Should trainee doctors use the developing world to gain clinical experience? The annual Varsity Medical Debate – London, Friday 20th January, 2012

The 2012 Varsity Medical Debate between Oxford University and Cambridge University provided a stage for representatives from these famous institutions to debate the motion “This house believes that trainee doctors should be able to use the developing world to gain clinical experience.” This article brings together many of the arguments put forward during the debate, centring around three major points of contention: the potential intrinsic wrong of ‘using’ patients in developing countries; the effects on the elective participant; and the effects on the host community. The article goes on to critically appraise overseas elective programmes, offering a number of solutions that would help optimise their effectiveness in the developing world.     

Thinking with Your Head and Your Heart: Age Differences in Everyday Problem-Solving Strategy Preferences

Age and gender differences in perceived effectiveness of problem-focused and emotion-regulatory problem-solving strategies were examined. Using the Q-sort methodology, young, middle-aged, and older participants were asked to rank order, on a continuum from least to most effective, a wide range of possible strategies for dealing with 4 hypothetical, interpersonal problem situations. In addition to global problem-focused and emotion-focused strategies, analyses were conducted on an expanded 10-category system, including 3 problem-focused and 7 emotion-focused categories. In general, participants preferred problem-focused over emotion-focused strategies. However, older adults preferred a combination of problem-focused and emotion-focused strategies, whereas middle-aged and younger age groups preferred problem-focused strategies only, as their top choices. Qualitative age and gender differences were also found in the types of strategies endorsed, particularly for the emotion-focused strategies.     

The Content of Experimental Manuals in Psychology

Murphy, G. An Historical Introduction to Modern Psychology. (Supplement by H. Klüver.) New York: Harcourt, Brace, 1929. Pp. xvii+470. Reviewed by G. S. Brett.

Pillsbury, W. B. The History of Psychology. New York: Norton, 1929. Pp. 326. Reviewed by G. S. Brett.     

A Cross-Cultural Psychometric Evaluation of the Athletic Identity Measurement Scale

The Athletic Identity Measurement Scale (AIMS) is a widely used measure of athletic identity (Brewer & Cornelius, 2001 Brewer, B. W. and Cornelius, A. E. 2001. Norms and factorial invariance of the Athletic Identity Measurement Scale. Academic Athletic Journal, 15: 103–113.  [Google Scholar]). Although the factor structure of the AIMS has been tested repeatedly in an American population, its psychometric properties remain largely unexplored cross-culturally. Therefore, the purposes of the study were to further test the psychometric properties of the abbreviated 7-item AIMS in an American population, while also exploring its utility cross-culturally. Results revealed the AIMS to be a psychometrically sound measure of athletic identity for male contact and collision athletes in both American and English-speaking Hong Kong Chinese populations.     

Why computational models are better than verbal theories: the case of nonword repetition

Tests of nonword repetition (NWR) have often been used to examine children's phonological knowledge and word learning abilities. However, theories of NWR primarily explain performance either in terms of phonological working memory or long‐term knowledge, with little consideration of how these processes interact. One theoretical account that focuses specifically on the interaction between short‐term and long‐term memory is the chunking hypothesis. Chunking occurs because of repeated exposure to meaningful stimulus items, resulting in the items becoming grouped (or chunked); once chunked, the items can be represented in short‐term memory using one chunk rather than one chunk per item. We tested several predictions of the chunking hypothesis by presenting 5–6‐year‐old children with three tests of NWR that were either high, medium, or low in wordlikeness. The results did not show strong support for the chunking hypothesis, suggesting that chunking fails to fully explain children's NWR behavior. However, simulations using a computational implementation of chunking (namely CLASSIC, or Chunking Lexical And Sub‐lexical Sequences In Children) show that, when the linguistic input to 5–6‐year‐old children is estimated in a reasonable way, the children's data are matched across all three NWR tests. These results have three implications for the field: (a) a chunking account can explain key NWR phenomena in 5–6‐year‐old children; (b) tests of chunking accounts require a detailed specification both of the chunking mechanism itself and of the input on which the chunking mechanism operates; and (c) verbal theories emphasizing the role of long‐term knowledge (such as chunking) are not precise enough to make detailed predictions about experimental data, but computational implementations of the theories can bridge the gap.     

