See me,hear me: Using film in health-care classes

This essay argues that film deserves a place within the medical humanities curriculum and demonstrates effective strategies for employing it within medical ethics and humanities classrooms. Part One of the article emphasizes how and why medical ethics teachers can utilize documentary and fictional films, such as “Thomas Szasz and the Myth of Mental Illness,” “The Deadly Deception,”Whose Life Is It Anyway? and “Voices From the Front” in their courses. Such films encourage students to move beyond abstract debates and confront the human pain inherent in all ethical dilemmas. Part Two focuses on documentary and fiction film in the medical humanities classroom. In this section, the author details how to incorporates films, such asThe Doctor, The Waterdance andHospital, into the humanities classroom, juxtaposing them with various literary works, such asOther Women's Children, Borrowed Time, andCeremony. Part Three of the essay presents a detailed discussion ofThe Elephant Man andFrankenstein, illustrating how visual and literary texts compliment each other within the humanities classroom. Overall, the author demonstrates how films function as engaging and complex visual texts providing unique insights in the particularities of American health care and, as such, can become valuable components within medical ethics and humanities classrooms.     

The invariance of asymmetric cross-modal transfer effects

Cross-modal transfer as a function of the amount of first modality training was investigated in two experiments. Subjects learned to associate numbers with three-dimensional objects which were presented either visually or tactually. After training in one of the modalities, the transfer was tested in the other modality. In the first experiment the transfer was tested after different number of trials of training and in the second experiment it was tested after different levels of overlearning. Transfer in the tactual-visual order was superior to transfer in the visual-tactual order in all training conditions, and the magnitude of the effect was the same. The results suggest that learning factors such as amount of training are of minor importance as causes to the asymmetry between these modalities and that it may be more fruitful to concentrate on perceptual factors.     

Time-dependent gambling: odds now,money later

Four experiments investigated temporal changes in the influence of probability and payoffs on gambling. Using urn draws, the authors found in Experiment I that temporal distance increased the influence of payoffs and decreased the influence of probability on preferences. The authors found in Experiment 2 that in choosing among the more distant gambles, participants offered more reasons dealing with payoffs and fewer reasons dealing with probability. In Experiments 3 and 4, the authors extended the scope of these findings using a card game and a raffle. The results were interpreted in terms of a temporal construal process that highlights the desirability of outcomes in the distant future and the feasibility of attaining the outcomes in the near future.     

The paradox of countertransference: you and me,here and now

Abstract

I am moved to write by Stephen Gross's article ‘Revenge of the fathers: incest and the male therapist’, which appeared in the February 1995 issue of Psychodynamic Counselling     

Genetic enhancement: plan now to act later

All three main articles in the issues of the Kennedy Institute of Ethics Journal endorse the view that genetic enhancement should be permitted, including human germ-line genetic enhancement. However, unregulated, wealth-based access to genetic enhancement in general, and germ-line enhancement in particular, would create intolerable risks for society. Although there are a number of practical problems raised by proposals to regulate or restrict access to genetic enhancement, which will make it difficult if not impossible to muster support for any effective restrictions until we begin to experience the societal problems that genetic enhancement will create, it is important to consider now what restrictions would be appropriate, how they would be imposed, and what changes would be needed in existing laws and institutions to facilitate them. Without this type of groundwork, there is no way society will be in a position to act in time.     

Now you see it, now you don't: evidence for age-dependent and age-independent cross-modal distraction

Age-related deficits in selective attention have often been demonstrated in the visual modality and, to a lesser extent, in the auditory modality. In contrast, a mounting body of evidence has suggested that cross-modal selective attention is intact in aging, especially in visual tasks that require ignoring the auditory modality. Our goal in this study was to investigate age-related differences in the ability to ignore cross-modal auditory and visual distraction and to assess the role of cognitive control demands thereby. In a set of two experiments, 30 young (mean age = 23.3 years) and 30 older adults (mean age = 67.7 years) performed a visual and an auditory n-back task (0 ≤ n ≤ 2), with and without cross-modal distraction. The results show an asymmetry in cross-modal distraction as a function of sensory modality and age: Whereas auditory distraction did not disrupt performance on the visual task in either age group, visual distraction disrupted performance on the auditory task in both age groups. Most important, however, visual distraction was disproportionately larger in older adults. These results suggest that age-related distraction is modality dependent, such that suppression of cross-modal auditory distraction is preserved and suppression of cross-modal visual distraction is impaired in aging.     

