Respecting autonomy in difficult medical settings: a questionnaire study in Japan

Some people in Japan are still comfortable with the paternalistic role of doctors, but others wish that their own decisions would receive a greater amount of respect. A total of 747 students of universities and colleges and 114 parents of these students participated in a questionnaire survey. Most of the participants thought that autonomy should be respected in situations involving death with dignity and euthanasia, whereas it should not be respected in attempted suicide and involuntary admission of individuals with mental illness. A cluster analysis revealed that the participants could be divided into the following groups: aid in dying advocates (n=577), complete libertarians (n=109), protectors of the mentally ill (n=90), complete paternalists (n=29), and questionables (n=27). The assertion of independence score of the Scale for Independent and Interdependent Construal of the Self showed a significant difference among the 5 clusters. These findings suggest that the traditional paternalistic relationship between doctor and patient is undergoing a gradual transformation in Japan.     

Episodic Future Thinking Reduces Delay Discounting of Gains and Losses: The Role of Regulatory Focus1,2

We examined the moderating effect of regulatory foci on the efficacy of episodic future thinking in reducing delay discounting. We hypothesized that the impact of imagining positive future events (vs. recent positive events) on delay discounting of gains would be stronger for individuals with a high promotion focus than for those with a high prevention focus (Hypothesis 1). Conversely, the effects of imagining adverse future events (vs. recent negative events) on delay discounting of losses would be stronger for individuals with a high prevention focus than for those with a high promotion focus (Hypothesis 2). We conducted two experiments in which participants, randomly allocated to episodic future thinking (EFT) or episodic recent thinking (ERT) groups, completed a delayed discounting task of gain (Experiment 1) or loss (Experiment 2). Experiment 1 (N = 73) weakly supported Hypothesis 1; Experiment 2 (N = 99) did not support Hypothesis 2. Our findings suggest positive EFT is particularly effective for individuals with a high promotion focus compared to individuals with a high prevention focus, which further reveals how EFT attenuates delay discounting.     

Unilateral memory storage in the procerebrum of the terrestrial slug Limax

In most sensory modalities, neuronal inputs are bilaterally processed in a higher center. In some animal species, however, functional lateralization is sometimes observed in the sensory processing at the higher level. For the terrestrial slug Limax, olfaction is the most important sensory modality and this slug can acquire odor-aversion memories. Previously, it has been demonstrated in bilateral PC ablation experiments that the procerebrum (PC) is necessary for odor-aversion memory, and that the PC is the memory storage site. On the other hand, it has been hypothesized that only the unilateral PC is used for odor-aversion learning. Here we demonstrated that the number of the slugs with intact memory performance was reduced by approximately 50% when the PC was surgically ablated only unilaterally before or after conditioning. There was no difference in the memory performance of the right vs. the left PC-ablated slugs. However, memory deficit from unilateral PC ablation was not observed when the ipsilateral tentacles were also amputated at the same time. We also showed that there was no lateral memory transfer from one PC to the other, after up to 7 days post-conditioning. Our results demonstrated clearly that either the left or right PC is randomly used for olfactory learning, and that the side of use is determined at the level of the olfactory ascending pathway to the PC.     

The perception of empty and filled time intervals by pigeons

Pigeons were trained in a within-subjects design to discriminate durations of a filled interval (2 s and 8 s of light) and durations of an empty interval (2 s and 8 s bound by two 500-ms light markers). Filled intervals required a response to one set of comparisons (e.g., blue vs. yellow), whereas empty intervals required a response to a different set of comparisons (e.g., red vs. green). Psychophysical testing indicated that empty intervals were judged to be longer than equivalent durations of a filled interval. This finding was replicated when the anchor durations used during training were changed to 1 s and 4 s, or 4 s and 16 s. The difference between the point of subjective equality (PSE) for the empty intervals and the PSE for filled intervals increased as the magnitude of the anchor duration pairs increased. In addition, the difference limens (DL) for empty intervals were smaller than those for filled intervals, and they also increased as the magnitude of anchor duration pairs increased. An analysis of the Weber fractions (WF; i.e., DL/PSE) provided evidence for superimposition of the empty and filled timing functions across the different sets of anchor durations. These results suggest that the accumulation of subjective time was greater for empty intervals than for filled intervals. Within the framework of scalar timing theory, this difference in timing appeared to be the result of a clock rate difference rather than a switch latency difference.