Executive function tests in early‐onset psychosis: which one to choose?

People with schizophrenia exhibit executive functioning deficits, an area well investigated in the adult onset schizophrenia (AOS) group, but far less so in early-onset schizophrenia (EOS). Since EOS in general seems to exhibit poorer cognitive functions and is clinically more compromised than AOS, choice of efficient and sensitive assessment measures is not necessarily the same within the two groups. The MATRICS Consensus Cognitive Battery was developed for adults when studying treatment effects and uses Mazes (Neuropsychological Assessment Battery [NAB]) to assess executive functioning. We tested 31 adolescents with schizophrenia spectrum disorders and 66 healthy controls in order to examine how Mazes compares to two other commonly used tests to measure executive functioning, D-KEFS Color Word Interference Test (Stroop) and the Wisconsin Card Sorting Test (WCST). Significant discriminating power was found for all three measures. Patients performed 0.8-1.5 SD below controls with Stroop as the most sensitive measure, followed by Mazes and WCST. Mazes was selected by the MATRICS to assess treatment effects in AOS and is shown to be able. We find the instrument also able to separate adolescent patients from controls and thus, it appears a sensible choice in clinical settings. If a more elaborated neuropsychological evaluation of the executive functioning domain is needed, Stroop should be considered a complementary test.     

The Association Between Emotion Work Balance and Relationship Satisfaction of Couples Seeking Therapy

Emotion work refers to the efforts that are made to enhance emotional well-being and provide emotional support in a relationship. Data were collected from 63 couples who were seeking therapy to determine the relation between emotion work balance and relationship satisfaction. On the basis of comparative scores on emotion work, each dyad was categorized as either: (a) balanced; (b) participant performs more emotion work; or (c) partner performs more emotion work. Results indicate that both men and women are most satisfied with their relationship when levels of emotion work are approximately equal. Thus, clinical interventions that aim to establish balance in emotion work may benefit both partners in a relationship.     

Gaze control and recollective experience in face recognition

In two experiments, we examined the relation between gaze control and recollective experience in the context of face recognition. In Experiment 1, participants studied a series of faces, while their eye movements were eliminated either during study or test, or both. Subsequently, they made remember/know judgements for each recognized test face. The preclusion of eye movements impaired explicit recollection without affecting familiarity-based recognition. In Experiment 2, participants examined unfamiliar faces under two study conditions (similarity vs. difference judgements), while their eye movements were registered. Similarity vs. difference judgements produced the opposite effects on remember/know responses, with no systematic effects on eye movements. However, face recollection was related to eye movements, so that remember responses were associated with more frequent refixations than know responses. These findings suggest that saccadic eye movements mediate the nature of recollective experience, and that explicit recollection reflects a greater consistency between study and test fixations than familiarity-based face recognition.     

Teaching Old Dogs New Tricks: The Role of Analogies in Bioethical Analysis and Argumentation Concerning New Technologies

New medical technologies provide us with new possibilities in health care and health care research. Depending on their degree of novelty, they may as well present us with a whole range of unforeseen normative challenges. Partly, this is due to a lack of appropriate norms to perceive and handle new technologies. This article investigates our ways of establishing such norms. We argue that in this respect analogies have at least two normative functions: they inform both our understanding and our conduct. Furthermore, as these functions are intertwined and can blur moral debates, a functional investigation of analogies can be a fruitful part of ethical analysis. We argue that although analogies can be conservative; because they bring old concepts to bear upon new ones, there are at least three ways in which they can be creative. First, understandings of new technologies are quite different from the analogies that established them, and come to be analogies themselves. That is, the concepts may turn out to be quite different from the analogies that established them. Second, analogies transpose similarities from one area into another, where they previously had no bearing. Third, analogies tend to have a figurative function, bringing in something new and different from the content of the analogies. We use research-biobanking as a practical example in our investigations.     

Should we presume moral turpitude in our children? – Small children and consent to medical research

When children are too young to make their ownautonomous decisions, decisions have to be madefor them. In certain contexts we allow parentsand others to make these decisions, and do notinterfere unless the decision clearly violatesthe best interest of the child. In othercontexts we put a priori limits on whatkind of decisions parents can make, and/or whatkinds of considerations they have to take intoaccount. Consent to medical research currentlyfalls into the second group mentioned here. Wewant to consider and ultimately reject one ofthe arguments put forward for putting medicalresearch into the second category. We willargue that some objections to children'sparticipation in research are either based onan implausibly restrictive conception of whatis in fact in the child's best interests orthat there is an implicit and false premisehidden in this argument; i.e., the premise thatour children have so deeply fallen into moralturpitude that we must assume that they wouldnot want to fulfill their moral obligations,or, that they will grow up to be morallydeficient and will then wish not to have actedwell while a child.     

Surrogate consent to non-beneficial research: erring on the right side when substituted judgments may be inaccurate

Part of the standard protection of decisionally incapacitated research subjects is a prohibition against enrolling them unless surrogate decision makers authorize it. A common view is that surrogates primarily ought to make their decisions based on what the decisionally incapacitated subject would have wanted regarding research participation. However, empirical studies indicate that surrogate predictions about such preferences are not very accurate. The focus of this article is the significance of surrogate accuracy in the context of research that is not expected to benefit the research subject. We identify three morally relevant asymmetries between being enrolled and not being enrolled in such non-beneficial research, and conclude that when there is a non-negligible probability that surrogates’ predictions are wrong, it will generally be better to err on the side of not authorizing enrollment.     

Memory for scenes: Refixations reflect retrieval

Most conceptions of episodic memory hold that reinstatement of encoding operations is essential for retrieval success, but the specific mechanisms of retrieval reinstatement are not well understood. In three experiments, we used saccadic eye movements as a window for examining reinstatement in scene recognition. In Experiment 1, participants viewed complex scenes, while number of study fixations was controlled by using a gaze-contingent paradigm. In Experiment 2, effects of stimulus saliency were minimized by directing participants' eye movements during study. At test, participants made remember/know judgments for each recognized stimulus scene. Both experiments showed that remember responses were associated with more consistent study-test fixations than false rejections (Experiments 1 and 2) and know responses (Experiment 2). In Experiment 3, we examined the causal role of gaze consistency on retrieval by manipulating participants' expectations during recognition. After studying name and scene pairs, each test scene was preceded by the same or different name as during study. Participants made more consistent eye movements following a matching, rather than mismatching, scene name. Taken together, these findings suggest that explicit recollection is a function of perceptual reconstruction and that event memory influences gaze control in this active reconstruction process.     

Large Scale Surveys for Policy Formation and Research–a Study in Inconsistency

In this paper we analyse the degree to which a distinction between social science and public health research and other non-research activities can account for differences between a number of large scale social surveys performed at the national and European level. The differences we will focus on are differences in how participation is elicited and how data are used for government, research and other purposes. We will argue that the research / non-research distinction does not account for the identified differences in recruitment or use and that there are no other convincing justifications. We argue that this entails that eliciting participation by coercion or manipulation becomes very difficult to justify.