The psychologist's role in assessing and facilitating patients' knowledge of advance directives in medical settings: A preliminary investigation

In a time of budgetary shortfalls in the medical industry, an aging population, and an increased emphasis on health care choices, psychologists are being called upon to administer advance medical directive programs to patients. This study reports preliminary findings from a program to assess and facilitate patients' knowledge of advance directives (ADs) by the Psychology Service at the Ann Arbor VA Medical Center. The participant pool included 243 male veteran patients admitted to medical and surgical wards at the hospital. The intervention included the use of a computer-generated prompt for consultation, which was sent to the psychology staff in response to a patient inquiry regarding ADs. It also involved an increased emphasis on the delivery of written material on ADs by the admissions clerks. The intervention appeared to result in a modest increase in patients' knowledge of advance directives. Suggestions are offered for areas that should be emphasized in future attempts to increase patients' knowledge and utilization of advance directives.     

On the discriminability of stimulus duration.

The performance of pigeons trained to detect differences in the duration of stimuli was analysed using a matching model of signal detection. Two white stimuli, S1 and S2, differing in duration, were arranged with equal probability on the center key of a three-key chamber. S1 was systematically varied from 5 seconds to 25 seconds while S2 remained constant at 30 seconds. On completion of the center-key stimulus, a peck on the center key turned on the two red side keys. A left-key response was "correct" when S1 had been in effect on the center key and a right-key response was "correct" on S2 trials. A correct response produced a 3-second magazine light accompanied intermittently by food. Incorrect responses produced 3-second blackouts. Detection performance was measured under two procedures. In the first, the obtained reinforcement ratio was uncontrolled by allowing the number of food reinforcements obtained for correct left- and right-key responses to vary as the stimuli were changed. In the second procedure, the presentation of food reinforcement was controlled by holding the obtained reinforcement ratio constant. Discriminability changed as a function of stimulus differences under both procedures. No such trend was found in response bias.     

The interaction between stimulus and reinforcer control on remembering.

In a symbolic matching-to-sample task, 6 pigeons obtained food by pecking a red side key when the brighter of two white lights had been presented on the center key and by pecking a green side key when the dimmer of two white lights had been presented on the center key. Across Part 1 and Parts 6 to 10, the delay between sample-stimulus presentation and the availability of the choice keys was varied between 0 s and 25 s. Across Parts 1 to 5, the delay between the emission of a correct choice and the delivery of a reinforcer was varied between 0 s and 30 s. Although increasing both types of delay decreased stimulus discriminability, lengthening the stimulus-choice delay produced a greater decrement in choice accuracy than did lengthening the choice-reinforcer delay. Additionally, the relative reinforcer rate for correct choice was varied across both types of delay. The sensitivity of behavior to the distribution of reinforcers decreased as discriminability decreased under both procedures. These data are consistent with the view, based on the generalized matching law, that sample stimuli and reinforcers interact in their control over remembering.     

Mood and realism of confidence judgements of one''s own answers to general knowledge questions

This study examines the effect of a depressed mood on the realism of subjects' confidence judgements of the correctness of answers to general knowledge questions. Research conducted on how mood influences cognitive processes gives reason to expect that a depressed mood might increase the realism of individuals' confidence ratings. Sixty subjects were divided into three conditions, two of which were given mood induction, one condition into an elated-happy mood and one condition into a depressed-sad mood. As evidenced by subjects' responses to mood scales only the depressed condition was affected by the mood induction. All subjects answered 93 general knowledge questions and rated their confidence in the correctness of the answer given. Subjects were instructed to think aloud when answering the last 31 questions. The conditions did not differ with respect to the proportion of questions answered correctly, mean level of confidence, nor with respect to three measures of the realism in subjects' confidence ratings (calibration, over/underconfidence and resolution). The results were the same when questions answered with and without think aloud instructions were analysed separately.     

