Measuring Judgments of Professionals: Using Vignettes in a Social Survey About Patient Confusion

The use of a factorial survey to measure the clinical judgments of professionals is described. This design allows the researcher to partial out the effects of variables on clinical decision making while using probability sampling. Methods frequently used to study judgments are reviewed and a study of nurses' judgments about patients' confusional episodes are used to illustrate the application of the factorial survey. Acute confusion in patients is a common clinical problem for nurses working in medical-surgical units in acute care hospitals. Using the factorial survey to study a real-life problem such as confusion demonstrates how this design can be used to test judgments in complex clinical situations, to aid in concept development, and to identify consensus among professionals.     

Support for a theory of memory for event duration must distinguish between test-trial ambiguity and actual memory loss

Staddon and Higa's (1999) trace-strength theory of timing and memory for event duration can account for pigeons' bias to "choose short" when retention intervals are introduced and to "choose long" when, following training with a fixed retention interval, retention intervals are shortened. However, it does not account for the failure of pigeons to choose short when the intertrial interval is distinct from the retention interval. That finding suggests that stimulus generalization (or ambiguity) between the intertrial interval and the retention interval may result in an effect that has been attributed to memory loss. Such artifacts must be eliminated before a theory of memory for event duration can be adequately tested.     

Neural activation underlying cognitive control in the context of neutral and affectively charged pictures in children

The neural correlates of cognitive control for typically developing 9-year-old children were examined using dense-array ERPs and estimates of cortical activation (LORETA) during a go/no-go task with two conditions: a neutral picture condition and an affectively charged picture condition. Activation was estimated for the entire cortex after which data were exported for four regions of interests (ROIs): ventrolateral prefrontal cortex (VLPFC), dorsal anterior cingulate cortex (dACC), dorsolateral prefrontal cortex (DLPFC), and orbitofrontal/ventromedial prefrontal cortex (OFC/VMPFC). Results revealed faster reaction times, greater N2 activation, and greater prefrontal activation for the affectively charged picture condition than the neutral picture condition. The findings are discussed in reference to the impact of affective stimuli on recruitment of specific brain regions involved in cognitive control.     

False action memories in older adults: Relationship with executive functions?

Merely observing another person performing an action can make young people later misremember having performed this action themselves (the observation-inflation effect). We examined this type of memory error in healthy older adults. Overall, both young and older adult groups showed robust observation inflation. Although the number of people committing observation-inflation errors did not differ between age groups, those older adults who were prone to this illusion showed a greater observation-inflation effect compared to the corresponding young. At the same time, observation also had beneficial effects on subsequent action memory, especially in older adults. Surprisingly, executive functioning was not correlated with the degree to which older adults made observation-inflation errors, but it was related to the degree to which older adults benefited from observation. We consider accounts of observation inflation based on source monitoring, familiarity misattribution, and motor simulation.     

User gesticulation inside an automated vehicle with external communication can cause confusion in pedestrians and a lower willingness to cross

Automated vehicles are expected to require some form of communication (e.g., via LED strip or display) with vulnerable road users such as pedestrians. However, the passenger inside the automated vehicle could perform gestures or motions which could potentially be interpreted by the pedestrian as contradictory to the outside communication of the car. To explore this conflict, we conducted an online experiment (N = 59) with different message types (no message, intention, command), gestures (no gesture, wave, stop), and user positions (driver, co-driver) and measured the pedestrian’s confidence in crossing. Our results show that certain combinations (e.g., car indicates cross while the user in the driver seat gestures stop) confused the pedestrian, resulting in significantly lower confidence to cross. We further show that designing intention-based external communication led to less confusion and a significantly higher intention to cross.     

