Conversations with patients and families about the allow-natural-death (AND) order, along with the standard do-not-resuscitate (DNR) order during end-of-life (EOL) decision-making, may create engagement and understanding while promoting care that can be defended using enduring notions of autonomy, beneficence, and professional duty. Ethical, legal, and pragmatic issues surrounding EOL care decision-making seem to suggest discussion of AND orders as one strategy clinicians could consider at the individual practice level and at institutional levels. A discussion of AND orders, along with traditional (...) DNR orders is presented. This is followed by argument and counter-argument focused on ethical, legal, and practical issues germane to EOL care decision-making associated with use of AND orders. (shrink)

Physician-written “do not resuscitate” DNR orders elicit negative reactions from stakeholders that may decrease appropriate end-of-life care. The semantic significance of the phrase has led to a proposed replacement of DNR with “allow natural death” . Prior to this investigation, no scientific papers address the impact of such a change. Our results support this proposition due to increased likelihood of endorsement with the term AND.

Is there an effect of depressed mood on the interpretation of ambiguity? Are depressed individuals biased to interpret ambiguous information in a negative manner? We used a cross-modal semantic priming task to look for evidence of a negative interpretative bias. Participants listened to ambiguous prime sentences (e.g., Joan was stunned by her final exam mark) and made lexical decisions to target words presented immediately after the sentence offset or after a delay of 1000 ms or 2000 ms. For the semantically (...) related targets, the target was negatively related (distress), positively related (success), or neutrally related (grades) to the ambiguous prime. The experiment was conducted with and without a negative mood induction. The expectation was that depressed participants would be more likely to consider the negative interpretations of the ambiguous primes and would therefore experience larger priming effects for negatively related targets. Although there were large priming effects for all semantically related targets, there was no evidence of a negative interpretative bias. (shrink)

Emotions imply a revision of our beliefs inasmuch as they are triggered by a discrepancy between our expectancies and new situations. I will study the converse relation: how emotions, particularly recurrent emotions that reappear in similar situations in the long term, are incentives to revise not only our beliefs but also the order of priorities between their related desires. Understanding how affects can revise both beliefs—under their committing aspect—and the order of desires, implies seeing the dynamics of affects as interacting (...) with external dynamics and the order of priorities as a weak one (“pseudo-distance”; Schlechta, 2004). These philosophical considerations shed new light on the diversity of emotions, on their different temporalities, and on the paradox of emotional sharing. (shrink)

The effect of contextual information on the resolution of ambiguity was investigated in a group of individuals awaiting dental treatment and a group of control individuals. Participants heard threat/neutral, neutral/neutral and positive/neutral homophones while being simultaneously presented with a context word that was consistent with one of the two meanings of the homophone. Participants then made a lexical decision task on a target word that was one of the two alternate spellings of the homophone. We found that the dental group (...) was more sensitive to context for all types of homophones, and there was no evidence for mood congruency. It also appeared that there might have been an element of mood regulation in the dental group, as they were slower to respond to the emotional targets overall. Our results show that sensitivity to context in state anxiety is a robust phenomenon and one that generalises to naturally occurring anxious moods. (shrink)