Effective coordination in medical emergency teams: The moderating role of task type

Coordination in health care action teams is an important factor in clinical performance and patient safety. Implementing a high-fidelity in situ simulation study, we investigated the performance-relevant effects of task distribution, provide information without request (PIWR) and closed-loop communication (CLC) in 68 medical emergency teams (METs) composed of fully qualified clinicians. We differentiated between two task types: algorithm-driven and knowledge-driven tasks. We assigned two different emergency tasks to each task type. We proposed not only a direct relationship between the three coordination behaviours and clinical performance, but also a moderating role for the type of task. Only CLC was related to performance and also moderated by task type. There was no relationship between the coordination behaviours task distribution and PIWR and performance. We discuss the differential effects of the three coordination behaviours on performance and emphasize the importance of the task in team research. In particular, we highlight theoretical and practical implications.     

Representing time in language and memory: The role of similarity structure

Every day we read about or watch events in the world and can easily understand or remember how long they last. What aspects of an event are retained in memory? And how do we extract temporal information from our memory representations? These issues are central to human cognition, as they underlie a fundamental aspect of our mental life, namely our representation of time. This paper reviews previous language studies and reports a visual learning study indicating that properties of the events encoded in memory shape the representation of their duration. The evidence indicates that for a given event, the extent to which its associated properties or sub-components differ from one another modulates our representation of its duration. These properties include the similarity between sub-events and the similarity between the situational contexts in which an event occurs. We suggest that the diversity of representations that we associate with events in memory plays an important role in remembering and estimating the duration of experienced or described events.     

Eye movements of monkey observers viewing vocalizing conspecifics

Primates, including humans, communicate using facial expressions, vocalizations and often a combination of the two modalities. For humans, such bimodal integration is best exemplified by speech-reading - humans readily use facial cues to enhance speech comprehension, particularly in noisy environments. Studies of the eye movement patterns of human speech-readers have revealed, unexpectedly, that they predominantly fixate on the eye region of the face as opposed to the mouth. Here, we tested the evolutionary basis for such a behavioral strategy by examining the eye movements of rhesus monkeys observers as they viewed vocalizing conspecifics. Under a variety of listening conditions, we found that rhesus monkeys predominantly focused on the eye region versus the mouth and that fixations on the mouth were tightly correlated with the onset of mouth movements. These eye movement patterns of rhesus monkeys are strikingly similar to those reported for humans observing the visual components of speech. The data therefore suggest that the sensorimotor strategies underlying bimodal speech perception may have a homologous counterpart in a closely related primate ancestor.     

Attempted suppression of social threat thoughts: Differential effects for social phobia and healthy controls?

Thought suppression research in the area of social phobia provides conflicting evidence regarding whether individuals demonstrate a general deficit or successful suppression. This paper reports the outcome of two studies using an online thought suppression paradigm measuring activation of target thoughts. Study 1 examined the effects of suppressing social threat stimuli with a healthy control group. Surprisingly, the results showed that participants demonstrated non-suppression of this stimuli class. Study 2 compared individuals with social phobia to a control group using the same stimuli as Study 1. Results revealed that following instructions to suppress social threat stimuli, individuals with social phobia demonstrated successful suppression, whilst the control group, as in Study 1, did not. The lack of suppression of social threat information by the control group may reflect functional impression-management of social threat stimuli. Whereas, successful suppression of these stimuli by individuals with social phobia, may contribute to diminished habituation to such information.     

Transference occurs across group boundaries

Transference occurs when a perceiver's representation of a significant other is activated and applied to a new target person (Andersen & Chen, 2002). Extending past research, it was hypothesized that transference occurs even when a target person possesses a core feature—namely, group membership status—that is inapplicable to the relevant significant-other representation. Supporting this, transference led perceivers to make representation-consistent memory and evaluation judgments about a target—regardless of whether the target's political (experiment 1) or ethnic (experiment 2) group membership was the same or different from that of the relevant significant other. Moreover, in experiment 2, perceivers undergoing transference involving a positively evaluated significant other behaved more positively toward the target even when the target was from an ethnic out-group. The results represent initial evidence of transference processes occurring across group boundaries. Implications for transference and the reduction of out-group bias are discussed.     

