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PubMed2006

Racial identities, racial enactments, and normative unconscious processes.

The author surveys various views of racial and ethnic identity, and proposes a model of thinking about identity aimed at capturing both its oppressive and its facilitating character. To further elaborate the dual nature of identity, she discusses the way that inequities in the social world, and the ideologies that sustain them, produce narcissistic wounds that are then enacted consciously and unconsciously by both patient and therapist. A variety of such enactments are presented in a summary of the author's work with an Asian American patient, during which she began to recognize unconscious racial and cultural underpinnings of some of the ways she has thought about certain "basics" of psychoanalytic practice: dependence, independence, happiness, and love.

Adaptation, Psychological↗

PubMed2000

Conscious and unconscious metacognition: A rejoinder

In this rejoinder we clarify several issues raised by the commentators with the hope of resolving some disagreements. In particular, we address the distinction between information-based and experience-based metacognitive judgments and the idea that memory monitoring may be mediated by direct access to internal representations. We then examine the possibility of unconscious metacognitive processes and expand on the critical role that conscious metacognitive feelings play in mediating between unconscious activations and explicit-controlled action. Finally, several open questions are articulated for further scrutiny. Copyright 2000 Academic Press.

Journal Article↗

PubMed1996

Breakthrough to awareness: a preliminary neural network model of conscious and unconscious perception in word processing.

A neural network model is constructed to mimic the processing involved in semantic and working memory when subliminal effects are involved. These effects involve modifications of reaction time to later inputs, according to whether or not there has been conscious or unconscious processing of the earlier input. The model is constructed of two separate modules: one (a semantic memory module) allowing for processing at a semantic, but unconscious, level, and the other (a working memory module) for conscious experience. The latter module, although a replica of the earlier one, has different lateral connectivity and output function from the former. The model is shown to give a good fit to Marcel's data on the processing of polysemous words. Further tests are suggested for the model, and a possible cortical implementation suggested. The relevance of the model to recent approaches to consciousness is also explored.

Consciousness↗

PubMed1990

Audit of transfer of unconscious head-injured patients to a neurosurgical unit.

Features of patients transferred to a regional neurosurgical unit in coma after recent head injury were compared with a similar audit seven years previously. There were fewer avoidable adverse factors in the recent series, but some patients received inadequate care of the airway, while in some others major extracranial injuries were overlooked or poorly managed. Only 42% of the comatose patients had had an endotracheal tube inserted; half those in whom neither a tube nor an oral airway had been inserted were transported supine. Systemic hypoxia or hypotension [corrected] were associated with a poor outcome. Even when computed tomography scanners become available in more hospitals, many patients who are unconscious after head injury will still need to be transferred to a neurosurgical unit. Detailed guidelines should be agreed locally to minimise the hazards of transfer of unconscious patients between hospitals. A rota of experienced doctors and nurses at the sending hospital should be responsible for deciding how each individual patient should be managed during transfer, according to the guidelines. Continuing audit of such cases is needed to indicate whether revision of local practice is needed.

Adolescent↗

PubMed2007

Unconscious defensive medicine: The case of erythrocyte sedimentation rate.

BACKGROUND: We investigated physician rationale for and against performing routine erythrocyte sedimentation rate (ESR) tests during hospital admissions. METHODS: A comparative, descriptive, prospective study among 82 physicians in 15 departments of internal medicine from two University Medical Centers - A and B - in Israel was conducted between July and August 2004. Reasons for physicians' use of ESR were examined using a confidential questionnaire. A panel of four experts reviewed the need to perform an ESR test in 100 patients' files from center B. The main outcome measures were the use of ESR in routine hospital admissions and reasons for use. RESULTS: Forty-four vs. zero physicians from medical centers B and A, respectively, routinely perform ESR tests for all admitted patients (p<0.001). According to the experts, in only 10-30% of the 67 new patients could ESR tests have been of some value. Reasons for performing ESR routinely were as follows: to identify severe and "hidden" diseases (21/44, 47.7%); because it is crucial for all patients, both new and returning (10/44, 22.7%); because it is a guideline from department head (6/44, 13.6%); it is recommended in the literature (5/44, 11.4%); don't know why (2/44, 4.5%); defensive medicine (1/44, 2.3%); and other (6/44, 13.6%). CONCLUSION: Routine use of ESR tests on admission can be explained by old habits and by an unconscious concern about liability, i.e., unconscious defensive medicine.

Journal Article↗

PubMed2004

Some effects of cortical and callosal damage on conscious and unconscious processing of visual information and other sensory inputs.

