Vices of Inattention

abstract Why do we routinely betray moral commitments that, in some sense, we authentically embrace? One explanation involves inattention: failure to attend to morally important aspects of our lives. Inattention ranges from an unmotivated lack of focus, or “simple” inattention, to more purposeful and wilful self‐deception. Self‐deception has received exhaustive and insightful treatment by philosophers and psychologists; what remains unexamined is the less complex, but more pervasive phenomenon of simple inattention. Since inattention is at least equally important in accounting for our routine moral failures, this gap is an important one to fill. In this essay I examine moral dimensions of inattention: what makes it problematic, what vices it reflects, what duties we have to overcome it, and how we might try to do that. I argue that inattention obscures responsibilities to prevent harm, erodes autonomy, manifests a lack of virtue, and undermines integrity. For these reasons, we have obligations of attentiveness. I propose that we should attend (at least) to apparent violations of our moral values in which we are personally implicated, which we have power to affect, and to which we have been directed by clues that something is amiss. I end with practical suggestions for enhancing our attentiveness.     

Inattention and hyperactivity-impulsivity: psychobiological and evolutionary underpinnings of ADHD

Attention-deficit/hyperactivity disorder is a prevalent and disabling disorder that is characterized by inattention and/or hyperactivity-impulsivity, impairment in executive functions, structural and functional abnormalities in frontal-striatal circuitry, associations with particular catecholamine gene variants, and responsiveness to dopaminergic and noradrenergic agents. There is a growing integration of findings from basic and clinical studies, of data from different methods (eg, genetics and imaging), and of empirical data with hypotheses drawn from evolutionary thinking. Here we briefly summarize work on the cognitive-affective neuroscience of attention-deficit/hyperactivity disorder.     

Inattention as a key predictor of tobacco use in adolescence

The authors examined the prediction from inattention to tobacco use among 2 cohorts (ages 7 and 13) of a community sample followed to young adulthood. Changes in self-reported tobacco use were tested with marginal transitional regression models, using parent and teacher ratings of inattention, hyperactivity-impulsivity, and other psychopathology, along with other factors, as predictors. Inattention, but not hyperactivity-impulsivity, significantly predicted adolescent tobacco use and young adult daily tobacco use. Peer substance use, parental substance use, and conduct disorder also predicted increases in tobacco use. African American ethnicity was strongly protective against later tobacco use.     

Teacher Ratings of Hyperactivity, Inattention, and Conduct Problems in Preschoolers

Age and sex norms of classroom behavior in preschoolers were established on a standard measure, the Revised Conners Teacher Rating Scale, and the utility of this measure for assessing problem behavior in preschoolers was examined. Teachers provided ratings for 455 nonreferred preschoolers. In addition, ratings were obtained for 12 clinically referred preschoolers diagnosed with attention deficit hyperactivity disorder. The Conduct Problems, Inattention, and Hyperactivity subscales, as well as the Hyperactivity Index, were found to have good internal reliability and were related to each other in predictable ways. Normative data are presented by age and sex. Age was inversely related to scores for the Conduct Problems subscale, the Hyperactivity subscale and the Index. Sex was a significant predictor of subscale scores, with boys receiving higher scores than girls. Subscale scores and nearly all item scores were highly significantly different between clinically referred and nonreferred preschoolers. The results provide a standard upon which to evaluate preschool-aged children in clinical and research settings.     

Parental Cognitive Errors Mediate Parental Psychopathology and Ratings of Child Inattention

We investigate the Depression‐Distortion Hypothesis in a sample of 199 school‐aged children with ADHD‐Predominantly Inattentive presentation (ADHD‐I) by examining relations and cross‐sectional mediational pathways between parental characteristics (i.e., levels of parental depressive and ADHD symptoms) and parental ratings of child problem behavior (inattention, sluggish cognitive tempo, and functional impairment) via parental cognitive errors. Results demonstrated a positive association between parental factors and parental ratings of inattention, as well as a mediational pathway between parental depressive and ADHD symptoms and parental ratings of inattention via parental cognitive errors. Specifically, higher levels of parental depressive and ADHD symptoms predicted higher levels of cognitive errors, which in turn predicted higher parental ratings of inattention. Findings provide evidence for core tenets of the Depression‐Distortion Hypothesis, which state that parents with high rates of psychopathology hold negative schemas for their child's behavior and subsequently, report their child's behavior as more severe.     

Relationship between the Delay Task and Rating Scale measures of Inattention and Hyperactivity

A group of 187 elementary school children were administered a microcomputer version of the Delay Task (Gordon, 1979) in which responses were reinforced only when they followed the preceding response by at least 6 seconds. They were also rated on the Conners Teacher Rating Scale (CTRS) by their classroom teacher. Performance on the Delay Task was not correlated with any of the CTRS subscales for the overall sample. Sex differences were found in the Conduct, Inattention, and Hyperactivity factors of the CTRS. No sex difference was found for performance on the Delay Task. When performance on the Delay Task was correlated with the four CTRS factors by sex, correlations between the Delay Task and the inattention subscale and hyperactive subscale were significant only for the male subsample. Implications of the findings for assessment of hyperactivity are discussed.The research was supported by an equipment grant from the University of Auckland Research Committee. The first author's contribution was supported by a postgraduate scholarship from the Medical Research Council of New Zealand. We thank Lisa Tapp and Julia Rooke for assistance with data collection. We also acknowledge the support and cooperation of the staff of Mt. Eden Normal Primary School.     

