The Cost of Detecting Deception: Judging Veracity Makes Eyewitnesses Remember a Suspect Less Accurately but With More Certainty

The current study extends previous research demonstrating the detrimental effects of divided attention during encoding on eyewitness memory. Previous data indicate that judging the veracity of a suspect causes witnesses to scrutinize him or her carefully and requires relatively high cognitive effort. We therefore hypothesized that performing this task while simultaneously observing the suspect should impair witnesses' memory for his or her appearance and message while ironically inflating their certainty and other testimony‐relevant judgments. Our results supported these predictions. Moreover, inducing witnesses to be suspicious about the suspect's truthfulness (Experiment 1) and motivating them to judge veracity as accurately as possible (Experiment 2) amplified the memory impairment effect and further increased several testimony‐relevant ratings. Additionally, compared with witnesses who incorrectly identified the suspect in a line‐up, those who made a correct decision expressed greater certainty about their line‐up accuracy and also provided higher ratings on some other testimony‐relevant measures. Copyright © 2013 John Wiley & Sons, Ltd.     

Choice‐making,Expectations, and Treatment Positivity: How and When Choosing Shapes Aversive Experiences

Every day we use products and treatments with unknown but expected effects, such as using medication to manage pain. In many cases, we have a choice over which products or treatments to use; however, in other cases, people choose for us or choices are unavailable. Does choosing (versus not choosing) have implications for how a product or treatment is experienced? The current experiments examined the role of choice‐making in facilitating so‐called expectation assimilation effects—or situations in which a person's experiences (e.g., discomfort and pain) are evaluated in a manner consistent with their expectations. In Experiment 1, participants were initially exposed to a baseline set of aversive stimuli (i.e., sounds). Next, some participants were given expectations for two “treatments” (i.e., changes in screen display) that could ostensibly reduce discomfort. Critically, participants were either given a choice or not about which of the two treatments they preferred. Participants in a control condition were not provided with treatment expectations. Results revealed that discomfort experiences assimilated to expectations only when participants were provided with choice. Experiment 2 replicated this finding and provided evidence against the idea that demand characteristics and choice‐making unrelated to the core task (i.e., choices without associated expectations) could account for the results. Further, Experiment 2 showed that choosing reduced discomfort because of increased positivity about the treatment. Results are discussed in the context of extant research on choice‐making and expectation effects. Copyright © 2013 John Wiley & Sons, Ltd.     

“Bad Girls” Say No and “Good Girls” Say Yes: Sexual Subjectivity and Participation in Undesired Sex During Heterosexual College Hookups

Young people’s sexuality is often discursively constructed within the confines of a masculine/feminine binary that minimizes young women’s sexual subjectivity (i.e., desire, pleasure, and agency) while taking young men’s subjectivity for granted. Accordingly, young women who acknowledge themselves as sexual subjects are constructed as “bad girls” who incite males’ purportedly uncontrollable desire and, thus, invite undesired sexual attention. However, there is reason to hypothesize that young women who view themselves as sexual subjects may be less likely than other women to engage in undesired sexual activity (i.e., sex that their partners desire, but they do not desire for themselves). In this study, I used data from the Online College Social Life Survey (N = 7255) to explore relationships between two measures of sexual subjectivity (i.e., pleasure prioritization and sexual agency) and college women’s participation in undesired sexual activity during hookups (i.e., performance of undesired sexual acts to please a partner and succumbing to verbal pressure for intercourse). Logistic regression analyses suggest that pleasure prioritization and sexual agency are associated with lower odds of performing undesired sexual acts to please a partner—and sexual agency is associated with lower odds of succumbing to verbal pressure for intercourse. These findings point to the importance of sexuality education that includes discussions of women’s sexual subjectivity.     

