Vexing,Veiled, and Inequitable: Social Distancing and the “Rights” Divide in the Age of COVID-19

Abstract

Although unprecedented in scope and beyond all our life experiences, sweeping social distancing measures are not without historical precedent. Historically, racism, stigma, and discrimination resulted in grossly inequitable application of disease containment measures. But history also provides examples in which broad measures enjoyed remarkable public support. When it comes to COVID-19, blame and division continue to shape containment responses. But the COVID-19 pandemic also resonates with moments in which there was broad social support for containment precisely because lockdowns or stay at home orders are, on the surface, remarkably equitable. Yet even in a context in which a majority of Americans support social distancing, small but coordinated conservative groups are challenging social distancing as a matter of individual rights. In sharp contrast, vulnerable populations, who bear the heaviest burden of disease, have claimed a right to social distancing as a matter of protection.     

Salivary progesterone is associated with reduced coherence of attentional, cognitive, and motivational systems

The present study tested whether the hypothesis that high levels of progesterone (P) have a decoupling effect on the function of the brain hemispheres (Hausmann & Gunturkun, 2000) also extends to attentional functions, referential connections between verbal and nonverbal representations and the degree to which implicit motivational needs match a person's explicit goal commitments. Participants (28 women on oral contraceptives, 14 naturally cycling women, 50 men) completed the Lateralized Attention Network Task (Greene et al., 2008), a measure of the alerting, orienting, and conflict-resolution functions of attention for each hemisphere; a measure of referential competence (i.e., the ability to quickly name nonverbal information); a measure of the implicit motives power, achievement, and affiliation; and a content-matched personal goal inventory. In addition, they provided a saliva sample that was assayed for P and cortisol (C). Higher levels of P were associated with lower interhemispheric correlations for alerting and orienting, but with a higher correlation of conflict-resolution performance. Higher P was also associated with longer interhemispheric transfer time, lower congruence between implicit motives and explicit goal commitments and, after controlling for C, with lower referential competence. These results suggest that (a) P is associated with the degree to which attentional functions are correlated between hemispheres, although in a different direction for more posterior (alerting and orienting: decoupling) than for more anterior functions (conflict resolution: coupling), (b) that high P is associated with other indicators of reduced functional coherence between cognitive systems (longer interhemispheric transfer time, lower referential competence), and (c) that high P is also associated with low coherence between implicit and explicit motivational systems.     

Exploring the experience of adhering to a prescribed pre-surgical exercise program for patients with advanced rectal cancer: A phenomenological study

ObjectivesThe aim of this study was to explore the lived experience of patients with advanced rectal cancer as they attempted to adhere to a prescribed, hospital-based pre-surgical exercise program.Design/MethodsTen patients took part in three semi-structured in-depth interviews prior to (week 0), midway (week 3), and at completion (week 6) of the exercise program. Data were analysed using a phenomenological approach.ResultsMain themes that were deemed important for remaining enrolled in the program included: (1) building camaraderie and peer support, (2) experiencing a sense of structure and control, and (3) feeling safe and encouraged. Patients also reported engaging in further exercise outside the program and feeling motivated to continue exercising in the future.ConclusionsThis study shows the potential to integrate exercise prior to surgery as it was viewed as acceptable and feasible by patients with advanced rectal cancer. Moreover, it provides much needed information into the possible mechanisms that underpin patient's continued participation in exercise programs during treatment for advanced rectal cancer. Prescribed, hospital-based program should be implemented to promote opportunities for exercise and provide on-going supportive care options for patients awaiting surgery.     

The impact of self-determined motivation on volunteer role identities: A cross-lagged panel study

Volunteer role identity is regarded the direct and proximal cause of sustained volunteerism. Self-determination theory suggests that the quality of motivation greatly affects performance and well-being in various contexts. Therefore, this study investigated cross-lagged effects (over a time period of 16 months) between self-determined and controlled motivation, on the one hand, and two types of volunteer role identities, on the other hand: general role identity (GRI) and organization-specific role identity (OSRI). Analyses confirmed positive time-lagged effects of self-determined motivation on both GRI and OSRI. Time-lagged effects in opposite direction were significantly weaker; only OSRI showed a positive impact on subsequent self-determined motivation. OSRI (but not GRI) also had a positive lagged effect on controlled motivation. Overall, this study supported the idea that self-determined motivation represents a causal antecedent of volunteer role identities.     

