Toward an Aesthetic Medicine: Developing a Core Medical Humanities Undergraduate Curriculum

The medical humanities are often implemented in the undergraduate medicine curriculum through injection of discrete option courses as compensation for an overdose of science. The medical humanities may be reformulated as process and perspective, rather than content, where the curriculum is viewed as an aesthetic text and learning as aesthetic and ethical identity formation. This article suggests that a "humanities" perspective may be inherent to the life sciences required for study of medicine. The medical humanities emerge as a revelation of value inherent to an aesthetic medicine taught and learned imaginatively.     

The age prospective memory paradox: young adults may not give their best outside of the lab

Previous research has identified the age prospective memory paradox of age-related declines in laboratory settings in contrast to age benefits in naturalistic settings. Various factors are assumed to account for this paradox, yet empirical evidence on this issue is scarce. In 2 experiments, the present study examined the effect of task setting in a laboratory task and the effect of motivation in a naturalistic task on prospective memory performance in young and older adults. For the laboratory task (Experiment 1, n = 40), we used a board game to simulate a week of daily activities and varied features of the prospective memory task (e.g., task regularity). For the naturalistic task (Experiment 2, n = 80), we instructed participants to try to remember to contact the experimenter repeatedly over the course of 1 week. Results from the laboratory prospective memory tasks indicated significant age-related decline for irregular tasks (p = .006) but not for regular and focal tasks. In addition, in the naturalistic task, the age benefit was eliminated when young adults were motivated by incentives (F < 1). In conclusion, the present results indicate that the variability of age differences in laboratory prospective memory tasks may be due in part to differences in the features of the prospective memory task. Furthermore, increases in motivation to perform the prospective task seem to help remedy prospective memory deficits in young adults in the naturalistic setting.     

Don't hate me because I'm beautiful: Anti-attractiveness bias in organizational evaluation and decision making

Within organizational judgment and decision making contexts, biases based on an evaluated person's attractiveness are among the most salient and frequently investigated. An enormous amount of research indicates favoritism for attractive people compared to unattractive ones. The current research demonstrates that the nature of this bias depends on whether one is evaluating a member of the same sex or the opposite sex. Experiment 1 (n = 2639) investigated selection of scholarship applicants and demonstrated that a pro-attractiveness bias held only for selection of opposite-sex scholarship applicants; no such bias was observed for highly attractive same-sex applicants. Experiment 2 (n = 622) investigated evaluations of prospective job candidates and demonstrated again that pro-attractiveness bias was observed only for opposite-sex candidates; participants discriminated against highly attractive same-sex candidates. Moreover, this bias was not observed among highly attractive participants; it held only for moderately attractive participants, those for whom highly attractive same-sex individuals can pose especially potent social threats. Findings suggest that attractiveness biases in organizational decision making are rooted partly in the social threats and opportunities afforded by attractive people.     

Rejection Sensitivity and the Rejection–Hostility Link in Romantic Relationships

ABSTRACT Rejection sensitivity is the disposition to anxiously expect, readily perceive, and intensely react to rejection. In response to perceived social exclusion, highly rejection sensitive people react with increased hostile feelings toward others and are more likely to show reactive aggression than less rejection sensitive people in the same situation. This paper summarizes work on rejection sensitivity that has provided evidence for the link between anxious expectations of rejection and hostility after rejection. We review evidence that rejection sensitivity functions as a defensive motivational system. Thus, we link rejection sensitivity to attentional and perceptual processes that underlie the processing of social information. A range of experimental and diary studies shows that perceiving rejection triggers hostility and aggressive behavior in rejection sensitive people. We review studies that show that this hostility and reactive aggression can perpetuate a vicious cycle by eliciting rejection from those who rejection sensitive people value most. Finally, we summarize recent work suggesting that this cycle can be interrupted with generalized self-regulatory skills and the experience of positive, supportive relationships.     

