Reinforcer pathology,probabilistic choice,and medication adherence in patients with multiple sclerosis

The reinforcer pathology model posits that core behavioral economic mechanisms, including delay discounting and behavioral economic demand, underlie adverse health decisions and related clinical disorders. Extensions beyond substance use disorder and obesity, however, are limited. Using a reinforcer pathology framework, this study evaluates medical adherence decisions in patients with multiple sclerosis. Participants completed behavioral economic measures, including delay discounting, probability discounting, and a medication purchase task. A medical decision-making task was also used to evaluate how sensitivity to mild side effect risk and efficacy contributed to the likelihood of taking a hypothetical disease-modifying therapy. Less steep delay discounting and more intense (greater) medication demand were independently associated with greater adherence to the medication decision-making procedure. More generally, the pattern of interrelations between the medication-specific and general behavioral economic metrics was consistent with and contributes to the reinforcer pathology model. Additional research is warranted to expand these models to different populations and health behaviors, including those of a positive health orientation (i.e., medication adherence).     

A zero-bounded model of operant demand

Contemporary approaches for evaluating the demand for reinforcers use either the Exponential or the Exponentiated model of operant demand, both derived from the framework of Hursh and Silberberg (2008). This report summarizes the strengths and complications of this framework and proposes a novel implementation. This novel implementation incorporates earlier strengths and resolves existing shortcomings that are due to the use of a logarithmic scale for consumption. The Inverse Hyperbolic Sine (IHS) transformation is reviewed and evaluated as a replacement for the logarithmic scale in models of operant demand. Modeling consumption in the “log₁₀-like” IHS scale reflects relative changes in consumption (as with a log scale) and accommodates a true zero bound (i.e., zero consumption values). The presence of a zero bound obviates the need for a separate span parameter (i.e., k) and the span of the model may be more simply defined by maximum demand at zero price (i.e., Q₀). Further, this reformulated model serves to decouple the exponential rate constant (i.e., α) from variations in span, thus normalizing the rate constant to the span of consumption in IHS units and permitting comparisons when spans vary. This model, called the Zero-bounded Exponential (ZBE), is evaluated using simulated and real-world data. The direct reinstatement ZBE model showed strong correspondence with empirical indicators of demand and with a normalization of α (ZBEn) across empirical data that varied in reinforcing efficacy (dose, time to onset of peak effects). Future directions in demand curve analysis are discussed with recommendations for additional replication and exploration of scales beyond the logarithm when accommodating zero consumption data.     

Stereotype threat may not impact women's inhibitory control or mathematical performance: Providing support for the null hypothesis

Underpinned by the findings of Jamieson and Harkins (2007; Experiment 3), the current study pits the mere effort motivational account of stereotype threat against a working memory interference account. In Experiment 1, females were primed with a negative self- or group stereotype pertaining to their visuospatial ability and completed an anti-saccade eye-tracking task. In Experiment 2 they were primed with a negative or positive group stereotype and completed an anti-saccade and mental arithmetic task. Findings indicate that stereotype threat did not significantly impair women's inhibitory control (Experiments 1 and 2) or mathematical performance (Experiment 2), with Bayesian analyses providing support for the null hypothesis. These findings are discussed in relation to potential moderating factors of stereotype threat, such as task difficulty and stereotype endorsement, as well as the possibility that effect sizes reported in the stereotype threat literature are inflated due to publication bias.     

‘Anorexic’ Adolescents: Negative and Positive Resistances in Narrative Therapy1

This article draws on notions of negative and positive resistances in exploring alternative understandings of ‘anorexia’, in a narrative therapy based approach for ‘anorexic’ adolescents. In doing so, it posits ‘anorexic’ lifestyles as forms of coping mechanisms against dominant social discourses. Narrative treatment is to facilitate a movement away from subjection of dominant social discourses, and should enable intentional movements towards ethical subjectivities. This means that adolescents should then find no need to embrace ‘coping’ mechanisms that lead to lifestyles of ‘anorexia’, and treatment can shift away from food, weight, and body image, to dealing with ‘problems in living’.     

Evaluating Effort: Influences of Evaluation Mode on Judgments of Task‐specific Efforts

The claim that humans adapt their actions in ways that avoid effortful processing (whether cognitive or physical) is a staple of various theories of human behavior. Although much work has been carried out focusing on the determinants of such behaviors, less attention has been given to how individuals evaluate effort. In the current set of experiments, we utilized the general evaluability theory to examine the evaluability of effort by examining subjective value functions across different evaluation modes. Individuals judged the anticipated effort of four task‐specific efforts indexed by stimulus rotation, items to be remembered, weight to be lifted, and stimulus degradation across joint (i.e., judged comparatively) and single evaluation modes (i.e., judged in isolation). General evaluability theory hypothesizes that highly evaluable attributes should be consistently evaluated (i.e., demonstrate similar subjective value functions) between the two modes. Across six experiments, we demonstrate that the perceived effort associated with items to be remembered, weight to be lifted, and stimulus degradation can be considered relatively evaluable, while the effort associated with stimulus rotation may be relatively inevaluable. Results are discussed within the context of subjective evaluation, internal reference information, and strategy selection. In addition, methodological implications of evaluation modes are considered. Copyright © 2017 John Wiley & Sons, Ltd.     

Emotion Specificity and Consumer Behavior: Anger, Sadness, and Preference for Activity

We examine the influence of two specific negative emotions (i.e., sadness and anger) on consumers' preference for an advertised product promoting either activity (e.g., exercise) or passivity (e.g., relaxation). On the basis of empirical distinctions between the level of activation accompanying sadness and anger, and drawing upon a mood-as-information perspective, we hypothesized that individuals will have a preference for activity to passivity when in an angry compared to a sad emotional state. Thus, when angry, they preferred a product advertised as active, whereas when sad they preferred a product described in more passive terms.