Mismanagement of Panic Disorder in Emergency Departments: Contributors, Costs, and Implications for Integrated Models of Care

Panic disorder (PD) is associated with the rapid onset of fear-related symptomatology, often somatic in nature. As a result, individuals with the disorder often fear that they are experiencing a life-threatening emergency and present in hospital emergency departments (EDs). As the operating heuristics of EDs are geared toward identifying organic causes and allow only brief physician–patient contact, the diagnosis of PD is more often than not overlooked. Those with the disorder go on to incur enormous costs as they seek out an explanation for their symptoms. Efforts to alleviate this problem, including increased physician education and the development of screening instruments, have been largely unsuccessful. The continued misidentification and mismanagement of this disorder argues for greater incorporation of mental health professionals into the ED, allowing collaborative efforts that recognize the relationship between physiological and psychological aspects of panic.     

Search for multiple targets of different colours: Misguided eye movements reveal a reduction of colour selectivity

Searching for two targets simultaneously is often less efficient than conducting two separate searches. Eye movements were tracked to understand this dual‐target cost. Findings are discussed in the context of security screening. In both single‐target and dual‐target search, displays contained one target at most. Stimuli were abstract shapes modelled after guns and other threat items. With these targets and distractors, colour information helped more in guiding search than shape information. When the two targets had different colours, distractors with colours different from either target were fixated more often in dual‐target search than in single‐target searches. Thus a dual‐target cost arose from a reduction in colour selectivity, reflecting limitations in the ability to represent two target features simultaneously and use them to guide search. Because of these limitations, performance in security searches may improve if each image is searched by two screeners, each specializing in a different category of threat item. Copyright © 2011 John Wiley & Sons, Ltd.     

Predicting Election Outcomes from Positive and Negative Trait Assessments of Candidate Images

Conventional wisdom, and a growing body of behavioral research, suggests that the nonverbal image of a candidate influences voter decision making. We presented subjects with images of political candidates and asked them to make four trait judgments based solely on viewing the photographs. Subjects were asked which of the two faces exhibited more competence, attractiveness, deceitfulness, and threat, which are arguably four of the most salient attributes that can be conveyed by faces. When we compared our subjects' choices to the actual election outcomes, we found that the candidates chosen as more likely to physically threaten the subjects actually lost 65% of the real elections. As expected, our findings support the conclusions of Todorov, Mandisodza, Goren, and Hall (2005 ) by showing a positive correlation between the competence judgments and the real election outcomes. Surprisingly, attractiveness was correlated with losing elections, with the effect being driven by faces of candidates who looked politically incompetent yet personally attractive. Our findings have implications for future research on negative political communication, as they suggest that both threatening first impressions and fleeting impressions of attractiveness can harm a candidate's electoral chances.     

Predictors of romantic relationship formation: Attachment style, prior relationships, and dating goals

This prospective study ( N = 90) investigated the early formation of romantic relationships within an attachment-theoretical framework. Specifically, it tested whether general attachment to romantic partners was predictive of single individuals' progressing from not dating to dating and from not dating or casual dating to a committed and exclusive relationship when simultaneously considering desire for starting a committed relationship, prior dating involvement, and self-perceived physical attractiveness. Attachment avoidance, but not anxiety, was predictive of not entering into committed dating relationships even with rival predictors included. The transition from not dating to casual or committed dating was mainly predicted by prior dating success with some support for a potential additional role of the desire to form a committed relationship.     

The Influence of a Manager's Own Performance Appraisal on the Evaluation of Others

This study examined the possibility that the performance appraisal process is affected by a pervasive and inherent effect that has heretofore been unidentified. This effect derives from the results of the performance appraisal most recently performed on the manager who subsequently conducts appraisals of others. The nature of this effect was examined in four studies. In a case study, the ratings received by two area coordinators in a university academic department affected their subsequent ratings of faculty. In a simulation, 30 managers received hypothetical feedback regarding their own job performance. The managers subsequently evaluated an employee on videotape. Managers who received positive feedback about their performance subsequently rated the employee significantly higher than managers who received negative feedback regarding their own performance. This occurred despite the fact that the managers knew the evaluation of them was bogus. The results of two follow‐up field studies involving 74 manager–employee dyads in a manufacturing company in Canada and 39 manager–subordinate dyads in a retail organization in Turkey are consistent with the view that one's own performance appraisal is related to the subsequent appraisal of one's subordinates. Both anchoring with insufficient adjustment and a mood induction may explain this effect, but the results are more consistent with the former explanation than the latter.     

