How Does Your Doctor Talk with You? Preliminary Validation of a Brief Patient Self-Report Questionnaire on the Quality of Physician–Patient Interaction

The quality of physician–patient interaction is increasingly being recognized as an essential component of effective treatment. The present article reports on the development and validation of a brief patient self-report questionnaire (QQPPI) that assesses the quality of physician–patient interactions. Data were gathered from 147 patients and 19 physicians immediately after consultations in a tertiary care outpatient setting. The QQPPI displayed good psychometric properties, with high internal consistency and good item characteristics. The QQPPI total score showed variability between different physicians and was independent of patients’ gender, age, and education. The QQPPI featured high correlations with other quality-related measures and was not influenced by social desirability, or patients’ clinical characteristics. The QQPPI is a brief patient self-report questionnaire that allows assessment of the quality of physician–patient interactions during routine ambulatory care. It can also be used to evaluate physician communication training programs or for educational purposes.     

The role of nucleus accumbens dopamine in outcome encoding in instrumental and Pavlovian conditioning

Considerable evidence suggests that dopamine in the core subregion of the nucleus accumbens is not only involved in Pavlovian conditioning but also supports instrumental performance. However, it is largely unknown whether NAc dopamine is required for outcome encoding which plays an important role both in Pavlovian stimulus-outcome learning and instrumental action-outcome learning. Therefore, we tested rats with 6-hydroxydopamine (6-OHDA) induced dopamine depletion of the NAc core for their sensitivity to outcome devaluation in a Pavlovian and an instrumental task. Results indicate that 6-OHDA-lesioned animals were sensitive to outcome devaluation in an instrumental task. This finding provides support to the notion that NAc core dopamine may not be crucial in encoding action-outcome associations. However, during instrumental conditioning lever pressing rates in 6-OHDA-lesioned animals were markedly lower which could reflect an impaired behavioral activation. By contrast, after outcome-specific devaluation in a Pavlovian task, performance in 6-OHDA-lesioned animals was impaired, i.e. their magazine-directed responding was non-selectively reduced. One possibility to explain non-selective responding is that NAc core DA depletion impaired the ability of conditioned stimuli to activate the memory of the current value of the reinforcer.     

When do we simulate non-human agents? Dissociating communicative and non-communicative actions

There is strong evidence that we automatically simulate observed behavior in our motor system. Previous research suggests that this simulation process depends on whether we observe a human or a non-human agent. Measuring a motor priming effect, this study investigated the question of whether agent-sensitivity of motor simulation depends on the specific action observed. Participants saw pictures depicting end positions of different actions on a screen. All postures featured either a human or non-human agent. Participants had to produce the matching action with their left or right hand depending on the hand presented on the screen. Three different actions were displayed: a communicative action (emblem), a transitive (goal-directed) action and an intransitive action. We found motor priming effects of similar size for human and non-human agents for transitive and intransitive actions. However, the motor priming effect for communicative actions was present for the human agent, but absent for the non-human agent. These findings suggest that biological tuning of motor simulation is highly action-selective and depends on whether the observed behavior appears to be driven by a reasonable goal.     

Populism and religion: On the politics of fear

Our societies of fear go along with an increase of populist movements in politics. This article explains the basics of populism and shows how easily it joins highly likely political friend‐enemy patterns. Anthropologically, we have to deal with parochial altruism undergirded by a static type of religion. A further step deals with the relationship between politics and fear by referring to terror management theory and its insight into the relationship between mortality and fear. The concluding part addresses ways out of fear and in what way a dynamic type of religion helps to avoid scapegoating and political enmity.     

Psychophysiological Synchrony During Verbal Interaction in Romantic Relationships

Previous studies about romantic relationships have shown that the reciprocal influence between partners occurs not only at the behavioral and socio‐emotional levels, but also at the psychophysiological level. This reciprocal influence is expressed in a pattern of physiological synchrony between partners (i.e., coordinated dynamics of the physiological time series). The main aim of the present study was to explore the presence of a pattern of physiological synchrony in electrodermal activity (EDA) during a couple interaction task. A second objective was to compare the synchrony levels during a negative interaction condition versus a positive interaction condition. Finally, we analyzed the association between synchrony and self‐perception of empathy, dyadic empathy, and relationship satisfaction. Thirty‐two couples (64 individuals) participated in this study. Each couple performed a structured interaction task while the EDA of both partners was being registered. The quantification of synchrony was based on the cross‐correlation of both members' EDA time‐series. In order to control for coincidental synchrony, surrogate datasets were created by repeatedly shuffling the original data of spouses X and Y of a dyad and computing synchronies on the basis of the shuffled data (pseudosynchrony values). Our results confirmed the presence of significant EDA synchrony during the interaction. We also found that synchrony was higher during the negative interactions relative to the positive interactions. Additionally, physiological synchrony during positive interaction was higher for those couples in which males scored higher in dyadic empathy. The clinical implications of these findings are discussed.     

Production blocking and idea generation: Does blocking interfere with cognitive processes?

Production blocking (group members must take turns expressing their ideas) is an important cause of productivity loss in brainstorming groups. However, it is not yet clear why production blocking has this detrimental effect. We hypothesized that delays between the generation and articulation of ideas, arising when group members wait for their turns, interfere with the cognitive process of generating ideas. In three experiments, production blocking was simulated for individuals working at computer terminals. Production blocking interfered with idea generation in two ways. First, it disrupted the organization of idea generation when delays were relatively long. Second, it reduced the flexibility of idea generation when delays were unpredictable. Implications for group information processing are discussed.     

When hearing turns into playing: Movement induction by auditory stimuli in pianists

In this study, pianists were tested for learned associations between actions (movements on the piano) and their perceivable sensory effects (piano tones). Actions were examined that required the playing of two-tone sequences (intervals) in a four-choice paradigm. In Experiment 1, the intervals to be played were denoted by visual note stimuli. Concurrently with these imperative stimuli, task-irrelevant auditory distractor intervals were presented (“potential” action effects, congruent or incongruent). In Experiment 2, imperative stimuli were coloured squares, in order to exclude possible influences of spatial relationships of notes, responses, and auditory stimuli. In both experiments responses in the incongruent conditions were slower than those in the congruent conditions. Also, heard intervals actually “induced” false responses. The reaction time effects were more pronounced in Experiment 2. In nonmusicians (Experiment 3), no evidence for interference could be observed. Thus, our results show that in expert pianists potential action effects are able to induce corresponding actions, which demonstrates the existence of acquired action-effect associations in pianists.     

Nachtrag zu dem kritischen Referat «Gestalt und Kontrast»

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