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Neural networks as models of psychopathology.

Neural network modeling is situated between neurobiology, cognitive science, and neuropsychology. The structural and functional resemblance with biological computation has made artificial neural networks (ANN) useful for exploring the relationship between neurobiology and computational performance, i.e., cognition and behavior. This review provides an introduction to the theory of ANN and how they have linked theories from neurobiology and psychopathology in schizophrenia, affective disorders, and dementia.

Humans↗

A critical review of research on cognitive function/impairment in older adults.

Research on aspects of cognitive function and impairment in older adults is critically reviewed with the aim of evaluation and synthesis. The body of research on cognitive aging, mostly atheoretical, has not been placed within the larger context of cognitive sciences. Methodological concerns and lack of a unifying framework inhibit integration of previous studies and the development of a cohesive body of knowledge. Therefore, one paradigm of adult cognition, information processing, is recommended to further advance nursing theory and research.

Aged↗

Severe impairment in grammar does not preclude theory of mind.

Debates about the role of language in human thinking are increasingly prominent in the cognitive sciences. There are claims that certain forms of reasoning can only be performed through access to the resources of the language faculty. In particular, a component of social cognition involving the representation of the mental states of others ('theory of mind' reasoning) has been claimed necessarily to involve propositions of natural language. A recent case study reported a man (SA) with severe agrammatic aphasia who was unable to understand or produce language propositions in any modality of language use, but who was able to complete theory of mind tasks. We report a replication of this finding using a modified picture theory of mind task with a second patient (MR). Despite severe aphasia and impaired performance on a test of executive function, MR demonstrated retained theory of mind reasoning. These results reveal the functional autonomy of theory of mind from the capacity for propositional/grammatical language, and support its independence from executive function.

Aphasia, Broca↗

The Rosetta Stone of stability.

A number of proposals to augment the classical theory of natural selection turn on the need to consider the role of neutral genetic modifications, as well as on the role of patterns of physicochemically stable substructures. There are similarities between this opposition and that within cognitive science, where the dynamic and computational approaches emphasize complementary aspects of perceptual-motor development. This paper summarizes the relevant arguments of the various schools of evolutionary and cognitive theory, as well as the various calls that have been made for unification or complementarity of explanations. An extended concept of stability is then proposed, which bridges the gap between thermodynamic equilibrium and semantic closure.

Biological Evolution↗

Behaviourism and the mechanization of the mind.

The significance of Behaviourism is examined in relation to its far conceptual roots, i.e. comparative animal studies initiated by Darwin, mechanistic physiological thinking initiated by Descartes and empiricist associationism. The Behaviourist anti-mentalist position induced neuromechanistic interpretations based on Pavlovian reflexes, stimulus-response connectionism and the very first hypotheses on synaptic plasticity. As a result, the evolutionary tradition was dropped and the two other trends were combined into a new adaptive version of Cartesian automaton, with persisting influences in modern reductionist thinking, from robotics and cognitive science to the neuroscience of learning and memory.

Animals↗

Specifying design criteria for electronic medical record interface using cognitive framework.

As the healthcare industry transitions from paper to electronic medical records (EMRs), medical informatics researchers face the task of ensuring that the electronic presentation of the information remains usable and effective while capitalizing on the ability of EMRs to tailor information to different users. In our research, we focus on utilizing formal cognitive science methodology to guide the conversion of paper-based narrative discharge summaries to a more dynamic, structured electronic version. In this paper, we present the results of a cognitive analytic study (1) that determines a 'core' component in medical narratives and (2) that compares the use of structured and narrative texts by physicians with varying expertise. Specifically, we studied six psychiatrists at three levels of expertise- experts, intermediates, and novices. The subjects were given two clinical case scenarios with discharge summaries and asked to verbalize their thoughts as they read through the summaries. The interview transcripts were analyzed for recalls and inferences generated in the verbalization. Based on experts' verbalizations, the discharge summaries were organized into a more structured form and used in the interview of other subjects. Novice-level subjects had more recall with the structured than with the narrative format. More errors were also made in recall with the narrative than with the structured text. We discuss how these results are valuable in designing an EMR interface to reduce errors and to support users of different expertise.

Cognition↗

Toward a framework for understanding lay public's comprehension of disaster and bioterrorism information.

In the last decade, we have witnessed a significant increase in disaster preparedness and crisis communication efforts. This stands in sharp contrast with paucity of research that deals with the public's comprehension of disaster information and related decision-making. The objective of this paper is to outline a theoretical and methodological framework for research on lay comprehension of crisis information. The proposed framework integrates two bodies of research: (1) cognitive science literature on comprehension and decision-making and (2) studies of the effects of anxiety on performance. The paper reviews selected works and methods from both fields, discussing how cognitive perspective could be extended to include emotional factors. We also discuss how further research integrating the proposed framework with public health communication perspective could: (1) provide insights for developing effective disaster communication and (2) inform the development of technological support for disaster communication and for education of lay people and health professionals.

Bioterrorism↗

Parenting schemas and the process of change.

