Cancer and the threat of death: the cognitive dynamics of death-thought suppression and its impact on behavioral health intentions

Five studies examined the cognitive association between thoughts of cancer and thoughts of death and their implication for screening intentions. Study 1 found that explicit contemplation of cancer did not increase death-thought accessibility. In support of the hypothesis that this reflects suppression of death-related thoughts, Study 2 found that individuals who thought about cancer exhibited elevated death-thought accessibility under high cognitive load, and Study 3 demonstrated that subliminal primes of the word cancer led to increased death-thought accessibility. Study 4 revealed lower levels of death-thought accessibility when perceived vulnerability to cancer was high, once again suggesting suppression of death-related thoughts in response to conscious threats associated with cancer. Study 5 extended the analysis by finding that after cancer salience, high cognitive load, which presumably disrupts suppression of the association between cancer and death, decreased cancer-related self-exam intentions. Theoretical and practical implications for understanding terror management, priming and suppression, and responses to cancer are discussed.     

Development of beliefs about storybook reality

The goal of this research was to assess children's beliefs about the reality status of storybook characters and events. In Experiment 1, 156 preschool age children heard realistic, fantastical, or religious stories, and their understanding of the reality status of the characters and events in the stories was assessed. Results revealed that 3-year-olds were more likely to judge characters as real than were 4- and 5-year-olds, but most children judged all characters as not real for all story types. Children of all ages who heard realistic stories made more claims that the events in the stories could happen in real life than did children who heard fantastical stories. Five-year-olds made significantly more claims that events in religious stories could happen in real life than did younger children. In Experiment 2, 136 4- and 5-year-olds heard similar stories. Results replicated those from Experiment 1, and also indicated a growing awareness of the basic nature of realistic fiction.     

A methodology for the capture and analysis of hybrid data: A case study of program debugging

This article describes a methodology for the capture and analysis of hybrid data. A case study in the field of reasoning with multiple representations—specifically, in computer programming—is presented to exemplify the use of the methodology. The hybrid data considered comprise computer interaction logs, audio recordings, and data about visual attention focus. The capture of the focus of visual attention data is performed with software. The software employed tracks the user’s visual attention by blurring parts of the stimuli presented on the screen and allowing the participant to see only a small region of it at any one time. These hybrid data are analyzed via a methodology that combines qualitative and quantitative approaches. The article describes the software tool employed and the analytic methodology, and also discusses data capture issues and limitations of the approach.     

Blood glucose symptom beliefs of diabetic patients: accuracy and implications

Both diabetic patients and health care practitioners often assume that the subjective symptoms of extreme low and high blood glucose (BG) levels are easily recognized. This study tested the accuracy of BG symptom beliefs in a group of 26 insulin-dependent diabetic patients. A within-subject, repeated measures design was used to identify symptoms related to low and high glucose levels for individual subjects. On three occasions over a 1-year period, subjects completed symptom checklists just prior to 40 consecutive self-measurements of BG (an average of four times per day for 10 days). At the end of the year, subjects reported which symptoms they believed were related to their own low and high glucose levels. After determining whether each checklist item was empirically related to glucose levels and believed to relate to glucose levels, symptom beliefs were categorized as hits, false alarms, misses, or correct rejections. Across subjects, the frequency of accurate beliefs (hits and correct rejections) was higher than the frequency of inaccurate beliefs (false alarms and misses). Symptom belief accuracy differed greatly for individual subjects, however, and every subject had at least one inaccurate belief. False alarm beliefs were the more common type of error. Female subjects' symptom beliefs yielded more hits, as well as more false alarms. Males missed more symptoms, especially low BG symptoms, than females. Symptom belief accuracy was greater if symptom-glucose relationships remained stable across time.     

Permission schemas and the selection task

Cheng and Holyoak's abstract permission schema version of Wason's selection task and the standard abstract version of the task were examined in two experiments, each a factorial design with type of problem (permission vs. standard), presence or absence of a checking context, explicit or implicit negatives on the not-p and not-q cards, and presence or absence of a rule clarification statement as factors. The original permission problem violation-type instruction was employed in Experiment 1, and Margolis's not-p and not-q violation instruction (Griggs & Jackson, 1990) was used in Experiment 2. Subjects were 640 university undergraduates, with each subject solving only one problem. The major findings for permission tasks were: (1) facilitation for the abstract permission version was replicated but found to be dependent upon the presence of explicit negatives on the not-p and not-q cards; and (2) this facilitation was enhanced by the Margolis not-p and not-q instruction. Per Girotto, Mazzocco, and Cherubini (1992), these findings and the observed error patterns are consistent with pragmatic schema theory. The major findings for the standard version of the task were: (1) none of the factors significantly impacted proportion correct [performance was poor, ≦10% correct in 15 of 16 conditions] and (2) the number of not-p & not-q incorrect selections was increased significantly for the not-p and not-q instruction. These results are discussed in terms of Manktelow and Over's argument that the standard abstract task and the permission schema version are actually different problems.     

