The necessity and the value of placebo

The use of placebo in clinical trials has been repeatedly challenged as being unacceptable from an ethical point of view. The present paper responds to this criticism by taking up the issue in the light of the pertinent provisions of the Helsinki Declaration. Examples from different therapeutic areas are given that highlight the importance of placebo in situations in which its use is acceptable according to the Declaration. Particular emphasis is given to the question of active control trials, which, under conditions of low assay sensitivity, may become an ethically less acceptable approach than the use of a placebo control. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003.     

An integrated theory of the mind

Adaptive control of thought-rational (ACT-R; J. R. Anderson & C. Lebiere, 1998) has evolved into a theory that consists of multiple modules but also explains how these modules are integrated to produce coherent cognition. The perceptual-motor modules, the goal module, and the declarative memory module are presented as examples of specialized systems in ACT-R. These modules are associated with distinct cortical regions. These modules place chunks in buffers where they can be detected by a production system that responds to patterns of information in the buffers. At any point in time, a single production rule is selected to respond to the current pattern. Subsymbolic processes serve to guide the selection of rules to fire as well as the internal operations of some modules. Much of learning involves tuning of these subsymbolic processes. A number of simple and complex empirical examples are described to illustrate how these modules function singly and in concert.     

Holography does not account for goodness: a critique of van der Helm and Leeuwenberg (1996)

P. A. van der Helm and E. L. J. Leeuwenberg (1996) outlined a holographic account of figural goodness of a perceptual stimulus. The theory is mathematically precise and can be applied to a broad spectrum of empirical data. The authors argue, however, that the account is inadequate on both theoretical and empirical grounds. The theoretical difficulties concern the internal consistency of the account and its reliance on unspecified auxiliary assumptions. The account also makes counterintuitive empirical predictions, which do not fit past data or the results of a series of new experimental studies.     

Form and variability during sit-to-stand transitions: children versus adults

In performing the sit-to-stand transition, young children (6- to 7-year-olds) were expected to display a movement form similar to that of adults. However, movement consistency was predicted to be poorer in children than in adults because they lack refinement of motor control processes. Kinematic analysis of 10 repetitions of the sit-to-stand movement was carried out for 6 typically developing children and 6 adults. Supporting the authors' prediction of comparable form, no differences were evident between age groups for sequence of joint onsets, proportional duration of segmental motion, or in angle-angle plots of displacement at 2 segments. In contrast, within-participant variability was found to be higher for children: Coefficients of variation for most kinematic measures were twice those seen for adults. The authors interpret the children's lack of movement consistency as a reflection of inadequate stabilization of an internal model of intersegmental dynamics. Whereas adults have attained a skill level associated with refinement of that model, children have not. Children have an additional control problem because changes in body morphology throughout childhood require ongoing updating of the internal model that controls intrinsic dynamics.     

Lost in thought: cognitive load and the processing of addressees' feedback in verbal communication

Two experiments tested if cognitive load interferes with perspective-taking in verbal communication even if feedback from the addressee is available. Participants gave instructions on the assembly of a machine model. In Experiment 1, cognitive load was demonstrated to be a function of the complexity of assembly steps. In Experiment 2, position of feedback (during simple vs. during complex steps) and type of feedback (question vs. ambiguous interjection) were manipulated. With simple steps, speakers' responses were a function of feedback type. Speakers responded differently to questions than to interjections. With complex steps, however, responses were a function of cognitive load. Regardless of the type of feedback, most speakers simply repeated their previous utterances.     

"Capacity" reconsidered: interindividual differences in language comprehension and individual alpha frequency

The influence of interindividual differences in cognitive mechanisms on language comprehension remains controversial not only due to conflicting experimental findings, but also in view of the difficulty associated with determining which measure should be used in participant classification. Here, we address the latter problem by proposing that an electrophysiological measure, individual alpha frequency (IAF), may be a suitable means of classifying interindividual differences in sentence processing. Interindividual differences in IAF have been shown to correlate with performance on memory tasks and speed of information processing. In two experiments using event-related brain potentials (ERPs), IAF-based participant groups differed systematically with regard to the processing of ambiguous sentences such that the low-IAF group showed a sustained positivity in the ambiguous region, while the high-IAF group did not. These interindividual differences were independent of whether the ambiguity was syntactic (Experiment 1) or sentence-level semantic (Experiment 2). Moreover, they were reliable only when participants were classified according to IAF, but not in classifications based on reading span, speed of processing (reaction time), or accuracy of processing (error rate).     

Motor affordance and its role for visual working memory: evidence from fMRI studies

We examined the role of motor affordances of objects for working memory retention processes. Three experiments are reported in which participants passively viewed pictures of real world objects or had to retain the objects in working memory for a comparison with an S2 stimulus. Brain activation was recorded by means of functional magnetic resonance imaging (fMRI). Retaining information about objects for which hand actions could easily be retrieved (manipulable objects) in working memory activated the hand region of the ventral premotor cortex (PMC) contralateral to the dominant hand. Conversely, nonmanipulable objects activated the left inferior frontal gyrus. This suggests that working memory for objects with motor affordance is based on motor programs associated with their use. An additional study revealed that motor program activation can be modulated by task demands: Holding manipulable objects in working memory for an upcoming motor comparison task was associated with left ventral PMC activation. However, retaining the same objects for a subsequent size comparison task led to activation in posterior brain regions. This suggests that the activation of hand motor programs are under top down control. By this they can flexibly be adapted to various task demands. It is argued that hand motor programs may serve a similar working memory function as speech motor programs for verbalizable working memory contents, and that the premotor system mediates the temporal integration of motor representations with other task-relevant representations in support of goal oriented behavior.     

On defining words, some scenarios and vectors in the 'autobiography' of C. G. Jung

Having first considered recent research into the circumstances surrounding the production and publication of the 'autobiography' of Jung, the author concludes that in spite of its being the work of several authors, it nevertheless constitutes a whole. Taken from whichever angle, they all point to Jung's particular inquiry into the unconscious, as it emerges through Jung's own words. The author goes on to suggest both a lateral and a structural reading of MDR (Memories, Dreams, Reflections) which in turn reveals, on the basis of the several dreams reported, the central 'fantasy' which inspired Jung's research and his oeuvre. Finally, he discusses the idea of the collective or impersonal unconscious and highlights the emphasis Jung places on processes which unfold according to rhythms which are associated with distinct scales, depending on whether they are those of the individual, the clan or the culture.     

Secure and defensive high self-esteem

Long-standing theories have suggested high self-esteem (SE) can assume qualitatively different forms that are related to defensiveness. The authors explored whether some high-SE individuals are particularly defensive because they harbor negative self-feelings at less conscious levels, indicated by low implicit SE. In Study 1, participants high in explicit SE but low in implicit SE showed the highest levels of narcissism--an indicator of defensiveness. In Studies 2 and 3, the correspondence between implicit and explicit SE predicted defensive behavior (in-group bias in Study 2 and dissonance reduction in Study 3), such that for high explicit-SE participants, those with relatively low implicit SE behaved more defensively. These results are consistent with the idea that high SE can be relatively secure or defensive.