Parents' childrearing behaviors are guided by schemas of the caregiving role, their functioning in that role, what children need in general, and what their own children are like in particular. Sometimes, however, parenting schemas can be maladaptive because they are too rigid or simple, involve inappropriate content, or are dominated by negative affect. In this article, we describe parenting schemas and provide an overview of empirical work documenting the characteristics of maladaptive parenting schemas. We review how intervention practices common to multiple therapeutic approaches (cognitive-behavior therapy, family therapy, parent training, attachment-based interventions, and psychoanalytic parent-infant psychotherapy) attempt to modify schemas to promote more optimal functioning among parents. We highlight how research in cognitive science may explain, in part, treatment effectiveness.

Adaptation, Psychological↗

Cognitive concepts of craving.

Traditional models of craving have been based primarily on the concept of classical conditioning. In recent years, however, researchers increasingly have introduced cognitive concepts, such as memory, expectancies, interpretation, and automatic behavior, into their conceptualizations of craving. These efforts have culminated in the development of four cognitive models of craving: cognitive labeling, outcome expectancy, dual-affect, and cognitive processing. The cognitive processing model posits that although many alcohol use behaviors have become automatized processes in the course of an alcoholic's drinking career, craving is a nonautomatic process that requires mental effort and is limited by a person's cognitive capacity. This model also implies that alcohol use and alcohol-seeking behavior can occur in the absence of craving. In addition to introducing various new concepts and models into craving research, the cognitive sciences also offer well-established methodologies for testing these models and analyzing craving processes.

Alcoholism↗

Conceptual issues in psychiatric neuroimaging.

PURPOSE OF REVIEW: Psychiatric neuroimaging has made a dramatic impact on the understanding of the brain in mental illness in a relatively brief period of time and continues to be evolving in terms of methodology, analysis and utilization of the combination of techniques. Given the level of sophistication of the techniques and the importance of imaging in current academic psychiatry, it is timely to review its conceptual influence on psychopathology. RECENT FINDINGS: The study will review scientific advances in psychiatric neuromaging, around the themes of functional connectivity, diffusion tensor imaging, magnetoencephalography, modality integration, meta-analyses and mega-analyses of data and discuss recent influential findings in contemporary research. We then focus on more conceptual issues relating to biological psychiatry and its relationship with cognitive neuroscience. We discuss the dominant paradigm of scientific psychopathology, namely cognitive neuropsychiatry and how it relates more broadly to imaging and cognitive science and elaborate on the philosophical positions of the paradigm and how it views abnormal mental states. SUMMARY: We conclude that despite the advances in biological psychiatry and the power of the cognitive neuropsychiatry paradigm, its findings are logically contingent upon psychopathology and the normatively defined terms employed therein.

Biological Psychiatry↗

Dissecting the computational architecture of social inference mechanisms.

Scientists have been dissecting the neural architecture of the human mind for several centuries. Dissecting its computational architecture has proven more difficult, however. Within the cognitive sciences, for example, there is a debate about the extent to which human reasoning is generated by computational machinery that is domain specific and functionally specialized. While some claim that the same set of cognitive processes accounts for reasoning across all domains (e.g. Rips 1994, Johnson-Laird & Byrne 1991), others argue that reasoning is generated by several different mechanisms, each designed to operate over a different class of content (e.g. Baron-Cohen 1995, Cheng & Holyoak 1985, Cosmides & Tooby 1992, Leslie 1987). Indeed, it has recently been proposed that the human cognitive architecture contains a faculty of social cognition; a suite of integrated mechanisms, each of which is specialized for reasoning and making decisions about a different aspect of the social world. Candidate devices include a theory of mind mechanism, an eye direction detector, social contract algorithms, permission schemas, obligation schemas, precaution rules, threat detection procedures and others (e.g. Baron-Cohen 1995, Cheng & Holyoak 1985, Cosmides 1985, 1989, Cosmides & Tooby 1989, 1992, 1994, Fiddick et al 1995, Fiske 1991, Jackendoff 1992, Leslie 1987, K. Manktelow & D. Over, unpublished paper, 1st Int Conf on Thinking, Plymouth, UK 1988, Manktelow & Over 1990, M.Rutherford, J. Tooby, L. Cosmides, unpublished paper, 8th Annual Meeting Human Behav Evol Society, Northwestern Univ, IL 1996, J. Tooby & L. Cosmides, unpublished paper, 2nd Annual Meeting Human Behav Evol Society, Evanston, IL 1989). To decide among these sometimes competing proposals, psychologists need empirical methods and theoretical standards that let us carve social inference mechanisms at the joints. We will argue that the theoretical standards needed are those of the 'adaptationist programme' developed in evolutionary biology. To show how these standards can be applied in dissecting the computational architecture of the human mind, we will discuss some recent empirical methods and results.

Adaptation, Psychological↗

Cognitive aspects of health survey methodology: an overview.

