Medical Education for Social Justice: Paulo Freire Revisited

Although social justice is an integral component of medical professionalism, there is little discussion in medical education about how to teach it to future physicians. Using adult learning theory and the work of Brazilian educator Paulo Freire, medical educators can teach a socially-conscious professionalism through educational content and teaching strategies. Such teaching can model non-hierarchical relationships to learners, which can translate to their clinical interactions with patients. Freirian teaching can additionally foster professionalism in both teachers and learners by ensuring that they are involved citizens in their local, national and international communities.     

Order of question presentation and correlation between judgments of comparative and own risk

Unrealistic optimism is often assessed using a single question asking for an estimate of comparative risk. However, it has been proposed that individuals treat such a question essentially as though it were only about their own risk. This proposal leads to the prediction that, when the questions about own risk and comparative risk are asked in sequence, the correlation between the resulting estimates should be lower if the question about own risk comes first than if the question about comparative risk comes first. This prediction was tested using a student sample (N=68). Participants answered the two types of question in sequence, with order of presentation being counterbalanced. Results were in accord with the prediction. Possible reasons are advanced for individuals' answering questions about comparative risk as if the questions concerned their own risk.     

The anatomy of amnesia: neurohistological analysis of three new cases

The most useful information about the anatomy of human memory comes from cases where there has been extensive neuropsychological testing followed by detailed post-mortem neurohistological analysis. To our knowledge, only eight such cases have been reported (four with medial temporal lobe damage and four with diencephalic damage). Here we present neuropsychological and post-mortem neurohistological findings for one patient (NC) with bilateral damage to the medial temporal lobe and two patients (MG, PN) with diencephalic damage due to bilateral thalamic infarction and Korsakoff's syndrome, respectively. All three patients exhibited a similar phenotype of amnesia with markedly impaired declarative memory (anterograde and retrograde) but normal performance on tests of nondeclarative memory (e.g., priming and adaptation-level effects) as well as on tests of other cognitive functions. Patient NC had damage to the hippocampus (dentate gyrus and the CA1 and CA3 fields) and layer III of the entorhinal cortex, but with relative sparing of the CA2 field and the subiculum. Patient MG had damage to the internal medullary lamina and mediodorsal thalamic nuclei. Patient PN had damage to the mammillary nuclei, mammillothalamic tracts, and the anterior thalamic nuclei. These findings illuminate several issues regarding the relation between diencephalic and medial temporal lobe amnesia, the status of recognition memory in amnesia, and the neuroanatomy of memory.     

Single-item memory, associative memory, and the human hippocampus

We tested recognition memory for items and associations in memory-impaired patients with bilateral lesions thought to be limited to the hippocampal region. In Experiment 1 (Combined memory test), participants studied words and then took a memory test in which studied words, new words, studied word pairs, and recombined word pairs were presented in a mixed order. In Experiment 2 (Separated memory test), participants studied single words and then took a memory test involving studied word and new words. In a separate test, they studied word pairs and then took a memory test involving studied word pairs and recombined word pairs. In both experiments, patients were impaired at memory for single items as well as memory for associations, suggesting that the hippocampus is important for both of these memory functions. In Experiment 1, patients appeared to be more impaired at associative memory than item memory. In Experiment 2, patients were similarly impaired at associative memory and item memory. These different findings are considered, including the fact that in Experiment 1 the results depended on the fact that controls produced unexpectedly low false-alarm rates to recombined pairs. We discuss single-item and associative memory from the perspective that the hippocampus and adjacent cortex work cooperatively to signal recognition and that simple dichotomies do not adequately describe the division of labor within the medial temporal lobe.     

