Tempo discrimination in infants

An habituation/dishabituation paradigm demonstrates that 2- and 4-month-old infants are able to discriminate auditory sequences that vary slightly in tempo. Discriminations were only observed for intermediate tempi (600 ms but not 100, 300, 1500 ms IOI), suggesting that infants have the same optimal tempo range as adults.     

Allocation of attention according to informativeness in visual recognition

In visual identification, is visual attention attracted to more informative elements, i.e. to elements which are more critical for identification? This question was investigated by having subjects detect some visual probes while performing a primary task that involved identification. The probes were located in the neighbourhood of highly or poorly informative parts of the identified stimuli. Three experiments that followed this rationale were conducted. In Experiment I, it was found that when subjects searched for a target letter in lines of identical background letters, they detected more dots near the feature that distinguished between the target and the background letters. In Experiment 11, it was found that native Hebrew-speaking subjects detected more lines above a letter that distinguished between two English words. Experiment III showed that the effect was reduced but did not vanish when spatial uncertainty was introduced. On the whole, the data are interpreted as suggesting that more attention may indeed be directed to informative regions, and that this effect cannot be solely attributed to retinal factors.     

Pharmacogenetics: ethical issues and policy options

Pharmacogenetics offers the prospect of an era of safer and more effective drugs, as well as more individualized use of drug therapies. Before the benefits of pharmacogenetics can be realized, the ethical issues that arise in research and clinical application of pharmacogenetic technologies must be addressed. The ethical issues raised by pharmacogenetics can be addressed under six headings: (1) regulatory oversight, (2) confidentiality and privacy, (3) informed consent, (4) availability of drugs, (5) access, and (6) clinicians' changing responsibilities in the era of pharmacogenetic medicine. We analyze each of these categories of ethical issues and provide policy approaches for addressing them.     

Beyond keeping active: concomitants of being a volunteer in old-old age

This study examines concomitants of volunteering in the context of other lifestyle activities. Investigating formal volunteering in old-old age, the authors analyzed data of 148 volunteers versus 1,195 nonvolunteers in a national sample of the Israeli Jewish population aged 75-94. As hypothesized, being a volunteer related (whether as a cause or effect) to more positive functioning on psychosocial markers and prospectively resulted in reduced mortality risk even when other activity outlets (physical activity, everyday activities, having a hobby) were controlled. These findings suggest that the benefits of volunteering in late life are not reducible to those of other activities.     

Multisystemic therapy for young offenders: families' experiences of therapeutic processes and outcomes

Multisystemic Therapy (MST) has been found to be effective in reducing youth antisocial behavior, but little is known about the process and impact of MST from the perspective of families themselves. This qualitative study explored parents' and young people's experiences of MST, focusing on aspects of the intervention that promoted or limited change. Thirty-seven semistructured interviews were conducted with a consecutive sample of 21 families (21 parent interviews, 16 young people) who had participated in a randomized controlled trial of MST for young offenders in the United Kingdom. Thematic analysis yielded 10 themes, organized into two domains: (a) engagement in MST and initial processes of change captures the central importance of the therapeutic relationship and the MST engagement model in families' positive experiences of MST; and (b) outcomes are complex reflects the range of positive outcomes reported (notably increased parental confidence and skills, improved family relationships, a return to education, and greater reflection and aspiration on the part of the young person) and mixed behavior outcomes. Even when the young person had reoffended, respondents indicated a range of other benefits for the family. The findings support the MST theory of change as well as point to some outcomes not usually measured in MST outcome studies. They also suggest some adaptations that may increase the impact of the intervention, including more attention to the influence of deviant peers, and ongoing support for families struggling to maintain strategies beyond the prescribed treatment period.     

The effect of contingent reinforcement on target variables in outpatient psychotherapy for depression: a successful and unsuccessful case using functional analytic psychotherapy

The current study investigated a behavior-analytic treatment, functional analytic psychotherapy (FAP), for outpatient depression utilizing two single-subject A/A+B designs. The baseline condition was cognitive behavioral therapy. Results demonstrated treatment success in 1 client after the addition of FAP and treatment failure in the 2nd. This study highlights the challenges in measuring treatment progress and outcome idiographically in this population.     

Creative Writing as a Medical Instrument

Listening and responding to patients’ stories for over 20 years as an emergency physician has strengthened my appreciation for the many ways that the skills and principles drawn from writing fiction double as necessary clinical skills. The best medicine doesn’t work on the wrong story, and the stories patients tell sometimes feel like first drafts—vital and fragile works-in-progress. Increasingly complex health challenges compounded by social, financial, and psychological burdens make for stories that are difficult to articulate and comprehend. In this essay, I argue that healthcare providers need to think like creative writers and the skills and sensitivities necessary to story construction deserve a vital space in medical education. A thorough understanding of story anatomy and the imaginative flexibility to work stories into open spaces serve as antidotes to the reductive nature of clinical decision making and have implications as patient safety and risk management strategies. The examples that I have selected demonstrate how thinking like a creative writer functions at the bedside, providing tools for clinical excellence and empathy. This approach asks that we re-imagine the importance of story in clinical care: from a vehicle to a diagnosis to its place as a critical destination.     

Attention to distinguishing features in object recognition

This study advances the hypothesis that, in the course of object recognition, attention is directed to distinguishing features: visual information that is diagnostic of object identity in a specific context. In five experiments, observers performed an object categorization task involving drawings of fish (Experiments 1–4) and photographs of natural sea animals (Experiment 5). Allocation of attention to distinguishing and non-distinguishing features was examined using primed-matching (Experiment 1) and visual probe (Experiments 2, 4, 5) methods, and manipulated by spatial precuing (Experiment 3). Converging results indicated that in performing the object categorization task, attention was allocated to the distinguishing features in a context-dependent manner, and that such allocation facilitated performance. Based on the view that object recognition, like categorization, is essentially a process of discrimination between probable alternatives, the implications of the findings for the role of attention to distinguishing features in object recognition are discussed.