Remembering and diagnosing clients: does experience matter?

Experienced mental health clinicians often do not outperform novices in diagnostic decision making. In this paper we look for an explanation of this phenomenon by testing differences in memory processes. In two studies we aimed to look at differences in accuracy of diagnoses in relation to free recall of client information between mental health clinicians with different levels of experience. Clinicians were presented with two cases, and were asked afterwards, either directly (Study 1) or after 1 week (Study 2), to give the appropriate diagnoses and to write down what they remembered of the cases. We found in Study 1 that the accuracy of the diagnoses was the same for all levels of experience, as was the amount of details recalled. Very experienced clinicians did remember more higher-order concepts, that is, abstractions from the presented information. In Study 2 we found that the very experienced clinicians were less accurate in their diagnoses and remembered fewer details than the novices. In response to these findings we further discuss their implications for psychodiagnostic practice.     

The confirmability and disconfirmability of trait concepts revisited: does content matter?

M. Rothbart and B. Park (1986) demonstrated that, consistent with the common negativity bias, positive traits are difficult to confirm and easy to disconfirm, whereas the opposite is true for negative traits. This article extends their analysis by showing that trait (dis-)confirmability is moderated by trait content (warmth vs. competence). Study 1 identifies a trait sample representative of warmth and competence. Study 2 shows a strong negativity effect for warmth and a reduced (or absent) negativity effect for competence. Study 3 examines trait properties related to the behavioral range of the trait possessor and to the motivational goals of the perceiver as predictors of trait (dis-)confirmability. The theoretical and practical implications of the authors' findings are discussed, and avenues for future research are suggested.     

Gender and role-based perceptions of domestic abuse: does sexual orientation matter?

Although it is estimated that domestic abuse is as common in gay male and lesbian intimate relationships as in heterosexual relationships, the legal system often fails to recognize or respond to same-gender cases. Empirical research examining the impact of sexual orientation on perceptions of abuse is virtually nonexistent. Undergraduates (N = 252) read a summary of a domestic abuse incident in which victims and perpetrators varied by gender and, by implication, sexual orientation. Victim and respondent gender, rather than the couple's sexual orientation, primarily affected responses to domestic abuse. Domestic abuse perpetrated against women was perceived to be more serious and in need of intervention than abuse against men. Women were more likely than men to believe the victim and to recommend criminal justice system interventions. Because they are inconsistent with gender role stereotypes, domestic abuse cases involving male victims or female perpetrators may not receive equitable treatment within the criminal justice system.     

What can we mean by “cognition,” and does it make any sense?

Practitioners of Rational-Emotive Therapy easily identify themselves with the broad camp of cognitive behavior therapy. However, the meaning of the term cognition is often unclear. Six possible meanings are outlined: (1) mental event, (2) symbolic overt behavior, (3) symbolic covert behavior, (4) pragmatic convention, (5) unreportable behavior and (6) hypothetical construct. This paper aims to: (1) clarify what we can mean when we talk about cognition, and (2) identify which meanings keep us in the tradition of empirical science and which take us to the realm of spooks and nonsense.Hank Robb works as a private practitioner. He is an Associate Fellow and approved Supervisor of the Institute of Rational-Emotive Therapy, New York, as well as a Diplomate in Counseling Psychology of the American Board of Professional Psychology.     

Precis of why does inequality matter?

Philosophical Studies -     

Humor and gender roles: does age make a difference?

Crawford's analysis in 2003 suggests that humor interacts with gender so that traditional social norms of femininity and masculinity may be reinforced or diinished. Yet age as a covariate was not considered. Assessment of the attitudes toward humor among 72 older women (M=72.0, SD=9.8, range=51-93 years) and 24 older men (M=69.8, SD=6.8, range=59-90 years) in 1996 by Vitulli and Parman suggest ratings on a Likert-type scale (anchored by 5: strongly agree and 1: strongly disagree) in which humor and gender interact. Moreover, a post hoc Scheffé test showed a significant sex effect on the female-oriented scale. Older women perceived humor as an important quality for women, whereas older men did not. Generational differences among studies on humor and sex underscore the need for contemporary research inclusive of age measures.     

Virtual-reality distraction and cold-pressor pain tolerance: does avatar point of view matter?

This study tested the effects of distraction using virtual-reality (VR) technology on acute pain tolerance in young adults. Forty-one undergraduate students, aged 18-23 years, used a VR head-mounted display helmet, steering wheel, and foot pedal to play an auto racing video game while undergoing exposure to very cold water (cold pressor set at 1 °C). Two different game views were tested that were hypothesized to affect the degree to which participants felt "present" in the virtual environment: a first-person view, in which the participant saw the virtual environment through the eyes of the game character being manipulated; and a third-person view, in which the participant viewed the game character from a distance. The length of time participants tolerated the cold-water exposure (pain tolerance) under each distraction condition was compared to a baseline (no distraction) trial. Subjects also rated the degree to which they felt "present" in the virtual environment after each distraction trial. Results demonstrated that participants had significantly higher pain tolerance during both VR-distraction conditions relative to baseline (no distraction) trials. Although participants reported a greater sense of presence during the first-person condition than the third-person condition, pain-tolerance scores associated with the two distraction conditions did not differ. The types of VR applications in which presence may be more or less important are discussed.     

