Perception of autonomic reactions and actual heart rate in phobic patients

The relationship between perceived physiological arousal and actual heart-rate reactions was studied in two behavioral test situations. The subjects were 70 phobic patients (34 social phobics and 36 claustrophobics) who were given the general form of the Autonomic Perception Questionnaire about 1 month before the respective behavioral test and the specific form immediately after the test. The results showed significant correlations between APQ and actual heart rate for the social phobics, while the picture was more complicated for the claustrophobics. The implications of these results are discussed.This research was supported by Grant 05452 from the Swedish Medical Research Council.     

Evaluating pedestrian interaction preferences with a game theoretic autonomous vehicle in virtual reality

Localisation and navigation of autonomous vehicles (AVs) in static environments are now solved problems, but how to control their interactions with other road users in mixed traffic environments, especially with pedestrians, remains an open question. Recent work has begun to apply game theory to model and control AV-pedestrian interactions as they compete for space on the road whilst trying to avoid collisions. But this game theory model has been developed only in unrealistic lab environments. To improve their realism, this study empirically examines pedestrian behaviour during road crossing in the presence of approaching autonomous vehicles in more realistic virtual reality (VR) environments. The autonomous vehicles are controlled using game theory, and this study seeks to find the best parameters for these controls to produce comfortable interactions for the pedestrians. In a first experiment, participants’ trajectories reveal a more cautious crossing behaviour in VR than in previous laboratory experiments. In two further experiments, a gradient descent approach is used to investigate participants’ preference for AV driving style. The results show that the majority of participants were not expecting the AV to stop in some scenarios, and there was no change in their crossing behaviour in two environments and with different car models suggestive of car and last-mile style vehicles. These results provide some initial estimates for game theoretic parameters needed by future AVs in their pedestrian interactions and more generally show how such parameters can be inferred from virtual reality experiments.     

Autonomous vehicle safety: Understanding perceptions of pedestrians and bicyclists

Autonomous vehicle (AV) technologies have been rapidly advancing. One benefit of AVs is that the technology could eliminate many driver errors and also mitigate many pedestrian and bicyclist collisions. Real-world AVs have been tested in many cities. Five companies are running around 50 AVs in Pittsburgh, following the autonomous testing guidelines. BikePGH, a non-profit organization located in Pittsburgh, Pennsylvania conducted a follow-up survey in 2019 (the first survey was conducted in 2017) to understand non-motorists’ opinions of AVs. This study examined how pedestrians and bicyclists perceived AV safety based on their understanding and experiences. At first, this study performed a comparison group test to determine which questions vary by participants’ AV safety rating. The responses were later analyzed with a data mining method known as ‘association rules mining.’ A new performance measure, known as the rule power factor, was then used to identify the significant patterns in the form of rules. The participants also provided their thoughts in responses to the open-ended questions. Using Latent Dirichlet Allocation (LDA), a topic modeling algorithm, 40 topic models were developed based on five open-ended questions. The findings show that the non-motorists showed comparatively fewer negative opinions towards AVs than positive assessments. The results also show that perception patterns vary by the participant’s rating on AV safety. Findings of this study would be beneficial for the AV stakeholders in making AVs and roadways safer for non-motorists.     

Trust and intention to use autonomous vehicles: Manufacturer focus and passenger control

Autonomous Vehicle (AV) research has focused on public acceptance of and intention to use AVs, with trust emerging as important to these variables. Research on AV trust has centered on trust in vehicle performance. However, trust evaluation may include AV manufacturers and developers, and regulation pertaining to AVs; thus, we expand our measurement of trust to include beliefs based on manufacturers and regulation. In this experiment, we manipulate information regarding manufacturer focus (i.e., an emphasis on standards, regulations, and research (SRR) versus speed to market) to determine its effect on trust. When information focused on SRR, we found higher levels of trust in AV performance and in manufacturers, compared to when it focused on speed to market. In addition, information regarding passenger control (i.e., the ability to take over for the vehicle and to determine privacy settings) was manipulated to yield either high or low passenger control conditions. Behavioral Intention (BI) to use AVs was lowest when speed to market was emphasized and when passenger control was low. Furthermore, trust was tested as a mediator between perceived risk and BI. Trust in AV performance partially mediated the relationship between perceived AV performance risk and BI. In addition, trust in AV regulation partially mediated the relationship between AV privacy/security risk and BI. Researchers should continue to examine trust beyond the AV itself to encompass trust in manufacturers and regulations. Those designing and marketing AVs should carefully consider decisions that influence manufacturer/developer reputation and passenger control due to their effect on intention to use AVs.     

Factors influencing public awareness of autonomous vehicles: Empirical evidence from Brisbane

Growing concerns, regarding transport disadvantage and increased socioeconomic disparities, demand innovative ways to improve equity and make transportation systems smarter. One of the most anticipated developments within the field of smart mobility is driving automation systems. Autonomous vehicles (AVs) have the potential to improve accessibility, affordability, safety and efficiency of transport systems, but come with risks including the intensification of private vehicle travel. Understanding public awareness is an important step to determine whether motivation and intention to use AVs will impact on its potential. This paper aims to investigate factors influencing public awareness of AVs as a solution to transport disadvantage. The study applies an ordinal logistic regression analysis to analyse survey data collected from the residents of Brisbane (Australia). Our findings reveal that awareness is positively correlated within young and middle-aged adults, low-income residents, disability, public transport users, and those who feel unsafe on public transport, while an increase in the number of household vehicles is negatively correlated. The study provides insights into public awareness towards the potential benefits of AVs, and highlights potential opportunities and challenges associated with these expectations.     

