The prepared mind: neural activity prior to problem presentation predicts subsequent solution by sudden insight

Insight occurs when problem solutions arise suddenly and seem obviously correct, and is associated with an "Aha!" experience. Prior theorizing concerning preparation that facilitates insight focused on solvers' problem-specific knowledge. We hypothesized that a distinct type of mental preparation, manifested in a distinct brain state, would facilitate insight problem solving independently of problem-specific knowledge. Consistent with this hypothesis, neural activity during a preparatory interval before subjects saw verbal problems predicted which problems they would subsequently solve with, versus without, self-reported insight. Specifically, electroencephalographic topography and frequency (Experiment 1) and functional magnetic resonance imaging signal (Experiment 2) both suggest that mental preparation leading to insight involves heightened activity in medial frontal areas associated with cognitive control and in temporal areas associated with semantic processing. The results for electroencephalographic topography suggest that noninsight preparation, in contrast, involves increased occipital activity consistent with an increase in externally directed visual attention. Thus, general preparatory mechanisms modulate problem-solving strategy.     

Changes in step variability of new walkers with typical development and with Down syndrome

Models of human gait are based on adult locomotion. C. E. Bauby and A. D. Kuo (2000) proposed that adults rely on passive mechanisms at the spinal level to control motion in the anteroposterior direction and rely on direct monitoring of postural control in the lateral direction. The authors' purpose in this study was to determine if that model applies to control at the onset of walking in typically developing toddlers (n = 9) and in toddlers with Down syndrome (n = 6). Their longitudinal data suggested that toddlers control gait in a distinctly different manner than adults do. An adult pattern of control emerges with experience. In addition, the effect of experience on the emergence of that pattern is magnified by task-specific early intervention. The present data support the emergence and discovery of efficient patterns of control in this fundamental human behavior.     

Errors in judging information about reflections in mirrors

We investigated people's perception and knowledge of planar mirror reflections. People were accurate at deciding when they could first see their reflection as they approached a mirror from the side, but only if their reflection was visible. Most people stopped too early if the mirror was covered up. People also overestimated the size of the reflection of their face on the surface of a mirror if they were shown a covered mirror. Their accuracy improved somewhat if their reflection was visible but, unlike the first task, they still made striking errors. Perceptual feedback thus improved performance at predicting the behaviour of mirror reflections in both tasks but failed to eliminate errors in the second task. The overestimation of reflection size was not face-specific as it generalised to novel stimuli (paper ellipses) and it was found with both a matching response and for verbal size estimations. The early error in the first task appears to be due to an inaccurate belief that can be overridden by perceptual feedback. The overestimation in the second task is primarily caused by a powerful size-constancy effect.     

Enabling a man with multiple disabilities and limited motor behavior to perform a functional task with help of microswitch technology

This study evaluated the extent to which two microswitches used as interfaces would enable a man with multiple disabilities and limited motor behavior to operate an electric door opener at the entrance of the day center that he attended. Analysis showed the man (a) learned to use the two microswitches, (b) preferred the microswitch placed at his wheelchair's footrest (which also allowed more effective responding) over the microswitch placed at his wheelchair's armrest, and (c) maintained his positive performance at the 1- and 2-mo. postintervention checks. The results were discussed from a technical and practical standpoint and in terms of implications for the quality of life of persons with disabilities.     

A contextual interference account of distinctiveness effects in recognition

In this article, we report on two experiments that aimed to shed light on the memorability effect that derives from varying the uniqueness of contextual cues presented at encoding and retrieval. We sought to understand the locus of the recognition advantage for studying and testing words with nominally irrelevant features that are rarely shared with other words ("low-fan" features) as compared with features that are studied with more words ("high-fan" features). Each word was studied with one high-fan feature and one low-fan feature, but only one of the two features was reinstated at test. Recognition judgments were more accurate when the low-fan feature was reinstated than when the high-fan feature was reinstated. The data suggest that encoding cues that suffer from contextual interference negatively affect retrieval and do so by hindering recollection-based processing.     

