Medical expertise asa function of task difficulty

This paper is concerned with factors that disrupt the pattern of forward reasoning characteristic of experts with accurate performance. Two experiments are described. In the first, the performances of cardiologists, psychiatrists, and surgeons in diagnostic explanation of a clinical problem in cardiology were examined. In the second, the performances of cardiologists and endocrinologists in diagnostic explanation of clinical problems within and outside their domains of expertise were examined. The performances of researchers and practicing physicians are also compared. The results of Experiment 1 replicated earlier results regarding the relationship between forward reasoning and accurate diagnosis. There were no differences in recall as a function of expertise. Experts did not show any bias toward using specific knowledge from their own areas of expertise. The results of Experiment 2 showed that the breakdown of forward reasoning was related to the structure of the task. In particular, nonsalient cues induced some backward reasoning even in subjects with accurate diagnoses. Some differences were also found between the types of explanation used by researchers and practitioners. The practitioners referred more to clinical components in their explanations, whereas the researchers focused more on the biomedical components.     

Effects of Level of Processing on Implicit and Explicit Memory in Depressed Mood

Recently, several studies have addressed the question of whether depression affects priming in implicit memory tasks. The main aim of this experiment was to assess the presence of a bias for negative information in explicit memory (free recall) and implicit memory (word-stem completion) tasks among subclinically depressed subjects compared to nondepressed subjects, using the typical levels of processing manipulation. The results of this study show the existence of a mood-congruent memory bias for both implicit and explicit memory in depressed subjects. The theoretical implications of these findings for implicit and explicit memory biases associated with depressed mood are discussed.     

TheP system: A scheme for organizing Pavlovian procedures

The present paper introduces theP system as a scheme for organizing Pavlovian procedures in an orderly and comprehensive manner. The system is defined by three temporal variables and three restrictions on their possible values. It can be used to define all standard temporal variables—namely, stimulus duration, interstimulus interval, trace interval, and intertrial interval—as well as variables C and T of scalar expectancy theory. The system also permits the definition of new independent variables through combinations of the basic temporal parameters. We exemplify this possibility by defining two ratios of temporal intervals. These ratios lead to a space where traditional Pavlovian arrangements (viz., simultaneous, forward-trace, forward-delay, backward) become points on a continuum, and optimal conditions across different experimental preparations become equivalent. Finally, the system can be used to define contingency variables such asp(US/CS),p(US/～CS), and the phi coefficient (φ). In this manner, an organization of different kinds of Pavlovian procedures is achieved on the basis of a single parametric scheme. Such an organization facilitates establishing procedural and theoretical relationships between temporal and contingency variables. The paper concludes with a discussion of certain limitations of the system and other related issues     

The functional role of attention for spatial coding in the Simon effect

Summary Two experiments investigated relative spatial coding in the Simon effect. It was hypothesized that relative spatial coding is carried out with reference to the position of the focus of visual attention. The spatial code for an imperative stimulus presented exactly at the position of focal attention should be neutral on the horizontal plane, and therefore no Simon effect should be observed. However, when the imperative stimulus is presented to the left or to the right of the current position of focal attention, the spatial code should not be neutral, thus producing a Simon effect. In both experiments, focal attention was manipulated either by a peripherally presented onset precue (Experiment 1) or by a centrally presented symbolic precue (Experiment 2). Results showed that the Simon effect was substantially reduced in both experiments when a valid precue preceded the imperative stimulus just in time to conclude refocusing of attention to the position of the imperative stimulus before it was presented. However, conditions with neutral precues yielded a normally sized Simon effect. In both experiments, the Simon effect decreased as the SOA grew when the precue was valid. At least for the Simon effect, the results can be interpreted as evidence that relative spatial coding is functionally related to the position of the focus of attention.     

