The question is: what is medicine supposed to be all about?

The Hippocratic Oath has survived, with overriding power, the test of time. Written somewhere between 600 B.C. and 100 A.D., it addresses the intrinsic nature of medicine. Even those of us who know little of it or reject parts of it acknowledge it to be a symbol of the values of medicine. Such "canonization" is unlikely to be arbitrary; it is more likely that the oath strikes some key chord of truth. I suggest that it is its drive to the heart of medicine that makes the Hippocratic Oath inspiring today.     

The instinct to teach: Altruism or aggression?

In this paper, the term ‘teaching’ means activities which induce a specific change in the behavior of a member of the same species, and are adapted until the pupil reaches a certain standard of performance. Teaching in this sense is confined to man, with one group of exceptions. Other forms of social learning are observed among the mammals and even the buds. The most important is imitation, or learning by observation. Teaching by other species always involves punishment, and always leads to the separation or spacing out of individuals. It occurs 1) at weaning, 2) in maintaining status within a group, and 3) in territorial behavior. In each case an animal is punished for approaching another. Man is distinguished by using punishment not only as a deterrent but also in the teaching of skills. Such conduct is sometimes called aggressive. To give it this name is to put teaching (by punishment) in the same class as socially undesirable acts. Such a usage obscures questions that can profitably be asked. Children learn much by imitation, and are encouraged to do so. But teaching of skills (usually not by punishment) and of customs seems to be universal in human communities, both primitive and advanced. To say that there is an instinct or drive to teach adds, however, nothing to this statement. Some teaching, especially the formal process in schools, is by adults and is confined to particular societies. But, in addition, children teach younger children, sometimes evidently without prompting by elders. This is one aspect of the nurturant behavior which is perhaps a feature of all societies. Some traditions seem to be maintained solely by children. Such conduct is probably at times altruistic in the traditional sense of the term. “Altruism” in biological writings today has, however, a different meaning, and is therefore becoming a source of confusion. In many communities, both primitive and advanced, nurturant behavior and the teaching of young children by older children are reported to be more prominent among girls than among boys. Teaching, considered as a type of behavior, has been neglected as a subject of study. It would repay multidisciplinary investigation, especially as it appears in the conduct of children.     

Is the hand to speech what speech is to the hand?

Interference between the manual and the verbal performance on two types of concurrent verbal-manual tasks was studied on a sample of 48 female right-handers. The more complex verbal task (storytelling) affected both hands significantly, the less complex (essentially phonemic) task affected only the right hand, with insignificant negative influence on the left-hand performance. No significant reciprocal effects of the motor task on verbalization were found.     

Philosophy: what is to be done?

The isolation and professionalization of philosophy is detrimental to it. The most interesting philosophical activity is conducted at the interface of philosophy and other disciplines. Thus philosophy must continue to cross boundaries and avoid fretting about what is and is not philosophy proper.     

What is the answer? And come to that, what are the questions?

In recent years, the topic of car-following has become of increased importance in traffic engineering and safety research. Models of this phenomenon, which describe the interaction between (typically) adjacent vehicles in the same lane, now form the cornerstone for many important areas of research including (a) simulation modelling, where the car-following model (amongst others) controls the motion of the vehicles in the network, and (b) the functional definition of advanced vehicle control and safety systems (AVCSS), which are being introduced as a driver safety aid in an effort to mimic driver behaviour but remove human error. Despite the importance of this area however, no overview of the models availability and validity exists. It is the intent of this paper therefore to briefly assess the range of options available in the choice of car-following model, and assess just how far work has proceeded in our understanding of what, at times, would appear to be a simple process.     

The capacity for music: what is it, and what's special about it?