Antecedents of information-processing skills in infants: Habituation, novelty responsiveness, and cross-modal transfer

Three skills which characterize cognitive functioning in human infants in the middle of the first year of life—habituation, novelty responsiveness, and cross-modal transfer—predict mental ability in later childhood. Antecedents of each skill at 5 months postnatal were examined in a short-term prospective longitudinal study of infant ability and maternal intelligence and interaction style. Infant perceptuocognitive performance at 2 months, maternal intelligence, and maternal responsiveness at 5 months relate to the expression of the three infant cognitive skills, but in different ways. Variation in infant information-processing abilities can be explained by specific child and maternal factors that are evident soon after birth.     

Making decisions about now and later: Development of future-oriented self-control

This study explored factors underlying preschoolers’ ability to make future-oriented choices. In a delay-of-gratification choice task, quantity and visibility of the reward was systematically varied. Participants included 90 typically developing children aged 2–4 years. Children made more choices to delay gratification as the quantity of the reward increased from 1 to 4 stickers, but covering the reward did not have an effect. The study extends previous findings on delay of gratification choice tasks in suggesting a developmental pattern beginning with an early appearing “hot” motivational system. Having children think about the present self versus the future self presumably activates a second “cool” representational system. Age differences in the development of this system and its integration with the motivational system may be at the heart of the “U” shaped function observed in the present work, one in which simpler abilities underlying self-control develop in parallel and integrate to produce more complex behaviour. The study thus contributes to our understanding of the development of future-oriented self-control, a milestone central to socialization and the definition of the self.     

Seeing to hear better: evidence for early audio-visual interactions in speech identification

Lip reading is the ability to partially understand speech by looking at the speaker's lips. It improves the intelligibility of speech in noise when audio-visual perception is compared with audio-only perception. A recent set of experiments showed that seeing the speaker's lips also enhances sensitivity to acoustic information, decreasing the auditory detection threshold of speech embedded in noise [J. Acoust. Soc. Am. 109 (2001) 2272; J. Acoust. Soc. Am. 108 (2000) 1197]. However, detection is different from comprehension, and it remains to be seen whether improved sensitivity also results in an intelligibility gain in audio-visual speech perception. In this work, we use an original paradigm to show that seeing the speaker's lips enables the listener to hear better and hence to understand better. The audio-visual stimuli used here could not be differentiated by lip reading per se since they contained exactly the same lip gesture matched with different compatible speech sounds. Nevertheless, the noise-masked stimuli were more intelligible in the audio-visual condition than in the audio-only condition due to the contribution of visual information to the extraction of acoustic cues. Replacing the lip gesture by a non-speech visual input with exactly the same time course, providing the same temporal cues for extraction, removed the intelligibility benefit. This early contribution to audio-visual speech identification is discussed in relationships with recent neurophysiological data on audio-visual perception.     

Lingual vibrotactile and auditory cross-modal matching: frequency effects

5 subjects matched pairs of auditory and vibrotactile stimuli on intensity, making judgments of suprathreshold magnitudes. Slope values for the 100-Hz cross-modal lingual vibrotactile stimulus-standard frequency condition were steeper than those for 250- or 400-Hz conditions. Slope values became steeper at about 25- to 30-dB SL, so frequency seems an important parameter to control in such research.     

