Clinical teaching: The difficulty of learning

Physicians-in-training face major barriers to effectively learning both the technical and artistic sides of medicine. In both hospital and office settings, inadequate attention has been paid to the context and work environment for learning. The system of care itself is one of the major teachers of the practice of medicine; it must be optimized to produce maximal learning.     

Visual stability with goal-directed eye and arm movements toward a target displaced during saccadic suppression

This experiment tested whether the perceived stability of the environment is altered when there is a combination of eye and visually open-loop hand movements toward a target displaced during the eye movements, i.e., during saccadic suppression. Visual-target eccentricity randomly decreased or increased during eye movements and subjects reported whether they perceived a target displacement or not, and if so, the direction of the displacement. Three experimental conditions, involving different combinations of eye and arm movements, were tested: (a) eye movements only; (b) simultaneous eye and rapid arm movements toward the target; and (c) simultaneous eye and arm movements with a restraint blocking the arm as soon as the hand left the starting position. The perceptual threshold of target displacements resulting in an increased target eccentricity was greater when subjects combined eye and arm movements toward the target object, specially for the no-restraint condition. Subjects corrected most of their arm trajectory toward the displaced target despite the short movement times (average MT = 189 ms). After the movements, the null error feedback of the hand's final position presumably overlapped the retino-oculomotor signal error and could be responsible for the deficient perception of target displacements. Thus, subjects interpreted the terminal hand positions as being within the range of the endpoint variability associated with the production of rapid arm movements rather than as a change of the environment. These results suggest that a natural strategy adopted for processing spatial information, especially in a competing situation, could favour a constancy tendency, avoiding systematic perception of a change of environment for any noise or variability at the central or peripheral levels.     

Scientific Meetings of the Association for the Advancement of Psychoanalysis

The American Journal of Psychoanalysis -     

EYEBLINK CLASSICAL CONDITIONING AND AWARENESS REVISITED

Abstract— Dual-task performance was assessed in 140 adults during eyeblink classical conditioning (EBCC) and one of several secondary tasks (timed-interval tapping, recognition memory choice reaction time, video viewing). Four groups received paired-EBCC stimulus presentation and three groups received explicitly unpaired EBCC stimuli. Although the subjects were not laid about the conditioning task, they acquired conditioned responses (CRs) as normal levels. Postsession interviews probed participants' awareness of EBCC stimulus contingencies and production of CRs. Reported awareness of paired-EBCC stimulus contingencies and CK production was not related to actual EBCC performance Twenty-seven percent of the participants receiving explicitly unpaired stimuli reported a stimulus contingency when none existed. The dissociation between awareness and performances provides additional support for the categorization of simple EBCC as a form of nondeclarative learning.     

Egocentric spatial framework effects from single and multiple points of view

In three experiments, we tested the one-place, one-perspective rule formulated by Franklin, Tversky, and Coon (1992). This rule proposes that subjects take a neutral, external perspective when they must use multiple viewpoints to make decisions about the locations of objects in memorized scenes. We compared responding from a single viewpoint with responding from two viewpoints. In Experiments 1 and 2, we used a sentence verification procedure, and in Experiment 3, we compared a true-false verification procedure with a six-alternative forced-choice procedure. Under these various conditions, we observed egocentric spatial framework effects in that above-below judgments were faster than front-back judgments and front-back judgments were faster than right-left judgments. When responding from two points of view in a single place, our subjects took multiple intrinsic perspectives rather than one neutral external perspective as proposed by the one-place, one-perspective rule.     

Cross-informant consistency in externalizing and internalizing problems in early adolescence

The concept of cross-informant consistency has long been a topic of interest for those involved in assessment of behavior problems in adolescence. The purpose of the present study was to replicate and expand the existing literature by including four informants (mother, father, teacher, and adolescent self-report) and examining correlations among them as well as differences between reporters on an absolute level of both internalizing and externalizing problems. Fifty-two young adolescents (ranging in age from 11 to 15 years) and their mothers, fathers, and social studies teachers participated in the study. The Conduct Disorder subscale, Socialized Aggression subscale, and Anxiety/Withdrawal subscale of the Revised Behavior Problem Checklist were used. Results indicated that teachers showed little agreement with other informants on conduct problems (teachers reporting fewer problems), while parents and adolescents showed significant agreement. Informants showed no agreement on the measure of covert problems (socialized aggression), and all reports showed agreement on internalizing problems (although teachers continued to report fewer problems). Implications for assessment of young adolescents are discussed.This research was supported, in part, by the William T. Grant Foundation and the University of Georgia's Institute for Behavior Research.     

Computerphobia

Five studies of over 450 university students presented a comprehensive picture of computer-phobia. Three research and clinically based self-report instruments were developed to measure three nearly independent dimensions of computerphobia-computer anxiety, computer attitudes, and computer cognitions and feelings. Results indicated that older students were more computer anxious, but did not have more negative attitudes, cognitions, or feelings, than did younger students. Women had more negative attitudes than did men. Feminine-identity students showed more anxiety and negative attitudes than did masculine-identity students, regardless of gender. White students had more anxiety and more positive attitudes than did nonwhite students. Computerphobia was related to other anxiety measures (mathematics, state, and trait), but was a separate construct. Experience with computer interaction did not reduce anxiety or improve attitudes. Finally, regardless of academic major, computer-anxious students showed less computer aptitude, literacy, and interest. Implications for treating computerphobia are discussed.     

The Computerphobia Reduction Program: Year 1. Program development and preliminary results

The program development and first-year results of a 3-year U.S. Department of Education Fund for the Improvement of Postsecondary Education (FIPSE) grant are described. The identification of computerphobics and the types of discomfort they experience are defined. A clinically based 5-week model computerphobia reduction and skills-acquisition program is presented. Screening and assessment measures are outlined and three treatment modules—two individual treatments (systematic desensitization and thought stopping) and an information/support group—are described. The first-year results demonstrate significant pretreatment-to-posttreatment change in anxiety, attitudes, cognitions, and feelings. Plans are discussed for further evaluation and program expansion.     

Identifying the speech codes

Models of speech processing typically assume that speech is represented by a succession of codes. In this paper we argue for the psychological validity of a prelexical (phonetic) code and for a postlexical (phonological) code. Whereas phonetic codes are computed directly from an analysis of input acoustic information, phonological codes are derived from information made available subsequent to the perception of higher order (word) units. The results of four experiments described here indicate that listeners can gain access to, or identify, entities at both of these levels. In these studies listeners were presented with sentences and were asked to respond when a particular word-initial target phoneme was detected (phoneme monitoring). In the first three experiments speed of lexical access was manipulated by varying the lexical status (word/nonword) or frequency (high/low) of a word in the critical sentences. Reaction times (RTs) to target phonemes were unaffected by these variables when the target phoneme was on the manipulated word. On the other hand, RTs were substantially affected when the target-bearing word was immediately after the manipulated word. These studies demonstrate that listeners can respond to the prelexical phonetic code. Experiment IV manipulated the transitional probability (high/low) of the target-bearing word and the comprehension test administered to subjects. The results suggest that listeners are more likely to respond to the postlexical phonological code when contextual constraints are present. The comprehension tests did not appear to affect the code to which listeners responded. A “Dual Code” hypothesis is presented to account for the reported findings. According to this hypothesis, listeners can respond to either the phonetic or the phonological code, and various factors (e.g., contextual constraints, memory load, clarity of the input speech signal) influence in predictable ways the code that will be responded to. The Dual Code hypothesis is also used to account for and integrate data gathered with other experimental tasks and to make predictions about the outcome of further studies.