We explore the capacity for music in terms of five questions: (1) What cognitive structures are invoked by music? (2) What are the principles that create these structures? (3) How do listeners acquire these principles? (4) What pre-existing resources make such acquisition possible? (5) Which aspects of these resources are specific to music, and which are more general? We examine these issues by looking at the major components of musical organization: rhythm (an interaction of grouping and meter), tonal organization (the structure of melody and harmony), and affect (the interaction of music with emotion). Each domain reveals a combination of cognitively general phenomena, such as gestalt grouping principles, harmonic roughness, and stream segregation, with phenomena that appear special to music and language, such as metrical organization. These are subtly interwoven with a residue of components that are devoted specifically to music, such as the structure of tonal systems and the contours of melodic tension and relaxation that depend on tonality. In the domain of affect, these components are especially tangled, involving the interaction of such varied factors as general-purpose aesthetic framing, communication of affect by tone of voice, and the musically specific way that tonal pitch contours evoke patterns of posture and gesture.     

Composites, compromises, and CHARM: what is the evidence for blend memory representations?

Metcalfe's (1990) distributed memory model simulates many misinformation effects by assuming representations that superimpose information from multiple sources. In the present article, two types of evidence are reviewed for such "blend" representations: composite recollections, including items from both the original and postevent sources (e.g., a previously seen intersection is remembered with a subsequently suggested stop sign), and compromise recollections, including features that cannot be exclusively associated with either source (e.g., a green car that was later suggested to be blue is remembered as bluish green). The considerable evidence for composite recollections provides little support for blend representations. Compromise recollections, though seemingly more persuasive, are both rare and interpretable without postulating blend representations. Speculation is made about potential findings that would support blend representations.     

Attentional dysfunction, social perception, and social competence: what is the nature of the relationship?

The aim of this study was to examine the nature of the relationship between attentional dysfunction and social competence deficits in patients with schizophrenia. Attentional functioning, social perception, and social competence were assessed in 56 inpatients. Measures of vigilance and span of apprehension were administered to assess attentional functioning. Social perception was assessed with an audiovisual measure of affect recognition. Social competence was rated from a role-play task. Span of apprehension and auditory vigilance emerged as specific predictors of social competence. Affect recognition was tested as a mediator and a moderator of the relationship between attentional dysfunction and social competence. Affect recognition was found to moderate the relationship between span of apprehension and social competence.     

Posttraumatic stress disorder in medically ill patients: what is known, what needs to be determined, and why is it important?

Can a medical illness or its treatment qualify as an emotionally traumatic event and can it cause posttraumatic stress disorder symptoms? If so, can the view of a medical illness as a traumatic experience enhance our ability to understand patients' adjustment to illness and their emotional reactions to it? Is it important to identify posttraumatic symptoms and try to address them in medically ill patients? These questions form the backbone for this review. Because many questions remain unanswered (or the answers are not definitive yet), we concisely summarize the issues and present our own view of the most pressing questions for further research.     

Familiarity and attention: Does what we know affect what we notice?

Previous work on the object and word superiority effects has demonstrated that activation from stored representations can facilitate identification of items in a visual display. We predicted that activation of this sort might exogenously attract visual attention toward items that have stored representations. To test this prediction, we presented a familiar (word) and an unfamiliar (nonword) item simultaneously at unpredictable locations, and after varying delays, moved one of the stimuli. In accord with our prediction, at the shortest intervals subjects were more efficient at discriminating motion of the familiar item. Control data demonstrated that this advantage was due to a competitive interaction and not to the familiarity of the items per se.     

Do we know what we've learned from listening to the news?

This study investigates the relationship between knowledge acquisition and an awareness of that knowledge within the context of listening to the news, Subjects listened to a recording of a radio news program consisting of regular news items as well as editorials, manipulated to be of high or low personal relevance. They then completed a surprise memory test and rated their confidence in their answers. In contrast to many studies, the results indicated a strong positive confidence-accuracy relationship. Confidence ratings were generally a better predictor of an individual's performance than were predictions based on item difficulty. Whereas subjects reported strong and accurate feelings of knowing, they apparently lacked complementary feelings ofnot knowing. The implications of these findings and others are discussed.     

Effectiveness and safety of epilepsy surgery: what is the evidence?

