS and NCVS. The NCVS also serves as a model for victimization surveys implemented throughout the world because it incorporates many innovative methodological protocols that enhance its ability to produce reliable estimates of the nature and extent of criminal victimization. These methodological techniques combined with the large sample size and the extensive details collected by the survey on crime events are all reasons that the current NCVS remains the “most comprehensive and systematic survey of victims in the United States” (Mosher et al., 2002, p. 137).
The NCVS and the Uniform Crime Reporting System (UCR) comprise the two ongoing national measures of crime in the United States.
This study examined implicit semantic and rhyming cues on perception of auditory stimuli among nonaphasic participants who suffered a lesion of the right cerebral hemisphere and auditory neglect of sound perceived by the left ear. Because language represents an elaborate processing of auditory stimuli and the language centers were intact among these patients, it was hypothesized that interactive verbal stimuli presented in a dichotic manner would attenuate neglect. The selected participants were administered an experimental dichotic listening test composed of six types of word pairs: unrelated words, synonyms, antonyms, categorically related words, compound words, and rhyming words. Presentation of word pairs that were semantically related resulted in a dramatic reduction of auditory neglect. Dichotic presentations of rhyming words exacerbated auditory neglect. These findings suggest that the perception of auditory information is strongly affected by the specific content conveyed by the auditory system. Language centers will process a degraded stimulus that contains salient language content. A degraded auditory stimulus is neglected if it is devoid of content that activates the language centers or other cognitive systems. In general, these findings suggest that auditory neglect involves a complex interaction of intact and impaired cerebral processing centers with content that is selectively processed by these centers (JINS, 2006, 12, 649–656.)
Ramón y Cajal, the pioneer neuroanatomist, was one of the earliest Nobel laureates, sharing the 1906 physiology prize with Camillo Golgi at the height of his career. He went on to become something of an elder statesman in his field, overcoming the need, far more onerous then than now, to publish his results in foreign languages, while campaigning to bring Spain, if not to the forefront, than at least into communication with the rest of European science. In this he largely succeeded, though to date he remains the only Spaniard to have received a Nobel science award. One of that select generation whose research careers spanned the emergence of the most crucial modern technologies, he began work in total obscurity in the 1880s but lived to see his discoveries become commonplaces of the textbook, as he in person grew to be a hero of Spanish culture almost unequalled in his time and still remembered with justifiable pride.
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