Although new methods of investigation from the molecular level to cognition are promoting major advances in the study of the functions of the human brain, the analysis of behavioral and psychological deficits following brain damage is still a major tool for the understanding of cerebral organization. The present paper reviews some aspects of work on functional losses and residual abilities following cortical damage that have allowed to distinguish conscious and unconscious levels of visual input processing. Attention is given to the possible contribution of residual conscious vision of color to unconscious form analysis in visual agnosia. The paper also reviews findings on temporary and permanent deficits that occur after selective lesions of a prominent input-output system of the cerebral cortex, the corpus callosum, with the aim of assessing the possibility of establishing a functional callosal topography.

Animals↗

PubMed2002

Unconscious amygdalar fear conditioning in a subset of chronic fatigue syndrome patients.

Here, a novel hypothesis for chronic fatigue syndrome (CFS) is proposed. CFS may be a neurophysiological disorder focussing on the amygdala. During a 'traumatic' neurological event often involving acute psychological stress combined with a viral infection or other chemical or physiological stressor, a conditioned network or 'cell assembly' may be created in the amygdala. The unconscious amygdala may become conditioned to be chronically sensitised to negative symptoms arising from the body. Negative signals from the viscera or physiological, chemical and dietary stressors, become conditioned stimuli and the conditioned response is a chronic sympathetic outpouring from the amygdala via various brain pathways including the hypothalamus. This cell assembly then produces the CFS vicious circle, where an unconscious negative reaction to symptoms causes immune reactivation/dysfunction, chronic sympathetic stimulation, leading to sympathetic dysfunction, mental and physical exhaustion, and a host of other distressing symptoms and secondary complications. And these are exactly the symptoms that the amygdala and associated limbic structures are trained to monitor and respond to, perpetuating a vicious circle. Recovery from CFS may involve projections from the medial prefrontal cortex to the amygdala, to control the amygdala's expressions. I shall firstly discuss predisposing, precipitating, and perpetuating factors involved in the possible etiology of chronic fatigue syndrome (CFS), followed by the patient's experience of the illness. Finally, I shall look at a suggested explanation for the symptoms of CFS.

Amygdala↗

PubMed2002

The N400 is modulated by unconsciously perceived masked words: further evidence for an automatic spreading activation account of N400 priming effects.

It is a matter of debate whether the N400 component of the event-related brain potential (ERP) is sensitive to unconscious automatic priming mechanisms or to strategic mechanisms only. Recent studies demonstrated N400 modulation by masked primes at a short SOA supporting an automatic spreading activation account. However, it cannot be ruled out that strategic mechanisms based upon partial prime identification contributed to the observed priming effects. The present study was set up to substantiate masked N400 priming effects as an index of automatic spreading activation. It was assessed whether partial identification of the masked words due to backward priming could have supported strategic priming to occur. In experiment 1, ERPs were recorded while subjects performed lexical decisions on targets preceded by masked and unmasked primes at an SOA of 67 ms. Masked words, which were not consciously perceived, as well as visible words were shown to modulate the N400 to meaningfully related target words. Experiment 2 required subjects to perform decisions on visual, lexical and semantic features of masked words presented with or without semantically related context words. Subjects performed at chance in all tasks. Furthermore, the results exclude the possibility that backward priming has rendered the masked words partially visible. The present study therefore demonstrates that N400 priming effects can be reliably obtained from unconsciously perceived masked words at a very short SOA and strengthens the notion that the N400 is modulated by automatic spreading activation and not exclusively by strategic semantic processes.

Adult↗

PubMedDate not supplied

How should an unconscious person with a suspected neck injury be positioned?

INTRODUCTION: Awareness of the risk of spinal-cord damage in moving an unconscious person with a suspected neck injury into the "lateral recovery position," coupled with the even greater risk of inadequate airway management if the person is not moved, has resulted in a suggested modification to the lateral recovery position for use in this circumstance. HYPOTHESIS: It is proposed that the modification to the lateral recovery position reduces movement of the neck. In this modification, one of the patient's arms is raised above the head (in full abduction) to support the head and neck. The position is called the "HAINES modified recovery position." HAINES is an acronym for High Arm IN Endangered Spine. METHODS: Neck movements in two healthy volunteers were measured by the use of video-image analysis and radiographic studies when the volunteers were rolled from the supine position to both the lateral recovery position and the HAINES modified recovery position. RESULTS: For both subjects, the total degree of lateral flexion of the cervical spine in the HAINES modified recovery position was less than half of that measured during use of the lateral recovery position (while an open airway was maintained in each). CONCLUSION: An unconscious person with a suspected neck injury should be positioned in the HAINES modified recovery position. There is less neck movement (and less degree of lateral angulation) than when the lateral recovery position is used, and, therefore, HAINES use carries less risk of spinal-cord damage.

