What the Philosophy Of Medicine Is

Theoretical Medicine and Bioethics -     

An account of human “impulsivity” on self-control tasks

Three experiments examined the effects of economic constraint (time restriction—trials restriction) on adult humans' performance on concurrent chained schedules of reinforcement in which terminal links differed both in reward size and pre-reward delay levels. In the first, terminal links offered a long delay (20, 30, 40, 50 sec) followed by 2 points, or a short delay (10 sec) followed by 1 point. Initial links consisted of the same variable interval schedules for each alternative. Subjects showed a conditional sensitivity to increases in delay. Under a time constraint, there was an increasing preference for the smaller reward as the delay to the larger reward was increased, whereas under a trials constraint subjects were totally insensitive to such changes. In the second experiment, this finding was replicated using long and short periods of video game playing as large and small rewards. In the third experiment terminal link parameters remained constant (2 points after 15 sec, or 1 point immediately), but initial link parameters were manipulated (either VI 1-sec, 8-sec, or 20-sec) so that the higher relative rate of reward shifted from being associated with the small reward to being associated with the large reward. Again subjects chose differently under the two constraints. Subjects under the time constraint exhibited a preference for the small reward at all levels of initial link, but under the trials constraint subjects preferred the large reward. Subjects in the time constraint condition thus exhibited a maladaptive insensitivity to changes in the initial link duration. These findings are interpreted as supporting a miscalculation rather than a discounting interpretation of human performance on “self-control” tasks.