Qualitative aspects of pantomime recognition defect in aphasia

This study investigated the performance pattern of aphasic patients on a pantomime recognition test in which one of the four response alternatives was an object semantically related to the correct choice. Aphasics with defective pantomime recognition made 71% of their total errors on the semantic foils, and for the majority of such patients, semantic errors represented 80 to 100% of total errors. Only aphasies with objective evidence of confusion failed to make highly frequent semantic errors. The findings suggest that most aphasies who fail pantomime recognition are impaired because of semantically vague understanding of the pantomimes' intended meaning rather than complete lack of understanding of the pantomime.     

The cognitive underpinnings of policy process studies: Introduction to a special issue of Cognitive Systems Research

This article introduces the special issue of Cognitive Systems Research on public policy processes. We begin with a discussion of the cognitive foundations of public policy that stem from the complexity of human cognition and emotion. Next, we provide an overview of the articles in the special issue, which occur at the edge of a public policy-cognitive systems boundary. We then turn to a discussion of promising new work in the study of public policy that explores—or may benefit from—the cognitive systems perspective.     

Reassessing the Ethics of Molecular HIV Surveillance in the Era of Cluster Detection and Response: Toward HIV Data Justice

Abstract

In the United States, clinical HIV data reported to surveillance systems operated by jurisdictional departments of public health are re-used for epidemiology and prevention. In 2018, all jurisdictions began using HIV genetic sequence data from clinical drug resistance tests to identify people living with HIV in “clusters” of others with genetically similar strains. This is called “molecular HIV surveillance” (MHS). In 2019, “cluster detection and response” (CDR) programs that re-use MHS data became the “fourth pillar” of the national HIV strategy. Public health re-uses of HIV data are done without consent and are a source of concern among stakeholders. This article presents three cases that illuminate bioethical challenges associated with re-uses of clinical HIV data for public health. We focus on evidence-base, risk-benefit ratio, determining directionality of HIV transmission, consent, and ethical re-use. The conclusion offers strategies for “HIV data justice.” The essay contributes to a “bioethics of the oppressed.”     

No ego-depletion effect without a good control task

The ego-depletion effect refers to a temporary failure of self-control exertion after first performing an effortful task. This phenomenon has experienced a replication crisis in the past few years. In the present series of experiments, we tried to replicate the ego-depletion effect using a 30-min modified Stroop task tapping two executive functions (inhibitory control and cognitive flexibility) as the depleting task. In the first study, we compared the performance of a handgrip endurance task after this depleting task or after a classic control task (i.e., reading color words) and failed to replicate the ego-depletion effect. We showed that the control task induced boredom and subjective fatigue. In a second study, we looked for a better control task and compared the color-word reading task to another possible control task used in the literature (i.e., watching a documentary). Controlling for boredom, subjective fatigue, motivation and affective state, we found that the video task was not boring and did not induce fatigue, drop in motivation or negative affective state, whereas the color-word reading task did. In a third study, we used the video task as the control task and the modified effortful Stroop task used in the first study as the depleting task and succeeded in replicating the ego-depletion effect. This series of experiments illustrates that the choice of an appropriate control task is crucial to observe an ego-depletion effect and that boredom is costly. Consequently, it appears necessary to control for boredom in any future replication study aiming to observe an ego-depletion effect.     

Why do new members stop attending health and fitness venues? The importance of developing frequent and stable attendance behaviour

ObjectivesAttendance at health and fitness venues often declines dramatically during the first year of membership. The present study sought to identify factors associated with continued attendance in new members.MethodsA secondary data analysis was conducted on the attendance data of 1726 new members of a health and fitness organisation over the first 12 months of their membership. Associations were assessed between members’ frequency and pattern of attendance during the first quarter of their membership, age, gender, and home location and their attendance levels in the fourth quarter after joining.ResultsThere was a significant reduction in the frequency of attendance over time from a mean of 7.48 times in the first month to a mean of 0.92 in the 12th month after joining. Older age, starting membership in the autumn or spring, frequency of attendance in the first quarter and stability of the context of attendance (i.e., same time and location) in month three were all significantly associated with increased attendance levels in the fourth quarter.ConclusionsThe findings indicate that new members’ early attendance behaviour, in terms of the frequency and the stability of attendance, may be important for supporting continued attendance at health and fitness venues. Interventions to increase longer-term attendance and, in turn, physical activity, should focus on promoting regular and consistent attendance, especially in terms of day, time and location, early on in individuals’ membership of health and fitness venues.