Adults' memories of childhood: Affect,knowing, and remembering

Adult questionnaire respondents reported, for each of a number of events, if they had experienced that event during childhood and, if so, if they remembered the experience or merely knew it had happened. Respondents also rated the emotion of each event and judged whether they would remember more about each reportedly experienced event if they spent more time trying to do so. Study 1 respondents were 96 undergraduates, whereas Study 2 tested 93 community members ranging widely in age. Respondents often reported no recollections of reportedly experienced events. Reportedly experienced events rated as emotional were more often recollected than those rated as neutral, and those rated as positive were more often recollected than those rated as negative. Predicted ability to remember more was related to current memory. Claims of remembering reportedly experienced events increased with age, but predicted ability to remember more about them declined with age.     

Remembered study mode: Support for the distinctiveness account of the production effect

The production effect is the finding that words spoken aloud at study are subsequently remembered better than are words read silently at study. According to the distinctiveness account, aloud words are remembered better because the act of speaking those words aloud is encoded and later recovery of this information can be used to infer that those words were studied. An alternative account (the strength-based account) is that memory strength is simply greater for words read aloud. To discriminate these two accounts, we investigated study mode judgements (i.e., “aloud”/”silent”/”new” ratings): The strength-based account predicts that “aloud” responses should positively correlate with memory strength, whereas the distinctiveness account predicts that accuracy of study mode judgements will be independent of memory strength. Across three experiments, where the strength of some silent words was increased by repetition, study mode was discriminable regardless of strength—even when the strength of aloud and repeated silent items was equivalent. Consistent with the distinctiveness account, we conclude that memory for “aloudness” is independent of memory strength and a likely candidate to explain the production effect.     

The role of childhood sexual seduction in the development of an erotic transference: Perversion in the psychoanalytic situation

Abstract

Based on Ferenczi's Confusion of Tongues theory of trauma we proposed the following hypothesis: “An erotic transference is an enactment in the here-and-now of the psychoanalytic situation of a childhood seduction of sexual trauma”. We delineate the relational approach to the analysis of the incest trauma, both theoretically and clinically. The concept of enactment helps us understand the emergence of the incest trauma in the psychoanalytic situation as an indication of an earlier childhood experience. Three clinical examples are discussed which illustrate ways of using the hypothesis within the analytic process. The clinical examples demonstrate the value of enactments that are contained in the unconscious communication that the erotic transference represents.

Rachman AWM et al. Die Rolle sexueller Verführung in der Kindheit bei der Entwicklung einer erotischen Übertragungsperversion in der psychoanalytischen Situation

Basierend auf Ferenczi′s Konfusion der Zungen Trauma Theorie schlugen wir die folgende Hypothese vor: Eine erotische Übertragung ist eine Inszenierung im Hier und Jetzt der psychoanalytischen Situation einer Kindheits Verführung als sexuellem Trauma. Wir entwerfen den relationalen Ansatz theoretisch und klinisch in Bezug auf die Analyse des Inzest Traumas. Das Konzept der Reinszenierung hilft uns das Auftauchen des Inzest Traumas als ein Anzeichen einer früheren Kindheitserfahrung in der psychoanalytischen Situation zu verstehen. Es werden drei klinische Beispiele diskutiert, die die Wege illustrieren, die Hypothese innerhalb des analytischen Prozesses anzuwenden. Die klinischen Beispiele zeigen den Wert von (Re-) Inszenierungen, die in der unbewußten Kommunikaton enthalten sind, welche die erotische Übertragung repräsentieren.

Rachman A WM et. al. El rol de la seducción sexual infantil en el desarrollo de una transferencia erótica: perversión en la situación analítica.

Basado en la teoría del trauma de la confusión de lenguas de Ferenczi, proponemos la siguiente hipótesis: una transferencia erótica es un enactment en el aquí y el ahora de la situación analítica del trauma de la seducción sexual infantil. Trazamos la aproximación relacional del análisis del trauma del incesto. El concepto de enactment nos ayuda a entender la emergencia del trauma del incesto en la situación psicoanalitica, como indicación de una experiencia infantil temprana.

Se presentan tres ejemplos clínicos que ilustran formas de uso de la hipótesis desde el proceso analítico. Estos ejemplos clínicos demuestran el valor de los enactments contenidos en la comunicación inconsciente que representa la transferencia erótica.