In search of clarity: self-esteem and domains of confidence and confusion

To date, research suggests that self-concept clarity is a monolithic construct: Some people have clearly defined self-concepts in all domains, whereas others do not. The authors argued that self-concept clarity is instead multifaceted and varies across trait domains. The authors predicted that social commodities (SCs; e.g., looks, popularity, social skills) would show less self-concept clarity than would communal qualities (CQs; e.g., kindness, warmth, honesty), due to domain differences in observability, ambiguity, and controllability. Results replicated past findings that self-esteem predicts self-concept clarity but also demonstrated that participants' SC self-views were less clear than their CQ self-views. Moreover, people showed greater clarity about traits that were lower in observability and higher in ambiguity and controllability. These findings suggest that everyone, regardless of self-esteem, has self-concept domains of relative confidence and confusion.     

Neural correlates of transformational apparent motion

Transformational apparent motion (TAM) arises when a shape that is abruptly flashed on and off next to a static shape of similar color or texture appears as a protrusion that extends and retracts smoothly from the static object. Here we report that the strength of the TAM percept can be predicted from the waveform of visual evoked potentials (VEPs) measured while observers rated their percepts. The VEPs at pattern onset and offset are maximally symmetric when the static inducer and the flashing patches of the display are of the same contrast. VEP symmetry is affected by how the two patches can be matched as a single surface and may reflect the relative contribution of different motion and object detection systems in visual cortex.     

Correlates of suicidality among patients with psychotic depression

The independent association of age and other factors with suicidality in patients with major depression with psychotic features was examined. Of the 183 study participants, 21% had a suicide attempt during the current episode. Male gender, Hispanic background, past suicide attempt, higher depression scores, and higher cognitive scores were each independently associated with greater intensity of current suicidality. Older age was independently associated with a lower risk of a lifetime suicide attempt. These findings reinforce the evidence that patients with psychotic depression are at high risk for suicide and underscore the importance of examining correlates of suicidality specific to patients with psychotic depression.     

Attention and expectation in human predictive learning: the role of uncertainty

Three localized, visual pattern stimuli were trained as predictive signals of auditory outcomes. One signal partially predicted an aversive noise in Experiment 1 and a neutral tone in Experiment 2, whereas the other signals consistently predicted either the occurrence or absence of the noise. The expectation of the noise was measured during each signal presentation, and only participants for whom this expectation demonstrated contingency knowledge showed differential attention to the signals. Importantly, when attention was measured by visual fixations, the contingency-aware group attended more to the partially predictive signal than to the consistent predictors in both experiments. This profile of visual attention supports the Pearce and Hall (1980) theory of the role of attention in associative learning.     

Ethical challenges with the left ventricular assist device as a destination therapy

The left ventricular assist device was originally designed to be surgically implanted as a bridge to transplantation for patients with chronic end-stage heart failure. On the basis of the REMATCH trial, the US Food and Drug Administration and the US Centers for Medicare & Medicaid Services approved permanent implantation of the left ventricular assist device as a destination therapy in Medicare beneficiaries who are not candidates for heart transplantation. The use of the left ventricular assist device as a destination therapy raises certain ethical challenges. Left ventricular assist devices can prolong the survival of average recipients compared with optimal medical management of chronic end-stage heart failure. However, the overall quality of life can be adversely affected in some recipients because of serious infections, neurologic complications, and device malfunction. Left ventricular assist devices alter end-of-life trajectories. The caregivers of recipients may experience significant burden (e.g., poor physical health, depression, anxiety, and posttraumatic stress disorder) from destination therapy with left ventricular assist devices. There are also social and financial ramifications for recipients and their families. We advocate early utilization of a palliative care approach and outline prerequisite conditions so that consenting for the use of a left ventricular assist device as a destination therapy is a well informed process. These conditions include: (1) direct participation of a multidisciplinary care team, including palliative care specialists, (2) a concise plan of care for anticipated device-related complications, (3) careful surveillance and counseling for caregiver burden, (4) advance-care planning for anticipated end-of-life trajectories and timing of device deactivation, and (5) a plan to address the long-term financial burden on patients, families, and caregivers.     

Hmong History,Culture, and Acculturation: Implications for Counseling the Hmong

The Hmong in the U.S., a refugee population from Southeast Asia, brought a rich culture with them. To maximize therapeutic success with Hmong clients, counselors must acknowledge and understand Hmong history, culture, and acculturation and the value placed on family and community. This article provides background information and suggestions for counselors working with Hmong clients. El Hmong en los EE.UU., una población de refugiado de Asia del sudeste, trajo una cultura generosa con ellos. Para llevar al máximo éxito terapéutico con clientes de Hmong, los consejeros deben reconocery deben entender la historia de Hmong, la cultura, y assimilación y el valor colocados en la familia y la comunidad. Este artículo proporciona la información antecendentes y sugerencias para consejeros que trabajan con clientes de Hmong.     

And when shall a little child lead them? evidence for an altercasting theory of source credibility

In two crucial test experiments pitting altercasting against traditional source credibility theories (Hovland, Janis, & Kelley, 1953; Kelman, 1958), students received a message emphasizing either technical or protective themes attributed to a child or an expert. Traditional theories predict an expert should be more effective than a child. According to altercasting theory, credibility is a function of the privileges and responsibilities associated with positions in a role-set. A child places a message recipient into the role of protector and is most effective when arguing for protective as opposed to technical messages. An expert is most effective when arguing within a domain of expertise (technical issues) as opposed to common opinion. The results overwhelmingly support an altercasting interpretation of source credibility.     

Affection and attention: On the phenomenology of becoming aware

Addressing the matter of attention from a phenomenological perspective as it bears on the problem of becoming aware, I draw on Edmund Husserl's analyses and distinctions that mark his “genetic” phenomenology. I describe several experiential levels of affective force and modes of attentiveness, ranging from what I call dispositional orientation and passive discernment to so-called higher levels of attentiveness in cognitive interest, judicative objectivation, and conceptualization. These modes of attentiveness can be understood as motivating a still more active mode of reflective attention, i.e., philosophical attentiveness, and to this extent, even it would be subject to varying influences of affection. What role, if any, does affection play in a peculiar kind of reflective attention that is phenomenological? I conclude by briefly considering phenomenological reflective attentiveness and its relation to affection.