A “RESOLUTE” LATER WITTGENSTEIN?

Abstract: “Resolute readings” initially started life as a radical new approach to Wittgenstein's early philosophy, but are now starting to take root as a way of interpreting the later writings as well—a trend exemplified by Stephen Mulhall's Wittgenstein's Private Language (2007) as well as by Phil Hutchinson's “What's the Point of Elucidation?” (2007) and Rom Harré's “Grammatical Therapy and the Third Wittgenstein” (2008). The present article shows that there are neither good philosophical nor compelling exegetical grounds for accepting a resolute reading of the later Wittgenstein's work. It is possible to make sense of Wittgenstein's philosophical method without either ascribing to him an incoherent conception of “substantial nonsense” or espousing the resolute readers' preferred option of nonsense austerity. If the interpretation here is correct, it allows us to recognize Wittgenstein's radical break with the philosophical tradition without having to characterize his achievements in purely therapeutic fashion.     

School profiles of at-risk student concentration: Differential growth in oral reading fluency

The present study provides a data-driven approach to identifying groups of schools based on the concentration of at-risk students the school serves. The percentage of English language learners, minority students, and students eligible for free or reduced priced lunch were used as indicators in a latent profile analysis of 569 schools. The goal of the present study was to determine whether school-level average student reading performance varied as a function of the groups identified in the latent profile analysis. To do so, groups extracted by the latent profile analysis were used as school-level predictors of growth in oral reading fluency, which was modeled at the within-student level of a three-level hierarchical growth curve model. Oral reading fluency was measured at four points during the year in a large cross-sectional sample of first-, second-, and third-grade students. Results indicated that schools were able to be classified into four distinct groups based on their concentrations and types of at-risk students. Further, in all three grades, there were significant differences between the four identified groups observed in average reading fluency scores at the beginning of the year, the end of the year, and growth during the year indicating that groups based on school-concentration of at-risk students were significantly related to average student achievement in reading ability.     

Flowing Within the Text: A Discussion on He Lin’s Explanation of Zhu Xi’s Method of Intuition

The author examines He Lin’s interpretation of Zhu Xi’s method of intuition from a phenomenological-hermeneutical perspective and by exposing Zhu’s philosophical presuppositions. In contrast with Lu Xiangshan’s intuitive method, Zhu Xi’s method of reading classics advocates “emptying your heart and flowing with the text” and, in this spirit, explains the celebrated “exhaustive investigation on the principles of things (ge wu qiong li).” “Text,” according to Zhu, is therefore not an object in ordinary sense but a “contextual region” or “sensible pattern” that, when merged with the reader, generates meanings. Furthermore, by discussing the related doctrines of Lao Zi, Zhuang Zi, Hua-Yan Buddhism, Zhou Dunyi, and Zhu Xi’s own “One principle with many manifestations (li yi fen shu),” the author identifies the philosophical preconditions of Zhu’s method. Based on this analysis, the author goes on to illustrate Zhu’s understanding of “observing potential yet unapparent pleasure, anger, sorrow and happiness” and “maintaining a serious attitude (zhu jing).”     

当前阅读研究中眼动指标述评

文章重点介绍了阅读研究中常用的眼动指标,它们包括注视时间、眼跳、回视和瞳孔直径等,从字和区域这两个方面探讨了这些眼动指标所反映的认知加工过程,以及选择这些指标时应该注意的问题。最后对眼动指标的选择和使用等问题提出了几点看法。     

中学生好胜心培养的实验研究

以积极的归因训练、表扬与奖励和适当的竞赛等手段对中学生的好胜心进行培养,通过一个学期三个阶段的培养,结果发现,实验班学生的好胜心水平增量显著高于对照班学生,实验班学生的学习成绩增量也显著高于对照班学生,好胜心水平与学习成绩存在着显著的正相关。研究表明,积极的归因训练、表扬与奖励、适当的竞赛是培养中学生好胜心的有效措施。