Kanizsa-type subjective contours do not guide attentional deployment in visual search but line termination contours do

We used visual search to explore whether attention could be guided by Kanizsa-type subjective contours and by subjective contours induced by line ends. Unlike in previous experiments, we compared search performance with subjective contours against performance with real, luminance contours, and we had observers search for orientations or shapes produced by subjective contours, rather than searching for the presence of the contours themselves. Visual search for one orientation or shape among distractors of another orientation or shape was efficient when the items were defined by luminance contours. Search was much less efficient among items defined by Kanizsa-type subjective contours. Search remained efficient when the items were defined by subjective contours induced by line ends. The difference between Kanizsa-type subjective contour and subjective contours induced by line ends is consistent with physiological evidence suggesting that the brain mechanisms underlying the perception of these two kinds of subjective contours may be different.     

Costs in searching for two targets: dividing search across target types could improve airport security screening

The cost of searching for two visual targets simultaneously was compared against two separate single‐target searches using exposure time and accuracy measures within a staircase procedure. Dual‐target search for all stimuli (colour, shape and orientation) exhibited a loss of accuracy for one target. For orientation and shape, this dual‐target cost in accuracy was extreme, with chance‐level performance on one target. For colour, dual‐target search exhibited an additional cost in search time, with search requiring a longer exposure than the summed time required for two single‐target searches. An additional search‐time cost was also found for orientation targets when irrelevant colour variation was added to the display. In conclusion, dual‐target search for dissimilar targets is accompanied by an accuracy cost. Furthermore, colour variation, whether task‐relevant or not, leads to an additional cost in processing speed. The results suggest that a divided‐effort strategy would improve performance in search tasks such as X‐ray baggage screening. Copyright © 2006 John Wiley & Sons, Ltd.     

An assessment of response, direction and place learning by rats in a water T-maze

Behavioral data suggest that distinguishable orientations may be necessary for place learning even when distal cues define different start points in the room and a unique goal location. We examined whether changes in orientation are also important in place learning and navigation in a water T-maze. In Experiment 1, rats were trained to locate a hidden platform and given a no-platform probe trial after 16 and 64 trials with the maze moved to a new position. Direction and response strategies were more prevalent than a place strategy. In Experiment 2, acquisition of place, response and direction strategies was assessed in a water T-maze that was moved between two locations during training. Rats were impaired on the place task when the maze was translated (moved to the L or R) but were successful when the maze was rotated across trials. These data are consistent with findings from appetitive tasks.     

In search of the arousal procrastinator: Investigating the relation between procrastination, arousal-based personality traits and beliefs about procrastination motivations

Arousal procrastination was investigated to determine: (a) If the General Procrastination Scale (GP; Lay, 1986) measures procrastination motivated by arousal, and (b) whether sensation seeking (SS), extraversion (E), and the reducer index (R) account for variance in beliefs about the motivation for academic procrastination. Participants were 311 undergraduate students (60.1% female), primarily Caucasian (63.3%), with a mean age of 20.09 (SD = 3.08). An online questionnaire package included measures of procrastination and 3 arousal-based personality inventories. A factor analysis of the GP and the Sensation Seeking Scale-V (SSS-V; Zuckerman, Eysenck, & Eysenck, 1978) produced six factors with the GP and SSS-V items loading on separate factors, indicating no relation. A regression analysis revealed that SS, E, and R together accounted for 5.2% of the variance in participants’ arousal-related beliefs motivating their procrastination. These results challenge the existing literature claiming that the GP is a measure of arousal procrastination, but do indicate that some individuals believe that their procrastination is motivated by a need for heightened arousal.