Eye tracking provides no evidence that young infants understand path obstruction

In two experiments with 47 4-month-olds, we investigated attention to key aspects of events in which an object moved along a partly occluded path that contained an obstruction. Infants were familiarized with a ball rolling behind an occluder to be revealed resting on an end wall, and on test trials an obstruction wall was placed in the ball's path. In Experiment 1, we did not find longer looking when the object appeared in an impossible location beyond the obstruction, and infants did not selectively fixate the object in this location. In Experiment 2, after rolling one or two balls, we measured infants' fixations of a two-object outcome with one ball in a novel but possible resting position and the other in a familiar but impossible location beyond the obstruction. Infants looked longer at the ball in the possible but novel location, likely reflecting a looking preference for location novelty. Thus we obtained no evidence that infants reasoned about obstruction and identified a violation on that basis.     

Tapping into the interplay of lexical and number knowledge using fast mapping: A longitudinal eye-tracking study with two-year-olds

Language skills and mathematical competencies are argued to influence each other during development. While a relation between the development of vocabulary size and mathematical skills is already documented in the literature, this study further examines how children’s ability to map a novel word to an unknown object as well as their ability to retain this word from memory may be related to their knowledge of number words. Twenty-five children were tested longitudinally (at 30 and at 36 months of age) using an eye-tracking-based fast mapping task, the Give-a-Number task, and standardized measures of vocabulary. The results reveal that children’s ability to create and retain a mental representation of a novel word was related to number knowledge at 30 months, but not at 36 months while vocabulary size correlated with number knowledge only at 36 months. These results show that even specific mapping processes are initially related to the acquisition of number words and they speak for a parallelism between the development of lexical and number-concept knowledge despite their semantic and syntactic differences.     

Keyboard dynamics discrepancies between baseline and deceptive eyewitness narratives

Information manipulation and cognitive load imposition make the production of deceptive narratives difficult. But little is known about the production of deception, and how its mechanisms may help distinguish truthful from deceitful narratives. This study focuses on the measurement of keystroke dynamics while typing truthful and deceptive eyewitness testimonies after a baseline assessment. While typing their narrative, some participants would undergo an auditory cognitive load. Results show that liars typed their story slower, and in less time than the truthful participants when compared to their respective baselines. The imposition of the auditory cognitive load showed adverse results, enhancing the amount of keystrokes and the time necessary to type the narrative. Classification shows better results for deceptive narrative when no auditory cognitive load is imposed. These results are discussed in terms of expanding current models to include the cognition of linguistic production and writing strategies.     

Adults' difficulties in identifying concealment among children interviewed with the putative confession instructions

The putative confession (PC) instructions (“[suspect] told me everything that happened and wants you to tell the truth”) increases children's honesty. However, research has shown that children who maintain secrecy despite the PC are more convincing. We examined whether (a) the PC undermines adults' deception detection abilities or (b) children who conceal despite the PC are better deceivers. Adults evaluated truthful and deceptive children interviewed with the PC where the PC portion of the interview was either present or absent. Adults' deception detection was no worse when the PC was present; in fact, it was slightly better. Rather than negatively affecting adults' ability to detect deception, the PC selects an unusually convincing group of concealers.     

Adaptations in driver deceleration behaviour with automatic incident detection: A naturalistic driving study

Traffic congestion and crash rates can be reduced by introducing variable speed limits (VSLs) and automatic incident detection (AID) systems. Previous findings based on loop detector measurements have revealed that drivers reduce their speeds while approaching traffic congestion when the AID system is active. Notwithstanding these behavioural effects, most microscopic traffic flow models assessing the impact of VSLs do not describe driver response accurately.This study analyses the main factors that influence driver deceleration behaviour while approaching traffic congestion with and without VSLs. The Dutch VSL database was linked to the driver behaviour data collected in the UDRIVE naturalistic driving study. Driver engagement in secondary tasks and glance behaviour were extracted from the video data. Linear mixed-effects models predicting the characteristics of deceleration events were estimated.The results show that the maximum deceleration is high when approaching a slower leader, when driving at high speeds and short distance headways, and close to the beginning of traffic congestion. The minimum time headway is short when driving at high speeds and changing lanes. Certain drivers showed higher decelerations and shorter time headways than others. Controlled for these main factors, smaller maximum decelerations were found when the VSLs were present and visible, and when the gantries were within close proximity. These factors could be incorporated into microscopic traffic simulations to evaluate the impact of AID systems on traffic congestion more realistically. Further research is needed to clarify the link between engagement in secondary tasks, glance behaviour and deceleration behaviour.