Extremely Preterm Birth Outcome: A Review of Four Decades of Cognitive Research

Premature birth incidence and survival rates are increasing steadily due to advances in obstetric and neonatal intensive care. Those born at the limits of viability are highly at-risk of adverse neurocognitive function over their lifespan, leading to current controversy regarding aggressive resuscitation efforts for these extremely preterm children. However, data from earlier generation cohorts who were born in substantially different eras of neonatal intensive care cannot be relied on to predict outcome of today’s newborn. Our review by the crucial variable of birth cohort year shows a changing developmental trajectory in which today’s extremely preterm survivor is likely to have fewer severe medical complications, better neurological outcomes, and fewer adverse cognitive late effects. Such data further underscore the importance of concurrently considering medical, familial, socioenvironmental, and neurobiological factors in combination with individual neonatal intensive care center protocols when studying outcomes of the preterm child. This complex, interrelated range of factors directly affects the immature, rapidly developing premature brain. However, ongoing surveillance to detect subsequent delay or impairment and to apply interventional strategies early in the developmental course holds promise for further enhancement of functional outcome.     

PRESENTISM,TRUTH AND SUPERVENIENCE

Truthmaker theory is commonly thought to pose a challenge for presentism. Presentism seems to lack the ontological and ideological resources required to adequately underwrite the truth of propositions concerning the past. That is because if presentism is true, then the past does not exist. According to the standard response to this challenge, the truth of propositions concerning the past supervenes on surrogate entities that ‘stand proxy’ for past things. I argue that in order for the standard response to the truthmaker challenge to succeed these surrogate entities must stand in necessary connections to the past. I go on to argue that because the standard response is already committed to denying the existence of cross‐temporal modal connections of this kind, by its own lights that response is in error. 1     

Tensed Supervenience: A No‐Go for Presentism

Recent attempts to resolve the truthmaker objection to presentism employ a fundamentally tensed account of the relationship between truth and being. On this view, the truth of a proposition concerning the past supervenes on how things are, in the present, along with how things were, in the past. This tensed approach to truthmaking arises in response to pressure placed on presentists to abandon the standard response to the truthmaker objection, whereby one invokes presently existing entities as the supervenience base for the truth of past‐directed propositions. In this paper, I argue that a fundamentally tensed approach to truthmaking is implausible because it requires the existence of cross‐temporal supervenience relations, which are anathema to presentism.     

Some variables affecting dentists' assessment of patients' distress

Dental students estimated the pain distress and discomfort of their patients after patients received a Class II restoration (simple filing). Dentist's estimates of patient pain accounted for 36% of the variance in patient self-report responses. Dentist accuracy was significantly lower, however, for estimates of anxiety and distress. Dentist accuracy was unaffected by patient's degree of self-monitoring. There was a tendency for female dentists to demonstrate greater accuracy than male dentists, but this effect was nonsignificant. In addition, dentists' accuracy in assessing overall patient discomfort was significantly lower in that segment of the treatment procedure that was most stressful for the dentists. This article discusses theoretical explanations for this latter effect.     

The development of implicit intergroup cognition

Challenging the view that implicit social cognition emerges from protracted social learning, research now suggests that intergroup preferences are present at adultlike levels in early childhood. Specifically, the pattern of developmental emergence of implicit attitudes is characterized by (i) rapidly emerging implicit preferences for ingroups and dominant groups and (ii) stability of these preferences across development. Together these findings demonstrate that implicit intergroup preferences follow a developmental course distinct from explicit intergroup preferences. In addition these results cast doubt on 'slow-learning' models of implicit social cognition according to which children should converge on adult forms of social cognition only as statistical regularities are internalized over a lengthy period of development.     