Adult↗

PubMed2003

Long-term semantic memory versus contextual memory in unconscious number processing.

Subjects classified visible 2-digit numbers as larger or smaller than 55. Target numbers were preceded by masked 2-digit primes that were either congruent (same relation to 55) or incongruent. Experiments 1 and 2 showed prime congruency effects for stimuli never included in the set of classified visible targets, indicating subliminal priming based on long-term semantic memory. Experiments 2 and 3 went further to demonstrate paradoxical unconscious priming effects resulting from task context. For example, after repeated practice classifying 73 as larger than 55, the novel masked prime 37 paradoxically facilitated the "larger" response. In these experiments task context could induce subjects to unconsciously process only the leftmost masked prime digit, only the rightmost digit, or both independently. Across 3 experiments, subliminal priming was governed by both task context and long-term semantic memory.

Attention↗

PubMed2004

Competing for a desired reward in the Stroop task: when attentional control is unconscious but effective versus conscious but ineffective.

Recent studies using Stroop's paradigm have shown that word recognition processes can be controlled when the local context of the task is manipulated. In the present study, factors related to the participants' broader context (i.e., presence vs. absence of a competitor and of a desired reward) were manipulated. The results (1) support the conclusion that control of semantic-level activation can be unconscious but effective versus conscious but ineffective, (2) suggest that unconscious control alone operates on line (i.e., when the participant is responding), and (3) clarify the impact of socio-contextual factors that have been confounded in past research. Taken together, these findings strengthen the view that word recognition processes are controllable and offer new reasons to pay constant attention to the social environment of cognition.

Analysis of Variance↗

PubMed2000

Improved outcome prediction in unconscious cardiac arrest survivors with sensory evoked potentials compared with clinical assessment.

OBJECTIVE: To compare the prognostic ability of sensory evoked potentials in cardiac arrest survivors with the outcome predicted by a panel of experienced emergency physicians based on detailed prehospital, clinical, and laboratory data. DESIGN: Inception cohort study. SETTING: Medical intensive care unit and department of emergency medicine at a university hospital. PATIENTS: A total of 162 unconscious, mechanically ventilated patients who survived > or =24 hrs after resuscitation from cardiac arrest. INTERVENTIONS: Recording of sensory evoked potentials and outcome prediction after review of detailed clinical and laboratory data by emergency physicians within 24 hrs after cardiac arrest. MEASUREMENTS AND MAIN RESULTS: At 6 months, the outcome of 36 patients was classified as favorable and 126 patients were rated as poor. After review of prehospital data, emergency physicians predicted favorable vs. poor outcome with a sensitivity of 70% and a specificity of 65%. After additional assessment of data 1 hr after cardiac arrest, the sensitivity of emergency physician predictions increased to 80%, whereas the specificity decreased to 48%. Outcome prediction by emergency physicians was most accurate after obtaining detailed patient data 24 hrs after cardiac arrest (sensitivity, 81%; specificity, 58%). In 35 of 36 patients with favorable outcomes, the cortical evoked potential N70 peak was detected between 72 and 128 msec. Of 113 patients with an N70 peak latency >130 msec or an absent N70 peak, all except one had a poor outcome. By using a cutoff of 130 msec, the N70 peak latency alone had a sensitivity of 94% and a specificity of 97%. The predictive accuracy of the N70 peak latency was significantly higher than the clinical assessment 24 hrs after cardiac arrest (91% vs. 76%, p = .0003). CONCLUSION: In unconscious cardiac arrest survivors, a recording of long-latency sensory evoked potentials is more accurate in predicting individual outcome than an emergency physician review of clinical data.

Analysis of Variance↗

PubMedDate not supplied

Development of children's knowledge about unconsciousness.

Children of ages 5, 6, 7, 8, and 10 years, and adults were asked whether people who are sound asleep and not dreaming could or would: (1) see, hear, listen, notice, think, wish, pretend, and feel things (primary-consciousness activities), (2), know that they are asleep, and know whether they are or are not engaged in primary-consciousness activities such as perceiving and thinking (reflective-consciousness activities), (3) deliberately decide to or try to perform mental or physical actions (control activities). Results indicated that the recognition that people do not engage in conscious mental activities when unconscious is still developing during the late middle-childhood years. We speculate that a developing understanding of consciousness may assist the development of an understanding of unconsciousness and vice versa, and that sensitivity to the phenomenology as contrasted with the content of mental states may be a late acquisition in the theory-of-mind area.

