The costs of optimism and the benefits of pessimism

Research suggests that optimism feels good. However, does it always feel good? We suggest that the benefits (and costs) of optimism and pessimism depend on their timing. A study of exam score estimates revealed that, after controlling for actual exam performance, optimistic expectations are unrelated to how people feel immediately before feedback, in contrast to the common wisdom that optimism "feels good." Furthermore, optimism has costs after feedback-participants who predicted higher scores before feedback felt worse after learning their scores. Finally, people seem to be aware of the potential costs of optimism-participants who predicted higher scores before feedback also anticipated experiencing greater disappointment should they perform poorly. These findings suggest that people may proactively manage their expectations to avoid the costs of optimism.     

Laughter exaggerates happy and sad faces depending on visual context

Laughter is an auditory stimulus that powerfully conveys positive emotion. We investigated how laughter influenced the visual perception of facial expressions. We presented a sound clip of laughter simultaneously with a happy, a neutral, or a sad schematic face. The emotional face was briefly presented either alone or among a crowd of neutral faces. We used a matching method to determine how laughter influenced the perceived intensity of the happy, neutral, and sad expressions. For a single face, laughter increased the perceived intensity of a happy expression. Surprisingly, for a crowd of faces, laughter produced an opposite effect, increasing the perceived intensity of a sad expression in a crowd. A follow-up experiment revealed that this contrast effect may have occurred because laughter made the neutral distractor faces appear slightly happy, thereby making the deviant sad expression stand out in contrast. A control experiment ruled out semantic mediation of the laughter effects. Our demonstration of the strong context dependence of laughter effects on facial expression perception encourages a reexamination of the previously demonstrated effects of prosody, speech content, and mood on face perception, as they may be similarly context dependent.     

Waiting Well: Tips for Navigating Painful Uncertainty

Waiting for uncertain news can be a source of anxiety and distraction. This paper explores the experience of waiting for news that is both uncertain and unchangeable and provides tips for waiting well under these circumstances. During difficult waiting periods people can mitigate anxiety, reduce disruptive rumination, and minimize later harm by (1) distracting themselves from their uncertainty, (2) managing their expectations, (3) looking for the silver lining in all outcomes, (4) keeping perspective regarding the news, and (5) planning ahead for the objective and psychological consequences of bad news.     

Predictors of Genetic Testing Decisions: A Systematic Review and Critique of the Literature

Genetic testing is increasingly available in medical settings and direct-to-consumer. However, the large and growing literature on genetic testing decisions is rife with conflicting findings, inconsistent methodology, and uneven attention across test types and across predictors of genetic testing decisions. Existing reviews of the literature draw broad conclusions but sacrifice nuanced analysis that with a closer look reveals far more inconsistency than homogeny across studies. The goals of this paper are to provide a systematic review of the empirical work on predictors of genetic testing decisions, highlight areas of consistency and inconsistency, and suggest productive directions for future research. We included all studies that provided quantitative analysis of subjective (e.g., perceived risk, perceived benefits of testing) and/or objective (e.g., family history, sociodemographic variables) predictors of genetic testing interest, intentions, or uptake, which produced a sample of 115 studies. From this review, we conclude that self-reported and test-related (as opposed to disorder-related or objective) predictors are relatively consistent across studies but that theoretically-driven efforts to examine testing interest across test types are sorely needed.     

The relative importance of patients’ decisional control preferences and experiences

Objective: Patients’ role in treatment decision-making can influence psychosocial and health-related outcomes (i.e. satisfaction, felt respect, adherence). We examined decisional control in a surgical context, identifying correlates of patients’ preferences and experiences.

Design: 380 patients and 7 surgeons were surveyed during initial surgical consultation visits in a low-income outpatient clinic.

Measures: Patients reported preferences for (pre-consultation) and experiences of (post-consultation) decisional control, demographics, satisfaction with care, and adherence to treatment recommendations. Surgeons rated patients’ health status.