Evidence for a motor mechanism of pain-induced aggression instigation in humans

The automatic skeletal motor responses of 20 male and 20 female student subjects (aged 20–36) receiving a painful stimulation (electric shock) were studied by examining voluntary concomitant extensions and flexions of the arm. These movements were either of long duration, allowing for an on-line control of their execution or, of short duration, requiring extensive pre-programming. Subjects were instructed either to push or to pull a lever upon receipt of an acoustic signal, which was paired or unpaired with an electric shock. Latencies for long duration movements (regardless of direction) were reduced by reception of painful stimulation. Latencies of short duration extensions and flexions were respectively reduced and increased by painful stimulation. Latencies of short duration movements were larger for females than males, regardless of movement direction. These data suggest that painful stimulation elicits automatic movements which affect programming of the termination of simultaneous voluntary movements. Implications of these findings for the study of aggressive behavior are discussed. © 1994 Wiley-Liss, Inc.     

Parents’ Experiences of Their Child’s Disclosure of Child Sexual Abuse

A child’s disclosure of sexual victimization is a difficult experience for parents and has been associated with traumatization, disbelief, denial, self-blame, and clinical difficulties. To date, most studies on parents’ responses have been quantitative assessments of the psychological impact of disclosure on parents. A paucity of research has qualitatively explored mothers’ experiences of their child’s disclosure of child sexual abuse (CSA) and fathers’ experiences have been even further neglected. The current study seeks to characterize parents’ experiences of their child’s disclosure of CSA and to uncover the process-oriented nature of parental responses. This qualitative study, using a grounded theory approach to analysis, involved interviews with 10 mothers and four fathers whose children (3–18 years) had experienced sexual abuse. Three themes emerged from the analysis. The first theme—making sense of the abuse in retrospect—captured the process through which parents sought to make sense of their child’s disclosure, focusing on why their child had not disclosed the abuse to them earlier, and how they had noticed something was wrong but misattributed their child’s behavior to other factors. The second theme—negotiating parental identity as protector—reflected how parents’ identity as a protector was challenged, their perception of their world had been forever altered, and they now experienced themselves as hypervigilant and overprotective. The final theme—navigating the services—pertained to parents’ struggle in navigating child protection and police services, and feelings of being isolated and alone. These findings highlight the need for empathy and parental support following child disclosure of sexual victimization.     

A focus group study on the potential of autonomous vehicles as a viable transportation option: Perspectives from people with disabilities and public transit agencies

Autonomous vehicle (AV) technology is becoming one of the most promising alternatives to improve mobility for people with disabilities. Nevertheless, how people with disabilities perceive AV as transportation services has not been explored. Also, limited information exists about how public transit agencies comprehend and perceive autonomous vehicle transportation (AVT) services. This study discusses mobility issues for people with disabilities and explores the potential of AVT to serve that population, particularly those with visual impairments or physical disabilities. Researchers conducted six focus groups comprising people with disabilities (N = 23) and public transit service experts (N = 10) in Austin, Texas and Houston, Texas. Each session was audio-recorded and analyzed using conventional content analysis. This study identified people with disabilities’ mobility issues related to: (1) current transit services (including fixed-route and paratransit services) and (2) the quality of neighborhood built environments. Both people with disabilities and transit experts expected that AVT could mitigate current mobility issues, especially in improved built environments. However, participants with disabilities also expressed concerns and anxieties regarding AVT. Transit experts agreed that more targeted strategies would be needed to overcome possible barriers to AVT for people with disabilities. This study provides insights on shaping AVT strategies and policies relevant to improving mobility for people with disabilities.     

Willingness of people who are blind to accept autonomous vehicles: An empirical investigation

Attitudes of a sample of 211 UK people who are blind concerning autonomous vehicles (AVs), and the determinants of the willingness of people who are blind to travel in AVs, were examined. Participants answered an open-ended question regarding their attitudes towards level 5 AVs and the results were analysed using a semi-automated structural topic modelling procedure. (Level 5 AVs are fully autonomous anywhere, and do not require controlled areas in which to operate.) Four “topics” emerged from the exercise: (i) “hope” for future independence and freedom to travel offered by AVs to people who are blind, (ii) scepticism that AVs will ever be configured to meet the needs of people who are blind, (iii) concerns over safety, and (iv) the affordability of AVs. The four topics were employed as mediating variables in a structural equation model designed to explain the respondents’ willingness to travel in an AV. A number of covariates were presumed to influence the four mediating topics, including a participant’s desire for independence, comorbidity, locus of control, and level of generalised anxiety. Three of the mediating variables exerted significant influences on willingness to travel in an AV, i.e., hope for future independence, misgivings about safety, and affordability. Scepticism about AVs did not have a significant effect. Several implications for AV design and for the creation of public information messages promoting AVs are suggested. In particular, public information campaigns should emphasise the freedom to travel that AVs will provide for people who are blind; reassurances concerning safety; and the inevitability of AVs appearing on the roads of economically developed countries.     

Touching Mortality, Touching Strength: Clinical Work with Dying Patients

This paper outlines some of the special stresses that must be shouldered by clinicians—physicians, nurses, chaplains, social workers, pastoral staff, and others—whose work focuses on dying and extremely vulnerable patients. The utility of a theory of generative death anxiety as a framework for interpreting the nature of these special stresses is suggested. Three common burnout reactions are examined. The paper concludes that positive acceptance of personal mortality may help clinicians avoid burnout and lead to better therapeutic practice. This framework for interpreting therapeutic practice demonstrates the integral role spirituality plays in work with this particular patient group.