David Barnard,Anna Towers,Patricia Boston,and Yanna Lambrinidou,Crossing Over: Narratives of Palliative Care

Theoretical Medicine and Bioethics -     

Eating for pleasure or profit: the effect of incentives on children's enjoyment of vegetables

Parents commonly use rewards to encourage children to eat healthfully, but this practice remains controversial because rewards are suspected of undermining children's intrinsic motivation. A cluster-randomized trial examined children's acceptance of a disliked vegetable over 12 daily taste exposures. These exposures were paired with a tangible reward, a social reward, or no reward, and the findings were compared with the results from a no-treatment control condition. Liking and intake of the vegetable were assessed in a free-choice consumption task at preintervention, postintervention, 1 month after intervention, and 3 months after intervention. Liking increased more in the three intervention conditions than in the control condition, and there were no significant differences between the intervention conditions. These effects were maintained at follow-up. Children in both reward conditions increased consumption, and these effects were maintained for 3 months; however, the effects of exposure with no reward became nonsignificant by 3 months. These results indicate that external rewards do not necessarily produce negative effects and may be useful in promoting healthful eating.     

Enhancement of perceptual representations by endogenous attention biases competition in response selection

Perception and response selection are core processes in the generation of overt behavior. Selective attention is known to facilitate behavioral performance by altering perceptual processes. It remains unclear, however, whether selective attention can aid the resolution of response conflict, and if so, at what stage of processing this takes place. In two experiments, an endogenous cuing task was combined with a flanker task to assess the interaction of selective attention with response selection. The results of Experiment 1 show that cuing reduces the flanker-congruency effect when the cue and flanker are presented in close temporal proximity to each other. The results of Experiment 2 demonstrate that pre- but not post-cuing the target reduced the congruency effect, showing that selective attention can affect performance, but is ineffective once stimulus processing has proceeded to response selection. Our results provide evidence that selective attention can aid the resolution of response conflict by altering early perceptual processing stages.     

Proactive motor control reduces monetary risk taking in gambling

Less supervision by the executive system after disruption of the right prefrontal cortex leads to increased risk taking in gambling because superficially attractive-but risky-choices are not suppressed. Similarly, people might gamble more in multitask situations than in single-task situations because concurrent executive processes usually interfere with each other. In the study reported here, we used a novel monetary decision-making paradigm to investigate whether multitasking could reduce rather than increase risk taking in gambling. We found that performing a task that induced cautious motor responding reduced gambling in a multitask situation (Experiment 1). We then found that a short period of inhibitory training lessened risk taking in gambling at least 2 hr later (Experiments 2 and 3). Our findings indicate that proactive motor control strongly affects monetary risk taking in gambling. The link between control systems at different cognitive levels might be exploited to develop new methods for rehabilitation of addiction and impulse-control disorders.