Response-level probability effects on reaction time: now you see them, now you don't

Many reaction time (RT) experiments have tested for response-level probability effects. Their results have been mixed, which is surprising because psychophysiological studies provide clear evidence of motor-level changes associated with an anticipated response. A survey of the designs used in the RT studies reveals many potential problems that could conceal the effects of response probability. We report five new RT experiments testing for response-level probability effects with the most promising of the previous designs-that of Blackman ( 1972 )-and with new designs. Some of these experiments yield evidence of response-level probability effects, but others do not. It appears that response-level probability effects are present primarily in simple tasks with a strong emphasis on response preparation, possibly because participants only expend effort on response preparation in these tasks.     

The roles of imagery,language, and metamemory in cross-modal transfer in children

Summary The relative strengths of association of imagery, language, and metamemory to cross-modal transfer were evaluated in 5-year-olds and 7-year-olds. Children were administered either tactual-visual or visual-tactual cross-modal transfer tasks, as well as two visual imagery tasks (spatial recall and mental rotation), two language competence tasks (vocabulary and word usage), metamemory questions, and a general intelligence task. With intelligence and handedness controlled, only visual imagery related significantly to cross-modal transfer. These findings suggest that mental imagery, as opposed to language competence or metamemory, is a principal component of cross-modal transfer, and they are consistent with the observation that preverbal human infants and infrahuman primates exhibit cross-modal transfer.     

The nature of cross-modal color-word interference effects

Cowan and Barron (1987) and Cowan (1989b) reported that color-naming performance was slowed by spoken color names drawn from the same set but presented in an order unrelated to the printed colors. Although Miles, Madden, and Jones (1989) and Miles and Jones (1989) were unable to replicate this cross-modal effect, it is replicated here in two experiments with much better experimental control than before. However, the effect is shown to depend upon the relative timing of the color and word in a way that conflicts with the theoretical account that Cowan and Barron offered. While Cowan and Barron suggested that an irrelevant color word would contaminate the response set if this word occupied short-term memory when the color was about to be named, it appears that interference actually occurs only if the memory representation was formed very recently and had not been inhibited. Further implications for processing are discussed.     

Learning across senses: cross-modal effects in multisensory statistical learning

It is currently unknown whether statistical learning is supported by modality-general or modality-specific mechanisms. One issue within this debate concerns the independence of learning in one modality from learning in other modalities. In the present study, the authors examined the extent to which statistical learning across modalities is independent by simultaneously presenting learners with auditory and visual streams. After establishing baseline rates of learning for each stream independently, they systematically varied the amount of audiovisual correspondence across 3 experiments. They found that learners were able to segment both streams successfully only when the boundaries of the audio and visual triplets were in alignment. This pattern of results suggests that learners are able to extract multiple statistical regularities across modalities provided that there is some degree of cross-modal coherence. They discuss the implications of their results in light of recent claims that multisensory statistical learning is guided by modality-independent mechanisms.     

Eat now,exercise later: The relation between consideration of immediate and future consequences and healthy behavior

In light of the current obesity epidemic, individual choices for food and exercise should be understood better. Consideration of the immediate and future consequences of these choices (i.e., time orientation) can be an important predictor of eating and exercising behavior. The objective was to show that behavior-specific time orientation differentially predicts eating and exercising behavior. Two studies were conducted among students (N = 55) and the general public (N = 165). Participants completed two adapted versions (for food and exercise) of the Consideration of Future Consequences Scale (CFC), each consisting of the subscales CFC-future and CFC-immediate. Thereafter they reported their eating and exercising behavior. Study 1 showed that CFC-food, but not CFC-exercise, predicted eating behavior. Similarly, both studies showed that CFC-exercise, but not CFC-food, predicted exercising behavior. Moreover, eating behavior was predicted by CFC-food/immediate, whereas exercising behavior was predicted by CFC-exercise/future. In conclusion, behavior-specific time orientation predicts behavior within a behavioral domain but less well across behavioral domains. Additionally, consideration of immediate and future consequences differentially predict behavior across behavioral domains. In order to predict behavior, time orientation is measured best at a behavior-specific level.