Performance-based and parent ratings of attention in children treated for a brain tumor: The significance of radiation therapy and tumor location on outcome

Children are at increased risk for cognitive difficulties following the diagnosis and treatment of a brain tumor. Radiation therapy (RT) and tumor location are commonly-cited predictors of neurocognitive functioning. Disruptions to foundational neurocognitive processes such as attention, working memory, and processing speed underlie declines on measures of general intellectual functioning. While several studies have examined visual sustained attention in pediatric brain tumor patients, auditory sustained attention has yet to be examined. This study employs a longitudinal design to examine performance-based and parent ratings of attention in children undergoing surgical resection of a brain tumor (n = 29) and treated with (n = 11) or without (n = 18) RT at 6.79 months post-surgery (baseline) and then again at 30.56 months post-surgery (follow-up). The measures include an auditory continuous performance test (CPT) and parent ratings of attention and hyperactivity on a behavior rating scale. Ultimately, children treated with and without RT performed similarly on performance-based and parent ratings of attention. However, the performance on the auditory CPT differed according to tumor location, with children with infratentorial tumors committing more inattention and inhibitory control errors compared to children with supratentorial tumors. Parent ratings did not differ according to tumor location, and parent ratings and auditory sustained attention performance are not significantly correlated. The findings are interpreted in the context of neurocognitive and brain development.     

The Difficulties with Groundlessness

In On Certainty, §166, Wittgenstein mentions the difficulty of realizing the “groundlessness of our believing.” In the course of reviewing what makes this realization so difficult, I examine a certain way of understanding one of Wittgenstein's techniques for getting us to realize it, his use of the “hinge” metaphor. It implies that hinge‐propositions possess that status inherently; for some commentators, this is because of their connection to instinctive and habitual behaviours. I offer an alternative interpretation of the remarks that have been used to support this understanding that better explains their role in Wittgenstein's response to scepticism and other epistemological problems.     

What Makes an Idea Risky? The Relations between Perceptions of Idea Novelty,Usefulness, and Risk

Individuals and organizations frequently tout creative ideas as a desirable goal, and yet, creative ideas are frequently rejected. Creativity researchers have often suggested that creative ideas are rejected because they are perceived as riskier due to their inherent novelty or originality. Although this assumption is prevalent, we are unaware of any empirical research directly examining the relations between perceptions of novelty and risk. We provide an empirical test of this assumption in two studies in which participants rate the novelty, usefulness, and riskiness of ideas. Across both studies, we find consistent support for the idea that usefulness, rather than novelty, has the strongest relation with risk perceptions. We also find some evidence that novelty and usefulness interact to predict perceptions of risk. Additionally, in Study 2, we find that usefulness has the strongest relation with willingness to invest and buy a product. The findings of this study suggest that the bias against creativity may be driven by the perceived usefulness of an idea, rather than its novelty, such that ideas with lower usefulness are perceived to be riskier.     

Defining Creativity: Don't We Also Need to Define What Is Not Creative?

I argue that any attempt to define creative ideas cannot fully succeed without also defining uncreative ideas. This argument begins by defining three parameters that characterize a potentially creative thought: the idea's initial probability (p), the final utility (u), and the creator's prior knowledge of that utility (v). The three parameters then lead to a three‐criterion multiplicative definition of personal creativity, namely, c = (1 ? p)u(1 ? v), where the first factor indicates originality and the third factor surprise. Although creativity can only maximize as originality, utility, and surprise all approach unity, the same definition indicates that there are seven different ways that creativity can minimize. These alternatives were identified as (a) routine, reproductive, or habitual ideas, (b) fortuitous response bias, (c) irrational perseveration, (d) problem finding, (e) rational suppression, (f) irrational suppression, and (g) blissful ignorance. If the third parameter v is omitted, then the number of creative and noncreative outcomes reduces to just four, making creativity indistinguishable from irrational suppression. The alternative outcomes are then illustrated using the classic two‐string problem. Besides providing a more finely differentiated conception of creativity failures, the definition has critical implications regarding the processes and procedures required to generate highly creative ideas.     

The (un)reliability of item-level semantic priming effects

Many researchers have tried to predict semantic priming effects using a myriad of variables (e.g., prime–target associative strength or co-occurrence frequency). The idea is that relatedness varies across prime–target pairs, which should be reflected in the size of the priming effect (e.g., cat should prime dog more than animal does). However, it is only insightful to predict item-level priming effects if they can be measured reliably. Thus, in the present study we examined the split-half and test–retest reliabilities of item-level priming effects under conditions that should discourage the use of strategies. The resulting priming effects proved extremely unreliable, and reanalyses of three published priming datasets revealed similar cases of low reliability. These results imply that previous attempts to predict semantic priming were unlikely to be successful. However, one study with an unusually large sample size yielded more favorable reliability estimates, suggesting that big data, in terms of items and participants, should be the future for semantic priming research.     

Devil's advocate versus authentic dissent: stimulating quantity and quality

Given the relationship between uniformity of views, premature adoption of a preferred solution and poor decision making, many suggestions have been aimed at fostering dissent, including the usage of a ‘devil's advocate.’ The hope is that such a mechanism will stimulate the kinds of reconsideration, better information processing and decision making as has been found to be stimulated by authentic dissent. In a prior study comparing these two processes, devil's advocate appeared to foster thinking that was primarily aimed at cognitive bolstering of the initial viewpoint rather than stimulate divergent thought. While that study left the actual position of the DA unknown, the present study compared conditions where the devil's advocate position was known (and consistent or inconsistent with the assigned position) or unknown. It further utilized quantity and quality of solutions as a dependent measure rather than simply cognitive activity. Results indicated that the authentic minority was superior to all three forms of ‘devil's advocate,’ again underscoring the value and importance of authenticity and the difficulty in cloning such authenticity by role‐playing techniques. Copyright © 2001 John Wiley & Sons, Ltd.     

Father Absence and Familial Antisocial Characteristics

This study examined family antisocial characteristics according to whether biological fathers live at home and agree to be study participants. Antisocial symptoms were tabulated for 161 clinic-referred children and their parents. Families with fathers at home had fewer paternal, maternal, and child antisocial symptoms, and scored higher on multiple SES indicators, than did families with departed fathers. Antisocial characteristics were highest, and SES was lowest, when fathers could not be located or recruited. Results suggest that requiring father participation (as in family-trio genetic designs) screens out the more antisocial families. Of clinical interest, antisocial behavior in any family member is more likely if the father is absent and nonparticipating. The heightened antisocial behavior in children associated with absent biological fathers was not mitigated by presence of stepfathers and was not accounted for by lower SES. The ethical use of mother report on absent fathers is discussed.