A simplification of a result by zellini on the maximal rank of symmetric three-way arrays

Zellini (1979, Theorem 3.1) has shown how to decompose an arbitrary symmetric matrix of ordern ×n as a linear combination of 1/2n(n+1) fixed rank one matrices, thus constructing an explicit tensor basis for the set of symmetricn ×n matrices. Zellini's decomposition is based on properties of persymmetric matrices. In the present paper, a simplified tensor basis is given, by showing that a symmetric matrix can also be decomposed in terms of 1/2n(n+1) fixed binary matrices of rank one. The decomposition implies that ann ×n ×p array consisting ofp symmetricn ×n slabs has maximal rank 1/2n(n+1). Likewise, an unconstrained INDSCAL (symmetric CANDECOMP/PARAFAC) decomposition of such an array will yield a perfect fit in 1/2n(n+1) dimensions. When the fitting only pertains to the off-diagonal elements of the symmetric matrices, as is the case in a version of PARAFAC where communalities are involved, the maximal number of dimensions can be further reduced to 1/2n(n–1). However, when the saliences in INDSCAL are constrained to be nonnegative, the tensor basis result does not apply. In fact, it is shown that in this case the number of dimensions needed can be as large asp, the number of matrices analyzed.     

Authenticity as a foundational principle of medical ethics

Increasingly, contemporary medical ethicists have become aware of the need to explicate a foundation for their various models of applied ethics. Many of these theories are inspired by the apparent incompatibility of patient autonomy and provider beneficence. The principle of patient autonomy derives its current primacy to a large extent from its legal origins. However, this principle seems at odds with the clinical reality. In the bioethical literature, the notion of authenticity has been proposed as an alternative foundational principle to autonomy. This article examines this proposal in reference to various existentialist philosophers (Heidegger, Sartre, Camus and Marcel). It is concluded that the principle of autonomy fails to do what it is commonly supposed to do: provide a criterion of distinction that can be invoked to settle moral controversies between patients and providers. The existentialist concept of authenticity is more promising in at least one crucial respect: It acknowledges that the essence of human life disappears from sight if life's temporal character is reduced to a series of present decisions and actions. This also implies that the very quest for a criterion that allows physicians to distinguish between sudden, unexpected decisions of their patients to be or not to be respected, without recourse to the patient's past or future, is erroneous.     

Decompositions and biplots in three-way correspondence analysis

In this paper correspondence analysis for three-way contingency tables is presented using three-way generalisations of the singular value decomposition. It is shown that in combination with Lancaster's (1951) additive decomposition of interactions in three-way tables, a detailed analysis is possible of the deviations from independence. Finally, biplots are shown to produce powerful graphical representations of the results from three-way correspondence analyses. An example from child development is used to illustrate the theoretical developments.     

Some uniqueness results for PARAFAC2

Whereas the unique axes properties of PARAFAC1 have been examined extensively, little is known about uniqueness properties for the PARAFAC2 model for covariance matrices. This paper is concerned with uniqueness in the rank two case of PARAFAC2. For this case, Harshman and Lundy have recently shown, subject to mild assumptions, that PARAFAC2 is unique when five (covariance) matrices are analyzed. In the present paper, this result is sharpened. PARAFAC2 is shown to be usually unique with four matrices. With three matrices it is not unique unless a certain additional assumption is introduced. If, for instance, the diagonal matrices of weights are constrained to be non-negative, three matrices are enough to have uniqueness in the rank two case of PARAFAC2. The authors are obliged to Richard Harshman for stimulating this research, and to the Associate Editor and reviewers for suggesting major improvements in the presentation.     

Spatial compatibility of signal-response position in pointing

Two experiments are reported in which, by means of a pointing task, we studied the stimulus-position effect, i.e. the inverted U-shape form of the reaction-time function in relation to stimulus position in tasks in which stimuli and/or responses are arranged in a horizontal array. The response consisted of aiming the index finger from a central starting point at a target area on a screen. Reaction time was the main dependent variable. The spatial relation between the position of the imperative signal and the position of the response was manipulated by varying the spatial S-R compatibility and physical distance that separated the positions of stimulus and response. The stimulus-position effect was shown to depend on the compatibility of the S-R relation (Exp. 1). In Exp. 2 it was found that the modulation of the stimulus-position effect by spatial compatibility disappeared completely when the distance between the positions of stimulus and response was reduced. None of the experiments revealed that the stimulus position effect depended on signal discriminability, which renders an interpretation of this effect in terms of perceptual processes unlikely. We argue that the attentional model of spatial coding provides the most reasonable explanation of the obtained reaction-time patterns.