The past 25 years have seen the development of a wide variety of sample surveys dealing with the nature and distribution of illness and disability, and with the utilization of health care services. The sample survey is currently the most widespread and influential instrument for judging the health status of the nation and for guiding health policy. The knowledge, beliefs, and attitudes of survey respondents "subjectively" affect what the survey seeks to "objectively" measure. Even as statistical sampling has been refined, so is it important to reexamine what the cognitive sciences have to offer for survey interview structure and content.

Adult↗

Endless minds most beautiful.

The marriage of evolution and development to produce the new discipline 'evo-devo' in biology is situated in the general history of evolutionary biology, and its significance for developmental cognitive science is discussed. The discovery and description of the highly conserved, robust and 'evolvable' mechanisms that organize the vertebrate body plan and fundamental physiology have direct implications for what we should investigate in the evolution of behavior and cognition.

Behavior↗

Translation of research into practice: why we can't "just do it".

Translation of new knowledge into practice proceeds through 3 stages, from awareness through acceptance to adoption. Translational research focuses almost exclusively on the first 2 stages. We argue that improving the disappointing results of translation efforts will require a detailed understanding of how adoption takes place. We summarize research in cognitive science that illustrates how accepted "declarative" knowledge (acquired through lectures, reading, and discussion) differs (even down to its locus in the brain) from adopted "procedural" knowledge that is acted on in clinical practice. We suggest strategies that can capitalize on the cognitive processes by which declarative knowledge is proceduralized, as a means of making translation more effective, including (1) structured case-level feedback, automated or from human consultants, during the declarative stage; (2) practice in context early in the procedural stage; and (3) deliberative practice when procedural knowledge has been formed but is still being refined.

Diffusion of Innovation↗

Searching for genetic influences on normal cognitive ageing.

Differences in non-pathological cognitive ageing provide a useful case study for the opportunities and challenges facing cognitive science as it embraces advances in genetics. One replicated contributor to these differences is variability in the gene for apolipoprotein E. Genetic variations that influence neurodegenerative diseases, learning and memory, cardiovascular disease, and oxidative stress are among the candidates for influence on cognitive ageing differences. The area suffers the same problems as other domains in which quantitative trait loci are sought: uncertainty regarding the genetic architecture, unreliable strategies for candidate gene selection, lack of power leading to unreplicated findings, and poor characterisation of the phenotype. However, current progress in genetic knowledge, technology and informatics will contribute to progress in this important area.

Aging↗

Global workspace theory of consciousness: toward a cognitive neuroscience of human experience.

Global workspace (GW) theory emerged from the cognitive architecture tradition in cognitive science. Newell and co-workers were the first to show the utility of a GW or "blackboard" architecture in a distributed set of knowledge sources, which could cooperatively solve problems that no single constituent could solve alone. The empirical connection with conscious cognition was made by Baars (1988, 2002). GW theory generates explicit predictions for conscious aspects of perception, emotion, motivation, learning, working memory, voluntary control, and self systems in the brain. It has similarities to biological theories such as Neural Darwinism and dynamical theories of brain functioning. Functional brain imaging now shows that conscious cognition is distinctively associated with wide spread of cortical activity, notably toward frontoparietal and medial temporal regions. Unconscious comparison conditions tend to activate only local regions, such as visual projection areas. Frontoparietal hypometabolism is also implicated in unconscious states, including deep sleep, coma, vegetative states, epileptic loss of consciousness, and general anesthesia. These findings are consistent with the GW hypothesis, which is now favored by a number of scientists and philosophers.

Cognition↗

Left hemisphere dominance for movement.

Clinical neuropsychology's dependence upon a core scientific background in clinical neuropsychology, and clinical psychology, neurology, and neuroanatomy, as well as biopsychology, cognitive neuroscience, and cognitive science is the basis of its designation as an APA-approved clinical specialty. This dependence highlights the importance of these scientific underpinnings and the scientist-practitioner model of training, detailed in the Houston Guidelines. This presentation is meant to demonstrate that cognitive neuroscience research should influence our conception of brain behavior relationships, which, in turn, should influence our clinical work. In addition, I want to illustrate how the utilization of converging methods, which is an increasingly popular approach to research, can ensure more valid conclusions about the neuroanatomical substrates for complex skills. Limb apraxia will be used as an example of a deficit that has functional implications and whose cognitive mechanisms and neuroanatomical correlates are better understood as a result of research that combines neuroanatomical imaging of brain damaged patients, functional imaging, and cognitive paradigms. This work demonstrates that left frontoparietal circuits control limb praxis and motor sequencing, suggesting that these complex motor skills should be examined in patients with such damage.

Apraxias↗

Recall strategies and memory for health-care visits.

Complex questions in health surveys place heavy cognitive demands on respondents, prompting researchers to appraise how specific cognitive interventions may improve the accuracy of people's answers. Investigators in one experiment asked participants to recall visits to medical providers in forward, backward, or no particular order, and matched results with providers' records. "Free" recall proved marginally superior to forward or backward ordering, although overall respondents underreported the number of visits by 20 percent; participants' gender and self-reported health status, among other factors, also affected quality of recall. The experiment lends support to contentions that the methods of cognitive science applied to survey research better the accuracy of population survey data.

Cognition↗