Does the philosophy of medicine exist?

There has been a great deal of discussion, in this journal and others, about obstacles hindering the evolution of the philosophy of medicine. Such discussions presuppose that there is widespread agreement about what it is that constitutes the philosophy of medicine.Despite the fact that there is, and has been for decades, a great deal of literature, teaching and professional activity carried out explicitly in the name of the philosophy of medicine, this is not enough to establish that consensus exists as to the definition of the field. And even if consensus can be obtained as to what constitutes the philosophy of medicine, this does not mean that it exists as a field.     

Does the corollary discharge of attention exist?

We discuss experimental support for the existence of a corollary discharge signal of attention movement control and its formulation in terms of the corollary discharge of attention model of attention movement (CODAM). The data is from fMRI, MEG and EEG activity observed about 200 ms after stimulus onset in various attention paradigms and in which the activity is mainly sited in parietal and extra-striate visual areas. Moreover the data arises from neural activity observed before report of a subject's experience occurs. The overall experimental support for the existence of a copy of the attention movement control signal generates, it is suggested, a viable route to explore the relation between this signal and human consciousness, as concluded in the paper.     

Does the body image exist in three dimensions? The study of visual mental representation of a body and a nonbody object

Do the mental images of 3-dimensional objects recreate the depth characteristics of the original objects? This investigation of the characteristics of mental images utilized a novel boundary-detection task that required participants to relate a pair of crosses to the boundary of an image mentally projected onto a computer screen. 48 female participants with body attitudes within expected normal range were asked to image their own body and a familiar object from the front and the side. When the visual mental image was derived purely from long-term memory, accuracy was better than chance for the front (64%) and side (63%) of the body and also for the front (55%) and side (68%) of the familiar nonbody object. This suggests that mental images containing depth and spatial information may be generated from information held in long-term memory. Pictorial exposure to views of the front or side of the objects was used to investigate the representations from which this 3-dimensional shape and size information is derived. The results are discussed in terms of three possible representational formats and argue that a front-view 2 1/2-dimensional representation mediates the transfer of information from long-term memory when depth information about the body is required.     

Does self-consciousness mediate the relation between self-talk and self-knowledge?

Building on Morin's understanding of the relations among self-talk, self-consciousness, and self-knowledge, this study examined the hypothesis that functional and dysfunctional self-consciousness mediate between self-talk and self-knowledge. A self-report questionnaire including 10 scales assessing different aspects of Self-talk, Self-consciousness, and Self-knowledge was administered to 200 German undergraduate university students (95 women, 105 men). Mediation analysis showed that the observed negative relationship between Self-talk and Self-knowledge was mediated by Dysfunctional Self-consciousness, while Functional Self-consciousness acted like a supressor variable. The discussion focuses on limitations of the present measures of Self-talk.     

Does aging affect the allocation of visual attention in global and local information processing?

The earliest studies of Navon (1977) showed that in certain conditions the visual perception of hierarchical stimuli generates a global precedence effect. This hypothesis is based on the joint occurrence of two effects: a response time (RT) advantage for identifying global targets and interference by global distractors when responding to a local target. The aim of the present study was to determine the involvement of attentional mechanisms and whether certain aspects are specifically altered by normal aging. In a selective-attention task, a complete global precedence effect was found for young and old subjects. However, for the old subjects, global interference on local identification was more pronounced than for the young subjects. In a divided-attention task, the RT advantage was affected by attention shifts between global and local forms for both young and old subjects, but the global interference effect did not change.     

Does a quarterlife crisis exist?

In this study, the authors examined quarterlife crisis, defined in the popular press as an identity crisis that leaves recent college graduates depressed, anxious, and full of doubt. To determine if a unique crisis exists, 4 groups of young adults (recent high school [n = 23] and college [n = 117] graduates in the workforce, present undergraduate [n = 75], and graduate [n = 57] students) completed self-report measures assessing identity development, future time perspective, social support, coping, depression, anxiety, and job and life satisfaction. No support was found for a quarterlife crisis among these 4 groups. Working high school graduates displayed the highest anxiety, followed by present undergraduates. Depression was predicted by family support and identity commitment. Job satisfaction was associated with income and support from friends. Life satisfaction was associated with income, social support from friends and family, and identity commitment.     

