Terminal illness and suicide

Case vignette: Henry, age 19, has been under medical care struggling for 5 months with a non-Hodgkin's lymphoma that has been resistant to treatment. Proven chemotherapy protocols have failed to sustain a remission, and it is evident that his condition is terminal, although not immediately so. When not in temporary remissions he is in extreme pain. The quantity of analgesic medication needed to control the pain also leaves him feeling, in his own words, "too snowed out to do anything." During his last hospital admission, a week ago, he had talked obliquely about ending his life when signs of another painful relapse become evident. Today he appeared in the outpatient clinic, although he had no appointment scheduled. He sought out several of the people who had cared for him over the past few months to thank them and to "say good-bye." He gave some prized personal possessions to one or two of the staff with whom he felt especially close. As this was happening, some of the staff members realized that Henry had a sufficient stock of narcotics at home to end his life. Our commentators are Sanford Leikin, MD, and Richard A. McCormick, SJ.     

Why we should(n’t) be discretionists about free will

One of the projects Shaun Nichols takes up in Bound is to provide a folk psychological diagnosis of the problem of free will. As part of this diagnosis, Nichols suggests that the dispute between eliminativists (those who claim free will does not exist) and preservationists (those who claim free will does exist) depends to some extent on assumptions about the way ‘free will’ refers. In light of this, he argues that we might have good reason to accept a discretionary view of free will. Here, I will focus on teasing out some of the more fine-grained features of the discretionary view Nichols proposes. In so doing I will challenge the idea that there is a tenable strategy for consistently preserving two main features of the view: (1) that eliminativists and preservationists can both speak truly, and (2) that the apparent disagreement between them can be diffused by appealing to the role that different practical interests play in the context of utterance. I will conclude with some suggestive remarks on how the spirit of the discretionary view Nichols offers might still be preserved despite the challenge I raise, and why there are good reasons to pursue this kind of view further.     

Which modality is best for presenting navigation instructions?

Three experiments involved college students receiving and following instructions of various lengths for navigating in a three-dimensional space displayed on a computer screen. The purpose was to evaluate which is the best modality for presenting navigation instructions so that they can be executed successfully. Single modalities (read, hear, and see) were considered along with dual modalities presented simultaneously or successively. It was found that when there were differences between single modalities, generally execution accuracy was best for see and worst for read. Information presented in two modalities did not yield better accuracy than information presented twice in a single modality. Also, the ordering of modalities depended on the extent of practice. Thus, presentation modality does not have a consistently large effect on receiving and following navigation instructions. Repetition and the amount of practice are much more important variables than is presentation modality in determining how well navigation instructions are followed.     

Enduring deficits in contextual and auditory fear conditioning after adolescent, not adult, social instability stress in male rats

Adolescence is a time of developmental changes and reorganization in the brain and stress systems, thus, adolescents may be more vulnerable than adults to the effects of chronic mild stressors. Most studies, however, have not directly compared stress experienced in adolescence to the same stress experience in adulthood. In the present study, adolescent (n=46) and adult (n=48) male rats underwent 16 days of social instability stress (daily 1h isolation and change of cage partners) or were non-stress controls. Rats were then tested on the strength of acquired contextual and cued fear conditioning, as well as extinction learning, beginning either the day after the stress procedure or 3 weeks later. No difference was found among the groups during the Training Phase of conditioning. Irrespective of the time between the social stress experience and fear conditioning, rats stressed in adolescence had decreased context and cue memory, and cue generalization compared to control rats, as measured by the percentage of time spent freezing in tests. Social instability stress in adulthood had no effect on any measure of fear conditioning. The results support the hypothesis that adolescence is a time of heightened vulnerability to stressors.     

How linguistic and cultural forces shape conceptions of time: English and Mandarin time in 3D

In this paper we examine how English and Mandarin speakers think about time, and we test how the patterns of thinking in the two groups relate to patterns in linguistic and cultural experience. In Mandarin, vertical spatial metaphors are used more frequently to talk about time than they are in English; English relies primarily on horizontal terms. We present results from two tasks comparing English and Mandarin speakers' temporal reasoning. The tasks measure how people spatialize time in three-dimensional space, including the sagittal (front/back), transverse (left/right), and vertical (up/down) axes. Results of Experiment 1 show that people automatically create spatial representations in the course of temporal reasoning, and these implicit spatializations differ in accordance with patterns in language, even in a non-linguistic task. Both groups showed evidence of a left-to-right representation of time, in accordance with writing direction, but only Mandarin speakers showed a vertical top-to-bottom pattern for time (congruent with vertical spatiotemporal metaphors in Mandarin). Results of Experiment 2 confirm and extend these findings, showing that bilinguals' representations of time depend on both long-term and proximal aspects of language experience. Participants who were more proficient in Mandarin were more likely to arrange time vertically (an effect of previous language experience). Further, bilinguals were more likely to arrange time vertically when they were tested in Mandarin than when they were tested in English (an effect of immediate linguistic context).     

Eye gaze metrics reflect a shared motor representation for action observation and movement imagery

Action observation (AO) and movement imagery (MI) have been reported to share similar neural networks. This study investigated the congruency between AO and MI using the eye gaze metrics, dwell time and fixation number. A simple reach-grasp-place arm movement was observed and, in a second condition, imagined where the movement was presented from the first person perspective (1PP) and the third person perspective (3PP). Dwell time and number of fixations were calculated for whole scene and regions of interest (ROIs). For whole scene, no significant differences were found in the number of fixations for condition (AO, MI) or perspective. Dwell time, however, was significantly longer in AO than MI. For ROIs, the number of fixations was significantly greater in 1PP than 3PP. The data provide support for congruence between motor simulation states but also indicate some functional differences.     

Contrast polarity preservation's role in perception: explained and unexplained stimuli

Roncato and Casco (2003, Perception & psychophysics 65 1252-1272) had shown that in situations where the Gestalt principle of good continuity is put into conflict with preservation of contrast polarity (CP) the perception that preserves CP prevails. Parlangeli and Roncato (2010, Perception 39 255-259) have studied this question of preservation of CP more closely and have added an addendum to the rule. They have used stimuli consisting of a checkerboard of perpendicularly arranged rectangular bricks (white, gray, or black) and draughtsmen white, gray, or black disks placed at the corners of the bricks. This study has caused them to add an addendum to the rule of CP-preserved path-conjunction binding: if there are two contour completions that preserve the CP, the one with the higher contrast will prevail. Parlangeli and Roncato find that, for certain shades of the disks and bricks, the perpendicular lines of the checkerboard appear strikingly to be slanted or undulating. Here we consider all possible arrangements of relative magnitudes of checkerboards consisting of bricks of two different shades and disks of two shades as well, as such arrangements with widely varying differences in the magnitude of brightness. We have found a number of cases where the perception is not explained by the rule and addendum of Roncato and Casco, and Parlangeli and Roncato, and a case where preservation of "distant" as well as local CP plays a role in perception. The previously known cases, and the new exceptional unexplained stimuli we have found, warrant further study.