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Abstract

Psychological androgyny theory (PAT) was employed as a model of the interpersonal (social) and task activities required of physicians for care of their patients. According to PAT, indi viduals with a large repertoire of task and social skills ("androgynous" individuals) should be optimally adaptable to contingencies reflecting varying combinations of task and social challenges. The authors examined the relationship between androgyny and preference for intubation on a patient management problem involving end-stage lung disease for 67 general internists and internal medicine housestaff from two hosptials. Results revealed a negative relationship between androgyny and preference for intubation, suggesting that androgynous and nonandrogynous physicians respond differently to complex and difficult decision-making tasks. Indirect evidence is offered to suggest that this response reflects a general tendency to utilize fewer health care resources. Discussion focuses on the need to improve the pre cision of measurement of these latent constructs. Key words: androgyny; critical care; health care; resource use. (Med Decis Making 1990;10:215-222)

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References

Eisenberg JM Doctor's decisions and the cost of medical care. Ann Arbor, MI: Health Administration Press, 1986.

Epstein AM , Begg CM , McNeil BJ The effects of physicians' training and personality on test ordering for ambulatory patients. Am J Public Health. 1984 ;74:1271-3.

Nightingale SD , Grant M. Risk preference and decision making in critical care situations. Chest. 1988;93:684-8.

Roos NP , Roos LL , Henteleff PD

Elective surgical rates—do high rates mean lower standards?

N Engl J Med. 1987;297:360-5.

Ornstein S. , Johnson A. , Markert G. , Afrin L. Association between family medicine residents' personality and laboratory test-ordering for hypertensive patients. J Med Educ. 1987;62:603-5.

Ornstein SM , Markert GP , Johnson AH , Rust PF , Afrin LB The effect of physician personality on laboratory test ordering for hypertensive patients. Med Care. 1988;26:536-43.

Jung CG Psychological types. London: Rutledge & Kegan Paul, 1923.

Myers IB , McCaulley MH Manual: a guide to the development and use of the Myers-Briggs Type Inventory . Palo Alto, CA: Consulting Psychologists Press, 1985.

Yarnold PR , Bryant FB A note on measurement issues in Type A research: let's not throw out the baby with the bath water. J Person Assess. 1988;52:410-9.

10.

Bem SL The measurement of psychological androgyny. J Consult Clin Psychol. 1974;42:155-62.

11.

Yarnold PR Note on the multidisciplinary scope of psychological androgyny theory. Psychol Rep. 1984;55:936-8.

12.

Bem SL Sex-role adaptability: one consequence of psychological androgyny. J Person Soc Psychol. 1975;31:634-43.

13.

Wiggins JS A psychological taxonomy of trait-descriptive terms: the interpersonal domain . J Person Soc Psychol. 1979;37:395-412.

14.

Yarnold PR Androgyny and sex-typing as continuous independent factors, and a glimpse of the future. Multivar Behav Res. (in press.)

15.

Jonsson PV , McNamee M. , Campion EW The 'do not resuscitate' order: A profile of its changing use. Arch Intern Med. 1988;148: 2373-5.

16.

Pearlman RA , Inui TS , Carter WB Variability in physician bioethical decision making: a case study of euthanasia . Ann Intern Med. 1982;97:420-5.

17.

Hedges LV , Olkin I. Statistical methods for meta-analysis. Orlando, FL: Academic Press, 1985.

18.

Magnusson D. Test theory. Reading, MA: Addison-Wesley , 1967.

19.

Green PE Analyzing multivariate data. Hinsdale, IL: Dryden Press, 1978.

20.

Reynolds HT The analysis of cross-classifications. New York: MacMillan, 1977.

21.

Beaves RG , Joseph H. , Rohrer JE , Zeitler RR

Cost-effectiveness: how should it be determined?

Eval Health Prof. 1988;11:213-30.

22.

White RE , Quimby BB , Skipper BJ , Webster GD Cost of resident's decisions on actual patients and in simulated encounters . J Med Educ 1984;59:833-5.

23.

Feightner JW Patient management problems. New York: Springer-Verlag, 1985.

24.

Cavanaugh SH , Loadman WE The dimensionality of measures derived from a nationally standardized written clinical simulation examination. Eval Health Prof. 1988;11:333-57.

25.

Webster GD , Shea JA , Norcini JJ , Grosso LJ , Swanson DB Strategies in comparison of methods for scoring patient management problems: use of external criteria to validate scores. Eval Health Prof. 1988;11:231-48.

26.

Feinstein AR The "chagrin factor" and qualitative decision analysis. Arch Intern Med. 1985;145:1257-9.

27.

Budner S. Intolerance of ambiguity as a personality variable. J Person . 1962;30:29-50.

28.

Atkinson JW Motivational determinants of risk-taking behavior . Psychol Rev. 1957;64:359-72.

29.

Nightingale SD , Greenberg M. , Yarnold PR Sympathy, empathy, and practice styles. Clin Res. 1988;36:92A.

30.

Wispé L. The distinction between sympathy and empathy. J Person Soc Psychol. 1986;50:314-21.

31.

Cook EP Psychological androgyny. New York: Pergamon Press, 1985.

32.

Paine P. , Gloria-Wright M. Satisfaction with medical services in a low-income Brazilian community. Eval Health Prof. 1988;11:388-98.

33.

Spence JT , Helmreich RL Masculinity and femininity: their psychological dimensions, correlates, and antecedents. Austin, TX: University of Texas Press, 1978.

Psychological Androgyny and Preference for Intubation in a Nypothetical Case of End-stage Lung Disease

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