Examining Intent to Die and Methods for Nonsuicidal Self‐Injury and Suicide Attempts

Nonsuicidal self‐injury (NSSI) is linked to suicidal behavior and future suicide attempts, but the process of NSSI‐to‐suicide attempts remains unclear. Additionally, little is known about how having a history of NSSI may relate to reports of intent to die during a suicide attempt. The current study examined methods of NSSI and suicide attempts, as well as intent to die, in a sample of 1,232 young adults, 54 of whom reported at least one suicide attempt. Cutting and overdose were the predominant methods of NSSI and suicide attempts, respectively, with the two often co‐occurring. Individuals with both NSSI and suicide attempt history were significantly more likely to report an intent to die than those with suicide attempt history only.     

Prediction of Posttraumatic Stress Disorder From Peritraumatic Dissociation and Distress Among Men and Women Victims of Violent Crimes

This prospective study evaluated the main and interactive effects of peritraumatic reactions with gender on posttraumatic stress disorder (PTSD) onset, independently of known risk factors. Further, 111 adult victims of violent crime completed the Structured Clinical Interview, the Modified PTSD Symptom Scale, the Peritraumatic Dissociative Experience Questionnaire, and the Peritraumatic Distress Inventory. Hierarchical regressions and chi-square tests were conducted for continuous and categorical measures of PTSD. Extremely elevated scores of peritraumatic dissociation (PD) and peritraumatic distress (PDI) were obtained for both sexes. Greater PDI and PD were related to more PTSD symptoms. No significant interaction effects with gender emerged. These results remained when acute stress disorder was controlled for. Analyses on categorical data produced similar results. Victims of violent crimes recall severe peritraumatic reactions. The more severe these are, the more likely they are to develop significant PTSD symptomatology in the months that follow.     

The Strength of Ethical Matrixes as a Tool for Normative Analysis Related to Technological Choices: The Case of Geological Disposal for Radioactive Waste

The ethical matrix is a participatory tool designed to structure ethical reflection about the design, the introduction, the development or the use of technologies. Its collective implementation, in the context of participatory decision-making, has shown its potential usefulness. On the contrary, its implementation by a single researcher has not been thoroughly analyzed. The aim of this paper is precisely to assess the strength of ethical matrixes implemented by a single researcher as a tool for conceptual normative analysis related to technological choices. Therefore, the ethical matrix framework is applied to the management of high-level radioactive waste, more specifically to retrievable and non-retrievable geological disposal. The results of this analysis show that the usefulness of ethical matrixes is twofold and that they provide a valuable input for further decision-making. Indeed, by using ethical matrixes, implicit ethically relevant issues were revealed—namely issues of equity associated with health impacts and differences between close and remote future generations regarding ethical impacts. Moreover, the ethical matrix framework was helpful in synthesizing and comparing systematically the ethical impacts of the technologies under scrutiny, and hence in highlighting the potential ethical conflicts.     

Tool use in neurodegenerative diseases: Planning or technical reasoning?

Recent works showed that tool use can be impaired in stroke patients because of either planning or technical reasoning deficits, but these two hypotheses have not yet been compared in the field of neurodegenerative diseases. The aim of this study was to address the relationships between real tool use, mechanical problem‐solving, and planning skills in patients with Alzheimer's disease (AD, n = 32), semantic dementia (SD, n = 16), and corticobasal syndrome (CBS, n = 9). Patients were asked to select and use ten common tools, to solve three mechanical problems, and to complete the Tower of London test. Motor function and episodic memory were controlled using the Purdue Pegboard Test and the BEC96 questionnaire, respectively. A data‐transformation method was applied to avoid ceiling effects, and single‐case analysis was performed based on raw scores and completion time. All groups demonstrated either impaired or slowed tool use. Planning deficits were found only in the AD group. Mechanical problem‐solving deficits were observed only in the AD and CBS groups. Performance in the Tower of London test was the best predictor of tool use skills in the AD group, suggesting these patients had general rather than mechanical problem‐solving deficits. Episodic memory seemed to play little role in performance. Motor dysfunction tended to be associated with tool use skills in CBS patients, while tool use disorders are interpreted as a consequence of the semantic loss in SD in line with previous works. These findings may encourage caregivers to set up disease‐centred interventions.