Susceptibility to memory distortion: how do we decide it has occurred?

When given suggestive information, some people can be led to believe that they had experiences that they did not actually have. For example, they may come to believe falsely that they got sick eating particular foods as children, and as a result of that belief they may avoid the foods. But how do we know that someone has developed a false belief or memory in this research? The criteria we choose when classifying whether someone has fallen for the suggestion are somewhat arbitrary. We reanalyze our prior data, using different criteria for deciding that a person fell for the suggestion (called a "believer") or did not (called a "non-believer"). Changing criteria obviously affects the percentage of people who are called susceptible and could conceivably affect the conclusions reached about that group. Comparisons between false memories and true memories could differ, too, depending on how memories are defined.     

How and when do students use flashcards?

Previous survey research has documented students' use of self-regulated study strategies, with a particular interest in self-testing. These surveys indicate that students frequently use flashcards to self-test and that self-testing is primarily used as a way to monitor learning. Whereas previous surveys provide information about whether and why students self-test, they provide minimal information about how and when students choose to self-test. Accordingly, the primary purpose of the current survey was to explore how and when students engage in self-testing. We surveyed 374 undergraduates about the amount of practice and the timing of practice, two factors that strongly affect the efficacy of self-testing. Results indicate that students understand the benefits of practising to higher criterion levels (amount of practice) but do not typically implement or understand the benefits of practising with longer lags (timing of practice). We discuss practical implications for supporting more successful student learning.     

How and when do students use flashcards?

Previous survey research has documented students' use of self-regulated study strategies, with a particular interest in self-testing. These surveys indicate that students frequently use flashcards to self-test and that self-testing is primarily used as a way to monitor learning. Whereas previous surveys provide information about whether and why students self-test, they provide minimal information about how and when students choose to self-test. Accordingly, the primary purpose of the current survey was to explore how and when students engage in self-testing. We surveyed 374 undergraduates about the amount of practice and the timing of practice, two factors that strongly affect the efficacy of self-testing. Results indicate that students understand the benefits of practising to higher criterion levels (amount of practice) but do not typically implement or understand the benefits of practising with longer lags (timing of practice). We discuss practical implications for supporting more successful student learning.     

Drug treatment of epilepsy: when does it fail and how to optimize its use?

Although modern community-based studies have shown that a majority of people with newly diagnosed epilepsy will enter long-term remission, seizures remain refractory to treatment in a substantial proportion of this population--perhaps as much as 40%. A consensus is being reached that, for operational purposes, pharmacoresistance can be suspected when two appropriately chosen, well-tolerated, first-line antiepileptic drugs (AEDs) or one monotherapy and one combination regimen have failed due to lack of efficacy. Poor prognostic factors include lack of response to the first AED, specific syndromes, symptomatic etiology, family history of epilepsy, psychiatric comorbidity, and high frequency of seizures. These observations suggest that prognosis can often be determined early in the course of the disorder. We propose a management paradigm that aims to maximize the chance of successful AED therapy, including the early use of "rational polytherapy" for patients not responding to monotherapy, and to identify efficiently patients suitable for "curative" resective surgery, in particular those with mesial temporal lobe epilepsy. An orderly approach to each epilepsy syndrome will optimize the chance of perfect seizure control and help more patients achieve a fulfilling life.     

Research Report: How do GPs make referral and treatment decisions when patients present with mental health problems?

The purpose of this pilot study was to identify factors considered by GPs when making mental health referral decisions and to explore referral strategies and related individual differences between GPs. In structured interviews with nine GPs from two surgeries, brief case scenarios were presented. The GPs were asked what treatment or referral option they would recommend in each case, what the main reasons for their choices were and what outcomes they would expect. A short questionnaire was also used. The interviews were transcribed and a content analysis was carried out. Evidence for a variety of patient-related, service-related and doctor-related factors influencing referral decisions was found and compared with previous research findings. In line with results from earlier studies, individual differences between GPs in terms of referral rates, strategies used, confidence and interest in dealing with mental health problems were found. Implications of the findings and of previous research for referrers, service providers and for therapy were discussed. As the present study has obvious limitations, suggestions for future research were made.     

When do learners shift from habitual to agenda-based processes when selecting items for study?

