Is medicine hermeneutics all the way down?

Several recent publications have suggested that hermeneutics, the method of literary criticism, might prove to be useful in medicine. In this essay I consider this thesis with particular attention to the claim that medicine is hermeneutics all the way down. After examining an anti-positivist critique of positivist medicine and arguing that hermeneutic interpretation involves a more radical critique of modern medicine, I examine the supposed consequences of hermeneutical universalism:relativism, skepticism andantirealism which further evaluation reveals to be only potential consequences of hermeneutics. A brief discussion ofphronesis and of the possible texts of medicine concludes the article.     

Does letter rotation slow down orthographic processing in word recognition?

Psychonomic Bulletin & Review - Leading neural models of visual word recognition assume that letter rotation slows down the conversion of the visual input to a stable orthographic...     

“I don’t want to let myself down or the charity down”: men’s accounts of using various interventions to reduce smoking and alcohol consumption

Men are less likely to seek medical help than women and are more likely to adopt unhealthy practices. This study investigated men’s constructions of alcohol and tobacco cessation interventions in relation to dominant masculine identities. Focus groups and interviews with 12 male university students were analysed using an eclectic approach informed by discursive psychology and Foucauldian discourse analysis. Findings suggested that interventions encouraging competition among friends were constructed as favourable, and autonomy and control were central to men’s accounts. While men presented their behaviour change as intentional, their accounts revealed a tendency to conceal this from others, suggesting a negative influence of peer pressure. However, participants who had raised money for charity whilst abstaining described this process as rewarding and acting as a “buffer” to legitimise their healthy behaviour when socializing with other men. Implications for health providers and policy makers are discussed.     

Jotting down notes or preparing for the future? Action identification and academic performance

The purpose of the present study was both to extend the performance optimality hypothesis of action identification theory to the realm of education and to examine the indirect role of action identification levels and action maintenance difficulty on the relationship between initial and final performance. Results demonstrated that students’ final performance is related to their initial performance and that this relationship is mediated by the way they identify the action of “attending a class”, which is itself inconsistently mediated by action maintenance difficulty. These findings pave the way for new educational applications in order to improve students’ academic performance.     

Conspicuous consumption in a recession: Toning it down or turning it up?

The 2008 recession reportedly led to the demise of conspicuous consumption with wealthy consumers abandoning luxury goods that prominently display their brands for more subdued designs. Utilizing data collected before and in the midst of the recession from designer handbag manufacturers, Louis Vuitton and Gucci, we find products introduced during the recession actually display the brand far more prominently than those products withdrawn. Data from Hermès and luxury ads in Vogue magazine also indicate manufacturers did not tone things down. Our results suggest conspicuous consumption endures in recessions; consumers who do not exit the luxury goods market are still interested in logo‐laden products.     

Breaking down unitization: Is the whole greater than the sum of its parts?

Memory impairments are often observed in aging. Specifically, older adults have difficulty binding together disparate elements (relational memory). We have recently shown that a cognitive strategy known as unitization can mitigate impaired relational learning in the transverse patterning task (TP) in both amnesia and healthy aging. This strategy allows items to be fused together through an interaction such that one item acts upon another. In the context of TP, unitization is comprised of three component processes: (1) fusion, (2) motion, and (3) semantic comprehension of action/consequence sequences. Here, we examine which of these components are sufficient to mitigate age-related impairments. Four groups of older adults were given either the full unitization strategy or one of the three component strategies. Each group of older adults showed impairments in memory for the relations among items under standard training instructions relative to a threshold that marks learning of a winner-take-all rule (elemental threshold). However, participants who were given either the full unitization strategy or the action/consequence-only strategy showed improved performance, which was maintained following the 1-hour delay. Therefore, semantically rich action/consequence interactions are sufficient to mitigate age-related relational memory impairments.     

Turn down the volume or change the channel? Emotional effects of detached versus positive reappraisal

Cognitive reappraisal, or changing one's interpretation of an event in order to alter the emotional response to it, is thought to be a healthy and an effective emotion regulation strategy. Although researchers recognize several distinct varieties of reappraisal, few studies have explicitly compared the effects of multiple reappraisal strategies on emotional responding. The present study compares the effects of detached and positive reappraisal on thought content, subjective emotional experience, physiological reactivity, and facial expressions of emotion while viewing film clips evoking sadness and disgust. Although both forms of reappraisal reduced overall emotional responding to unpleasant stimuli, the effects of detached reappraisal were stronger in this regard, and positive reappraisal was more likely to maintain subjective experience and facial expression of stimulus-appropriate positive emotions. The two reappraisal strategies also produced somewhat different profiles of physiological responding. Differences between detached and positive reappraisal with respect to subjective experience and facial expression were more pronounced among men than women; the reverse was true for differences with respect to physiological responding. Beyond these effects on individual emotion response systems, detached and positive reappraisal also had somewhat different effects on coherence in change across response systems. Implications for our understanding of emotion regulation processes, and for emotion theory more broadly, are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Why do we slow down after an error? Mechanisms underlying the effects of posterror slowing