Psychiatric disorders and dissatisfaction with social relationships: does type of relationship matter?

The specificity of the association between 9 Axis I psychiatric disorders and quality of the relationship with spouse, relatives, and friends was evaluated for married participants who completed the Ontario Health Survey Mental Health Supplement (N = 4,933). When the authors controlled for the quality of other social relationships, not getting along with one's spouse was related to 6 disorders, with the strongest associations found for generalized anxiety disorder, major depression, panic, and alcohol problems; 4 associations remained significant when they controlled for comorbid disorders. Not getting along with relatives and friends was generally unrelated to psychiatric disorders when they controlled for the other social relationships. Results indicate that the association between marital quality and psychiatric disorders is not an artifact of general social dissatisfaction and that this association is significant for several disorders.     

Religiosity of young adults: does childhood maltreatment make a difference?

Previous research on the association between maltreatment in childhood and later religious beliefs and behaviours suggests that maltreatment may have either negative or positive influences on religiosity. However, methodological limitations of previous studies may limit their generalisability. The present study attempted to address these limitations. We examined associations between childhood physical, sexual, and emotional abuse and several dimensions of adult religiosity in a large sample of college students (N = 763). Associations between child maltreatment and religiosity were weak (rs ≤ 0.09). After controlling for possible demographic confounds, the only significant association was between childhood emotional abuse and religious questing.     

Loneliness and psychological health of orthopaedic patients’ caregivers: does gender make a difference?

Although research evidence indicates that loneliness is detrimental to mental health in diverse populations, impact of loneliness on psychological distress of orthopaedic patients’ caregivers has been given little research attention. The present study examined the association of loneliness with psychological health, and explored gender differences in the loneliness and psychological health association among orthopaedic patients’ caregivers. Participants were 250 patients’ caregivers drawn from a national orthopaedic hospital in eastern Nigeria. Data was collected by means of self-report measures translated into the local dialect of the caregivers. Multiple regression results showed that loneliness positively predicted psychological distress in the total sample. Loneliness did not predict psychological distress of male caregivers, but it positively predicted psychological distress of female caregivers. In order to promote orthopaedic patients caregivers’ mental health, gender-based differentials in the link between loneliness and psychological distress should be addressed by researchers and healthcare practitioners.     

Risk-induced neophobia: does sensory modality matter?

Recent studies have documented that exposure to high levels of background risk can induce neophobic predator avoidance in prey animals, whereby they respond to any novel cue with an anti-predator response. Such phenotypically plastic predator avoidance may allow prey to maximize anti-predator benefits in variable risk environments. It remains poorly understood whether risk assessment information from different sensory modalities can be integrated to induce generalized, cross-sensory system neophobic responses. Here, we directly test this hypothesis by exposing juvenile convict cichlids (Amatitlania nigrofasciata) to high- versus low-risk environments using either conspecific alarm cue (chemosensory risk) or a model avian predator (visual/mechanical risk) and testing their response to a novel chemosensory cue (Experiment 1) or visual cue (Experiment 2). Our results suggest that regardless of the sensory modality used to increased perceived risk, cichlids pre-exposed to high-risk conditions exhibited increased predator avoidance in response to any novel visual or chemical cue. As expected, cichlids pre-exposed to low-risk conditions did not display any neophobic responses. Our results suggest that induced neophobia is not cue specific; rather, it may function as a generalized response to perceived predation risk.     

Alignment during feeding and swallowing: does it matter? A review

This article provides a critical assessment of evidence for the claim of experienced clinicians that proper body alignment will ameliorate the feeding problems of patients with cerebral palsy and related neuromotor disorders and reduce the risk of aspiration. While there is evidence that alignment reduces extensor tone and improves feeding, further research is needed to determine whether this population's high risk for aspiration can be reduced by alignment.     

Openness to experience and creativity: When does global citizenship matter?

The relationship between the openness to experience trait (OTE) and creativity has been well documented in previous research. Likewise, the global citizenship construct has theoretical overlap with both OTE and creativity. We hypothesised global citizenship would make a unique contribution to explaining variance in five types of creativity (self/everyday, scholarly, performance, mechanical/scientific and artistic), above and beyond the contribution of OTE. Participants were predominantly female, European American, traditionally aged college students (N = 407). Global citizenship prosocial outcomes explained unique variance in self/everyday (sr² = .10), scholarly (sr² = .03) and mechanical/scientific (sr² = .03) creativity. Results are discussed in terms of dual processes theories of cognition.     

Sequential compatibility effects and cognitive control: does conflict really matter?

