Achieving a Maximum Level of Vaccination for Medical Students: a Rigourous Ethical and Legal Framework Procedure

The Faculty of Medicine and Health Sciences (FMHS) of the University of Sherbrooke has observed year after year, that certain students have not started and or completed their immunizations for common infectious diseases, which in effect makes them inadmissible for their clinical internships in healthcare establishments. The program administrators have posed a series of questions on the best way to proceed with these students as, a certain number remain reluctant to vaccination. They are often confronted with ethical dilemmas, are not necessarily comfortable with their rights and responsibilities and wish to be guided throughout the process. This article aims to put forth a procedure that would be put in place to support the administrators in a way for them to obtain a more favorable vaccination level for all of their students in the most reasonable amount of time possible. The interest of the procedure is to move forward in a few simple and well defined steps that are supported by a rigorous legal framework, while respecting the rights and freedoms of the students. It is also designed so that it could be replicated in other faculties of medicine.     

Couples’ Experiences of Hope When Participating in the Reflecting Team Process: A Case Study

Hope is believed to be influential to therapeutic change. However, no studies have explored couples’ experiences of hope during participation in a reflecting team process. This exploratory case study attends to this gap in the research literature. Three couples reported on their experiences of hope in relation to participating in the reflecting team process as part of their couple therapy. Themes related to hope were identified during three separate stages of the intervention: anticipating, participating in, and debriefing the reflecting team process. Reflecting team experiences related to hope included: seeking new perspectives, maintaining a positive momentum, identifying strengths, normalizing difficulties, presenting inspiring possibilities, providing support, highlighting growth, and strengthening resolve. These findings serve as a foundation for attending to clients’ hope as an active force during the reflecting team process.     

The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis

Neuropsychology Review - Mindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This...     

The effect of early life stress on the cognitive phenotype of children with an extra X chromosome (47,XXY/47,XXX)

Studies on gene–environment interactions suggest that some individuals may be more susceptible to life adversities than others due to their genetic profile. This study assesses whether or not children with an extra X chromosome are more vulnerable to the negative impact of early life stress on cognitive functioning than typically-developing children.

A total of 50 children with an extra X chromosome and 103 non-clinical controls aged 9 to 18 years participated in the study. Cognitive functioning in domains of language, social cognition and executive functioning were assessed. Early life stress was measured with the Questionnaire of Life Events. High levels of early life stress were found to be associated with compromised executive functioning in the areas of mental flexibility and inhibitory control, irrespective of group membership. In contrast, the children with an extra X chromosome were found to be disproportionally vulnerable to deficits in social cognition on top of executive dysfunction, as compared to typically-developing children. Within the extra X group the number of negative life events is significantly correlated with more problems in inhibition, mental flexibility and social cognition. It is concluded that children with an extra X chromosome are vulnerable to adverse life events, with social cognition being particularly impacted in addition to the negative effects on executive functioning. The findings that developmental outcome is codependent on early environmental factors in genetically vulnerable children also underscores opportunities for training and support to positively influence the course of development.     

The Pleasure of Thought during the Session

The pleasure of thought during the session is an intellectual feeling, that can take several forms at different moments during the analyst's thought process. The following should be distinguished: the disruption introduced by interpretative interference, which by underlining an unconscious element, upsets the conscious logical flow of the analysand's speech; finding the key-word or the overdetermined image which springs to the mind in the same way as a poet finds a rhyme; the resurgence of a memory, once evoked and subsequently forgotten again by the analysand, which imposes itself with quasi hallucinatory sharpness in the analyst's representative space; the experience of co-thought, either on one particular occasion related to a specific representation, or as a complement, accompanying the analysand's associative process.     

Marital status and reproduction: Associations with childhood intelligence and adult social class in the Aberdeen children of the 1950s study

Childhood intelligence (age 11) and occupational social status at midlife (age 46 to 51) was associated with marital status and reproduction in a sample from the Aberdeen Children of the 1950s cohort study (N = 9614).Male and female divorcees had lower childhood intelligence test scores than their married counterparts, but no meaningful difference was found between ever- and never-married individuals. Lower occupational social status increased the odds of being never-married, divorced, separated or widowed compared to being married by 53% to 26% in men (N = 2716) but not in women (N = 2920). Higher intelligence scores were associated with being married rather than divorced at midlife with odds ratios (OR) of 0.86 (Confidence Interval of 95% of 0.76 to 0.99) in men, and 0.87 (0.77 to 0.98) in women.In men, lower intelligence predicted having offspring (0.69; 0.59 to 0.81), while in women, higher occupational status was associated with lower odds of having children (0.66; 0.55 to 0.76). An interaction term showed that high intelligence women remained childless in the top occupational classes but, in the lower social groups, mothers were more intelligent than their childless peers. Intelligence or occupational status were not associated with the number of offspring in both sexes.     

Entirely irrelevant distractors can capture and captivate attention

The question of whether a stimulus onset may capture attention when it is entirely irrelevant to the task and even in the absence of any attentional settings for abrupt onset or any dynamic changes has been highly controversial. In the present study, we designed a novel irrelevant capture task to address this question. Participants engaged in a continuous task making sequential forced choice (letter or digit) responses to each item in an alphanumeric matrix that remained on screen throughout many responses. This task therefore involved no attentional settings for onset or indeed any dynamic changes, yet the brief onset of an entirely irrelevant distractor (a cartoon picture) resulted in significant slowing of the two (Experiment 1) or three (Experiment 2) responses immediately following distractor appearance These findings provide a clear demonstration of attention being captured and captivated by a distractor that is entirely irrelevant to any attentional settings of the task.     

The psychometrics of photographic cropping: the influence of colour, meaning, and expertise

Cropping is the central act of photography, the viewfinder of a camera being used to crop a portion of the visual world which is then surrounded with a frame. Six studies are described which show that the act of cropping is carried out reliably and confidently by both expert and non-expert participants. Two studies confirm that some croppers are better croppers than others, their cropped images being preferred aesthetically over the croppings of less-good croppers. Colour had little impact on cropping decisions, whereas thresholded monochrome images ('Mooney images') dramatically altered crop positions. That suggests that cropping can be driven top-down, by the meaning of objects in photographs, but the fact that the Mooneyised images are still cropped consistently, suggests that image structure, perhaps in the form of low-level image properties, may still be important. Experts crop pictures differently from non-experts, and they take longer, viewing a wider range of possible crops, pausing longer to assess crops, and using more formal terminology when reflecting on their cropping decisions. Experts' crops are not, however, preferred more, either by non-expert viewers or by expert viewers. Cropping, it is suggested, is an ideal paradigm for experimental aesthetics, allowing precise experimental control with Fechner's Method of Production, a technique which normally is not easy to use.     

A sham drug improves a demanding prospective memory task

Every day, people rely on prospective memory--our ability to remember to perform a future action--to carry out myriad tasks. We examined how a sham cognitive enhancing drug might improve people's performance on a prospective memory task. We gave some people (but not others) the sham drug, and asked everyone to perform a high-effort prospective memory task. People who received the sham drug performed better on the prospective memory task. They also took longer to perform their ongoing task, suggesting that they increased their effortful monitoring. These results fit with research showing that suggestions can lead people to increase cognitive effort and increase memory performance.