Medical students' and residents' gender bias in the diagnosis, treatment, and interpretation of coronary heart disease symptoms.

Two competing hypotheses explaining gender bias in cardiac care were tested. The first posits that women's coronary heart disease (CHD) symptoms are simply misinterpreted or discounted. The second posits that women's CHD symptoms are misinterpreted when presented in the context of stress. In two studies, medical students and residents randomized to 2 (male vs. female) x 2 (stress vs. nostress) experiments read vignettes of patients with CHD symptoms and indicated their diagnosis, treatment, and symptom origin interpretation. Both studies disconfirmed the first hypothesis and strongly supported the second. Only when stress was added did women receive significantly lower CHD diagnoses and cardiologist referrals than men and did the origin interpretation of women's CHD symptoms (e.g., chest pain) shift from organic to psychogenic. Neither participants' gender nor their attitude toward women influenced assessments.     

Studies on retrograde and anterograde amnesia of olfactory memory after denervation of the hippocampus by entorhinal cortex lesions

The effect of hippocampal denervation on olfactory memory in rats was tested after interrupting the lateral olfactory tract projections at the level of the entorhinal cortex. When lesioned animals were trained to learn new odors, they showed no evidence of retention 3 h after acquisition. These results confirm earlier data on rapid forgetting in rats after hippocampal deafferentation and are in parallel to the anterograde amnesia typically found in humans with hippocampal damage. On the other hand, preoperatively learned information was minimally impaired after hippocampal deafferentation even if it was acquired within less than 1 h before the lesion. This finding differs from reports on humans as well as monkeys with hippocampal damage where memories formed during a critical time span of months or even years before the lesion are found to be impaired. This may suggest that the consolidation process in humans and rodents has different time scales or that the roles of the human and the rat hippocampal structure in memory formation are somewhat different.     

A cry unheard: sudden reductions in blood pressure while talking about feelings of hopelessness and helplessness.

This paper describes sudden extreme drops in blood pressure in both experimental and clinical situations when a person is talking about or describing situations of hopelessness and helplessness. These changes are discussed in the context of historical perspectives about the cardiovascular system. A new perspective is introduced, one in which these blood pressure changes are seen as part of an unheard cry for understanding. It is hypothesized that such changes do not occur in response to a person's attempts to communicate a sense of hopelessness, but rather are the biological foundations of the hopelessness itself. Viewed from such a context an entirely new therapeutic approach is outlined regarding the treatment of patients suffering from a wide variety of psychosomatic as well as psychological disturbances.     

A cry unheard: Sudden reductions in blood pressure while talking about feelings of hopelessness and helplessness

This paper describes sudden extreme drops in blood pressure in both experimental and clinical situations when a person is talking about or describing situations of hopelessness and helplessness. These changes are discussed in the context of historical perspectives about the cardiovascular system. A new perspective is introduced, one in which these blood pressure changes are seen as part of an unheard cry for understanding. It is hypothesized that such changes do not occur in response to a person’s attempts to communicate a sense of hopelessness, but rather are the biological foundations of the hopelessness itself. Viewed from such a context an entirely new therapeutic approach is outlined regarding the treatment of patients suffering from a wide variety of psychosomatic as well as psychological disturbances.     

A study of perceptual development for musical tuning.

Musical tuning perception in infancy and adulthood was explored in three experiments. In Experiment 1, Western adults were tested in detection of randomly located mistunings in a melody based on musical interval patterns from native and nonnative musical scales. Subjects performed better in a Western major scale context than in either a Western augmented or a Javanese pelog scale context. Because the major scale is used frequently in Western music and, therefore, is more perceptually familiar than either the augmented scale or the pelog scale are, the adults' pattern of performance is suggestive of musical acculturation. Experiments 2 and 3 were designed to explore the onset of culturally specific perceptual reorganization for music in the age period that has been found to be important in linguistically specific perceptual reorganization for speech. In Experiment 2, 1-year-olds had a pattern of performance similar to that of the adults, but 6-month-olds could not detect mistunings reliably better than chance. In Experiment 3, another group of 6-month-olds was tested, and a larger degree of mistuning was used so that floor effects might be avoided. These 6-month-olds performed better in the major and augmented scale contexts than in the pelog context, without a reliable performance difference between the major and augmented contexts. Comparison of the results obtained with 6-month-olds and 1-year-olds suggests that culturally specific perceptual reorganization for musical tuning begins to affect perception between these ages, but the 6-month-olds' pattern of results considered alone is not as clear. The 6-month-olds' better performance on the major and augmented interval patterns than on the pelog interval pattern is potentially attributable to either the 6-month-olds' lesser perceptual acculturation than that of the 1-year-olds or perhaps to an innate predisposition for processing of music based on a single fundamental interval, in this case the semitone.     

Partial reinforcement effects in instrumental escape conditioning

In Experiment I acquisition and extinction of instrumental escape conditioning with rats (N = 64) were studied as a function of reinforcement magnitude under conditions of partial and continuous reinforcement. In Experiment II the effects of partial and continuous reinforcement were studied in rats (N = 96) during acquisition followed by small, medium, and large reductions in reinforcement magnitude. A water-tank escape apparatus was used with temperature as the relevant variable. It was found that (1) with large reinforcement magnitude a continuously reinforced group was superior in acquisition to one that was partially reinforced; there were no differences with small reinforcement; (2) disruptive effects of a nonreinforced trial (a) appear early in learning, (b) are quite strong after each nonreinforced trial, and (c) persist through several succeeding reinforced trials; (3) major competing behaviors persist throughout acquisition for small reinforcement magnitude regardless of schedule, decline with large reinforcement (more so with continuous than with partial), and return to a high level in extinction for all conditions; (4) the partial reinforcement extinction effect occurs after large reinforcement but not after small, and it appears only with large reductions in reinforcement magnitude which approach extinction conditions. Only the first part of the last finding appears to be consistent with the appetitive conditioning literature.     

Caffeine,impulsivity, and memory scanning: A comparison of two explanations for the Yerkes-Dodson Effect

Two explanations for the Yerkes-Dodson Effect (1908) were tested. Easterbrook (1959) proposed that arousal reduces the range of cue utilization. Thus, arousal should interfere with the capacity for simultaneous (dual) memory scans. In contrast, Humphreys and Revelle (1984) proposed that arousal facilitates sustained information transfer but interferes with short-term memory. Arousal should thus reduce the time needed to prepare to respond but increase the time needed to scan memory. Either caffeine or placebo was given to 78 subjects who differed in impulsivity. They completed three versions of a memory-scanning task: two single-task versions (physical and category matches) and one dual-task version (either type of match). As predicted by Humphreys and Revelle, relative to placebo, caffeine lowered the intercept (p<.01), suggesting facilitation of sustained information transfer, but increased the slope (p<.05), suggesting impairment of access to short-term memory, of the regression of reaction time on log-transformed memory-set size. That caffeine had a main effect on slopes and on intercepts but did not interact with type of task suggests that arousal does not necessarily disrupt dual-task performance.     

A quantitative description of the stimulus

A formula for the stimulus is derived. The essential postulates and assumptions are based on Gestalt theory.