Phonological encoding in the silent speech of persons who stutter

The purpose of the present study was to investigate the role of phonological encoding in the silent speech of persons who stutter (PWS) and persons who do not stutter (PNS). Participants were 10 PWS (M=30.4 years, S.D.=7.8), matched in age, gender, and handedness with 11 PNS (M=30.1 years, S.D.=7.8). Each participant performed five tasks: a familiarization task, an overt picture naming task, a task of self-monitoring target phonemes during concurrent silent picture naming, a task of monitoring target pure tones in aurally presented tonal sequences, and a simple motor task requiring finger button clicks in response to an auditory tone. Results indicated that PWS were significantly slower in phoneme monitoring compared to PNS. No significant between-group differences were present for response speed during the auditory monitoring, picture naming or simple motor tasks, nor did the two groups differ for percent errors in any of the experimental tasks. The findings were interpreted to suggest a specific deficiency at the level of phonological monitoring, rather than a general monitoring, reaction time or auditory monitoring deficit in PWS. Educational objectives: As a result of this activity, the participant should: (1) identify and assess the literature on phonological encoding skills in PWS, (2) enumerate and evaluate some major psycholinguistic theories of stuttering, and (3) describe the mechanism by which defective phonological encoding can disrupt fluent speech production.     

The effects of a seatbelt-gearshift delay prompt on the seatbelt use of motorists who do not regularly wear seatbelts

A seatbelt-gearshift delay was evaluated in two U.S. and three Canadian vehicles using a reversal design. The seatbelt-gearshift delay required unbelted drivers either to buckle their seatbelts or to wait a specified time before they could put the vehicle in gear. After collecting behavioral prebaseline data, a data logger was installed in all five vehicles to collect automated data on seatbelt use. Next the seatbelt-gearshift delay was introduced. The results showed that the delay increased all 5 drivers' seatbelt use, and that the duration of the delay that produced relatively consistent seatbelt use varied across drivers from 5 to 20 s. When the device was deactivated in four of the five vehicles, behavior returned to baseline levels.     

A Grand Theory and a Small Social Scientific Community: Niklas luhmann in Slovenia

We analyse the reception of Niklas Luhmanns social metatheory in Slovenian social. The first part outlines the intellectual climate that prevailed in the decade before the post-socialist transition. The decline of the previously dominant Marxist ideology created space for other social theories. Luhmanns ideas were the most prominent among social macro theories in the initial phase. The second part describes variations in the reception of his ideas. The initial affirmative approach was upgraded by a number of more selective and critical approaches. The third part shows that, although his ideas are no longer quite so prominent, his work is both well recognized and firmly embedded in Slovenian social thought.     

Temporal integration differences between crossed and uncrossed stereoscopic mechanisms

In this study, we investigated temporal integration of disparity information for crossed and uncrossed stereopsis. Across three experiments, exposure duration thresholds were measured for stereoscopic stimuli created from dynamic random-dot stereograms. In Experiment 1, an investigation of disparity detection showed that detection thresholds were equal for the crossed and uncrossed directions. In Experiment 2, an examination of duration limits for depth perception showed that critical durations were lower, and depth more veridical, for crossed depth than for uncrossed depth. In Experiment 3, an investigation of depth discrimination revealed that discrimination thresholds were lower for crossed depth than for uncrossed depth. These results suggest that crossed and uncrossed mechanisms differ in terms of their temporal integration properties at processing levels involving the computation and discrimination of depth.     

Screening-off and The Levels of Selection

In The Levels of Selection (Brandon, 1984), Robert Brandon provides a suggestive but ultimately unsuccessful attempt to use the probabilistic notion ofscreening off in providing a schema for dealing with an aspect of the units of selection question in the philosophy of biology. I characterize that failure, and suggest a revision and expansion of Brandon's account which addresses its key shortcoming.     

A computer simulation model of rats’ place navigation in the Morris water maze

Rats rapidly learn to swim from a variety of starting locations, including novel ones, to a small invisible platform submerged in a pool of cool opaque liquid. A computer simulation based on a simple perceptual memory-matching model successfully mimics this ability. The model assumes that the rat, when it successfully reaches the platform, notes the distance to prominent extramaze landmarks and stores this perceptual information in memory. When placed in the pool on subsequent trials, the simulated rat attempts to match perceived distance between itself and the landmarks to the remembered distances from the platform to the landmark. The model accounts for many of the known facts about rats’ behavior in the swimming pool and makes some interesting predictions that could be easily tested experimentally. The model has the advantage, relative to other cognitive map models, of specifying how spatial information is represented in memory and how this information guides behavior.