Parenting Practices and Prospective Levels of Hyperactivity/Inattention Across Early- and Middle-Childhood

This study examined specific parenting practices as predictors of prospective levels of children’s hyperactivity/inattention across early- and middle-childhood. Participants were a mixed-sex community cohort (N?=?976; 52 % boys) aged 4–10 years (M?=?6.5, SD?=?1.3). Measures of parenting practices, hyperactivity/inattention, conduct problems, and maternal education were collected at baseline, and hyperactivity/inattention re-assessed at 12-month follow-up. Analyses examined predictors of 12-month hyperactivity/inattention while controlling for levels at baseline. High levels of parental involvement were associated with reduced levels of hyperactivity/inattention, but only across early childhood. Conversely, increases in child age were associated with increased levels of hyperactivity/inattention across middle-childhood, but only among children exposed to high levels of inconsistent discipline. Inconsistent discipline and parental involvement appear to be uniquely associated with prospective hyperactivity/inattention across childhood, independent of associated conduct problems. Our results further suggest some developmental specificity with regard to the effects of these distinct dimensions of parenting on hyperactivity/inattention at different points in childhood.     

The differential validity of teacher ratings of Inattention/Overactivity and Aggression

The ability of school-based measures of child behavior to predict differentially the IOWA Conners teacher rating scale Inattention/Overactivity (IO) and Aggression (A) factors was evaluated in a sample of 71 school-aged boys. Multiple measures and multiple methods of assessment were utilized to provide a comprehensive assessment of social and academic behavior. These included direct observations of children in the classroom and on the playground, examination of the organization of children's desks, measures of academic performance, peer nominations of popularity and rejection, and sociometric ratings using the Pupil Evaluation Inventory. Despite moderately high correlations between the teacher rating factors (r = .60), considerable evidence was provided for differential validity on measures of academic performance, peer rating measures, and measures of disruptive or inappropriate classroom and playground behavior. These differences between IO and A factors indicated that the factors were logically independent in important ways, supporting prior work validating separate hyperactivity and aggression dimensions.     

Inattention to history yields faulty conceptions of Nazi leaders

Harrower (1976) as well as Miale and Seizer (1975) partly base their analyses of the Nazi leadership on the contention that Hjalmar Schacht, Minister of Economics for the Third Reich, was a typical Nazi. Those analyses are called into question by the contention that Schacht was not a Nazi at all. Further, it is argued that the failure to understand Schacht is not the only misjudgment made by the two sets of authors. The same literature that suggests Schacht was not a Nazi indicates that the theses of Harrower and Miale-Selzer are too simple.     

Sex Differences in the Pathway from Low Birth Weight to Inattention/hyperactivity

Inattention/hyperactivity is a childhood outcome of low birth weight. However, the mechanisms by which low birth weight leads to inattention/hyperactivity are unclear. This study examined arousal, activation, motor speed, and motor coordination as possible mechanisms, attending to sex differences. 823 children (400 males) from Detroit and surrounding suburbs were assessed with the Child Behavior Checklist and the Teacher Report Form and completed experimental tasks to assess vigilance and activation (Continuous Performance Test signal detection parameters) and motor output speed and control (Grooved Pegboard) at 6 years of age. The relationship between birth weight and inattention/hyperactivity was slightly, but not significantly, stronger for boys than for girls. Arousal, motor speed, and motor coordination significantly partially mediated the relationship between birth weight and inattention/hyperactivity for boys and girls. Moderated mediation was found for the pathway between motor coordination and inattention/hyperactivity such that this relationship was stronger for boys than for girls. Sex differences in the associated features of attention symptoms may reflect partially distinct etiological pathways.     

The implicit cognition of relationship maintenance: Inattention to attractive alternatives

The temptation of alternative mating partners can threaten satisfaction with and commitment to an existing romantic relationship. Consequently, people exhibit cognitive processes that help protect their relationship when faced with desirable relationship alternatives. Previous studies have focused primarily on processes that involve explicit, higher-order cognitive mechanisms such as overt judgments and choices (e.g., judging the alternative as less attractive). The current studies, in contrast, examined automatic, early-stage attentional processes that may help protect against threats posed by exposure to alternative mating partners. Whereas single participants responded to implicit mating primes by increasing early-stage attention to physically attractive opposite sex targets, participants in a committed romantic relationship were inattentive to those attractive alternatives. This research provides a novel approach for studying implicit cognitive mechanisms involved in maintaining close relationships.     

