Common sense epidemiology: self-based judgments from laypersons and physicians

This article reports two studies on a neglected aspect of common sense epidemiology: subjective estimates of the prevalence of symptoms and diseases. Based on social-psychological research on the false-consensus effect, it was hypothesized that subjects who had a history of a condition would estimate its prevalence to be greater than would subjects who did not have a history of that condition. This hypothesis was supported across several different symptoms and diseases. Expertise did not confer protection from the effect. It occurred among 110 college students in Study 1 as well as among 65 practicing physicians in Study 2. In addition, college students who estimated the prevalence of a condition as relatively high rated that condition as less life-threatening than did other students, and students who had a history of a condition rated it as less life-threatening than did their counterparts without such a history. The discussion focuses on (a) explanations of differences in prevalence estimates as a function of personal health history, (b) implications for laypersons' judgments of seriousness, their emotional reactions to illness threats, and their illness behavior, and (c) implications for physicians' diagnostic behavior.     

The pupillary response as an indicator of arousal and cognition

Psychological research on the pupillary response since 1960 has focused on an arousal interpretation and a cognitive interpretation. Experiment 1 was an attempt to manipulate some arousal factors while controlling the cognitive demands of the task. Pupil size was cinematographically recorded while subjects who had different degrees of reported fear of snakes listened to passages describing imagined interactions with a snake in different proximities. There was also a set of control passages that made no mention of snakes but were otherwise semantically and syntactically identical to the aversive passages. The pupillary response showed no influence of the arousal manipulations, but rating and behavioral data indicated that the arousal variables had been effective. The cognitive demands of the task were clearly indicated by the pupillary response. In Experiment 2 two types of tasks were used: one that employed both arousal (incentive) and cognitive factors and another that had an arousal manipulation (threat of shock) but no explicit cognitive demands. The pupil response was recorded as well as heart rate, skin conductance, and EMG. The pupillary response showed an effect of the arousal manipulations only when cognitive demands were minimal. The results of both experiments are consistent with the view that cognitive demands take priority over arousal factors in affecting the pupillary response. Heart rate did show arousal effects that were not preempted by cognitive demands.     

Paley,Whately, and ‘Enlightenment evidentialism’

International Journal for Philosophy of Religion -     

Preparatory strategies in overlapping-task performance

In four experiments, we tested whether perceptual identification is impeded by temporal overlap with another task. The results demonstrate that temporal overlap with an auditory task consistently impaired the identification of the highest digit in a briefly presented and masked array of digits. The impairment was especially pronounced when we emphasized speed on the auditory task, thus counteracting the normal tendency to focus advance preparation on the more challenging visual task. The data also indicate that previous findings of minimal effects of temporal overlap may have been due to the use of a restricted range of stimulus onset asynchronies. The present results demonstrate the important role of preparatory strategies in overlapping-task performance, and show that perceptual identification is impeded by the overlapping performance of another task.     

Artful Witnessing of the Story: Loss in Aging Adults

The authors examine the concepts of ego integrity, life review, and narrative reconstruction as cornerstones of theory that inform counseling practice with aging adults. Contemporary theories of grief reconciliation are proposed as useful models for understanding and creatively addressing the needs of adults who are 60 years and older.     

Teaching Genomic Counseling: Preparing the Genetic Counseling Workforce for the Genomic Era

Genetic counselors have a long-standing history of working on the clinical forefront of implementing new genetic technology. Genomic sequencing is no exception. The rapid advancement of genomic sequencing technologies, including but not limited to next generation sequencing approaches, across all subspecialties of genetic counseling mandates attention to genetic counselor training at both the graduate and continuing education levels. The current era provides a tremendous opportunity for counselors to become actively involved in making genomics more accessible, engaging the population in decisions to undergo sequencing and effectively translating genomic information to promote health and well-being. In this commentary, we explore reasons why genomic sequencing warrants particular consideration and put forward strategies for training program curricula and continuing education programs to meet this need.