BETWEEN LIBERATION(S) AND OCCUPATION(S): RECONSIDERING THE EMERGENCE OF MAGHREBI JEWISH COMMUNISM, 1942–1945

From the fall of France in 1940 to the Anglo-American liberation of North Africa from Vichy rule (in Morocco and Algeria) and German occupation (in Tunisia), from November 1942 to May 1943, the Second World War profoundly transformed North African youth. For young French-educated Jews living in urban colonial spaces, disillusionment with Vichy France's betrayal of democracy and equality led them to a search for new political models, including Communism.

Through the memoirs of three North African Jews that came to politics through local Communist parties, Abraham Serfaty, Daniel Timsit and Gilbert Naccache, Communism in its wartime form (allied with Western democracies) provided an ideal mediating force. For a generation that wanted to fight against the anti-Jewish measures of the Vichy and Nazi regimes, as well as to abolish colonial distinctions between indigenous Jews and Muslims and Europeans, Communism proposed radical equality in a supra-national framework. As the authors/activists look back on the failures of decolonization, they attempt to make sense of their political commitments by gesturing to a utopian moment when Jews could be grounded in local struggles while looking to the US, the Soviet Union, and Popular Front France as models for equality.     

Positive and Negative Affective Dysfunction in Psychopathology

Moods are a constant feature of human experience. Although we all experience good and bad moods, there are individual differences in the propensity to experience positive and negative feeling states. These individual differences are assessed as traits under the terms positive affectivity (PA) and negative affectivity (NA), respectively. Studying the relations between PA, NA, and psychopathology has provided a basic understanding of emotional dysfunction in a range of symptoms and disorders. A substantial body of evidence indicates that general NA is a core feature of many types of psychopathology. In contrast, the relations for general PA are more varied, as it correlates negatively with some disorders but positively with others. Additionally, some research has investigated how more specific components of PA and NA relate to psychological disorders and their symptoms. However, further research of this type is needed to improve our conceptualization of emotional dysfunction across disorders.     

Aspirin Use is Associated with Lower Prostate Cancer Risk in Male Carriers of BRCA Mutations

Previous studies have shown that male BRCA mutation carriers stand at increased risk of developing prostate cancer and have concerns about developing cancer. Genetic counseling practitioners often discuss strategies for reducing the risk of cancer for patients at high risk due to their genetic background. Addressing modifiable health habits is one such strategy. Unfortunately, modifiable risk factors for prostate cancer have only been documented in the general population and have not yet been studied in the BRCA carrier subpopulation. Therefore, this study aimed to identify modifiable risk factors for prostate cancer in BRCA carriers. We examined prostate cancer risk factors in 74 men who were part of families with a BRCA mutation. This study examined nine dichotomous variables including: exercise, history of vasectomy, smoking history, alcohol use, finasteride use, statin use, aspirin use, coffee use, and vitamin use. The survey was sent to all cases of prostate cancer in the Hereditary Cancer Center Database at Creighton University with a known BRCA status. This study confirmed the protective benefits of daily aspirin use, which have been observed in previous studies of the general population, and suggests its benefit in BRCA carriers. Protective benefits from regular vigorous exercise and daily coffee use trended towards significance, but neither factor withstood the Bonferroni Correction for multiple comparisons.     

Verbal working memory predicts co-speech gesture: Evidence from individual differences

Gesture facilitates language production, but there is debate surrounding its exact role. It has been argued that gestures lighten the load on verbal working memory (VWM; Goldin-Meadow, Nusbaum, Kelly, & Wagner, 2001), but gestures have also been argued to aid in lexical retrieval (Krauss, 1998). In the current study, 50 speakers completed an individual differences battery that included measures of VWM and lexical retrieval. To elicit gesture, each speaker described short cartoon clips immediately after viewing. Measures of lexical retrieval did not predict spontaneous gesture rates, but lower VWM was associated with higher gesture rates, suggesting that gestures can facilitate language production by supporting VWM when resources are taxed. These data also suggest that individual variability in the propensity to gesture is partly linked to cognitive capacities.