Attention, Joint Attention, and Social Cognition

ABSTRACT— Before social cognition there is joint processing of information about the attention of self and others. This joint attention requires the integrated activation of a distributed cortical network involving the anterior and posterior attention systems. In infancy, practice with the integrated activation of this distributed attention network is a major contributor to the development of social cognition. Thus, the functional neuroanatomies of social cognition and the anterior–posterior attention systems have much in common. These propositions have implications for understanding joint attention, social cognition, and autism.     

Inattention/Overactivity Following Early Severe Institutional Deprivation: Presentation and Associations in Early Adolescence

The current study examined the persistence and phenotypic presentation of inattention/overactivity (I/O) into early adolescence, in a sample of institution reared (IR) children adopted from Romania before the age of 43 months. Total sample comprised 144 IR and 21 non-IR Romanian adoptees, and a comparison group of 52 within-UK adoptees, assessed at ages 6 and 11 years. I/O was rated using Rutter Scales completed by parents and teachers. I/O continued to be strongly associated with institutional deprivation, with continuities between ages 6 and 11 outcomes. There were higher rates of deprivation-related I/O in boys than girls, and I/O was strongly associated with conduct problems, disinhibited attachment and executive function but not IQ more generally, independently of gender. Deprivation-related I/O shares many common features with ADHD, despite its different etiology and putative developmental mechanisms. I/O is a persistent domain of impairment following early institutional deprivation of 6 months or more, suggesting there may be a possible pathway to impairment through some form of neuro-developmental programming during critical periods of early development.     

Etiology of Inattention and Hyperactivity/Impulsivity in a Community Sample of Twins with Learning Difficulties

A community sample of 373 8 to 18 year-old twin pairs in which at least one twin in each pair exhibited a history of learning difficulties was utilized to examine the etiology of inattention and hyperactivity/impulsivity (hyp/imp). Symptoms of attention-deficit/hyperactivity disorder (ADHD) were assessed by the DSM-III Diagnostic Interview for Children and Adolescents. Inattention and hyp/imp composite scores were created based on results of a factor analysis. Results indicated that extreme ADHD scores were almost entirely attributable to genetic influences across several increasingly extreme diagnostic cutoff scores. Extreme inattention scores were also highly heritable whether or not the proband exhibited extreme hyp/imp. In contrast, the heritability of extreme hyp/imp increased as a linear function of the number of inattention symptoms exhibited by the proband. This finding suggests that extreme hyp/imp may be attributable to different etiological influences in individuals with and without extreme inattention. If this result can be replicated in other samples, it would provide evidence that the hyp/imp symptoms exhibited by individuals with Combined Type ADHD and Predominantly Hyp/Imp Type ADHD may be attributable to different etiological influences.     

What Produces Television Attention and Attention Style?

Individual looks at television vary enormously in length, and this has previously indicated differences in ongoing cognitive processes. Furthermore, the relative frequency of looks of different lengths may indicate styles of attention to television. This article compares visual attention of 152 subjects across a variety of genres and examines differences located by situation, person, and media perception variables. Attention style was not consistent for individuals but varied for different types of programming and between‐program breaks. Situational, person, and media belief variables did not predict the proportions of four types of looks. They did, however, predict differences in the proportion of moderately short (orienting) looks across types of content, but not the previously more important very short (monitoring) or moderately long (engaged) looks. The overall importance of type of content in these results suggests that further research should examine within‐program differences in message construction and assess attentional style as patterns or sequences of looks.     

A Cross-Lagged Model of the Development of ADHD Inattention Symptoms and Rapid Naming Speed

Although previous research has identified contemporaneous associations between cognitive deficits and symptom phenotypes in Attention Deficit/Hyperactivity Disorder, no studies have as yet attempted to identify direction of effect. The present study used cross-lagged path modeling to examine competing hypotheses about longitudinal associations between rapid naming speed and symptoms of inattention in children. 1,506 school-age twins from Australia and the U.S. were tested for inattention, hyperactivity/impulsivity, and rapid naming speed at three and four time points, respectively. Symptom severity of inattention from Kindergarten to fourth grade is consistently predicted by previous rapid naming, over and above auto-regressive and correlational associations in the model. Likewise, inattention symptoms have a small but significant predictive effect on subsequent rapid naming. The findings support a reciprocal relationship between naming speed and ADHD inattentive symptoms.     

Attention and awareness in synchrony

Interactions between functional areas are often considered to account for subtle aspects of cognitive functions, although direct experimental evidence is scarce. A recent study by Gross et al. relates the strength of synchrony between human parietal, frontal and occipital regions to the availability of attentional resources. These results support the current view that attention and awareness emerge from dynamic interactions in distributed networks.     

Attention in learning

Learners exhibit many apparently irrational behaviors in their use of cues, sometimes learning to ignore relevant cues or to attend to irrelevant ones. A learning phenomenon called highlighting seems especially to demand explanation in terms of learned attention. Highlighting complements the classic phenomenon of conditioned blocking, which has been shown to involve learned inattention. Highlighting and blocking, along with a wide spectrum of other perplexing learning phenomena, can be accounted for by recent connectionist models in which both attentional shifting and associative learning are driven by the rational goal of rapid error reduction.