Living donation and cosmetic surgery: a double standard in medical ethics?

The commitment of transplant physicians to protect the physical and psychological health of potential donors is fundamental to the process of living donor organ transplantation. It is appropriate that strict regulations to govern an individual's decision to donate have been developed. Some may argue that adherence to such regulations creates a doctor-patient relationship that is rooted in paternalism, which is in drastic contrast with a doctor-patient relationship that is rooted in patients' autonomy, characteristic of most other operative interventions. In this article we analyze the similarities between cosmetic plastic surgery and living donor surgery as examples of surgeries governed by different ethical principles. It is interesting that, while the prevailing ethical approach in living donor surgery is based on paternalism, the ethical principle guiding cosmetic surgery is respect for patients' autonomy. The purpose of this article is not to criticize either practice, but to suggest that, given the similarities between the two procedures, both operative interventions should be guided by the same ethical principle: a respect for patients' autonomy. We further suggest that if living organ donation valued donors' autonomy as much as cosmetic plastic surgery does, we might witness a wider acceptance of and increase in living organ donation.     

Templates for rejection: configuring attention to ignore task-irrelevant features

Theories of attention are compatible with the idea that we can bias attention to avoid selecting objects that have known nontarget features. Although this may underlie several existing phenomena, the explicit guidance of attention away from known nontargets has yet to be demonstrated. Here we show that observers can use feature cues (i.e., color) to bias attention away from nontarget items during visual search. These negative cues were used to quickly instantiate a template for rejection that reliably facilitated search across the cue-to-search stimulus onset asynchronies (SOAs), although negative cues were not as potent as cues that guide attention toward target features. Furthermore, by varying the search set size we show a template for rejection is increasingly effective in facilitating search as scene complexity increases. Our findings demonstrate that knowing what not to look for can be used to configure attention to avoid certain features, complimenting what is known about setting attention to select certain target features.     

Reconciling conflicting electrophysiological findings on the guidance of attention by working memory

Maintaining a representation in working memory has been proposed to be sufficient for the execution of top-down attentional control. Two recent electrophysiological studies that recorded event-related potentials (ERPs) during similar paradigms have tested this proposal, but have reported contradictory findings. The goal of the present study was to reconcile these previous reports. To this end, we used the stimuli from one study (Kumar, Soto, & Humphreys, 2009) combined with the task manipulations from the other (Carlisle & Woodman, 2011b). We found that when an item matching a working memory representation was presented in a visual search array, we could use ERPs to quantify the size of the covert attention effect. When the working memory matches were consistently task-irrelevant, we observed a weak attentional bias to these items. However, when the same item indicated the location of the search target, we found that the covert attention effect was approximately four times larger. This shows that simply maintaining a representation in working memory is not equivalent to having a top-down attentional set for that item. Our findings indicate that high-level goals mediate the relationship between the contents of working memory and perceptual attention.     

Utility of the REDFLAGS Model for Supporting Community College Students’ Mental Health: Implications for Counselors

The counseling literature is lacking in research on supporting the mental health needs of the growing community college student population. A number of past investigators have demonstrated the utility of mental health literacy for supporting college students’ mental health on 4‐year universities. The present researchers examined the validity of the REDFLAGS model (a theoretical model for promoting mental health literacy) with a national stratified random sample (N = 640, stratified by age, gender, and ethnicity) of community college students. Collectively, the results of the confirmatory factor analysis, hierarchical logistic regression, and factorial analysis of variance supported the use of the model with community college students. Implications for enhancing counseling practice as well as directions for future research are provided.     

Automatic and strategic effects in the guidance of attention by working memory representations

Theories of visual attention suggest that working memory representations automatically guide attention toward memory-matching objects. Some empirical tests of this prediction have produced results consistent with working memory automatically guiding attention. However, others have shown that individuals can strategically control whether working memory representations guide visual attention. Previous studies have not independently measured automatic and strategic contributions to the interactions between working memory and attention. In this study, we used a classic manipulation of the probability of valid, neutral, and invalid cues to tease apart the nature of such interactions. This framework utilizes measures of reaction time (RT) to quantify the costs and benefits of attending to memory-matching items and infer the relative magnitudes of automatic and strategic effects. We found both costs and benefits even when the memory-matching item was no more likely to be the target than other items, indicating an automatic component of attentional guidance. However, the costs and benefits essentially doubled as the probability of a trial with a valid cue increased from 20% to 80%, demonstrating a potent strategic effect. We also show that the instructions given to participants led to a significant change in guidance distinct from the actual probability of events during the experiment. Together, these findings demonstrate that the influence of working memory representations on attention is driven by both automatic and strategic interactions.     

Group‐level effects of forgiveness: Group cohesiveness and collective action in social dilemmas

Forgiveness research has predominately focused on individual/relational outcomes such as well‐being and closeness. Less research has examined group outcomes such as cohesiveness or collective action. Forgiveness studies have also emphasized the victim's or transgressor's perspective, neglecting the effects of forgiveness on ingroup members who have neither given nor received forgiveness. We theorize that forgiveness promotes collective action among ingroup members through group cohesiveness and that transgressors' apologetic reactions impact this process. In a laboratory experiment, 229 students (175 females) were led to believe they were in a social dilemma with three others. Some participants witnessed group members forgive an apologetic, obstinate, or neutral defector, whereas others witnessed an unforgiving response. Forgiveness of apologetic and neutral defectors increased later cooperation among ingroup members. This effect was generally mediated by group cohesiveness. Our findings suggest that forgiveness can impact cooperation on a group level, providing a path to successful resolutions to collective action problems. Copyright © 2014 John Wiley & Sons, Ltd.     

The benefit of forgetting

Recent research using change-detection tasks has shown that a directed-forgetting cue, indicating that a subset of the information stored in memory can be forgotten, significantly benefits the other information stored in visual working memory. How do these directed-forgetting cues aid the memory representations that are retained? We addressed this question in the present study by using a recall paradigm to measure the nature of the retained memory representations. Our results demonstrated that a directed-forgetting cue leads to higher-fidelity representations of the remaining items and a lower probability of dropping these representations from memory. Next, we showed that this is made possible by the to-be-forgotten item being expelled from visual working memory following the cue, allowing maintenance mechanisms to be focused on only the items that remain in visual working memory. Thus, the present findings show that cues to forget benefit the remaining information in visual working memory by fundamentally improving their quality relative to conditions in which just as many items are encoded but no cue is provided.