Religious Values in Clinical Practice are Here to Stay

Research to date has shown that health professionals often practice according to personal values, including values based on faith, and that these values impact medicine in multiple ways. While some influence of personal values are inevitable, awareness of values is important so as to sustain beneficial practice without conflicting with the values of the patient. Detecting when own personal values, whether based on a theistic or atheistic worldview, are at work, is a daily challenge in clinical practice. Simultaneously ethical guidelines of tone-setting medical associations like American Medical Association, the British General Medical Council and Australian Medical Association have been updated to encompass physicians’ right to practice medicine in accord with deeply held beliefs. Framed by this context, we discuss the concept of value-neutrality and value-based medical practice of physicians from both a cultural and ethical perspective, and reach the conclusion that the concept of a completely value-neutral physician, free from influence of personal values and filtering out value-laden information when talking to patients, is simply an unrealistic ideal in light of existing evidence. Still we have no reason to suspect that personal values, whether religious, spiritual, atheistic or agnostic, should hinder physicians from delivering professional and patient-centered care.

     

Working memory capacity — facets of a cognitive ability construct

Working memory capacity is differentiated theoretically along two dimensions: contents and functions. The resulting 3×3 matrix was operationalized by 23 tasks sampled from the literature. Data for these tasks from 128 participants were analyzed by exploratory and confirmatory factor analysis. Regarding the content facet, spatial working memory was clearly distinct from the other two content categories. A distinction between verbal and numerical working memory was not warranted. On the functional dimension the postulated categories of simultaneous storage and transformation and of coordination could not be separated. The third category was clearly separate from the first two functions. This factor could be interpreted to reflect a mixture of variance due to mental speed and to supervisory functions of the central executive.     

Antagonistic modulatory influences of negative affect on cognitive control: Reduced and enhanced interference resolution capability after the induction of fear and sadness

The present behavioral study investigated the influence of negative affect on the neural mechanisms of cognitive control. We expected to find evidence for an antagonistic modulation of cognition by threat-relevant and threat-irrelevant negative affect (i.e. fear and sadness) that should promote bottom-up monitoring and top-down selection, respectively. Subjects performed one of three conflict tasks (Stroop, Flanker, or Simon) that tap distinct control mechanisms of conflict resolution, comprising specific attentional and motor control processes. On each task trial, target stimuli were preceded by a face stimulus exhibiting a fearful, sad, or neutral expression, providing three affect conditions. Our data provides strong evidence for substantially increased selection (attentional and motor selection) after priming of threat-irrelevant negative affect (sadness). Deviating from the results of previous studies, our analysis did not consistently yield increased monitoring after fear priming. We discuss these findings with respect to the effectiveness of different experimental affect priming procedures (i.e. stimuli) and the role of the task context, among others.     

A Great Many Things to Do and Not a Minute to Spare: Can Feedback From Supervisors Moderate the Relationship Between Skill Variety,Time Pressure,and Employees' Innovative Behavior?

Workplace changes necessitate employees' innovative behavior. Developing and implementing new ideas can be enhanced by focusing on situational characteristics and adjusting them to improve employees' working conditions. To date, mostly interactions between situational and personal characteristics on innovative behavior have been researched. This study focused explicitly on the interaction between 3 situational characteristics: time pressure, skill variety, and feedback from supervisors. A questionnaire study was administered to 81 employees (age range 40–64 years) from different organizations. Results indicated direct positive correlations between time pressure and skill variety with idea generation and implementation. Feedback from supervisors moderated the positive relationships while controlling for effects of creative thinking abilities. Implications are explored.     

Procrastination in Different Life-Domains: Is Procrastination Domain Specific?

Procrastination, putting off until tomorrow what one had intended to do today, is a well-known phenomenon in everyday life. In an attempt to understand the character of procrastination, a large body of research has been accumulating over the last 40 years. The present study was to evaluate the need to distinguish between procrastination in different life-domains by gathering first hints as to whether procrastination is domain specific or domain general. In an online survey on 260 students (mean age?=?23.56; SD?=?3.74) the procrastination frequency in 6 different life-domains (academic and work, everyday routines and obligations, health, leisure, family and partnership, social contacts) was examined. Confirmatory factor analysis (CFA) and the analysis of mean-level differences revealed that procrastination is domain specific, but not extremely so. The results encourage further investigations into the domain specificity of procrastination and suggest that future diagnoses of and interventions for procrastination will profit from considering the life-domain procrastination occurs in.     

What makes us believe a conditional? The roles of covariation and causality

Two experiments were conducted to investigate the roles of covariation and of causality in people's readiness to believe a conditional. The experiments used a probabilistic truth-table task (Oberauer & Wilhelm, 2003 Oberauer, K. and Wilhelm, O. 2003. The meaning(s) of conditionals: Conditional probabilities, mental models, and personal utilities. Journal of Experimental Psychology: Learning, Memory & Cognition, 29: 680–693. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) in which people estimated the probability of a conditional given information about the frequency distribution of truth-table cases. For one group of people, belief in the conditional was determined by the conditional probability of the consequent, given the antecedent, whereas for another group it depended on the probability of the conjunction of antecedent and consequent. There was little evidence that covariation, expressed as the probabilistic contrast or as the pCI rule (White, 2003 White, P. A. 2003. Making causal judgements from the proportion of confirming instances: The pCI rule. Journal of Experimental Psychology: Learning, Memory, and Cognition, 29: 710–727.  [Google Scholar]), influences belief in the conditional. The explicit presence of a causal link between antecedent and consequent in a context story had a weak positive effect on belief in a conditional when the frequency distribution of relevant cases was held constant.     

The Comic Character of Confucius

This article examines the comic portrayal of Confucius in the Analects and the Zhuangzi, maintaining that there is a humorous aspect to the character of Confucius that is often overlooked. Conventional interpretations of the Analects downplay the pranks and mocking comments that are sprinkled throughout them. Many of the humorous words Confucius utters are directed at ritualistic behaviour which has become mechanistic, suggesting that in order to take ritual seriously, we must also be prepared to take it in jest. Furthermore, Confucius’s situation is poked fun at in both the Analects and the Zhuangzi, since he wanders around desperately seeking a position of influence that eludes him. But while the Zhuangzi relentlessly mocks Confucius for his ritualized arrogance, it also signals his respect for him by making him the mouthpiece of the very Dao that it accuses him of straying from.