Maximal care considerations when treating patients with end-stage heart failure: ethical and procedural quandaries in management of the very sick

Deciding who should receive maximal technological treatment options and who should not represents an ethical, moral, psychological and medico-legal challenge for health care providers. Especially in patients with chronic heart failure, the ethical and medico-legal issues associated with providing maximal possible care or withholding the same are coming to the forefront. Procedures, such as cardiac transplantation, have strict criteria for adequate candidacy. These criteria for subsequent listing are based on clinical outcome data but also reflect the reality of organ shortage. Lack of compliance and non-adherence to lifestyle changes represent relative contraindications to heart transplant candidacy. Mechanical circulatory support therapy using ventricular assist devices is becoming a more prominent therapeutic option for patients with end-stage heart failure who are not candidates for transplantation, which also requires strict criteria to enable beneficial outcome for the patient. Physicians need to critically reflect that in many cases, the patient’s best interest might not always mean pursuing maximal technological options available. This article reflects on the multitude of critical issues that health care providers have to face while caring for patients with end-stage heart failure.     

Attention allocation modulates the processing of hierarchical visual patterns: a comparative analysis of capuchin monkeys (Cebus apella) and humans

Humans show a global advantage when processing hierarchical visual patterns, and they detect the global level of stimulus structure more accurately and faster than the local level in several stimulus contexts. By contrast, capuchins (Cebus apella) and other monkey species show a strong local advantage. A key factor which, if manipulated, could cause an inversion of this effect in monkeys is still to be found. In this study, we examined whether it was possible to induce attention allocation to global and local levels of perceptual analysis in capuchin monkeys and if by doing so, their local dominance could be reversed. We manipulated attentional bias using a matching-to-sample (MTS) task where the proportion of trials requiring global and local processing varied between conditions. The monkeys were compared with humans tested with the same paradigm. Monkeys showed a local advantage in the local bias condition but a global advantage in the global bias condition. The role of attention in processing was confined to the local trials in a first phase of testing but extended to both local and global trials in the course of task practice. Humans exhibited an overall global dominance and an effect of attentional bias on the speed of processing of the global and local level of the stimuli. These results indicate a role for attention in the processing of hierarchical stimuli in monkeys and are discussed in relation to the extent to which they can explain the differences between capuchin monkeys and humans observed in this and other studies.     

Development and validation of a scale to assess positive youth development values

This paper describes the development of a self-report scale for adolescents to assess positive youth development values. It presents a substantial number of psychometric results performed on a sample of 2,400 adolescents (1,068 boys and 1,332 girls) from 12 to 17 years ( M = 14.73, SD = 1.25), who were studying secondary education in Western Andalusia. The results provide evidence of the psychometric quality of items, cross-validity of a structure of eight first-order factors and three second-order factors, obtained through exploratory and confirmatory factor analysis, and adequate reliability. This study concludes that the scale presents adequate evidence of validity and reliability that allows assessment, especially in school contexts, of a broad set of values of particular relevance to positive youth development.     

The effects of social ties on coordination: conceptual foundations for an empirical analysis

This paper investigates the influence that social ties can have on behavior. After defining the concept of social ties that we consider, we introduce an original model of social ties. The impact of such ties on social preferences is studied in a coordination game with outside option. We provide a detailed game theoretical analysis of this game while considering various types of players, i.e., self-interest maximizing, inequity averse, and fair agents. In addition to these approaches that require strategic reasoning in order to reach some equilibrium, we also present an alternative hypothesis that relies on the concept of team reasoning. After having discussed the differences between the latter and our model of social ties, we show how an experiment can be designed so as to discriminate among the models presented in the paper.     

Positive Experiences at Work and Daily Recovery: Effects on Couple’s Well-Being

The present diary study investigates, at the within-person level, how job satisfaction mediates the relationship between self-rated job performance and recovery experiences (i.e., psychological detachment from work and relaxation) during off-job time. Furthermore, we explore the effects of these two recovery experiences on couple´s well-being. Data were collected from 145 dual-earner couples (N = 290 participants; N = 1450 occasions) with a daily diary design (five consecutive working days). Multilevel analyses showed that daily job performance positively predicted psychological detachment and relaxation, and that daily job satisfaction partially mediated this relationship. In addition, we found that psychological detachment and relaxation have positive effects on own and partner´s indicators of well-being (i.e., relationship satisfaction and positive emotions). The benefits of recovery go beyond the individual and affect their partner´s level of well-being.     

Does contact at work extend its influence beyond prejudice? Evidence from healthcare settings

This article reports on two studies investigating the role of intergroup contact on the reduction of prejudice against migrants and on organizational and health outcomes. Study 1 enrolled 624 native healthcare professionals and showed that frequent and positive contact with non-native co-workers was associated with a decrease in the professionals’ prejudice and an increase in the professionals’ perception of team functioning. These effects were mediated by reduced in-group threat perception. Study 2 enrolled 201 native patients and showed that frequent and positive contact with non-native healthcare providers was associated with a decrease in patients’ prejudice and an increase in patients’ satisfaction for the care received. These effects were mediated by reduced in-group threat perception. These novel findings showed that frequent and positive contact with non-native individuals can improve health and organizational outcomes along with facilitating positive intergroup relations.     

Measuring the flashbulb-like nature of memories for private events: the flashbulb memory checklist

What do we remember following an emotionally charged event? The assessment of memory characteristics for an emotional event represents one of the most challenging issues in the domain of autobiographical memory. Literature of flashbulb memories (FBMs) provides a crucial contribution on this issue: Following an emotional and unexpected public event, people remember not only central details of the episode, but also irrelevant, peripheral and idiosyncratic details of the reception context in which they learned of the news. The present study was set up to assess the factorial structure (samples 1 and 2) and convergent validity (sample 2) of an FBM checklist, an instrument designed to measure Flashbulb-like features of memories for emotional private events. Factorial analyses account for an oblique two-factor solution – FBM Specificity and Confidence – while correlational analyses support the convergent validity of this instrument. Practical implications are discussed, especially for the credibility assessment of witnesses of emotional events in forensic settings.     

Learning to Manipulate and Categorize in Human and Artificial Agents

This study investigates the acquisition of integrated object manipulation and categorization abilities through a series of experiments in which human adults and artificial agents were asked to learn to manipulate two‐dimensional objects that varied in shape, color, weight, and color intensity. The analysis of the obtained results and the comparison of the behavior displayed by human and artificial agents allowed us to identify the key role played by features affecting the agent/environment interaction, the relation between category and action development, and the role of cognitive biases originating from previous knowledge.