Optimization of Blocked Designs in fMRI Studies

Blocked designs in functional magnetic resonance imaging (fMRI) are useful to localize functional brain areas. A blocked design consists of different blocks of trials of the same stimulus type and is characterized by three factors: the length of blocks, i.e., number of trials per blocks, the ordering of task and rest blocks, and the time between trials within one block. Optimal design theory was applied to find the optimal combination of these three design factors. Furthermore, different error structures were used within a general linear model for the analysis of fMRI data, and the maximin criterion was applied to find designs which are robust against misspecification of model parameters.     

Laboratory vs. naturalistic prospective memory task predictions: young adults are overconfident outside of the laboratory

ABSTRACT

This study investigated whether individuals can predict their future prospective memory (PM) performance in a lab-based task and in a naturalistic task. Metacognitive awareness was assessed by asking participants to give judgments-of-learning (JOLs) on an item-level for the prospective (that something has to be done) and retrospective (what to do) PM component. In addition, to explore whether giving predictions influences PM performance, we compared a control group (without predictions) to a prediction group. Results revealed that giving predictions did not change PM performance. Moreover, participants were underconfident in their PM performance in the lab-based task, while they were overconfident in the naturalistic task. In addition, item-level JOLs indicated that they were inaccurate in predicting what items they will recall or not, but only for the prospective component of the PM task. As for the retrospective component, they were equally accurate in both task settings. This study suggests a dissociation of metacognitive awareness for PM according to both task setting and processing component.     

Subjective well‐being in times of social change: Congruence of control strategies and perceived control

This paper investigates the association between perceptions of broader changes in the social‐ecological context and individuals’ subjective well‐being (SWB). Macro‐level societal changes such as globalization or demographic change give rise to new demands for individual functioning at work and/or in the family. Such new demands associated with social change are stressful and likely to be related to lower levels of SWB. Being active agents, individuals attempt to deal with social change and its increasing demands to protect their SWB. The present study investigates which kinds of control strategies are most effective in protecting one's SWB. Specifically, we predicted that control strategies of goal engagement will be most effective under conditions of perceived high control, and control strategies of goal disengagement will be most effective under conditions of perceived low control. In a large sample of 2537 German adults, work‐ and family‐related demands associated with social change were found to be negatively linked to SWB. Moreover and in line with the motivational theory of lifespan development, control strategies of goal engagement and disengagement were beneficial for SWB to the extent that they matched the perceived control of the demands associated with social change.     

Public justification and investment in failing projects: the moderating effect of optimistic outcome expectations

Public justification can have both desirable and undesirable effects. One dysfunctional consequence demonstrated via laboratory experiments is an increase in the escalation of commitment (i.e., public justification increases investment in failing projects). Based on survey data from 247 failed company projects, this study provides supporting evidence of the escalation‐increasing effect of public justification. Thus, the results support the external validity of prior findings. In addition, this paper hypothesizes and confirms a negative moderating effect of optimistic outcome expectations on the relation between public justification and investments. Specifically, for low optimistic outcome expectations, public justification increases investments in failing projects. In contrast, in cases of highly optimistic outcome expectations, public justification does not further increase investments in failing projects.     

Enhancing the Learning of Sport Skills Through External-Focus Feedback

The authors examined how the effectiveness of feedback for the learning of complex motor skills is affected by the focus of attention it induces. The feedback referred specifically either to body movements (internal focus) or to movement effects (external focus). In Experiment 1, groups of novices and advanced volleyball players (N = 48) practiced “tennis” serves under internal-focus or external-focus feedback conditions in a 2 (expertise) × 2 (feedback type) design. Type of feedback did not differentially affect movement quality, but external-focus feedback resulted in greater accuracy of the serves than internal-focus feedback during both practice and retention, independent of the level of expertise. In Experiment 2, the effects of relative feedback frequency as a function of attentional focus were examined. A 2 (feedback frequency: 100% vs. 33%) × 2 (feedback type) design was used. Experienced soccer players (N = 52) were required to shoot lofted passes at a target. External-focus feedback resulted in greater accuracy than internal-focus feedback did. In addition, reduced feedback frequency was beneficial under internal-focus feedback conditions, whereas 100% and 33% feedback were equally effective under external-focus conditions. The results demonstrate the effectiveness of effect-related, as opposed to movement-related, feedback and also suggest that there is a need to revise current views regarding the role of feedback for motor learning.