Empirical evidence and the knowledge-that/knowledge-how distinction

In this article I have two primary goals. First, I present two recent views on the distinction between knowledge-that and knowledge-how (Stanley and Williamson, The Journal of Philosophy 98(8):411–444, 2001; Hetherington, Epistemology futures, 2006). I contend that neither of these provides conclusive arguments against the distinction. Second, I discuss studies from neuroscience and experimental psychology that relate to this distinction. Having examined these studies, I then defend a third view that explains certain relevant data from these studies by positing the double dissociation of knowledge-that and knowledge-how and that is also able to do explanatory work elsewhere.     

The correlates of conflict: disagreement is not necessarily detrimental.

In this study, the authors examined whether concurrent associations between adolescent outcomes and disagreements with mothers, fathers, and best friends vary as a function of perceived relationship quality. Participants were 469 11- to 18-year-old youths from a culturally diverse community. Negative qualities of parent-adolescent and friend relationships were linked to adjustment problems (aggression, anxiety and depression, delinquency, and withdrawal). Positive qualities of parent-adolescent relationships were linked to school grades and adjustment problems. Nonlinear associations between conflict and adolescent outcomes were moderated by negative qualities of relationships such that increases in conflict from low to moderate levels were linked to (a) higher school grades for adolescents in better but not poorer quality relationships and (b) greater delinquency and withdrawal for adolescents in poorer but not better quality relationships.     

Framing divorce reform: media, morality, and the politics of family

No-fault statutes changed divorce from an adversarial system pitting victims against victimizers, with the state acting as enforcer of marital norms, to a private decision between unhappily married but legally blameless partners. Divorce reform following no-fault primarily focused on making divorce more fair for the parties involved. Over the last several decades, divorce reform has transitioned from making divorce better to making marriage healthier. The good divorce has slipped from policy attention, elevating the potential for restigmatization of divorced couples and their children. We trace the trajectory of media framing of divorce reform discourse in three general circulation newspapers from the start of the no-fault revolution, noting how media framing parallels and naturalizes the transition in divorce reform policy. We conclude by observing the prevalence of divorce and the related need for therapists to be cognizant of this naturalization process, thereby keeping the good divorce as a goal for those who desire to end their marriages.     

Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly

Five studies investigated the cognitive and emotional processes by which self-compassionate people deal with unpleasant life events. In the various studies, participants reported on negative events in their daily lives, responded to hypothetical scenarios, reacted to interpersonal feedback, rated their or others' videotaped performances in an awkward situation, and reflected on negative personal experiences. Results from Study 1 showed that self-compassion predicted emotional and cognitive reactions to negative events in everyday life, and Study 2 found that self-compassion buffered people against negative self-feelings when imagining distressing social events. In Study 3, self-compassion moderated negative emotions after receiving ambivalent feedback, particularly for participants who were low in self-esteem. Study 4 found that low-self-compassionate people undervalued their videotaped performances relative to observers. Study 5 experimentally induced a self-compassionate perspective and found that self-compassion leads people to acknowledge their role in negative events without feeling overwhelmed with negative emotions. In general, these studies suggest that self-compassion attenuates people's reactions to negative events in ways that are distinct from and, in some cases, more beneficial than self-esteem.     

Therapists’ understandings and experiences of working with clients with problems of addiction: A pilot study using Q methodology

This pilot study aims to increase our understanding of therapists’ subjective attitudes, beliefs, and experiences of working with clients with problems of addiction. The study yielded useful clarifications, arising from the finding that opinions about the nature of addiction support different approaches to therapy. In addition, it seems that diverse or conflicting attitudes and beliefs are likely to impact on the ability of therapists to work together effectively. Another objective was to test the feasibility of using Q methodology in this study and more broadly in qualitative research in psychotherapy. Participants were 13 therapists from a variety of backgrounds and working in a range of agencies. Using Q methodology, four distinctive factors were identified, indicating divergent understandings of addiction. Each factor is shown to be a multifaceted construct which does not correspond to any single theory or therapeutic orientation. It is suggested that the results have significant implications for therapists’ training and supervision. In addition, this study demonstrates the capacity of Q methodology to identify commonalities and diversity in viewpoints which do not conform to a priori conceptualisations. As a pilot study, this paper invites further discussion and research.     

