Medical expertise asa function of task difficulty

This paper is concerned with factors that disrupt the pattern of forward reasoning characteristic of experts with accurate performance. Two experiments are described. In the first, the performances of cardiologists, psychiatrists, and surgeons in diagnostic explanation of a clinical problem in cardiology were examined. In the second, the performances of cardiologists and endocrinologists in diagnostic explanation of clinical problems within and outside their domains of expertise were examined. The performances of researchers and practicing physicians are also compared. The results of Experiment 1 replicated earlier results regarding the relationship between forward reasoning and accurate diagnosis. There were no differences in recall as a function of expertise. Experts did not show any bias toward using specific knowledge from their own areas of expertise. The results of Experiment 2 showed that the breakdown of forward reasoning was related to the structure of the task. In particular, nonsalient cues induced some backward reasoning even in subjects with accurate diagnoses. Some differences were also found between the types of explanation used by researchers and practitioners. The practitioners referred more to clinical components in their explanations, whereas the researchers focused more on the biomedical components.     

The role of compliance in hypnotic and nonhypnotic analgesia

We modified the standard procedure for administering finger pressure pain in order to assess the extent to which subjects biased their reports of pain reduction when exposed to compliance-inducing instructions. Experiment 1 used only highly hypnotizable subjects and found that compliance-induced reductions in reported pain were about half as large as the reported reductions produced by hypnotic analgesia suggestions. Experiment 2 used low as well as high hypnotizables and administered hypnotic or nonhypnotic analgesia instructions and compliance instructions to the same subjects on separate pain trials. Reported pain reductions produced by hypnotic and nonhypnotic analgesia suggestions and those produced by compliance instructions were substantially and significantly correlated. Furthermore, hypnotizability correlated with compliance-induced reported pain reductions as highly as it correlated with the reported reductions produced by hypnotic analgesia suggestions. Among high hypnotizables (but not low hypnotizables) compliant responding was predicted by social desirability. The findings of both studies indicate that compliance strongly influences the reports of hypnotic and nonhypnotic analgesia proffered by high hypnotizables. The role of compliance in the pain reductions reported by low hypnotizables is less clear-cut.     

Temporal dimensions of consonant and vowel production: an acoustic and CT scan analysis of aphasic speech

This study explored a number of temporal (durational) parameters of consonant and vowel production in order to determine whether the speech production impairments of aphasics are the result of the same or different underlying mechanisms and in particular whether they implicate deficits that are primarily phonetic or phonological in nature. Detailed analyses of CT scan lesion data were also conducted to explore whether more specific neuroanatomical correlations could be made with speech production deficits. A series of acoustic analyses were conducted including voice-onset time, intrinsic and contrastive fricative duration, and intrinsic and contrastive vowel duration as produced by Broca's aphasics with anterior lesions (A patients), nonfluent aphasics with anterior and posterior lesions (AP patients), and fluent aphasics with posterior lesions (P patients). The constellation of impairments for the anterior aphasics including both the A and AP patients suggests that their disorder primarily reflects an inability to implement particular types of articulatory gestures or articulatory parameters rather than an inability to implement particular phonetic features. They display impairments in the implementation of laryngeal gestures for both consonant and vowel production. These patterns seem to relate to particular anatomical sites involving Broca's area, the anterior limb of the internal capsule, and the lowest motor cortex areas for larynx and tongue. The posterior patients also show evidence of subtle phonetic impairments suggesting that the neural instantiation of speech may require more extensive involvement, including the perisylvian area, than previously suggested.     

Image statistics and the perception of apparent motion

The short- and long-range apparent motion processes are discussed in terms of the statistical properties of images. It is argued that the short-range process, exemplified by the random-dot kinematogram, is primarily sensitive to the dipole statistics, whereas the long-range process, exemplified by illusory occlusion, is treated by the visual system primarily in terms of the tripole and higher statistical correlation functions. The studies incorporate the balanced dot, which is a unique stimulus element that permits high pass filtering while preserving detailed positional information. Low spatial frequencies are shown to be critical for texture segregation in random-dot kinematograms, independent of the grain size or number density of texture elements. Illusory path perception in the long-range process is shown not to require low spatial frequencies, but is sensitive rather to global temporal phase coherency. These results are interpreted in terms of the respective roles of the power and phase spectra in perceptual organization. The construction of balanced dots is discussed in detail.     

On the distinction between artifacts and information

Sperling, Landy, Dosher, and Perkins (1989) argued that all previous research on the kinetic depth effect has been contaminated by stimulus artifacts, and they developed a new task that they believe can successfully overcome this problem. The present discussion offers a counter-argument that artifacts are not as pervasive in previous research as Sperling et al. imply and that their proposed method is subject to precisely the same limitations as earlier studies. Also discussed are some general guidelines of experimental design in this type of research to minimize the possibility that subjects will adopt an inappropriate response strategy that does not truly reflect their visual perceptions of three-dimensional form.     

Attentional processing and the independence of color and orientation

Judgments of the color and shape of a stimulus specified by a cue indicating its location demonstrate stochastic independence. Evidence for the independence of color and orientation was obtained when the cue followed stimulus offset immediately, the cue followed stimulus offset by 2 s, and when either a central or peripheral precue focused attention on the cued stimulus at the time of its presentation. It appears that an object's color and orientation are represented independently even following the attentional focusing thought to support feature integration.     

Predicate-argument structure as a link between linguistic and nonlinguistic representations

We present a study wherein a severe Broca's aphasic patient was trained to learn symbols representing both pure transitive and dative predicates--predicates differing in argument structure--in a visually based artificial language (c-ViC). We found a decrease in performance when two symbols, rather than one, were used to depict these "verbs." However, this decrease in performance was more pronounced for symbols representing pure transitive verbs--those that allow only one argument structure--than for symbols representing dative verbs--those that allow two different argument structures. Also, dative "verbs" yielded better performance when they were inserted in more complex, three-argument "sentences" than when they were inserted in two-argument "sentences." The opposite pattern was found for pure transitives. These results are discussed in terms of our claim that argument structure serves as a point of connection between linguistic information and non-linguistic visual information and in terms of the possibility that argument structure entries are shaped by the form in which visual information is parsed.     

Typicality effects in artificial categories: is there a hemisphere difference?

In category classification tasks, typicality effects are usually found: accuracy and reaction time depend upon distance from a prototype. In this study, subjects learned either verbal or nonverbal dot pattern categories, followed by a lateralized classification task. Comparable typicality effects were found in both reaction time and accuracy across visual fields for both verbal and nonverbal categories. Both hemispheres appeared to use a similarity-to-prototype matching strategy in classification. This indicates that merely having a verbal label does not differentiate classification in the two hemispheres.     

Range and regression, loudness scales, and loudness processing: toward a context-bound psychophysics

How does context affect basic processes of sensory integration and the implicit psychophysical scales that underlie those processes? Five experiments examined how stimulus range and response regression determine characteristics of (a) psychophysical scales for loudness and (b) 3 kinds of intensity summation: binaural loudness summation, summation of loudness between tones widely spaced in frequency, and temporal loudness summation. Context affected the overt loudness scales in that smaller power-function exponents characterized larger versus smaller range of stimulation and characterized magnitude estimation versus magnitude production. More important, however, context simultaneously affected the degree of loudness integration as measured in terms of matching stimulus levels. Thus, stimulus range and scaling procedure influence not only overt response scales, but measures of underlying intensity processing.