Cancer Survivors’ Spiritual Well-Being and Use of Complementary Methods: A Report from the American Cancer Society’s Studies of Cancer Survivors

We examined associations between spiritual well-being and CAM use among 4,139 cancer survivors. We also explored the classification of religious/spiritual practices (R/S) as CAMs and alternative subscale structures of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-Sp). We evaluated three aspects of spirituality, Faith, Peace, and Meaning, and use of 19 CAMs in 5 domains. Mind–body methods were subdivided into R/S and non-R/S. All FACIT-Sp factors were associated with CAM use, but in different directions: Meaning and Faith were positively associated; Peace was negatively associated. Peace was negatively associated with R/S CAMs, but not non-R/S CAMs. The prevalence of CAM use dropped from 79.3 to 64.8% when R/S items were excluded. These findings confirm an association between spiritual well-being and CAM use, including some non-R/S CAMs, and provide evidence of the benefits of using the three-factor FACIT-Sp solution and treating R/S CAMs as a separate category.     

When two become one: Temporally dynamic integration of the face and voice

In everyday interactions with others, people have to deal with the sight of a face and sound of a voice at the same time. How the perceptual system brings this information together over hundreds of milliseconds to perceive others remains unclear. In 2 studies, we investigated how facial and vocal cues are integrated during real-time social categorization by recording participants' hand movements (via the streaming x, y coordinates of the computer mouse) en route to “male” and “female” responses on the screen. Participants were presented with male and female faces that were accompanied by a same-sex voice morphed to be either sex-typical (e.g., masculinized male voice) or sex-atypical (i.e., feminized male voice). Before settling into ultimate sex categorizations of the face, the simultaneous processing of a sex-atypical voice led the hand to be continuously attracted to the opposite sex-category response across construal. This is evidence that ongoing results from voice perception continuously influence face perception across processing. Thus, social categorization involves dynamic updates of gradual integration of the face and voice.     

Bergmann’s dilemma: exit strategies for internalists

Michael Bergmann claims that all versions of epistemic internalism face an irresolvable dilemma. We show that there are many plausible versions of internalism that falsify this claim. First, we demonstrate that there are versions of “weak awareness internalism” that, contra Bergmann, do not succumb to the “Subject’s Perspective Objection” horn of the dilemma. Second, we show that there are versions of “strong awareness internalism” that do not fall prey to the dilemma’s “vicious regress” horn. We note along the way that these versions of internalism do not, in avoiding one horn of the dilemma, succumb to the dilemma’s other horn. The upshot is that internalists have many available strategies for avoiding dilemmatic defeat.     

Selective responses to threat: the roles of race and gender in decisions to shoot

Extensive work over the past decade has shown that race can bias perceptions and responses to threat. However, the previous work focused almost exclusively on responses to men and overlooked how gender and the interaction of race and gender influence decisions regarding use of force. In the current article, two studies examine the implications of gender (Study 1) and both race and gender (Study 2) for decisions to shoot criminal suspects on a computerized simulation. In Study 1, participants were biased away from shooting White female suspects compared to White male suspects. In Study 2, White participants showed a pronounced bias toward shooting Black men but a bias away from shooting Black women and White ingroup members, providing evidence of a behavioral threat-related response specific to outgroup men stereotypically associated with aggression. The theoretical and practical implications of these findings are discussed.     

The association between observed non-verbal maternal responses at 12 months and later infant development at 18 months and IQ at 4 years: a longitudinal study

Background

An infant's early environment has an important influence on their development. For example, the sensitivity and warmth of a mother's responses towards her infant is associated with the infant's later socio-emotional development. However, it is less clear whether maternal responses are associated with the infant's later cognitive development.

Method

We used data from a large UK cohort study to investigate the association between non-verbal maternal responses and later infant development and IQ. Maternal responses were rated at 12 months during an observed mother–infant interaction. Infant development was assessed using the Griffiths scales at 18 months and IQ at 4 years was assessed using the Wechsler Preschool and Primary Scale of Intelligence (WPPSI). Data on the infant's developmental level at 6 months (prior to the maternal response ratings) was also available. The complete case sample comprised 732 mother–infant pairs.

Results

There was evidence for an association between positive maternal responses and infant development at 18 months. After adjusting for infant developmental level at 6 months and other confounders, we found a difference of 0.25 standard deviations (coef 2.0, 95% CI (0.8–3.2), p = 0.002) on the Griffiths scales between infant's whose mothers showed positive compared to neutral non-verbal responses at 12 months. However, an association between positive maternal responses and IQ at 4 years diminished following adjustment for maternal educational attainment.

Conclusion

The results provide evidence that positive maternal responses are associated with improved development in infants at 18 months. However, the association between maternal response and IQ at 4 years may be explained by higher educational attainment in mothers who show positive responses. Future studies are needed to explore the influence of maternal responses on different aspects of infant development as well as the role of maternal factors such as education.     