Word order variation in spatial descriptions with adverbs

Previous research has shown that in a three-term spatial reasoning task, the second premise of a German premise pair is especially easy to comprehend if (1) the prepositional object rather than the grammatical subject denotes the given entity, and if (2) the term denoting the given entity precedes the term denoting the new entity. Accordingly, the second premise is easiest to comprehend with noncanonical word order--that is, with the prepositional object in preverbal position denoting the given entity (e.g., To the right of the given object is the new subject). This finding is explained in terms of contextual licensing of noncanonical word order. Here, we discuss and tested two alternative accounts of contextual licensing, given-new and partially ordered set relations (Poset). The given-new account claims that noncanonical word order is licensed by the term denoting the given entity preceding the term denoting the new entity. On the Poset account, noncanonical word order is licensed if the preverbal constituent introduces a new entity that stands in a transitive, irreflexive, and asymmetric relation to a given entity. Comprehension times for second premises with spatial adverbs in four different word orders support both accounts of contextual licensing; Poset licensing was stronger than given-new licensing.     

The number line effect reflects top-down control

Recent evidence indicates that central directional stimuli, such as eyes and arrows, trigger rapid, reflexive shifts of spatial attention. A study by Fischer, Castel, Dodd, and Pratt (2003) suggested that a similar effect might also apply to central numbers, as if a digit's meaning causes attention to be oriented to its relative position on a left-to-right mental number line. However, unlike central eyes and arrows, the orienting effect for central digits emerges slowly, suggesting that top-down endogenous processes may be mediating this effect. Here, we report a series of three experiments that strongly support this hypothesis. Experiment 1 replicated Fischer et al.'s left-to-right number line effect. Experiment 2 showed that this effect could be completely reversed by merely asking participants to imagine a number line running from right to left. Experiment 3 showed that a left-to-right number line effect could be abolished by presenting targets above and below central fixation, as well as to the left and right of center. Experiment 3 also showed that other mental sets, such as imagining a clock, result in attention's being oriented in accordance with where the central digits are represented on a clock face. Together, these data indicate that the spatial representations and attentional orienting related to the perception of digits are both fragile and flexible and depend critically on the top-down spatial mental sets adopted by individuals.     

Spiritual coaching in cancer patients: treating the spirit as well as the disease

Interest in the exploration of spirituality in medical practice has been growing recently due to some studies suggesting its role in the improvement of patient well-being and quality of life. This project examined the feasibility of providing spiritual coaching with patients in an outpatient Radiation Oncology clinic setting. The purpose of spiritual coaching was to provide patients with opportunities to explore their current spiritual lives, increase their involvement in spiritually enhancing activities, and expand their spiritual opportunities. Quality-of-life measurements focused on feelings of hopefulness and distress were used in patients undergoing radiation treatment for cancer. This study suggests that there is a potential benefit for spiritual coaching in the care of cancer patients, and future studies will be done to further el ucidate the ationship of spirituality and quality of life in this population.     

Pilot programs in newborn screening

The term "pilot study" has been used over the years to describe the evaluation of the many elements involved in deciding whether a proposed condition should be added to a newborn screening (NBS) panel, and until recently, was unilaterally used to describe the evaluation of the assay to be used before the condition was officially adopted by a state for its newborn screening panel. Since Guthrie's introduction of screening for PKU, each time a new condition was added to the panel, the screening assay itself was validated through a population-based trial, in which the test was performed with de-identified samples to avoid association between the test result and the infant. This is considered by the laboratory as the "pilot phase" of adding a new condition. To advance the science of NBS, especially to accommodate new technologies that may provide new types of information (genetic versus physiological) for each new condition, pilot programs are essential. Involvement of the clinical community serves to improve these evaluations and provides the needed clinical validation of decisions made as a result of it. This paper describes the historical context of pilot programs in population-based NBS that utilize laboratory-based markers as indicators of concern; specifically, three applications that demonstrate different approaches to the use of pilots in adding conditions to a NBS panel are described.