Does coping help? A reexamination of the relation between coping and mental health

In a longitudinal community survey of 291 adults, we explored the relation between coping strategies and psychological symptoms. Respondents completed the revised Ways of Coping Scale (Folkman & Lazarus, 1985) for a self-named stressful episode. Factor analysis produced eight coping factors: three problem focused, four emotion focused, and one (support mobilization) that contained elements of both. Multiple regression analyses indicated bidirectionality in the relation between coping and psychological symptoms. Those in poorer mental health and under greater stress used less adaptive coping strategies, such as escapism, but coping efforts still affected mental health independent of prior symptom levels and degree of stress. We compared main versus interactive effects models of stress buffering. Main effects were confined primarily to the emotion-focused coping scales and showed little or negative impacts of coping on mental health; interactive effects, though small, were found with the problem-focused scales. The direction of the relation between problem-focused scales and symptoms may depend in part on perceived efficacy, or how the respondent thought he or she handled the problem. Implications for the measurement of adaptive coping mechanisms and their contextual appropriateness are discussed.     

Does the dark side of a calling exist? Examining potential negative effects

The present studies examined the potential dark side of perceiving and living a calling with diverse samples of employed adults. In Study 1, living a calling and life meaning were found to suppress the relation between perceiving a calling and life satisfaction, resulting in these variables being significantly, negatively related. This suggests that perceiving a calling may predict decreased well-being when it is not lived out and does not provide meaning. In Study 2, participants living a calling did not experience greater burnout, workaholism, or organizational exploitation. Additionally, counter to hypotheses, living a calling was found to be a significant buffer in the relation of burnout/exploitation and job satisfaction. Specifically, the slope of the relation between living a calling and job satisfaction was more pronounced with individuals experiencing high levels of burnout/exploitation. These findings suggest that living a calling may help individuals in difficult working conditions maintain job satisfaction.     

Is there a direct relation between the development of vocabulary and grammar?

Previous studies of individual differences have revealed strong correlations between children's vocabulary and grammatical abilities, and these data have been used to support theoretical accounts positing direct developmental relations between these two areas of language. However, between‐person differences do not necessarily reflect intra‐individual dynamics. Thus, in the present study, we analysed longitudinal data from three annual assessments of vocabulary and grammar in 217 children (M_age = 4 years and 3 months at first assessment) using a modelling strategy with some utility in distinguishing relations at the between‐ and within‐person levels. The results revealed strong correlations between grammar and vocabulary at the between‐person level, but the evidence of direct dependencies between the variables at the within‐person level was rather limited. Specifically, we found a small direct contribution from grammar to vocabulary for children between the ages of 4 and 5, but there was no evidence of any direct contributions from vocabulary to grammar. Further analyses suggested that the home literacy environment may represent a common source of individual differences in children's vocabulary and grammatical skills. In light of these results, we argue that the evidence of direct relations between vocabulary and grammatical development in preschool‐aged children may not be as strong as previously assumed.     

Does backward masking by visual noise stop stimulus processing?

The identification of one, two, and four random letters was studied under three procedures: (1) backward masking by a visual noise; (2) concurrent masking by a visual noise; and (3) no masking. With backward masking the number of letters correctly identified was independent of the number presented. Direct judgments of the duration, brightness, contrast, sharpness, and texture of the letters were also made. Under backward masking the letters appeared to be on for a very brief duration, but with high apparent contrast. The results indicate that backward masking impairs identification by interrupting the stimulus processing, not by degrading the stimulus input.     

Does the processing fluency of a syllabus affect the forecasted grade and course difficulty?

Processing fluency is known to affect a variety of cognitive assessments, but most research has not examined such effects in the context of a real-life experience. In the first experiment, college students, enrolled in either a statistics or cognitive psychology course, read a course syllabus which varied in the clarity of its font and frequency of its vocabulary. Based on the syllabus, students then forecasted their final course grade and the course's difficulty. Despite methodological similarity to other fluency experiments and adequate statistical power, there were no significant differences in forecasts across fluency conditions. Fluency may be discounted in a task which provides information that affects people's lives. This interpretation was bolstered by a second experiment whose participants were students in a statistics course. These students read the cognitive course's syllabus and forecasted better grades and less difficulty in the cognitive course when the font of the syllabus was more clear than unclear.     

Does functional neuroimaging solve the questions of neurolinguistics?

Neurolinguistic research has been engaged in evaluating models of language using measures from brain structure and function, and/or in investigating brain structure and function with respect to language representation using proposed models of language. While the aphasiological strategy, which classifies aphasias based on performance modality and a few linguistic variables, has been the most stable, cognitive neurolinguistics has had less success in reliably associating more elaborately proposed levels and units of language models with brain structure. Functional imaging emerged at this stage of neurolinguistic research. In this review article, it is proposed that the often-inconsistent superfluity of outcomes arising from functional imaging studies of language awaits adjustment at both "ends" of the process: model and data. Assumptions that our current language models consistently and reliably represent implicit knowledge within human cerebral processing are in line for major revision; and the promise of functional brain imaging to reveal any such knowledge structures must incorporate stable correlates of the imaging signal as dependent variable.     

Does the identification of simple features require serial processing?

