Philosophy of medicine in the Netherlands

This report explores the relationship between philosophy and medicine in the Netherlands. In Section 1 we outline the ups and downs of medico-philosophical research in our country: pre-war flourishing, post-war decline, and modern renaissance. In Section 2 we review recent Dutch literature in the philosophy of medicine. The topics dealt with include methodology of medical science, alternative medicine, the basic concepts of medicine, anthropological medicine, medicalization, medicine and culture, and health care ethics.     

Children's strategies for controlling affective responses to aversive social experience

It was hypothesized that one mechanism of self-control that children develop is the strategic capacity to select the experiences they encounter. This hypothesis led to the prediction that children would deal with certain aversive social experiences by seeking out or taking advantage of opportunities for nurturant experiences. Young children were exposed to an aversive social experience in which they received less nurturance than a peer, a positive experience in which they received more nurturance, or a neutral experience in which nurturance was equal. Subsequently, an opportunity was provided for children to control the length of time they watched a highly nurturant television program. As predicted, boys experiencing an aversive social encounter increased the length of time they exposed themselves to the nurturant television show, and their level of reduced positive affect was related to how long they watched the nurturant content, further supporting the interpretation that they did so in response to their own affective state. Girls did not adopt the strategy of self-exposure to nurturant television but did appear to engage in self-distraction during the aversive social experience. Despite the apparent use of control strategies, there was no indication that these strategies were effective for the amelioration of reduced positive affect resulting from the aversive social experience. Discussion focuses on the sex differences observed in the adoption of strategic behavior and factors contributing to the ineffectiveness of the control strategies. A general model is proposed for personal and environmental factors requisite for the selection, employment, and effectiveness of strategies to control experiences and their affective consequences.     

Illusory conjunctions in the time domain and the resulting time-course of the attentional blink

Illusory conjunctions in the time domain are errors made in binding stimulus features presented In the same spatial position in Rapid Serial Visual Presentation (RSVP) conditions. Botella, Barriopedro, and Suero (2001) devised a model to explain how the distribution of responses originating from stimuli around the target in the series is generated. They proposed two routes consisting of two sequential attempts to make a response. The second attempt (sophisticated guessing) is only employed if the first one (focal attention) fails in producing an integrated perception. This general outline enables specific predictions to be made and tested related to the efficiency of focal attention in generating responses in the first attempt. Participants had to report the single letter in an RSVP stream of letters that was presented in a previously specified color (first target, T1) and then report whether an X (second target, T2) was or was not presented. Performance on T2 showed the typical U-shaped function across the T1-T2 lag that reflects the attentional blink phenomenon. However, as was predicted by Botella, Barriopedro, and Suero's model, the time-course of the interference was shorter for trials with a correct response to T1 than for trials with a T1 error. Furthermore, longer time-courses of interference associated with pre-target and post-target errors to the first target were indistinguishable.     

Effects of non-symbolic numerical information suggest the existence of magnitude-space synesthesia

In number-space synesthesia, numbers are visualized in spatially defined arrays. In a recent study (Gertner et al. in Cortex, doi: 10.1016/j.cortex.2012.03.019 , 2012), we found that the size congruency effect (SiCE) for physical judgments (i.e., comparing numbers' physical sizes while ignoring their numerical values, for example, 8) was modulated by the spatial position of the presented numbers. Surprisingly, we found that the neutral condition, which is comprise solely of physical sizes (e.g., 3), was affected as well. This pattern gave rise to the idea that number-space synesthesia might entail not only discrete, ordered, meaningful symbols (i.e., Arabic numbers) but also continuous non-symbolic magnitudes (i.e., sizes, length, luminance, etc.). We tested this idea by assessing the performance of two number-space synesthetes and 12 matched controls in 3 comparative judgment tasks involving symbolic and non-symbolic stimuli: (1) Arabic numbers, (2) dot clusters, and (3) sizes of squares. The spatial position of the presented stimuli was manipulated to be compatible or incompatible with respect to the synesthetic number-space perceptions. Results revealed that for synesthetes, but not for controls, non-symbolic magnitudes (dot clusters) as well as symbolic magnitudes (i.e., Arabic numbers) interacted with space. Our study suggests that number-space synesthetes might have a general magnitude-space association that is not restricted to concrete symbolic stimuli. These findings support recent theories on the perception and evaluation of sizes in numerical cognition.     

Task-irrelevant visual motion and flicker attenuate the attentional blink

Our reduced ability to correctly report two sequentially presented targets is seen in the robust effect known as the attentional blink (AB; Raymond, Shapiro, & Arnell, 1992). One recent report (Olivers & Nieuwenhuis, 2005) strikingly reveals the AB to be virtually abolished when non-task-demanding music occurs in the background. The authors suggest that a diffuse attentional state is the mediating factor. Here, we seek to broaden the finding’s generality by determining if task-irrelevant visual motion and flicker also attenuate the AB. In our experiments, the AB task was presented together with a background field of moving dots that could moveaway from ortoward the central AB task, or flicker. In the control condition, the dots remained static. The AB was attenuated—though to different degrees—in all experimental conditions, but not in the static condition. Our findings add to the generality of the previous conclusions, and we emphasize an account based on the overallocation of attention.     

Feature binding across different visual dimensions

The human brain represents different kinds of visual feature dimensions in different ways. For example, surface features exhibit some properties that are very different from contour features, and some feature dimensions may be represented more extensively in either the dorsal or the ventral visual stream. Given such differences, we investigated feature binding across different feature dimensions and whether some feature dimensions might be more easily bound together than others. In Experiment 1, we looked at cross-dimension bindings for all combinations of color, orientation, and shape dimensions, while at the same time controlling for feature discriminability. Rates of correct binding, illusory conjunctions, and feature errors were equivalent in all cases. There was no bias so that some feature dimensions were easier to combine than others. In Experiment 2, we manipulated the difficulty of feature discrimination for the key, target-defining feature and the report feature. Rates of binding errors increased with difficulty of the key feature, but not with that of the report feature. The accuracy of feature discrimination could be dissociated from the accuracy of binding the feature to an object. Across both experiments, the accuracy of feature binding was independent of specific feature dimensions or perceptibility. These findings are discussed in relation to both feature integration and multiple-stage accounts of visual feature integration.     

Validity of the motor observation questionnaire for teachers as a screening instrument for children at risk for developmental coordination disorder

This study investigates validity of the Motor Observation Questionnaire for Teachers (MOQ-T) in 182 children aged 5-10years, 91 children referred for motor problems to a rehabilitation center and 91 comparison children. Performance on the MOQ-T was compared to performance on the Movement Assessment Battery for Children (M-ABC) and the Developmental Coordination Disorder Questionnaire (DCD-Q). Significant correlations were obtained between the MOQ-T and the DCD-Q (r=-.63), and the MOQ-T and the M-ABC (r=.57). The MOQ-T discriminated between children at risk for DCD and comparison children. Sensitivity of the MOQ-T was 80.5%, specificity 62% with the M-ABC as 'gold standard'. These results support the validity of the MOQ-T as a screening instrument for identification of children at risk for DCD.