People often become slower in their performance after committing an error, which is usually explained by strategic control adjustments towards a more conservative response threshold. The present study tested an alternative hypothesis for explaining posterror slowing in terms of behavioural interferences resulting from error monitoring by manipulating stimulus contrast and categorization difficulty in a choice reaction time task. The response-stimulus interval (RSI) was either short or long, using a between-subject (Experiment 1) and a within-subject design (Experiment 2). Posterror slowing was larger and posterror accuracy lower in short than in long RSI situations. Effects of stimulus contrast disappeared in posterror trials when RSI was short. At long RSIs, stimulus contrast was additive with posterror slowing. The results support the idea that at least two mechanisms contribute to posterror slowing: a capacity-limited error-monitoring process with the strongest influence at short RSIs and a criterion adjustment mechanism at longer RSIs.     

The comprehension of sentences involving quantity information affects responses on the up–down axis

We investigated the use of space in the comprehension of the concept of quantity in text. Previous work has suggested that the right-left axis is useful in spatial representations of number and quantity, while linguistic evidence points toward use of the up-down axis. In Experiment 1, participants read sentences containing quantity information and pressed buttons in either (1) an up and a down position or (2) a left and a right position. In Experiment 2, the participants pressed buttons in either (1) up and down positions or (2) left and right positions, but heard the sentences rather than reading them. We found spatial compatibility effects for the up-down axis, but not for the right-left axis. Additionally, the spatial compatibility effect was observed whether or not the participants moved to make their responses. We discussed the results in the context of embodied approaches to the comprehension of quantity information.     

‘A spoonful of sugar helps the medicine go down’: Gillian Brock on global justice

Abstract

A review essay of Gillian Brock Global Justice: A Cosmopolitan Account (Oxford University Press, 2009)     

When I grow down – music,spirituality and memory loss: A performative lecture on aging

This article uses a postmodern methodology to set out a model of life which consists of a time of growing up and learning to speak, and of growing down when the power of speech and cognition gradually disintegrates. It describes how this was presented at a conference partly by means of drama (including movement and music) at the beginning and ending of a lecture which was designed to show the important role of music at the beginning and end of life. The centre of the presentation sets out the research into the role of music in personhood, wellbeing and health. It examines the role of music in connectedness, community and identity. There is much evidence for the relationship between music and health which is leading to the possibility of doctors prescribing music. The growth of community choirs has seen the growth of a musical aesthetic which values wellbeing highly. A phenomenography of the musical experience clarifies the relationship between music and wellbeing and the potentially transformative effects of the liminal space created by the four domains of musicking – Materials, Expression, Construction and Values. It also sets out a way of presenting research that engages the mind, body, emotions and spirituality of the audience.     

Does time fly when you're counting down? The effect of counting direction on subjective time judgment

We show that counting downward while performing a task shortens the perceived duration of the task compared to counting upward. People perceive that less time has elapsed when they were counting downward versus upward while using a product (Studies 1 and 3) or watching geometrical shapes (Study 2). The counting direction effect is obtained using both prospective and retrospective time judgments (Study 3), but only when the count range begins with the number “1” (Study 2). Furthermore, the counting direction affects peoples' attitude toward the product, their likelihood of using it again, and their purchase intentions. We test several plausible accounts for the counting direction effect, including task difficulty, numerical anchoring, and arousal. We find preliminary evidence that downward counting feels shorter because it is more arousing than upward counting.     

If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans

The notion that chronic stress fosters disease by activating the hypothalamic-pituitary-adrenocortical (HPA) axis is featured prominently in many theories. The research linking chronic stress and HPA function is contradictory, however, with some studies reporting increased activation, and others reporting the opposite. This meta-analysis showed that much of the variability is attributable to stressor and person features. Timing is an especially critical element, as hormonal activity is elevated at stressor onset but reduces as time passes. Stressors that threaten physical integrity, involve trauma, and are uncontrollable elicit a high, flat diurnal profile of cortisol secretion. Finally, HPA activity is shaped by a person's response to the situation; it increases with subjective distress but is lower in persons with posttraumatic stress disorder.     

Are basic actors brainbound agents? Narrowing down solutions to the problem of probabilistic content for predictive perceivers

Phenomenology and the Cognitive Sciences - Clark (Journal of Consciousness Studies, 25(3–4), 71–87, 2018) worries that predictive processing (PP) accounts of perception introduce a...