Does Anxiety Improve Voters' Decision Making?

Affective Intelligence (AI) theory proposes to answer a fundamental question about democracy: how it succeeds even though most citizens pay little attention to politics. AI contends that, when circumstances generate sufficient anxiety, citizens make informed and thoughtful political decisions. In Ladd and Lenz (2008 ), we showed that two simpler depictions of anxiety's role can explain the vote interactions that apparently support AI. Here, we again replicate Marcus, Neuman and MacKuen's (2000 )'s voting model, which they contend supports AI, and again show that it is vulnerable to these alternative explanations, regardless of how candidate choice is measured. We also briefly review the broader literature and discuss Brader's (2005, 2006 ) important experimental results. Although the literature undoubtedly supports other aspects of AI, few studies directly test AI's voting claims, which were the focus of our reassessment. In our view, the only study that does so while ruling out the two alternatives is our analysis of the 1980 ANES Major Panel ( Ladd & Lenz, 2008 ), which finds no support for AI, but ample support for the alternatives. None of the responses to Ladd and Lenz (2008 ) addresses these findings. Overall, evidence that anxiety helps solve the problem of voter competence remains sparse and vulnerable to alternative explanations.     

Imprisoned by the past: unhappy moods lead to a retrospective bias to mind wandering

Evidence suggests that mind wandering is a frequent accompaniment to an unhappy mood. Building on such work, two laboratory experiments used mood induction to assess whether the greater frequency of mind wandering in a low mood is also accompanied by a shift towards a focus on events from the past. Experiment 1 induced moods via video and induction of an unhappy mood was associated with a greater tendency for past-related mind wandering as measured by a post-task questionnaire. In Experiment 2, negative and positive moods were induced in a group of participants using the Velten mood-induction procedure and the temporal focus of mind wandering was measured using experience sampling probes. Analyses indicated that induction of an unhappy mood led to an increase in past-related mind wandering and the magnitude of this change increased with scores on a measure of depressive symptoms. Together these experiments suggest that when the mind wanders in an unhappy mood it is drawn to events from its past.     

Reducing Psychotropic Medications in an Intensive Residential Treatment Center

Medication rates in behaviorally disordered children and youth have greatly increased to current high levels and are very controversial. This study examined changes in psychotropic medication use, levels of behavioral disturbance, and use of personal restraint and seclusion in a population of youth with serious behavioral disorders receiving medically directed cognitive-behavioral treatment in an intensive residential setting. The hypothesis was that there would be significant reductions in medication rates, without the unintended consequences of increased rates of problem behavior or offsetting increases in the use of seclusion or personal restraint. Results showed significant reductions in both the number of youth on medication and the average number of psychotropic medications during the residential stay. There were also significant reductions in behavioral disturbance, seclusions, and personal restraints. These results demonstrate that psychotropic medication can be significantly reduced without increases in problem behavior or the use of seclusions or personal restraints. We conclude that it is possible to significantly reduce psychotropic medication rates to far more conservative levels within the context of a clinically directed cognitive-behavioral treatment milieu.     

Psychotropic Medication Management Within Residential Treatment Centers: Physician Opinions About Difficulties and Barriers

Research has shown that between 40 and 98 % of youth entering residential treatment are taking at least one psychotropic medication and that psychotropic medication management is often an integral component of treatment in residential settings. To determine physician opinion about the difficulty of managing psychotropic medications for youth in residential treatment and to determine the resources that are used in the process, a survey study was conducted. Overall, physicians indicated that youth involved in residential settings were much more complex than those in traditional outpatient settings, due to multiple mental health diagnoses, polypharmacy, and unknown treatment histories. They also reported that many existing resources are not applicable to youth, particularly those in residential settings, and that they are difficult to read and interpret.     

Integration of visuospatial information encoded from different viewpoints

Two experiments investigated whether separate sets of objects viewed in the same environment but from different views were encoded as a single integrated representation or maintained as distinct representations. Participants viewed two circular layouts of objects that were placed around them in a round (Experiment 1) or a square (Experiment 2) room and were later tested on perspective-taking trials requiring retrieval of either one layout (within-layout trials) or both layouts (between-layout trials). Results from Experiment 1 indicated that participants did not integrate the two layouts into a single representation. Imagined perspective taking was more efficient on within- than on between-layout trials. Furthermore, performance for within-layout trials was best from the perspective that each layout was studied. Results from Experiment 2 indicated that the stable environmental reference frame provided by the square room caused many, but not all, participants to integrate all locations within a common representation. Participants who integrated performed equally well for within-layout and between-layout judgments and also represented both layouts using a common reference frame. Overall, these findings highlight the flexibility of organizing information in spatial memory.