Adult↗

PubMed1978

Morton's ranking of races by cranial capacity. Unconscious manipulation of data may be a scientific norm.

Samuel George Morton, self-styled objective empiricist, amassed the world's largest pre-Darwinian collection of human skulls. He measured their capacity and produced the results anticipated in an age when few Caucasians doubted their innate superiority: whites above Indians, blacks at the bottom. Morton published all his raw data, and it is shown here that his summary tables are based on a patchwork of apparently unconscious finagling. When his data are properly reinterpreted, all races have approximately equal capacities. Unconscious or dimly perceived finagling is probably endemic in science, since scientists are human beings rooted in cultural contexts, not automatons directed toward external truth.

Asian People↗

PubMedDate not supplied

[Temporal changes in conscious and unconscious trace phenomena in six to seven-year-old children].

Development in time of unconscious trace reactions as well as a change in the time of reproduction of verbal material in natural conditions was studied by the conditioned reflex to time method on 107 school children aged from six to seven years and on 35 subjects of the same age from a kindergarten. It has been found that in schoolchildren the transfer of trace reactions to long-term storage is completed faster, and their voluntary acts in the course of conscious reproduction of an interstimuli intervals are more adequate than in the kindergarten children of the same age. The trace phenomena formed in natural conditions and in the laboratory experiment develop in time in a similar way. The change in time of conscious trace phenomena is of a more complex nature than of the unconscious phenomena. The practical significance of the data obtained is noted.

Brain↗

PubMedDate not supplied

[EEG coherence during unconscious visual set under conditions of increased motivation of subjects].

Prestimulus EEG was recorded in the state of "operative rest" after the instruction and at the stages of formation, actualization, and extinction of unconscious visual set to perception of unequal circles. Two motivation conditions were used: (1) subjects were promised to be rewarded with a small money price for each correct response (a "general" rise of motivation) and (2) only correct assessments of stimuli of a certain kind were rewarded (a "selective" rise of motivation). In both conditions, additional motivation of subjects to the results of their performance led to an increase in EEG coherence most pronounced in the theta and alpha 1 frequency ranges in the left temporal area of the cortex. During the "general" rise of motivation the EEG coherence (as compared to the control group) was higher in a greater number of derivation pairs than during the "selective" rise. EEG coherence in "motivated" subjects was increased already at the stage of operative rest. Later on, at the set stages, no significant changes were revealed. Thus, the realized set formed by the verbal instruction, which increased motivation of subjects to the results of their performance, produced substantially more prominent changes in coherence of cortical potentials than the unconscious set formed during perception of visual stimuli.

Adolescent↗

PubMed1996

Unconscious Gender Bias in Fame Judgments?

In two experiments the conditions of, and the processes leading to, gender biases in fame judgments were investigated. In Experiment 1, the gender bias was not reduced in a condition that alerted participants to the gender of the names. In Experiment 2, participants' sex-role orientation, but not their gender, was related to the gender bias. The process dissociation procedure was used in both experiments in an attempt to separate conscious and unconscious memory processes contributing to the gender bias. Using L. L. Jacoby's (1991) original measurement model there appeared to be evidence for unconscious influences on the gender bias in fame judgments. Unfortunately, this evidence disappeared when a model was used that takes guessing and, hence, response biases into account, which confirms that measurement models that ignore response biases in the process dissociation procedure may lead to erroneous conclusions.

Journal Article↗

PubMed1996

Modeling Unconscious Gender Bias in Fame Judgments: Finding the Proper Branch of the Correct (Multinomial) Tree

In the preceding article, Buchner and Wippich used a guessing-corrected, multinomial process-dissociation analysis to test whether a gender bias in fame judgments reported by Banaji and Greenwald (Journal of Personality and Social Psychology, 1995, 68, 181-198) was unconscious. In their two experiments, Buchner and Wippich found no evidence for unconscious mediation of this gender bias. Their conclusion can be questioned by noting that (a) the gender difference in familiarity of previously seen names that Buchner and Wippich modeled was different from the gender difference in criterion for fame judgments reported by Banaji and Greenwald, (b) the assumptions of Buchner and Wippich's multinomial model excluded processes that are plausibly involved in the fame judgment task, and (c) the constructs of Buchner and Wippich's model that corresponded most closely to Banaji and Greenwald's gender-bias interpretation were formulated so as to preclude the possibility of modeling that interpretation. Perhaps a more complex multinomial model can model the Banaji and Greenwald interpretation.

Journal Article↗