Results: Preferences for and experiences of decisional control were unrelated, suggesting significant preference–experience misalignment. However, this misalignment did not appear to be consequential for patient outcomes. Rather, more decisional control, regardless of patients’ preferences, predicted greater satisfaction with care and greater self-reported adherence as assessed at a post-surgical appointment.

Conclusions: Decisional control predicts better outcomes for patients, regardless of their preferences for control over treatment decisions. These findings suggest that interventions should aim to increase patients’ degree of decisional control when feasible and appropriate.     

The surprising upsides of worry

Worry is an aversive emotional experience that arises alongside repetitive unpleasant thoughts about the future. In this paper, we argue that although extreme levels of worry are associated with depressed mood, poor physical health, and even mental illness, worry has an upside. We focus on two empirically supported benefits of worry: its motivational benefits and its benefit as an emotional buffer. Regarding motivation, worry illuminates the importance of taking action to prevent an undesirable outcome and keeps the situation at the front of one's mind to ensure that appropriate action is taken. It also triggers efforts to mitigate the consequences of bad news, motivates productive behavior that in turn reduces worry, and enhances the effectiveness of goal‐directed action by prompting people to focus on obstacles that might derail best‐laid plans. Worry can also serve as an emotional buffer by providing a desirable contrast to subsequent affective reactions, particularly for people who are prone to high levels of worry.     

Long-lasting effects of subliminal affective priming from facial expressions

Unconscious processing of stimuli with emotional content can bias affective judgments. Is this subliminal affective priming merely a transient phenomenon manifested in fleeting perceptual changes, or are long-lasting effects also induced? To address this question, we investigated memory for surprise faces 24 h after they had been shown with 30-ms fearful, happy, or neutral faces. Surprise faces subliminally primed by happy faces were initially rated as more positive, and were later remembered better, than those primed by fearful or neutral faces. Participants likely to have processed primes supraliminally did not respond differentially as a function of expression. These results converge with findings showing memory advantages with happy expressions, though here the expressions were displayed on the face of a different person, perceived subliminally, and not present at test. We conclude that behavioral biases induced by masked emotional expressions are not ephemeral, but rather can last at least 24 h.     

Ensemble perception of size in 4–5‐year‐old children

Groups of objects are nearly everywhere we look. Adults can perceive and understand the ‘gist’ of multiple objects at once, engaging ensemble‐coding mechanisms that summarize a group's overall appearance. Are these group‐perception mechanisms in place early in childhood? Here, we provide the first evidence that 4–5‐year‐old children use ensemble coding to perceive the average size of a group of objects. Children viewed a pair of trees, with each containing a group of differently sized oranges. We found that, in order to determine which tree had the larger oranges overall, children integrated the sizes of multiple oranges into ensemble representations. This pooling occurred rapidly, and it occurred despite conflicting information from numerosity, continuous extent, density, and contrast. An ideal observer analysis showed that although children's integration mechanisms are sensitive, they are not yet as efficient as adults’. Overall, our results provide a new insight into the way children see and understand the environment, and they illustrate the fundamental nature of ensemble coding in visual perception.     

Responding to negative health events: A test of the Bad News Response Model

People can respond to bad news in a variety of ways. The Bad News Response Model suggests that three aspects of bad news (the controllability, likelihood, and severity of negative consequences) predict which response (Watchful Waiting, Active Change, or Acceptance) people are likely to choose. This article presents an initial test of the predictions of the Bad News Response Model. College students (N = 234) and older adults (N = 116) read a scenario about a person with a suspicious mole that varied in the controllability, likelihood, and severity of the outcomes. Consistent with our predictions, people prefer Watchful Waiting when controllability, likelihood, and severity are low, Active Change when controllability and likelihood are high, and Acceptance when controllability is low. These findings provide support for the Bad News Response Model and suggest that responses to bad news may be foreseeable based on the type of news people receive.