Several recent studies have shown performance decrements with increasing display size when background texture elements are present in a same-different feature discrimination task--a result that challenges the traditional notion that the identities of simple visual features are processed in parallel, preattentively. Four experiments are reported that explore the implications of these results. Experiment 1 replicates the recent studies but limits the generalizability of the results to small target numbers. Experiments 2 and 3 show that the observed performance decrements are not due to a serial or even limited-capacity, parallel process. Experiment 4 suggests that decision factors idiosyncratic to the use of texture elements in a same-different task are responsible for the effect. It is concluded that the identification of simple visual features proceeds in parallel, with unlimited capacity (i.e., preattentively).     

Does temporal preparation facilitate visual processing in a selective manner? Evidence from attentional capture

The present study addressed the question of whether temporal preparation influences perceptual stimulus processing in a selective manner. In three visual search experiments, we examined whether temporal preparation aids spatial selection and thus reduces distraction caused by the onset of a task-irrelevant item. In each trial, participants had to detect a target amongst five non-targets and report a basic feature of the target. In some trials, an additional task-irrelevant singleton item (abrupt onset) appeared on the screen which distracted attention away from the target. To manipulate the degree of distraction, we varied the spatial distance and the stimulus-onset asynchrony between target and singleton. Temporal preparation for the target varied by means of constant foreperiods of different lengths. Though we observed overall faster responding in the case of high temporal preparation in all three experiments, temporal preparation did not reduce spatial distraction by the abrupt onset, even when the spatial position of the target was predictable. In sum, this pattern of results does not provide support for an influence of temporal preparation on spatial selection. Instead, it indicates that temporal preparation affects early visual processing in a non-selective manner.     

Who owns the contour of a visual hole?

Holes are useful in the study of shape, contour curvature, and border ownership. Several authors have suggested that holes have figural or quasi-figural status. I discuss three criteria to test the evidence that holes behave more like figures than like ground: (i) holes perceived as such; (ii) similar performance for holes and figures; (iii) different performance for holes and other ground regions. Using these criteria, I review the literature and conclude that holes do not have figural status in relation to border ownership. I also argue that holes are ideal stimuli to study figure-ground organisation.     

Does the philosophy of medicine exist? A commentary on Caplan

Caplan has argued that the philosophy of medicine does not exist. Although I will not deny the points he makes, I will argue that the philosophy of medicine has characteristics of a developing field with the potential to meet all of Caplan's criteria. The argument is based on Dewey's established views on logical development for a field of inquiry, as well as pointing out how other criteria Caplan imposes can be fulfilled.The U.S. Government right to retain a non-exclusive, royalty free licence in and to any copyright is acknowledged.     

Does visual experience influence the spatial distribution of auditory attention?

Sighted individuals are less accurate and slower to localize sounds coming from the peripheral space than sounds coming from the frontal space. This specific bias in favour of the frontal auditory space seems reduced in early blind individuals, who are particularly better than sighted individuals at localizing sounds coming from the peripheral space. Currently, it is not clear to what extent this bias in the auditory space is a general phenomenon or if it applies only to spatial processing (i.e. sound localization). In our approach we compared the performance of early blind participants with that of sighted subjects during a frequency discrimination task with sounds originating either from frontal or peripheral locations. Results showed that early blind participants discriminated faster than sighted subjects both peripheral and frontal sounds. In addition, sighted subjects were faster at discriminating frontal sounds than peripheral ones, whereas early blind participants showed equal discrimination speed for frontal and peripheral sounds. We conclude that the spatial bias observed in sighted subjects reflects an unbalance in the spatial distribution of auditory attention resources that is induced by visual experience.     

Does linguistic reversibility exist? an experimental exploration of a psycholinguistic construct

Three experiments were devised involving 176 subjects aged between 5-0 and 8-1 years to examine children's receptive control of a set of four intersentence relations (identity, antonymy, structure reversal, equivalence) and to relate this linguistic ability to levels of cognitive functioning as assessed by the Piagetian measureDeux Sens de l'Orientation. The results indicate a significant but moderate correlation between performance on the two tasks. Cognitive precedence with respect to corresponding linguistic ability was observed in only one of the experiments, where linguistic performance was unsually low due to phonological interference between the lexical items used. The results were interpreted as giving evidence of linguistic reversibility—partially independent from cognitive reversibility though isomorphic with it—in the perceptual-figurative mode, resulting in flexible and efficient processing of linguistic inversions and even converse relations by preoperational children. These data complement previous psycholinguistic research in the Piagetian tradition, which had shown cognitive precedence relative to corresponding linguistic processes. It is suggested that previous research had tapped mainly linguistic processes in the cognitive operational mode, and that future research needs to examine the interrelation between the two modes.