Evidence from a recent randomized controlled trial of surgical versus medical therapy of temporal lobe epilepsy proves that antero-mesial resection is safe and more effective than medical therapy. The number of patients needed to treat for one patient to become free of disabling seizures is two, which is superior to most interventions in neurology. A meta-analysis of non-randomized trials gives almost identical results; about two-thirds of patients become seizure-free, compared with only 8% with medical therapy. The results are remarkably similar among studies from different parts of the world. Quality of life improves early after epilepsy surgery, the improvements are both statistically and clinically significant, and they are sustained. Surgical morbidity with clinically important permanent sequelae is 2%. Epilepsy surgery remains underutilized in developed countries and it does not exist in all but a few developing countries. Current randomized trials are underway to explore the effect of early surgery versus optimum medical therapy on the prevention of disability in patients with mesial temporal lobe epilepsy, and to examine the effectiveness of novel interventions, such as minimally invasive surgery and brain stimulation.     

The development of arithmetic principle knowledge: How do we know what learners know?

This paper reviews research on learners’ knowledge of three arithmetic principles: Commutativity, Relation to Operands, and Inversion. Studies of arithmetic principle knowledge vary along several dimensions, including the age of the participants, the context in which the arithmetic is presented, and most importantly, the type of knowledge assessment (e.g., application of procedures, evaluation of examples). The vast majority of studies utilize single-faceted knowledge assessments, which can lead to incomplete or misleading views of learners’ knowledge. Both context and type of knowledge assessment can influence conclusions about learners’ arithmetic principle knowledge. However, relatively few studies directly address the possible effects of context or type of knowledge assessment on their results. To move the field forward, research that utilizes multifaceted knowledge assessments is needed.     

Who is causing what? The sense of agency is relational and efferent-triggered

The sense of agency ("I did that") is a basic feature of our subjective experience. Experimental studies usually focus on either its attributional aspects (the "I" of "I did that") or on its motoric aspects (the "did" aspect of "I did that"). Here, we combine both aspects and focus on the subjective experience of the time between action and effect. Previous studies [Haggard, P., Aschersleben, G., Gehrke, J., & Prinz, W. (2002a). Action, binding and awareness. In W. Prinz, & B. Hommel (Eds.), Common mechanisms in perception and action: Attention and performance (Vol. XIX, pp. 266-285). Oxford: Oxford University Press] have shown a temporal attraction in the perceived times of actions and effects, but did directly not study the relation between them. In three experiments, time estimates of an interval between an action and its subsequent sensory effect were obtained. The actions were either voluntary key press actions performed by the participant or kinematically identical movements applied passively to the finger. The effects were either auditory or visual events or a passive movement induced to another finger. The results first indicated a shortening of the interval between one's own voluntary action and a subsequent effect, relative to passive movement conditions. Second, intervals initiated by observed movements, either of another person or of an inanimate object, were always perceived like those involving passive movements of one's own body, and never like those involving active movements. Third, this binding effect was comparable for auditory, somatic and visual effects of action. Our results provide the first direct evidence that agency involves a generalisable relation between actions and their consequences, and is triggered by efferent motor commands.     

The congruency effect: just what is being learned?

G. H. Bower, S. Thompson-Schill, and E. Tulving (1994) found that when stimulus-response sets in A-B, A-C learning belong to unique categories (congruent-triads), learning appropriate responses appear rapid and memory performance on a modified modified free recall (MMFR) test is enhanced. Bower et al. assumed that category cues protect associations from interpair interference, allowing more rapid learning. However, unlike arbitrary pairs, congruent pairs also allow a reliance on preexperimental associations. As a result, MMFR test performance may not be an unbiased test of what was learned. In the present experiment, free recall (FR) demonstrated that responses were learned approximately equally in all conditions and that the pattern of clustering was compatible with the hypothesis that preexperimental associations continue to play a major role in FR test performance.     

Neurolinguistics and neuroimaging: forward to the future,or is it back?

Books reviewed in this article:
Michael Gazzaniga (ed.), Cognitive Neuroscience: A Reader
Alec Marantz, Yasushi Miyashita, and Wayne O'Neil (ed.), Image, Language, Brain: Papers From the First Mind Articulation Project Symposium
Colin Brown and Peter Hagoort, The Neurocognition of Language