Learners presumably attempt to allocate their study time to maximize reward, yet in some contexts, their study choices are driven by reading biases that would not maximize reward. For instance, when presented with items in a horizontal array that are worth different values if correctly recalled, learners will often first select the leftmost item (i.e., a reading bias), even when it is associated with the lowest value. In four experiments, we investigated the degrees to which various factors cause learners to shift to agenda-based regulation. On each trial, participants were presented with three cues and a point value (1, 3, or 5) for each. The participants could select any cue for study (in which case, its target would be presented) in any order. In Experiment 1, participants either selected items for study under time pressure or were given unlimited time to select items. Not limiting selection time increased the likelihood that higher-valued items would be prioritized for study, but reading biases still influenced item selection. In Experiment 2, participants could select only one item per trial, and higher-valued items were prioritized even more for study, but not exclusively so. In Experiments 3 and 4, we ruled out a lack of motivation and inaccurate task beliefs as explanations for why participants would sometimes choose lower-valued items. The results demonstrate the influence of a pervasive reading bias on learners’ item selections, but as importantly, they show that a shift toward agenda use occurs when habitual responding cannot maximize reward.     

Tool use as a way to assess cognition: how do captive chimpanzees handle the weight of the hammer when cracking a nut?

Tool use in apes has been considered a landmark in cognition. However, while most studies concentrate on mental operations, there are very few studies of apes’ cognition as expressed in manual skills. This paper proposes theoretical and methodological considerations on movement analysis as a way of assessing primate cognition. We argue that a privileged way of appraising the characteristics of the cognitive abilities involved in tool use lies at the functional level. This implies that we focus on how the action proceeds, and more precisely, on how the functional characteristics of the task are generated. To support our view, we present the results of an experiment with five captive chimpanzees investigating the way how chimpanzees adapt to hammers of various weights while cracking nuts. The movement performed in the hammering task is analyzed in terms of energy production. Results show that chimpanzees mobilise passive as well as active forces to perform the compliant movement, that is, they modulate the dynamics of the arm/tool system. A comparison between chimpanzees suggests that experience contributes to this skill. The results suggest that in tool use, movements are not key per se, but only in as much as they express underlying cognitive processes. Electronic supplementary material  The online version of this article (doi:) contains supplementary material, which is available to authorized users.

Doc, what would you do if you were me? On self-other discrepancies in medical decision making

Doctors often make decisions for their patients and predict their patients' preferences and decisions to customize advice to their particular situation. We investigated how doctors make decisions about medical treatments for their patients and themselves and how they predict their patients' decisions. We also studied whether these decisions and predictions coincide with the decisions that the patients make for themselves. We document 3 important findings. First, doctors made more conservative decisions for their patients than for themselves (i.e., they more often selected a safer medical treatment). Second, doctors did so even if they accurately predicted that their patients would want a riskier treatment than the one they selected. Doctors, therefore, showed substantial self-other discrepancies in medical decision making and did not make decisions that accurately reflected their patients' preferences. Finally, patients were not aware of these discrepancies and thought that the decisions their doctors made for themselves would be similar to the decisions they made for their patients. We explain these results in light of 2 current theories of self-other discrepancies in judgment and decision making: the risk-as-feelings hypothesis and the cognitive hypothesis. Our results have important implications for research on expert decision making and for medical practice, and shed some light on the process underlying self-other discrepancies in decision making.     

Just do it? When to do what you judge you ought to do

While it is generally believed that justification is a fallible guide to the truth, there might be interesting exceptions to this general rule. In recent work on bridge-principles, an increasing number of authors have argued that truths about what a subject ought to do are truths we stand in some privileged epistemic relation to and that our justified normative beliefs are beliefs that will not lead us astray. If these bridge-principles hold, it suggests that justification might play an interesting role in our normative theories. In turn, this might help us understand the value of justification, a value that’s notoriously difficult to understand if we think of justification as but a fallible means to a desired end. We will argue that these bridge-principles will be incredibly difficult to defend. While we do not think that normative facts necessarily stand in any interesting relationship to our justified beliefs about them, there might well be a way of defending the idea that our justified beliefs about what to do won’t lead us astray. In turn, this might help us understand the value of justification, but this way of thinking about justification and its value comes with costs few would be willing to pay.     

Daily life activity patterns among the elderly: is what they claim to do what they wish to do?

