Divergent Thinking in Alzheimer's and Frontotemporal Dementia

Twenty-three patients with mild dementia of the Alzheimer's type (DAT) or frontotemporal type (DFT) and age- and education-matched control subjects were administered tests of complex fluency involving divergent thinking and tests of letter, category, and figural fluency. The tests of complex fluency discriminated the dementia patients from control subjects more strongly than did the other fluency tests. The results suggest that divergent thinking as assessed by complex fluency tests is a cognitive domain that is impaired early in the course of dementia. The sensitivity of complex fluency tests compared to that of letter, category, and figural fluency tests may be related to greater demands for conceptualization in relating stimulus attributes to function and greater demands for flexible thinking during self-directed search processes.     

Executive Function,Intellectual Decline and Daily Living Skills

ABSTRACT

Understanding the cognitive changes associated with compromised daily living skills in elderly individuals is important for making appropriate recommendations about the capacity for independent functioning. To this end, we retrospectively examined data from 92 elderly individuals presenting with cognitive decline who were administered measures of executive functioning, general intelligence, and daily living skills. Multiple regression analyses were used to examine the relationship between executive functioning and daily living skills, while controlling for age, depression, and either IQ decline or current IQ. Executive functioning accounted for additional variance in a broad range of daily living skills after controlling for IQ decline. When FSIQ was used in the regression model rather than IQ decline, executive functioning was no longer uniquely associated with daily living skills. Executive functions appear to be important for daily living skills until a critical threshold of low intellectual functioning is reached, reflecting the combined influence of premorbid ability and the extent of intellectual decline. Our results suggest that understanding the relative contribution of different cognitive domains to functional decline in elderly individuals should take into account general intellectual functioning and estimated decline, and that the initiation and/or persistence of self-directed cognitive processes may be important for adaptive daily functioning. These findings have implications for making more evidence-based recommendations about the capacity for independent living.     

THE UNBEARABLE LIGHTNESS OF BRITAIN

This article explores the theme of a purported lack of seriousness or superficiality in Anglo‐Jewish historiography. It begins with an analysis of the role this idea played as a catalyst for the first generation of organised or professionalising Anglo‐Jewish historians. It argues that the idea of “success”—whether economic, political or social—has been a thorn in the side of British Jewish historians since the late nineteenth century, and that the conceptualisation of Anglo‐Jewish history has been to a large degree a response to an ambivalence about Anglo‐Jewish “success”. After a consideration of early Anglo‐Jewish historians, the article turns to the work of contemporary historians of Anglo‐Jewry, and explores how this anxiety over success and seriousness has remained a spur, in both senses of the term: “Success” continues to be both an irritant and a catalyst for re‐interpretation.     

Positive mood + action = negative mood + inaction: effects of general action and inaction concepts on decisions and performance as a function of affect

General action and inaction concepts have been shown to produce broad, goal-mediated effects on cognitive and motor activity irrespective of the type of activity. The current research tested a model in which action and inaction goals interact with the valence of incidental moods to guide behavior. Over four experiments, participants' moods were manipulated to be positive (happy), neutral, or negative (angry or sad), and then general action, inaction, and neutral concepts were primed. In Experiment 1, action primes increased intellectual performance when participants experienced a positive (happy) or neutral mood, whereas inaction primes increased performance when participants experienced a negative (angry) mood. Including a control-prime condition, Experiments 2 and 3 replicated these results measuring the number of general interest articles participants were willing to read and participants' memory for pictures of celebrities. Experiment 4 replicated the results comparing happiness with sadness and suggested that the effect of the prime's adoption was automatic. Overall, the findings supported an interactive model by which action concepts and positive affect produce the same increases in active behavior as inaction concepts and negative affect.     

Subtle priming of shared human experiences eliminates threat-induced negativity toward Arabs, immigrants, and peace-making

Many studies demonstrate that mortality salience can increase negativity toward outgroups but few have examined variables that mitigate this effect. The present research examined whether subtly priming people to think of human experiences shared by people from diverse cultures increases perceived similarity of members of different groups, which then reduces MS-induced negativity toward outgroups. In Study 1, exposure to pictures of people from diverse cultures engaged in common human activities non-significantly reversed the effect of MS on implicit anti-Arab prejudice. In Study 2, thinking about similarities between one's own favorite childhood memories and those of people from other countries eliminated MS-induced explicit negative attitudes toward immigrants. In Study 3, thinking about similarities between one's own painful childhood memories and those of people from other countries eliminated the MS-induced reduction in support for peace-making. Mediation analyses suggest the effects were driven by perceived similarity of people across cultures. These findings suggest that priming widely shared human experiences can attenuate MS-induced intergroup conflict.     

Nostalgic recollections of high and low narcissists

Two functions of nostalgia are consistently documented in the literature: self-positivity and social connectedness. These reflect agency and communion, respectively. Such dimensions are polarized no more than in narcissists, who are high in agency and low in communion. In three studies we tested whether high and low narcissists differ in the content of nostalgic recollections, whether they become nostalgic about different objects, and whether nostalgia serves different functions for them. High (versus low) narcissists made more agentic references in their narratives and manifested nostalgic proclivity toward agentic objects. Furthermore, nostalgia served a self-positivity function, but not a social connectedness function, for high (versus low) narcissists. Findings highlight the relevance of personality—narcissism, in particular—for the experience of nostalgia.     

Differential susceptibility and the early development of aggression: interactive effects of respiratory sinus arrhythmia and environmental quality

The purpose of the current study was to predict the development of aggressive behavior from young children's respiratory sinus arrhythmia (RSA) and environmental quality. In a longitudinal sample of 213 children, baseline RSA, RSA suppression in response to a film of crying babies, and a composite measure of environmental quality (incorporating socioeconomic status and marital adjustment) were measured, and parent-reported aggression was assessed from 18 to 54 months of age. Predictions based on biological sensitivity-to-context/differential susceptibility and diathesis-stress models, as well as potential moderation by child sex, were examined. The interaction of baseline RSA with environmental quality predicted the development (slope) and 54-month intercept of mothers' reports of aggression. For girls only, the interaction between baseline RSA and environmental quality predicted the 18-month intercept of fathers' reports. In general, significant negative relations between RSA and aggression were found primarily at high levels of environmental quality. In addition, we found a significant Sex × RSA interaction predicting the slope and 54-month intercept of fathers' reports of aggression, such that RSA was negatively related to aggression for boys but not for girls. Contrary to predictions, no significant main effects or interactions were found for RSA suppression. The results provide mixed but not full support for differential susceptibility theory and provide little support for the diathesis-stress model.     

I Believe I Am So Called: Reflections on a Vocation in Medical Education

This essay is concerned with the fulfillment of ordination commitments through a pastoral role in medical education and review of medical research with human subjects. Stylistically, it combines memoir with the genre known as “creative non-fiction.” Its major issues have to do with the identity formation and transformation of the author, the function and ethics of institutional review boards, the teaching of medical ethics to medical students, and courses involved in the doctor–patient relationship and in palliative care intended to increase the sensitivity and self-awareness of physicians-in-becoming. This essay was presented in its initial form at the Annual Fellows Meeting of the Society for Values in Higher Education in 2010.