A meta-analysis of response-time tests of the sequential two-systems model of moral judgment

The (generalized) sequential two-system (“default interventionist”) model of utilitarian moral judgment predicts that utilitarian responses often arise from a system-two correction of system-one deontological intuitions. Response-time (RT) results that seem to support this model are usually explained by the fact that low-probability responses have longer RTs. Following earlier results, we predicted response probability from each subject’s tendency to make utilitarian responses (A, “Ability”) and each dilemma’s tendency to elicit deontological responses (D, “Difficulty”), estimated from a Rasch model. At the point where A = D, the two responses are equally likely, so probability effects cannot account for any RT differences between them. The sequential two-system model still predicts that many of the utilitarian responses made at this point will result from system-two corrections of system-one intuitions, hence should take longer. However, when A = D, RT for the two responses was the same, contradicting the sequential model. Here we report a meta-analysis of 26 data sets, which replicated the earlier results of no RT difference overall at the point where A = D. The data sets used three different kinds of moral judgment items, and the RT equality at the point where A = D held for all three. In addition, we found that RT increased with A–D. This result holds for subjects (characterized by Ability) but not for items (characterized by Difficulty). We explain the main features of this unanticipated effect, and of the main results, with a drift-diffusion model.     

The Ontogenesis of Language Impairment in Autism: A Neuropsychological Perspective

Autistic Disorder (AD) is a phenotypically heterogeneous condition characterized by impairments in social interaction, communication, and the presence of repetitive behavior and restricted interests. It is a model syndrome to investigate neural interaction and integration at the nexus of language and social cognition. This paper considers the problems of language acquisition in AD from an evolutionary and ontogenetic context. Following a review of normal language development during the formative years of brain development, we examine what is known about infant linguistic and nonlinguistic precursors of language acquisition in AD and examine how anomalies of several processes relate to language abnormalities manifest by the early elementary school years. Population heterogeneity and practical limitations inherent to the study of children currently limit a comprehensive understanding of the significance of specific neurological abnormalities in relation to observed deficits. However, convergent evidence implicates anomalies of a widely distributed neural network, involving superior temporal sulcus, superior temporal gyrus, supramarginal gyrus, insula, inferior frontal gyrus, hippocampus, amygdala and cerebellum. These anomalies reflect the cumulative effects of genetic, epigenetic and environmental influences. Neuropsychological studies of language in AD provide an important means to define the phenotypic variation resulting from alterations in neural architecture. By mapping broad relationships between key symptoms, neuropsychological impairment and neural substrate, information derived from these studies enable a level of analysis that bridges the gap between the genome and the syndrome. Further study of children during the critical first 2 years of life using behavioral, electrophysiological, and functional neuroimaging methods is essential.     

Isolation effects and the neglect of indirect effects of fiscal policies

People tend to focus on salient cues, ignoring others. We demonstrate such isolation effects in situations involving taxes and public finance, through experiments conducted on the World Wide Web. In general, subjects minimized or ignored the longer‐term or indirect effects of tax policies, such as price increases from business taxes. Subjects preferred “hidden” taxes to transparent ones, failing to think through who would ultimately pay. The preference for hidden taxes was greater when it was uncertain who would pay. When subjects were prompted to think about indirect effects, their preference for hidden taxes was reduced but not eliminated. These observations are symptoms of general tendencies not to think ahead about the effects of public policies. Copyright © 2006 John Wiley & Sons, Ltd.     

Characteristics of readmitted psychiatric inpatients

This study examined sociodemographic, diagnostic, psychological, and episode-based variables in a sample of 130 psychiatric patients admitted to treatment at least twice in a 6-yr. period. Short length of initial hospitalization (r = -.30, p < .01) and younger age on initial admission (r = -.20, p < .05) were significantly correlated with frequent hospital admissions. Scores on four of the subscales of the WAIS-R were significantly correlated with readmission, confirming that patients who have fewer cognitive resources are at risk of frequent admissions. A multiple regression analysis combining variables to predict readmission accounted for only 12% of the common variance (r128 = .34, p < .01), however, indicating that a prediction equation with these variables has limited clinical utility.