Semantic Elaboration through Integration: Hints Both Facilitate and Inform the Process

Semantic knowledge can be extended in a variety of ways, including self-generation of new facts through integration of separate yet related episodes. We sought to promote integration and self-generation by providing “hints” to help 6-year-olds (Experiment 1) and 4-year-olds (Experiment 2) see the relevance of separate episodes to one another. Varying the timing of presentation of the hints—whether provided between episodes or before test—afforded insights into the processes responsible for self-generation of new semantic knowledge through integration. In both experiments, hints provided immediately before testing facilitated performance relative to a control condition. In contrast, hints provided between episodes did not. The findings imply that integration of distinct experiences is not an automatic process set into motion based on shared elements. Even when integration is primed through a hint that a prior episode is relevant to a forthcoming experience, shared elements apparently are not sufficient to promote self-generation of new semantic knowledge. Instead, the process seems to occur upon demand, such as in response to a question. These findings can be used to guide interventions designed to promote enrichment of semantic memory and also further our understanding of the basic cognitive processes involved in extension of knowledge.     

Demarcating the Realm of Cognition

The Extended Mind Hypothesis has given rise to stimulating philosophical debates about the boundaries of the realm of the cognitive. This paper first investigates the usefulness of a “mark of the cognitive,” and then focuses on two accounts that aim to provide such a mark, put forward by Fred Adams and Rebecca Garrison on one side and Mark Rowlands on the other. The paper provides a critical assessment of these accounts and uses empirical work on emotion regulation in infants to unearth some crucial challenges that any attempt at offering a mark of the cognitive should address.     

Autonomous Self-Expression and Meritocratic Dignity

While “dignity” plays an increasingly important role in contemporary moral and political debates, there is profound dispute over its definition, meaning, and normative function. Instead of concluding that dignity’s elusiveness renders it useless, or that it signals its fundamental character, this paper focuses on illuminating one particular strand of meritocratic dignity. It introduces a number of examples and conceptual distinctions and argues that there is a specific strand of “expressive” meritocratic dignity that is not connected to holding a special office or rank, but that is ascribed to individuals who are able to engage in autonomous self-expression.     

Expansion of Genetic Services Utilizing a General Genetic Counseling Clinic

We established a general genetic counseling clinic (GCC) to help reduce long wait times for new patient appointments and to enhance services for a subset of patients. Genetic counselors, who are licensed in Tennessee, were the primary providers and MD geneticists served as medical advisors. This article describes the clinic referral sources, reasons for referral and patient dispositions following their GCC visit(s). We obtained patients by triaging referrals made to our medical genetics division. Over 24 months, our GCC provided timely visits for 321 patients, allowing the MD geneticists to focus on patients needing a clinical exam and/or complex medical management. Following their GCC visit(s), over 80 % of patients did not need additional appointments with an MD geneticist. The GCC allowed the genetic counselor to spend more time with patients than is possible in our traditional medical genetics clinic. Patient satisfaction surveys (n?=?30) were very positive overall concerning the care provided. Added benefits for the genetic counselors were increased professional responsibility, autonomy and visibility as health care providers. We conclude that genetic counselors are accepted as health care providers by patients and referring providers for a subset of clinical genetics cases. A GCC can expand genetic services, complement more traditional genetic clinic models and utilize the strengths of the genetic counselor health care provider.