Wisconsin Card Sorting in adolescents: analysis of performance, response times and heart rate

Forty-nine adolescents performed the Wisconsin Card Sorting Test (WCST). A main PCA component of WCST performance was identified as 'efficiency of reasoning'. This factor was related to feedback processing. From the WCST, a perseveration score can be derived. Perseveration is the continued application of a rule, after it has been disconfirmed. We compared more and less perseverating subjects in relation to stimulus-response (SR) time, feedback inspection time and cardiac acceleration and deceleration. Less perseverating subjects responded faster, and had longer and more adaptive inspection times of error feedback. We examined the switch from rule application to rule search, and the difference between correct and error responses. A transient cardiac deceleration at the initiation of rule search was interpreted as a change in supervisory attention. An error-related deceleration to negative feedback was interpreted as a disturbance of higher control processing. Previous trial feedback influenced current processing time, feedback inspection time, and the cardiac acceleration and deceleration responses.     

Psychological confounds in medical research: the example of excessive cough in asthma

This experiment tested the hypothesis that the setting in which research is conducted may dominate symptom magnitude. Cough was induced with inhaled citric acid and its magnitude was influenced by changing the setting in 30 adolescents with asthma. Cough thresholds for citric acid were determined. The participants were assigned to a condition emphasising asthma, or a control condition, described as estimation of lemon flavors. All participants inhaled (in different order) thresholds for citric acid, 50% of these thresholds, or placebo. Results showed that both cough frequency and subjective 'cough tendency' were significantly higher in the asthma condition. State anxiety was higher in the asthma condition, but correlated only moderately with cough. Lung function, severity of asthma, trait anxiety, age or sex did not correlate with cough. It was concluded that patients with asthma cough more often in a situation which they have learned to associate with asthma.     

Perceived superiority in close relationships: why it exists and persists

Two studies used a thought-listing technique to examine perceived superiority, or the inclination to regard one's own relationship as better than (and not as bad as) others' relationships. Consistent with the claim that this is a motivated phenomenon-and motivated in part by strong commitment-Study 1 revealed that (a) tendencies toward perceived superiority and (b) the commitment-superiority link are both strongest given psychologically threatening instructions and weakest given accuracy instructions (control instructions are intermediate). Consistent with the claim that this phenomenon serves a functional purpose, Study 2 revealed that earlier perceived superiority predicts later relationship status (persisted vs. ended) and increases over time in dyadic adjustment. Also, commitment accounts for unique variance in perceived superiority beyond self-esteem.     

The role of causal discourse structure in narrative writing

All writers produce text content and ideally connect it together according to discourse conventions. We investigate whether a particularly strong discourse convention, the need for causal coherence in narratives, can predict the kind of text writers will produce. Causality has been found to be a significant discourse factor in reading comprehension and hence can be expected to determine also what writers produce during composition. In Experiment 1, writers composed short continuations at various points throughout a simple narrative, whereas in Experiment 2, writers composed continuations to complete several narratives. The results indicate that causality indeed plays a major role in composition. Writers tend to produce new text in such a way that it is causally connected to the prior text. Furthermore, writers favored causal relations of necessity or of necessity and sufficiency while largely avoiding relations of sufficiency alone, which suggests a general discourse constraint to be maximally informative (e.g., Grice, 1975).     

A Negotiation Approach to Intake and Treatment Choice

Treatment choice is the decision process whereby the psychotherapeutic methods and the psychotherapist are determined when psychotherapy is recommended for a specific client. In this article the problem of treatment choice is situated within an integrative view of psychotherapy. A review of the literature confirms the usefulness of the following concepts for treatment choice: client preferences, client control of the situation of choice, and the mutual acceptability of differing views of therapists and clients. These research findings reveal the importance of four elements in the psychotherapeutic intake strategy: exploration of the client's perspective, informing the client, negotiation as a process of confrontation between the client's and the clinician's perspective, and the client's ultimate choice between alternative treatment proposals.     

The Virtues in their Place: Virtue Ethics in Medicine

Theoretical Medicine and Bioethics - We are currently in the midst of a revival of interest in thevirtues. A number of contemporary moral philosophers havedefended a virtue-based approach to...     

Duration estimation and the phonological loop: Articulatory suppression and irrelevant sounds

Clock-based theories of time estimation propose that clock pulses are accumulated in working memory. Although these theories do not constrain the form of the memory trace, evidence reported in the literature suggests that active manipulation of a verbal trace may be involved. Four experiments are reported in which participants reproduced or verbally estimated short durations (up to a few seconds) either in a single-task condition or in a condition with a phonological load. Experiments 1, 2 and 4 showed that both interval reproduction and verbal estimation were impaired under concurrent articulatory suppression in comparison to a timing only control condition. Neither irrelevant speech (Experiments 1-3) nor irrelevant tones and music (Experiment 3) impaired timing performance. These findings are taken to show that time estimation is mediated by phonological working memory and the involvement of an active articulatory rehearsal process.     

Naps promote abstraction in language-learning infants

Infants engage in an extraordinary amount of learning during their waking hours even though much of their day is consumed by sleep. What role does sleep play in infant learning? Fifteen-month-olds were familiarized with an artificial language 4 hr prior to a lab visit. Learning the language involved relating initial and final words in auditory strings by remembering the exact word dependencies or by remembering an abstract relation between initial and final words. One group napped during the interval between familiarization and test. Another group did not nap. Infants who napped appeared to remember a more abstract relation, one they could apply to stimuli that were similar but not identical to those from familiarization. Infants who did not nap showed a memory effect. Naps appear to promote a qualitative change in memory, one involving greater flexibility in learning.     

The cascaded nature of lexical selection and integration in auditory sentence processing

An event-related brain potential experiment was carried out to investigate the temporal relationship between lexical selection and the semantic integration in auditory sentence processing. Participants were presented with spoken sentences that ended with a word that was either semantically congruent or anomalous. Information about the moment in which a sentence-final word could uniquely be identified, its isolation point (IP), was compared with the onset of the elicited N400 congruity effect, reflecting semantic integration processing. The results revealed that the onset of the N400 effect occurred prior to the IP of the sentence-final words. Moreover, the factor early or late IP did not affect the onset of the N400. These findings indicate that lexical selection and semantic integration are cascading processes, in that semantic integration processing can start before the acoustic information allows the selection of a unique candidate and seems to be attempted in parallel for multiple candidates that are still compatible with the bottom-up acoustic input.