Auditory access,language access,and implicit sequence learning in deaf children

Developmental psychology plays a central role in shaping evidence‐based best practices for prelingually deaf children. The Auditory Scaffolding Hypothesis (Conway et al., 2009) asserts that a lack of auditory stimulation in deaf children leads to impoverished implicit sequence learning abilities, measured via an artificial grammar learning (AGL) task. However, prior research is confounded by a lack of both auditory and language input. The current study examines implicit learning in deaf children who were (Deaf native signers) or were not (oral cochlear implant users) exposed to language from birth, and in hearing children, using both AGL and Serial Reaction Time (SRT) tasks. Neither deaf nor hearing children across the three groups show evidence of implicit learning on the AGL task, but all three groups show robust implicit learning on the SRT task. These findings argue against the Auditory Scaffolding Hypothesis, and suggest that implicit sequence learning may be resilient to both auditory and language deprivation, within the tested limits. A video abstract of this article can be viewed at: https://youtu.be/EeqfQqlVHLI [Correction added on 07 August 2017, after first online publication: The video abstract link was added.]     

‘You have to treat the person,not the mouth only’: UK dentists’ perceptions of communication in patient consultations

Effective communication between patients and health professionals is a key component of patient-centred care. Although there is a large body of literature focusing on doctor-patient communication, there has been limited research related to dentist-patient communication, especially presented from the dentists’ perspective. The aim of our study was to explore UK dentists’ perceptions of communication in their consultations, and the factors they perceive may influence this. We conducted semi-structured interviews with eight dentists in UK dental NHS practices. Thematic analysis revealed three themes (‘Treating the whole person’, ‘Barriers to patient-centred communication’ and ‘Mutuality of communication’), which reflected the dentists’ perceptions of their own communication during consultations, the patients’ interaction skills, attitudes (and characteristics that may affect them), and external factors, such as time constraints, that can influence dentist-patients’ encounters. These in-depth accounts are valuable, in that we see what dentists perceive is important, obstructive and facilitative. They report using a patient-centred approach in their everyday dental practice; however this is often difficult due to factors such as time constraints. Although they emphasized that the patient has an active role to play in the communication process, it may be the case that they also need to play their part in facilitating this.     

On the relation between theory of mind and executive functioning: A developmental cognitive neuroscience perspective

Theory of mind (ToM) and executive functioning (EF) show marked interrelatedness across childhood, and developmental psychologists have long been interested in understanding the nature of this association. The present review addresses this issue from a cognitive neuroscience perspective by exploring three hypotheses regarding their functional overlap: (1) ToM relies on EF (EF→ToM); (2) EF relies on ToM (ToM→EF); and (3) ToM and EF are mutually related, owing to shared neural structures or networks (ToM?EF). Drawing on evidence from normative brain development, neurodevelopmental and neurodegenerative diseases, patient lesion studies, and brain-imaging studies, we suggest that only a strict version of the ToM?EF proposal of complete neural overlap can be confidently ruled out on the basis of existing evidence. The balance of evidence suggests that separable neurobiological mechanisms likely underlie ToM and EF, with shared mechanisms for domain-general processing that support both abilities. We highlight how future studies may empirically substantiate the nature of the ToM–EF relationship using various biobehavioral approaches.     

Age of avatar modulates the altercentric bias in a visual perspective-taking task: ERP and behavioral evidence

Despite being able to rapidly and accurately infer their own and other peoples’ visual perspectives, healthy adults experience difficulty ignoring the irrelevant perspective when the two perspectives are in conflict; they experience egocentric and altercentric interference. We examine for the first time how the age of an observed person (adult vs. child avatar) influences adults’ visual perspective-taking, particularly the degree to which they experience interference from their own or the other person’s perspective. Participants completed the avatar visual perspective-taking task, in which they verified the number of discs in a visual scene according to either their own or an on-screen avatar’s perspective (Experiments 1 and 2) or only from their own perspective (Experiment 3), where the two perspectives could be consistent or in conflict. Age of avatar was manipulated between (Experiment 1) or within (Experiments 2 and 3) participants, and interference was assessed using behavioral (Experiments 1–3) and ERP (Experiment 1) measures. Results revealed that altercentric interference is reduced or eliminated when a child avatar was present, suggesting that adults do not automatically compute a child avatar’s perspective. We attribute this pattern to either enhanced visual processing for own-age others or an inference on reduced mental awareness in younger children. The findings argue against a purely attentional basis for the altercentric effect, and instead support an account where both mentalising and directional processes modulate automatic visual perspective-taking, and perspective-taking effects are strongly influenced by experimental context.     

