Discourse on medicine: meditative and calculative approaches to ethics from an international perspective

Heidegger’s two modes of thinking, calculative and meditative, were used as the thematic basis for this qualitative study of physicians from seven countries (Canada, China, India, Ireland, Japan, Korea, & Thailand). Focus groups were conducted in each country with 69 physicians who cared for the elderly. Results suggest that physicians perceived ethical issues primarily through the lens of calculative thinking (76%) with emphasis on economic concerns. Meditative responses represented 24% of the statements and were mostly generated by Canadian physicians whose patients typically were not faced with economic barriers to treatment due to Canada’s universal health care system.     

Implicit and Explicit Evaluation: A Brief Review of the Associative–Propositional Evaluation Model

A central theme in contemporary psychology is the distinction between implicit and explicit evaluation. Research has shown various dissociations between the two kinds of evaluations, including different antecedents, different consequences, and discrepant evaluations of the same object. The current article provides a brief review of the associative–propositional evaluation (APE) model, which accounts for these dissociations by conceptualizing implicit and explicit evaluations as the behavioral outcomes of two functionally distinct, yet mutually interacting, mental processes. Whereas implicit evaluations are assumed to be the outcome of associative processes, explicit evaluations are conceptualized as the outcome of propositional processes. Associative processes determine the activation of mental contents on the basis of feature similarity and spatiotemporal contiguity; propositional processes involve the validation of activated mental contents on the basis of cognitive consistency. The APE model includes specific assumptions about mutual interactions between the two processes, implying precise predictions about converging versus diverging patterns of implicit and explicit evaluation.     

Alcohol and Quality of Life Among Social Groups for the Elderly in São José dos Campos,Brazil

This study aims to investigate alcohol consumption within social groups for the elderly in São José dos Campos-Brazil, and to check for a correlation between alcohol consumption and quality of life. A sample of 500 individuals participating on social groups for the elderly were interviewed by using the Alcohol Use Disorders Identification Test (AUDIT) to verify alcohol consumption; the Medical Outcomes Study 36 Item Short Form (SF-36), for evaluating quality of life; and the Oral Health Impact Profile short form (OHIP-14), for evaluating oral health-related quality of life. The average alcohol consumption was very low (1.48), being higher in men (2.23) than women (1.09). The SF-36 average score for the domain of physical function was 70.5; for role-physical function 64.9; for bodily pain,68.3; for general health 73.8; for vitality,72.4; for social function 82.8; for role-emotional function 72.3 and for mental health 75.0. The OHIP-14 average score was 3.87. AUDIT did not correlate with SF-36 domains, or with OHIP-14. However, there was a negative correlation between OHIP 14 and all SF-36 domains. This elderly sample has a very low consumption of alcohol, and no correlation was found between alcohol consumption and oral and medical quality of life.     

Reflexive orienting in response to short- and long-duration gaze cues in young,young-old,and old-old adults

Shifting visual focus on the basis of the perceived gaze direction of another person is one form of joint attention. In the present study, we investigated whether this socially relevant form of orienting is reflexive and whether it is influenced by age. Green and Woldorff (Cognition 122:96–101, 2012) argued that rapid cueing effects (i.e., faster responses to validly than to invalidly cued targets) were limited to conditions in which a cue overlapped in time with a target. They attributed slower responses following invalid cues to the time needed to resolve the incongruent spatial information provided by the concurrently presented cue and target. In the present study, we examined the orienting responses of young (18–31 years), young-old (60–74 years), and old-old (75–91 years) adults following uninformative central gaze cues that overlapped in time with the target (Exp. 1) or that were removed prior to target presentation (Exp. 2). When the cue and target overlapped, all three groups localized validly cued targets more quickly than invalidly cued targets, and validity effects emerged earlier for the two younger groups (at 100 ms post-cue-onset) than for the old-old group (at 300 ms post-cue-onset). With a short-duration cue (Exp. 2), validity effects developed rapidly (by 100 ms) for all three groups, suggesting that validity effects resulted from reflexive orienting based on the gaze cue information rather than from cue–target conflict. Thus, although old-old adults may be slow to disengage from persistent gaze cues, attention continues to be reflexively guided by gaze cues late in life.     

The attentional boost effect really is a boost: Evidence from a new baseline

In the attentional boost effect, participants encode images into memory as they perform an unrelated target-detection task. Later memory is better for images that coincided with a target rather than a distractor. This advantage could reflect a broad processing enhancement triggered by target detection, but it could also reflect inhibitory processes triggered by distractor rejection. To test these possibilities, in four experiments we acquired a baseline measure of image memory when neither a target nor a distractor was presented. Participants memorized faces presented in a continuous series (500- or 100-ms duration). At the same time, participants monitored a stream of squares. Some faces appeared on their own, and others coincided with squares in either a target or a nontarget color. Because the processes associated with both target detection and distractor rejection were minimized when faces appeared on their own, this condition served as a baseline measure of face encoding. The data showed that long-term memory for faces coinciding with a target square was enhanced relative to faces in both the baseline and distractor conditions. We concluded that detecting a behaviorally relevant event boosts memory for concurrently presented images in dual-task situations.