Doctors' decision-making on giving information to cancer patients

A major focus in the literature about doctor-patient communication is information-giving. In the case of cancer patients, one significant issue is which factors determine whether and how, general practitioners and oncologists give information to their patients. Whatever may be the content of information, the most important choice for the doctor is to give information or not. Our research group at the Department of Health Psychology has conducted investigations in order to identify the significant determinants of decisions concerning giving information to cancer patients. A sample of 60 doctors from Alicante province in Spain were asked their criteria for giving information about a cancer diagnosis. Results showed that perceived intelligence and emotional control in the patients were the best predictors of the decision by doctors to give information. Age and socio-economic status were also significantly associated with the doctors' information-giving practices. These data suggest that the criteria for giving information to cancer patients are subjective and show a strong cultural influence.     

A comparison of implicit memory tests in schizophrenic patients and normal controls

The objective of the current study was to compare the performance of schizophrenic patients and normal controls on implicit memory tests. Two neuropsychological tasks were administered to 29 patients and normal participant samples. The implicit tests were: Word fragment completion and Word production from semantic categories. The priming score was the variable of interest. Priming effects are obtained in normal subjects and schizophrenia patients, regardless of the implicit test used. However, a dissociation in priming between normal and patient groups was observed, depending on the test used. For word fragment test, priming was identical between the two groups. However, for word production, priming obtained in schizophrenics was lower than priming in normal controls. Results confirm a dissociation effect in implicit memory tests. These results could be explained in the context of the Roediger and Blaxton (1987) distinction between data-driven and conceptually-driven processing. This evidence suggests that a complete neuropsychological assessment of memory in schizophrenia should include different kinds of implicit memory tests (procedural, perceptual, and conceptual tasks).     

Response perseveration in psychopaths: Interpersonal/affective or social deviance traits?

In order to clarify the role of the two broad components of psychopathy (interpersonal/affective and social deviance; R. D. Hare, 2003) in explaining maladaptive response perseveration in psychopaths, as well as the role of reflection after punished responses in this deficit, the authors administered a card perseveration task to 47 Spanish male inmates assessed using the Hare Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991). Hierarchical regressions showed that psychopaths' maladaptive perseveration (more cards played and less money earned) was uniquely predicted by the social deviance features of psychopathy (PCL-R Factor 2)--particularly by its impulsive and irresponsible lifestyle facet (PCL-R Facet 3)--and not by its interpersonal/affective features (PCL-R Factor 1). Moreover, perseveration was related to a lack of reflection both after punishment and after reward feedback. The authors' results, in conjunction with previous evidence indicating perseverative deficits in several impulse control disorders, suggest that response perseveration may not be specific to psychopathy but rather is associated more generally with the externalizing dimension of psychopathology.     

Adding fuel to fire: the impact of followers' arousal on ratings of charisma

The authors conducted an experimental laboratory study and a longitudinal field study to investigate the impact of followers' arousal on ratings of charisma. Both studies examined 2 contrasting hypotheses: (a) the misattribution hypothesis, which posits a direct effect of arousal, and (b) the response-facilitation hypothesis, which posits an interactive effect of arousal and leaders' charismatic appeal on ratings of charisma. The overall results from both studies provide support for the response-facilitation hypothesis. In addition, the authors tested the hypothesis that arousal effects are limited to ratings of charisma. As expected, ratings of transactional leadership, in contrast with ratings of charisma, were not influenced by followers' arousal states. The authors discuss the implications of these results and offer suggestions for future research.     

Doctors' decision-making on giving information to cancer patients

Abstract

A major focus in the literature about doctor-patient communication is information-giving. In the case of cancer patients, one significant issue is which factors determine whether and how, general practitioners and oncologists give information to their patients. Whatever may be the content of information, the most important choice for the doctor is to give information or not. Our research group at the Department of Health Psychology has conducted investigations in order to identify the significant determinants of decisions concerning giving information to cancer patients. A sample of 60 doctors from Alicante province in Spain were asked their criteria for giving information about a cancer diagnosis. Results showed that perceived intelligence and emotional control in the patients were the best predicotrs of the decision by doctors to give information. Age and socio-economic status were also significantly associated with the doctors' information-giving practices. These data suggest that the criteria for giving information to cancer patients are subjective and show a strong cultural influence.     

Context and consequence. An intercontextual substructural logic

Some apparently valid arguments crucially rely on context change. To take a kind of example first discussed by Frege, ‘Tomorrow, it’ll be sunny’ taken on a day seems to entail ‘Today, it’s sunny’ taken on the next day, but the first sentence taken on a day sadly does not seem to entail the second sentence taken on the second next day. Mid-argument context change has not been accounted for by the tradition that has extensively studied the distinctive logical properties of context-dependent languages, for that tradition has focussed on arguments whose premises and conclusions are taken at the same context. I first argue for the desiderability of having a logic that accounts for mid-argument context change and I explain how one can informally understand such context change in a standard framework in which the relation of logical consequence holds among sentences. I then propose a family of simple temporal “intercontextual” logics that adequately model the validity of certain arguments in which the context changes. In particular, such logics validate the apparently valid argument in the Fregean example. The logics lack many traditional structural properties (reflexivity, contraction, commutativity etc.) as a consequence of the logical significance acquired by the sequence structure of premises and conclusions. The logics are however strong enough to capture in the form of logical truths all the valid arguments of both classical logic and Kaplan-style “intracontextual” logic. Finally, I extend the framework by introducing new operations into the object language, such as intercontextual conjunction, disjunction and implication, which, contrary to intracontextual conjunction, disjunction and implication, perfectly match the metalinguistic, intercontextual notions of premise combination, conclusion combination and logical consequence by representing their respective two operands as taken at different contexts.     

Effects of the dialectical behavioral therapy-mindfulness module on attention in patients with borderline personality disorder

It is known that patients with borderline personality disorder (BPD) show attention deficits and impulsivity. The main aim of this study was to explore the effects of Dialectical Behavioral Therapy-Mindfulness training (DBT-M), used as an adjunct to general psychiatric management (GPM), on attention variables in patients diagnosed with BPD. A second objective was to assess the relation of mindfulness formal practice on clinical variables. A sample of 60 patients with BPD was recruited. Forty of them were allocated to GPM + DBT-M treatment and the other 20 received GPM alone. At the termination of the mindfulness training, DBT-M + GPM group showed a significant improvement on commissions, hit reaction time, detectability scores from the CPT-II neuropsychological test, and also on the composite scores of inattention and impulsivity. Further, the more minutes of mindfulness practice were correlated to greater improvement in general psychiatric symptoms and affective symptomatology, but not in CPT-II measures. This is probably the first study so far assessing the effects of this single DBT module in patients with BPD. The results suggest a positive effect of such intervention on attention and impulsivity variables.     

A three-dimensional model for the octagonal phase

Abstract

A three-dimensional model for the octagonal phase based on a cut-projection from the eight-dimensional hypercubic lattice is presented here. The phason-phonon coupling which leads the octagonal phase into 45° twinned cubic ones is also studied. Conclusions of this realistic model do not modify the previously stated conclusions from the standard but incomplete two-dimensional treatment.     

Naive Modus Ponens

The paper is concerned with a logical difficulty which Lionel Shapiro’s deflationist theory of logical consequence (as well as the author’s favoured, non-deflationist theory) gives rise to. It is argued that Shapiro’s non-contractive approach to solving the difficulty, although correct in its broad outlines, is nevertheless extremely problematic in some of its specifics, in particular in its failure to validate certain intuitive rules and laws associated with the principle of modus ponens. An alternative non-contractive theory is offered which does not suffer from the same problem.