Impact of a Patient-Facing Enhanced Genomic Results Report to Improve Understanding,Engagement, and Communication

“The objective of this study was to” test the effectiveness of an enhanced genomic report on patient-centered outcome domains including communication, engagement and satisfaction. “Study design utilized” a prospective, randomized, mixed-methods desctiptive study of a whole genome sequencing results report, GenomeCOMPASS?, that was accessed by providers through the electronic health record and by patients through the associated patient portal. “The study was set in” an integrated healthcare delivery system in central Pennsylvania. “Eighty-four” parents of 46 children with undiagnosed Intellectual Disability, Autism Spectrum Disorder and/or multiple congenital anomalies who had participated in a previous study offering whole genome sequencing for their affected child were invited to enroll. Fifty-two parents enrolled. Following a traditional genetics results informing visit, the study coordinator stratified families by diagnostic result and uninformative result and then randomized families within each group to an intervention arm to receive the GenomeCOMPASS? report or to the usual care arm to receive a summary letter from the medical geneticist. A letter inviting enrollment included a baseline survey, which once returned, constituted enrollment. Surveys were administered at 3 months post-genetics visit. At 6 months, the usual care arm crossed over to receive the intervention and were administered an additional survey at 3 months. Qualitative interviews were conducted following survey completion to augment the survey data regarding the patient centered outcomes of interest. Patient reported outcomes including communication, engagement, empowerment and satisfaction. In the intervention arm, GenomeCOMPASS? reports were released to 14 families (N?=?28 parents) and of those 21 (75%) returned 3 month surveys. In the usual care arm, 12 families (N?=?24 parents) received usual care summary letters and of those 20 (83%) returned 3 month surveys. At crossover, GenomeCOMPASS? reports were released to 20 individuals and 15 (75%) returned 3 month surveys. Qualitative interviews were conducted with 5 individuals. Use of the GenomeCOMPASS? report was reported by this small group of parents to improve communication with providers and non-health professionals such as educators and therapists and led to increased engagement and high satisfaction. Providers and others involved in the children’s care also endorsed the report’s effectiveness. Reports that addressed negative findings, i.e. uninformative results, were not found to be useful. Although the number of users was small, this study supports that customizable template reports may provide a useful and durable source of information that can support and enhance the information provided by genetics professionals in traditional face-to-face encounters. Trial registration: Clinicaltrials.gov (Record 2013–0594).     

Utilization of the Tablet Application Proband in Pedigree Construction and Assessment

Many medical institutions have converted to a digital model for record keeping due to the Health Information Technology for Economic and Clinical Health Act. This Act provides incentives to health care systems to accelerate and encourage the adoption of electronic health record (EHR) systems. The pedigree as a tool in medicine provides an efficient method to assess and represent an individual’s health and family health risks that may otherwise not be apparent in the medical record in a clearly identifiable way (Schuette, J. L., & Bennett 2009). Many clinicians continue to construct pedigrees using pen and paper method despite findings of improved identification of at risk patients with similar electronic intake tools (Arar et al. in Personalized Medicine 2011 8:523–32). The goal of this study was to explore the patient and practitioner experience with electronic pedigree programs using Proband, an application developed at The Children’s Hospital of Philadelphia for genetic counselors to construct pedigrees during genetic counseling sessions directly on iPads. The first part of this study looked at the patient experience and assessed time to take the pedigree and the impact of using an electronic pedigree tool on the relationship between participant and genetic counselor. This involved 50 participants and was compared with the traditional paper method of taking a pedigree. There was no statistical significance found between the two different mediums in accuracy, speed, and rapport with provider. The second part of the study assessed the usability of Proband by ten genetic counselors. Overall, the application received a system usability score of 90/100 with a majority (7/10) of counselors agreeing that they would use this application in their clinic. The positive outcome of this study encourages future work to assess the impact and usability of programs on a larger scale as they continue to integrate into current electronic health records.