Exploring conceptual thinking and pure concepts from a first person perspective

Phenomenology and the Cognitive Sciences - Traditionally, conceptual thinking is explored via philosophical analysis or psychological experimentation. We seek to complement these mainstream...     

Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System

Behavioral health integration within primary care has been evolving, but literature traditionally focuses on smaller scale efforts. We detail how behavioral health has been integrated across a large, urban pediatric hospital system’s six primary care clinics (serving over 35,000 children annually and insured predominately through Medicaid) and discuss strategies for success in sustaining and expanding efforts to achieve effective integration of behavioral health into primary care. In a time span of 3 years, the clinics have implemented routine, universal behavioral health screening at well child visits, participated in a 15-month behavioral health screening quality improvement learning collaborative, and integrated the work of psychologists and psychiatrists. Additional work remains to be done in improving family engagement, further expanding services, and ensuring sustainability.     

Partner effects of Mexican cultural values: the couple and parenting relationships

In this investigation, the authors explored the impact of individuals' cultural values on their partners' relationship adjustment and perceptions of their parenting relationship. The authors examined Mexican cultural values of simpatía (i.e., harmonious interpersonal relationships) and respeto (i.e., respect for authority figures) using a sample of 50 Mexican-origin couples in southern Arizona. Congruent with their hypotheses, results supported the proposition that fathers' simpatía is positively associated with both relationship adjustment and the parenting relationship as reported by mothers, whereas fathers' respeto is negatively associated with both relationship adjustment and the parenting relationship as reported by mothers. However, the authors found little evidence of a contribution of mothers' cultural values to fathers' perceptions of either relationship adjustment or the parenting relationship. They interpret these findings to suggest that mothers' relationship adjustment and parenting relationship are more sensitive to and dependent on fathers' degree of traditional cultural values among Mexican-origin families.     

Effects of role models from films on short-term ratings of intent, interest, and self-assessment of ability by high school youth: a study of gender-stereotyped academic subjects

The effects of cinematic female role models on self-confidence in own abilities, interest, and academic elective intents of secondary school pupils were analyzed in two studies. In Study 1 the participants (N = 283) were randomly assigned to 1 of 3 groups. Each group watched a film after which they completed a questionnaire. In Film 1 the lead female character demonstrated conventional female characteristics and was discernibly untalented in mathematics and the natural sciences, in Film 2 the lead female character did not exhibit conventional female characteristics and was gifted in mathematics and the natural sciences, and in Film 3 the lead female character was typically female and gifted in mathematics and the natural sciences. Film 3, in which the lead female character not only contradicted the stereotype of women not being gifted at mathematics and the natural sciences but also should not have elicited subtyping processes, turned out to be effective among girls with High prior interest and boys in general. In contrast, this film had unexpected effects among girls with Low prior interest. Instead of showing, as expected, merely weaker effects than those found for the other groups, this role model even had a deterrent effect on girls with Low prior interest. In Study 2 (N = 55) an investigation assessed whether Film 3 could exercise a similarly positive effect on female pupils with Low prior interest were a female role model to depict constructive coping with difficulties in mathematics and the natural sciences prior to the presentation of the film. Results show this is possible.     

Understanding the impact of mortality-related health-risk information: a terror management theory perspective

Four studies explored the effects of providing mortality-related health-risk information from a terror management theory perspective. Study 1 (N = 48) revealed that exposure to information about the mortality-related risks of driving made mortality salient for young male drivers. Studies 2 (N = 60) and 3 (N = 139) demonstrated that young male drivers who perceived driving (fast) to be beneficial for self-esteem reported higher intentions to take driving risks (Study 2) and drive fast (Study 3) after exposure to such information compared to controls. Study 3 further demonstrated that the inclusion of a prime to behave responsibly eliminated this effect. Study 4 (N = 92) revealed that exposure to this prime alongside the mortality-related information generated increased accessibility of responsibility-related constructs and reduced accessibility of mortality-related constructs among young male drivers. The implications of these findings for terror management theory are discussed.     

Feedback consistency effects in visual and auditory word recognition: where do we stand after more than a decade?