Although it is widely accepted that control mechanisms are necessary for human behavior to be adapted, very little is known about how such mechanisms are recruited. A suggestion to fill the gap was put forward by M. M. Botvinick, T. S. Braver, C. S. Carter, D. M. Barch, and J. D. Cohen (2001), who proposed the conflict-loop theory. This theory has been successful in accounting for the reduction of compatibility effects after an incompatible trial: The level of conflict being, on average, higher during an incompatible trial, more control occurs after such a trial. The authors have tested this prediction by sorting the trials on the basis of amount of conflict (quantified by the electromyographic activity) they presented. A reduction of the compatibility effect was observed after incompatible trials, but it was independent of the level of conflict on previous trials, suggesting that the conflict does not trigger changes in executive control. Consequences for the conflict monitoring model are discussed.     

How much does a shared name make things similar? Part 1. Linguistic labels and the development of similarity judgment

Most theoretical proposals considering effects of language on similarity assume that labels affect similarity in a qualitative all-or-nothing manner. This article proposes another theoretical alternative--a model of the label as a discrete attribute of an object. According to this model, the relative weight of labels decreases with the child's age. Predictions derived from the model were tested in 3 experiments. In these experiments, children aged 6-12 years were presented with triads of schematic faces and were asked to make similarity judgments. Similarity of faces within the triads was manipulated via systematic variation of distinct facial features. It was found that (a) labels contribute to similarity judgment in a quantifiable manner, (b) labels' weight decreased with age, and (c) effects of labels are likely to stem from the cross-modality of labels. These results are discussed in relation to theories of development of categorization.     

Terminal decline and cognitive performance in very old age: does cause of death matter?

Cross-sectional differences and longitudinal changes in cognitive functioning in relation to mortality across a 7-year follow-up period, with 3 times of measurement, were examined in a population-based sample of very old adults. The authors also sought to determine whether cause of death (cerebro/cardiovascular disease [CVD]; non-CVD) modified the magnitude of mortality-related cognitive deficits. Cognitive performance was indexed by tests of general cognitive ability, episodic memory, primary memory, verbal fluency, and visuospatial ability. Results indicated cross-sectional differences on all domains of functioning, with persons who would die within 3 years after baseline testing performing more poorly. Longitudinally, greater decrements were observed on all domains for persons who would die after the first follow-up period, as compared with survivors. Cause of death failed to modify the magnitude of the cross-sectional and longitudinal deficits. The pattern of results point to the general nature of this phenomenon.     

Sanctions for ethics violations: does licensure of socioeconomic status matter?

Although sexual relationships between therapists and their clients are unethical, such beahviors still occur. This study investigated whether psychologists with applied versus nonapplied training differed in the severity of sanctions advocated for psychologists charged with sexual ethical violations toward high- or low-socioeconomic status victims. Licensed and Nonlicensed psychologists (N=48) viewed a 15-min videotape simulating the adjudication process about an alleged sexual involvement between client and psychologist, then prescribed either: Dismissal of Charges, Educative Advisory, Educative Warning, Reprimand, Censure, Stipulated Resignation, Permitted Resignation, or Expulsion. The alleged victim was described as a college professor of home economics or a hairdresser. Licensed psychologists chose more severe sanctions ("Stipulated or Permitted Resignation") than did Nonlicensed psychologists ("Censure"). Socioeconomic status made no significant difference in sanctions. Apparently, applied therapy training results in more severe judgements toward those who violate American Psychological Association ethical guidelines than other types of psychology training.     

When does feeling of fluency matter?: how abstract and concrete thinking influence fluency effects

It has been widely documented that fluency (ease of information processing) increases positive evaluation. We proposed and demonstrated in three studies that this was not the case when people construed objects abstractly rather than concretely. Specifically, we found that priming people to think abstractly mitigated the effect of fluency on subsequent evaluative judgments (Studies 1 and 2). However, when feelings such as fluency were understood to be signals of value, fluency increased liking in people primed to think abstractly (Study 3). These results suggest that abstract thinking helps distinguish central decision inputs from less important incidental inputs, whereas concrete thinking does not make such a distinction. Thus, abstract thinking can augment or attenuate fluency effects, depending on whether fluency is considered important or incidental information, respectively.     

Military training and personality trait development: does the military make the man, or does the man make the military?

Military experience is an important turning point in a person's life and, consequently, is associated with important life outcomes. Using a large longitudinal sample of German males, we examined whether personality traits played a role during this period. Results indicated that personality traits prospectively predicted the decision to enter the military. People lower in agreeableness, neuroticism, and openness to experience during high school were more likely to enter the military after graduation. In addition, military training was associated with changes in personality. Compared with a control group, military recruits had lower levels of agreeableness after training. These levels persisted 5 years after training, even after participants entered college or the labor market. This study is one of the first to identify life experiences associated with changes in personality traits. Moreover, our results suggest that military experiences may have a long-lasting influence on individual-level characteristics.