Dehumanizing but competent: The impact of gender,illness type,and emotional expressiveness on patient perceptions of doctors

This study is the first attempt to investigate men's and women's anticipated reactions to a consultation with a doctor holding either a dehumanizing or humanistic approach to patient treatment. Participants (N = 375) read a vignette depicting a doctor's treatment philosophy—emphasizing either the metaphor of the body as a machine (dehumanizing condition) or emphasizing individual humanness (humanizing condition). They then imagined consulting the doctor about a psychological or physical illness. Although, medical dehumanization had undesirable consequences, some men rated the dehumanizing doctor as more competent than the humanizing doctor. These were men who were (a) emotionally expressive and seeking help for a psychological illness, and (b) men low in emotional expressiveness seeking help for a physical illness.     

Sickle cell disease: primary stroke prevention

Stroke is an important and common complication of sickle cell disease (SCD), affecting children as well as adults. Clinically evident stroke, usually brain infarction, is usually associated with stenosis or occlusion of the intracranial arteries of the Circle of Willis, sometimes with formation of moyamoya (a Japanese word for "hazy" or "like a puff of smoke" that describes the appearance of a abnormal microvasculature on angiography believed secondary to internal carotid artery stenosis or occlusion and the resultant extensive collateralization). Several types of intracranial hemorrhage are observed but usually in older children and adults. Cerebrovascular diseases restricted to small vessels may go unrecognized but is associated with cognitive and learning problems. Prevention of recurrent stroke has been accomplished with chronic blood transfusion. A primary prevention strategy for clinical stroke, based on the Stroke Prevention in Sickle Cell Anemia Trial, has been tested in a randomized clinical trial. Over 2,000 young children with SCD were screened with transcranial Doppler ultrasound (TCD) to detect elevated blood flow velocity indicative of vessel disease and high risk of future stroke. Those randomized to standard care (no transfusion) had a 10%/year risk of stroke, which was reduced >90% with chronic transfusion. This approach is the only primary stroke prevention strategy so far tested in SCD in a randomized controlled trial. Silent lesions on magnetic resonance imaging are associated with an approximately 1.5%/year risk of clinical stroke and a trial is now starting in children with these lesions who do not meet Stroke Prevention in Sickle Cell Anemia Trial criteria for transfusion based on TCD. A controlled trial, based on intervention for nocturnal hypoxemia, is also underway. Hydroxyurea, bone marrow transplantation, antiplatelet, and antithrombotic agents may work but have not been tested in primary prevention in a systematic way. If early and repeated, TCD screening of children, as recommended by National Heart Lung and Blood Institute and the American Stroke Association, were implemented broadly the incidence of new strokes could be greatly reduced in these children.     

Identifying runners as football teammates from 400 msec. video clips

Ability to recognize a runner as a teammate from only a brief visual exposure is suggested from research on gait recognition with point-light displays and has particular importance for ball-passing in sports. 15 touch football players of mean age 20 yr. (SD=0.7), on two teams of 7 wk. standing, observed 31 400-msec, video clips of running individuals whose familiarity varied from high to low. These were their teammates, players from the other team, or nonfootball players. After viewing each clip, participants rated their certainty that each running player was a teammate. Despite the brevity of the visual display, overall performance at discriminating teammates from other runners was significantly better than chance, and accuracy did not differ between colour or black-and-white formats. Recognition of teammates was better if familiar nonteammates were removed from the set of analyzed clips and worse if unfamiliar nonplayers were removed.     

Analysis of group differences in processing speed: Brinley plots,Q-Q plots,and other conspiracies

Researchers in a growing number of areas (including cognitive development, aging, and neuropsychology) use Brinley plots to compare the processing speed of different groups. Ratcliff, Spieler, and McKoon (2000) argued that a Brinley plot is a quantile-quantile (Q-Q) plot and that therefore Brinley plot regression slopes measure standard deviation ratios rather than relative speed of processing. We show that this argument is incorrect. Brinley plots, by definition, are not Q-Q plots; the former are based on unranked data and the latter are based on ranked data. Furthermore, the relationship between standard deviation ratios and slopes is a general property of regression lines and has no implications for the use of Brinley plot regression slopes as processing speed measures. We also show that the relative speed interpretation of Brinley plot slopes is strongly supported by converging evidence from a metaanalysis of visual search, mental rotation, and memory scanning in young and older adults. As to Ratcliff et al.'s hypothesis that age differences in response time are attributable to greater cautiousness on the part of the elderly, rather than true processing speed differences, this hypothesis has been extensively tested in previous studies and found wanting.