This study is aimed at exploring daily and desired activity patterns in a sample of older people, as well as at examining some influence factors and their relationships to life satisfaction. Our sample was made of 154 retired people living in urban areas and whose age was greater than 60 years old. Data about activities were gathered by means of an interview while life satisfaction scores were obtained by applying LSI scale. Our results show how the pattern of activities that our participants say to have done yesterday is quite similar to an ideal pattern, although in the ideal day time spent with other people is far greater. Factors like gender and economic and educational level have an influence on patters of activity, especially on instrumental and leisure ones. The difference between yesterday and ideal activities was negatively related to life satisfaction. Such a relationship was modest, but reached statistical significance.     

Social support in spouses of cancer patients: What do they get and to what end?

Using a retrospective design, the authors assessed several different aspects of social support (perceived, received, satisfaction with received, and support seeking) in 95 spouses of cancer survivors. The goals of the investigation were to (a) describe in detail the differences between husbands and wives on these support dimensions and (b) explore whether the relation between support and adjustment was different for husbands as compared to wives. While husbands and wives were generally similar-in their general perceptions of available support and in the amount of support they reported seeking, consistent with our hypothesis, compared to husbands of breast cancer victims, wives of prostate cancer victims reported receiving more support and being more satisfied with the support they received. Measures of social support predicted husbands’reports of marital satisfaction and adjustment, but not wives’reports. Partial correlation analyses indicated that sex differences in these support-adjustment links were not attributable to differences in age, or in the time between completing treatment and participating in the study. Sex differences observed in the present study are interpreted as highlighting the need for theory development to account for the complex mechanisms underlying links between supportive transactions and marital satisfaction and adjustment.     

When objects lose their meaning: what happens to their use?

The 8 patients involved in this study were impaired on tests assessing knowledge of objects and on the demonstration of their use. The patients' success in object use was significantly correlated with their knowledge about the objects, providing further evidence that conceptual knowledge plays a key role in object use. Having a recipient present improved performance in the moderately impaired patients, suggesting that a certain level of conceptual knowledge must remain for the additional information to be beneficial. Although overall accuracy in using the target objects was not related to our measures of affordance, the specific aspects of use afforded by the objects' structures were relatively impervious to semantic impairment, suggesting a role for affordance information when object-specific knowledge is disrupted. The patients' familiarity with the objects was an important predictor of performance. Finally, despite good performance on tests of mechanical problem solving, the patients showed very little evidence of employing these skills in their interactions with real objects.     

What is episodic memory and how do we use it?

What are the neural and computational principles that give rise to episodic memory? Although memory is probably the most studied topic in psychology and cognitive neuroscience, most research has focused on learning at the micro-level. I outline the limitations of this approach and propose a ‘molar’ approach to tackle episodic memory at the scale of life.     

Imitation by animals: how do they do it?

Imitation is of psychological interest in part because it has cognitive implications for how organisms view the behavior of others, relative to their own behavior. It implies the ability to take the perspective of another. For this reason, researchers have tried to distinguish imitation from other kinds of social learning and influence. In the two-action procedure, one of two response topographies is demonstrated, and the correlation between the topography demonstrated and the topography later used by the observer is a measure of imitation. Both pigeons and Japanese quail show response matching, despite the fact that from their perspective, their own behavior appears quite different from that demonstrated. Although imitation has been demonstrated in birds and several species of primates, researchers are still not certain what mechanisms underlie this ability.     

Do amnesic patients with Korsakoff’s syndrome use feedback when making decisions under risky conditions? An experimental investigation with the Game of Dice Task with and without feedback

We investigated the role of feedback processing in decision making under risk conditions in 50 patients with amnesia in the course of alcoholic Korsakoff's syndrome (KS). Half of the patients were administered the Game of Dice Task (GDT) and the remaining 25 patients were examined with a modified version of the GDT in which no feedback was provided. Patients' results in the GDT and in the modified version were compared with that of 50 healthy subjects of whom 25 subjects performed the original GDT and 25 performed the modified version. While performance on the original GDT was superior to performance on the modified GDT in healthy subjects, KS patients performed similarly on both the GDT with and GDT without feedback. Performance on both task versions was correlated with categorization and set-shifting. The findings indicate that amnesic patients do not profit from receiving feedback for their decisions in explicit risk conditions.