Desire for euthanasia or physician-assisted suicide in palliative cancer care.

OBJECTIVE: To investigate the attitudes of terminally ill individuals toward the legalization of euthanasia or physician-assisted suicide (PAS) and to identify those who would personally desire such a death. DESIGN: In the Canadian National Palliative Care Survey, semistructured interviews were administered to 379 patients who were receiving palliative care for cancer. Patients who expressed a desire for physician-hastened death were followed prospectively. MAIN OUTCOME MEASURES: Attitudes toward the legalization of euthanasia or PAS were determined, as was the personal interest in receiving a hastened death. Demographic and clinical characteristics were also recorded, including a 22-item structured interview of symptoms and concerns. RESULTS: There were 238 participants (62.8%) who believed that euthanasia and/or PAS should be legalized, and 151 (39.8%) who would consider making a future request for a physician-hastened death. However, only 22 (5.8%) reported that, if legally permissible, they would initiate such a request right away, in their current situations. This desire for hastened death was associated with lower religiosity (p=.010), reduced functional status (p=.024), a diagnosis of major depression (p<.001), and greater distress on 12 of 22 individual symptoms and concerns (p<.025). In follow-up interviews with 17 participants, 2 (11.8%) showed instability in their expressed desire. CONCLUSION: Among patients receiving palliative care for cancer, the desire to receive euthanasia or PAS is associated with religious beliefs; functional status; and physical, social, and psychological symptoms and concerns. Although this desire is sometimes transitory, once firmly established, it can be enduring.     

Feature binding and episodic retrieval in blindness for congruent stimuli: evidence from analyses of sequential congruency

Targets are identified more poorly when presented during a congruent cued response than during an incongruent cued response (blindness effect). The authors investigated sequential trial dependencies in the blindness effect. The results show that the size of the blindness effect depends both on the previous cued response-target congruency relationship and on repetition of events from the preceding trial. This finding suggests that cued responses and targets become linked together in a single episodic trace; repeating one of these events from the preceding trial activates the other. Depending on whether the activated representation matches or conflicts with events on the current trial, target identification performance is either facilitated or impaired. Implications for action planning and feature binding are discussed.     

Does Attention Modulate the Perception of Luminance Changes?

In a previous study assessing the modulation of visual processing by attention, Bonnel, Possami, and Schmitt showed that, when discriminating line-length, subjects precisely shared processing resources between two pairs of lines presented to the left and right of fixation. In a close replication requiring the detection of luminance increments instead of line-length differences, subjects were unable to follow the instructions and to allocate attention differentially, thus supporting the claim that light detection is fundamentally different from shape discrimination. In a subsequent experiment, we tested and rejected the possibility that luminance perception was not open to modulation by attention due to its physical nature. Replacing brightness detection by brightness identification allowed voluntary control on the quality of processing to be evidenced. The similarity between the latter results and the data from line-length discrimination suggests that task requirements may be crucial in determining the distribution of attention.     

New evidence for chunk-based models in word segmentation

There is large evidence that infants are able to exploit statistical cues to discover the words of their language. However, how they proceed to do so is the object of enduring debates. The prevalent position is that words are extracted from the prior computation of statistics, in particular the transitional probabilities between syllables. As an alternative, chunk-based models posit that the sensitivity to statistics results from other processes, whereby many potential chunks are considered as candidate words, then selected as a function of their relevance. These two classes of models have proven to be difficult to dissociate. We propose here a procedure, which leads to contrasted predictions regarding the influence of a first language, L1, on the segmentation of a second language, L2. Simulations run with PARSER (Perruchet & Vinter, 1998), a chunk-based model, predict that when the words of L1 become word-external transitions of L2, learning of L2 should be depleted until reaching below chance level, at least before extensive exposure to L2 reverses the effect. In the same condition, a transitional-probability based model predicts above-chance performance whatever the duration of exposure to L2. PARSER's predictions were confirmed by experimental data: Performance on a two-alternative forced choice test between words and part-words from L2 was significantly below chance even though part-words were less cohesive in terms of transitional probabilities than words.     

Visual experience influences the interactions between fingers and numbers

Though a clear interaction between finger and number representations has been demonstrated, what drives the development of this intertwining remains unclear. Here we tested early blind, late blind and sighted control participants in two counting tasks, each performed under three different conditions: a resting condition, a condition requiring hands movements and a condition requiring feet movements. In the resting condition, every sighted and late blind spontaneously used their fingers, while the majority of early blind did not. Sighted controls and late blind were moreover selectively disrupted by the interfering hand condition, while the early blind who did not use the finger-counting strategy remained unaffected by the interference conditions. These results therefore demonstrate that visual experience plays an important role in implementing the sensori-motor habits that drive the development of finger–number interactions.     

Does a yellow filter improve visual object categorization in normal aging?

Previous studies have shown that a yellow filter (CPF450) can increase contrast, motion sensitivity, vergence, and accommodation. We investigated whether a yellow filter can reduce age-related visual deficits. We tested two groups of 60 observers (mean age 24 vs. 72) in an object categorization task. Grayscale photographs of natural objects and artifacts were displayed either centrally or peripherally (21°) at low (8%) or medium (30%) contrast. There were three filter conditions (no filter, placebo filter, and yellow filter). Both groups of observers performed similarly on central and medium-contrast pictures. The deleterious effects of reduced contrast and eccentricity were stronger in elderly individuals. Moreover, the yellow filter globally improved the speed of categorization for the elderly participants. The decrease in response time in the yellow filter condition was larger when the stimuli were displayed peripherally in both groups. A yellow filter should be considered as a potential means for visual improvement in normal aging.     

The time course of visual influences in letter recognition

This study builds on a specific characteristic of letters of the Roman alphabet—namely, that each letter name is associated with two visual formats, corresponding to their uppercase and lowercase versions. Participants had to read aloud the names of single letters, and event-related potentials (ERPs) for six pairs of visually dissimilar upper- and lowercase letters were recorded. Assuming that the end product of processing is the same for upper- and lowercase letters sharing the same vocal response, ERPs were compared backward, starting from the onset of articulatory responses, and the first significant divergence was observed 120 ms before response onset. Given that naming responses were produced at around 414 ms, on average, these results suggest that letter processing is influenced by visual information until 294 ms after stimulus onset. This therefore provides new empirical evidence regarding the time course and interactive nature of visual letter perception processes.     

Visuoperceptive Impairments in Severe Alcohol Use Disorder: A Critical Review of Behavioral Studies

Neuropsychology Review - The present literature review is aimed at offering a comprehensive and critical view of behavioral data collected during the past seventy years concerning visuoperception...