The role of phonology-to-spelling consistency (i.e., feedback consistency) was investigated in 3 lexical decision experiments in both the visual and auditory modalities in French and English. No evidence for a feedback consistency effect was found in the visual modality, either in English or in French, despite the fact that consistency was manipulated for different kinds of units (onsets and rimes). In contrast, robust feedback consistency effects were obtained in the auditory lexical decision task in both English and French when exactly the same items that produced a null effect in the visual modality were used. Neural network simulations are presented to show that previous demonstrations of feedback consistency effects in the visual modality can be simulated with a model that is not sensitive to feedback consistency, suggesting that these effects might have come from various confounds. These simulations, together with the authors' results, suggest that there are no feedback consistency effects in the visual modality. In contrast, such effects are clearly present in the auditory modality. Given that orthographic information is absent from current models of spoken word recognition, the present findings present a major challenge to these models.     

Rapid naming deficits in dyslexia: a stumbling block for the perceptual anchor theory of dyslexia

According to a recent theory of dyslexia, the perceptual anchor theory, children with dyslexia show deficits in classic auditory and phonological tasks not because they have auditory or phonological impairments but because they are unable to form a ‘perceptual anchor’ in tasks that rely on a small set of repeated stimuli. The theory makes the strong prediction that rapid naming deficits should only be present in small sets of repeated items, not in large sets of unrepeated items. The present research tested this prediction by comparing rapid naming performance of a small set of repeated items with that of a large set of unrepeated items. The results were unequivocal. Deficits were found both for small and large sets of objects and numbers. The deficit was actually bigger for large sets than for small sets, which is the opposite of the prediction made by the anchor theory. In conclusion, the perceptual anchor theory does not provide a satisfactory account of some of the major hallmark effects of developmental dyslexia.     

The efficacy of a pilot pediatric cognitive remediation summer program to prepare for transition of care

This study assessed the efficacy of a time-sensitive cognitive remediation summer program (CRSP) that provided patients and their families with tools to help mitigate neurocognitive deficits and promote independence to foster precursor transition of medical care skills. A total of 38 participants (aged 9–15) were included in one of the CRSPs offered yearly from 2013 to 2016. A longitudinal design was employed and at each evaluation time point, one week before start of the CRSP (pre-testing) and within three weeks after the end of the program (post-testing)), participants were administered measures of executive functioning in addition to parent ratings of behavior, executive functioning, and adaptive skills (Year 1–Year 4). In Year 4, additional measures were collected, including parenting style and parent engagement and involvement in the program. Results from Year 1 to Year 4 (n = 35) demonstrated that participants in the CRSP showed significant improvement on neuropsychological testing in sustained and selective attention, planning, and cognitive flexibility. Robust changes in parent ratings of adaptive functioning from pre- to post-treatment were also found. Specific to Year 4 (n = 13), results revealed that participants showed improvement in levels of independence with at least one of the individualized goals focused on during the program. This study provided a systematic method to gauge the levels of instruction necessary to reach goals, a crucial tool in skill-teaching. Overall, our study provides evidence for the efficacy of the CRSP and validates a feasible intervention that can be integrated into standard of care for pediatric medical populations.     

Common and specific process factors in cardiac rehabilitation: independent and interactive effects of the working alliance and self-efficacy.

OBJECTIVE: Therapeutic processes in cardiac rehabilitation programs are virtually unexamined. Models were tested by which changes in the working alliance between patient and staff (agreement on goals/tasks; emotional bond) may affect outcomes in conjunction with changes in patient self-efficacy to change their diets and increase exercise. DESIGN: Cardiac patients (n = 79) participated in a 12-week program, and completed assessments at early, mid, and late treatment. MAIN OUTCOME MEASURES: Changes in cardiac depression, physical health, perceived exertion during exercise, rate/pressure product at submaximal exercise tolerance, weight loss, return to work, total fat intake. RESULTS: Early-treatment changes in agreement on goals/tasks were related to changes in psychosocial factors and perceived exertion during exercise independent of effects of changes in self-efficacy. Early-treatment changes in goals/tasks and self-efficacy interacted to predict changes in cardiorespiratory fitness, weight loss, and return to work such that patients high on both goals/tasks and self-efficacy showed the most gains. CONCLUSION: Sound therapeutic relationships between patients and staff may play an important role in facilitating the achievement of a wide-range of salutary outcomes during cardiac rehabilitation.