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PubMed2006

Habit learning and anorexia nervosa: a cognitive neuroscience hypothesis.

OBJECTIVE: Anorexia nervosa (AN) is characterized by abnormal behaviors involving eating and weight that are impressively resistant to change. The persistence of these behaviors likely plays an important role in the high relapse rate after initial treatment. Persistent, stereotyped behaviors are also characteristic of obsessive-compulsive disorder (OCD). This article presents a neurocognitive model of AN, based on comparisons with OCD. METHOD: This article reviews clinical, neuropsychological, and neuroimaging findings in both OCD and AN relevant to a neurobiological understanding of a potential mechanism of the perpetuation of AN. RESULTS: The identification of specific neurocognitive disturbances in individuals with OCD has led to a compelling hypothesis of the neural mechanisms mediating this disorder. Evidence suggests that similar disturbances, involving neural circuits between the cortex and the basal ganglia, may be present in individuals with AN. CONCLUSION: Research on such neurocognitive disturbances has the potential both to inform understanding of neural mechanisms underlying AN and to lead to advances in treatment.

Anorexia Nervosa↗
PubMed2002

Origins of the cognitive (r)evolution.

The well documented cognitive "revolution" was, to a large extent, an evolving return to attitudes and trends that were present prior to the advent of behaviorism and that were alive and well outside of the United States, where behaviorism had not developed any coherent support. The behaviorism of the 1920 to 1950 period was replaced because it was unable to address central issues in human psychology, a failure that was inherent in part in J. B. Watson's founding manifesto with its insistence on the seamless continuity of human and nonhuman animal behavior. The "revolution" was often slow and piecemeal, as illustrated by four conferences held between 1955 and 1966 in the field of memory. With the realization that different approaches and concepts were needed to address a psychology of the human, developments in German, British, and Francophone psychology provided some of the fuel of the "revolution."

Animals↗
PubMed2004

The psychology of error in relation to medical practice.

There is a broad effort underway to reduce the frequency of medical error. This effort will be facilitated by understanding the causes of human error and the methods that serve to reduce it in settings comparable to medical practice. To serve this end, this article is a review of cognitive psychology as it relates to the origins of human error and an application of that material to issues that arise in medical practice.

Cognitive Science↗
PubMed1998

Stimulus characteristics determine processing approach on random array letter-cancellation tasks.

Target-to-distractor ratio strongly influences performance on typical random array letter cancellation tasks, suggesting that a "controlled" processing approach is used. This study was designed to determine whether "automatic" processing could be also demonstrated in the random array cancellation paradigm by changing the perceptual characteristics of the stimuli. Thirty-two healthy subjects sequentially performed four random array cancellation tasks with 50 and 100 stimuli. The letters "I" or "O" were targets and "L" served as the distractor. Performance was measured by the number of correctly canceled targets divided by the time to completion, corrected for accuracy. There was a strong effect of the number of stimuli on forms using I targets (p < .00001), but not for O's (p = . 15) Performance scores were lower for I target forms than for O targets. These findings demonstrate that performance approximating "automatic" processing can also be elicited on clinically useful, office-based, or bedside tests such as random array cancellation.

Adult↗
PubMed1998

Source monitoring: ERP evidence for greater reactivity to nontarget information in older adults.

Event-Related Potentials (ERPs) were collected concurrently with stimulus presentation during a source monitoring task. Younger adults were less likely than older adults to make source monitoring errors and their ERP records showed far greater discrimination between target stimuli and familiar but nontarget foils. Older adults not only made more source errors but produced high amplitude late positivities to the nontarget foils even when these foils were correctly rejected. Under divided attention conditions, younger adults performance was similar to that of the older adults both behaviorally and electrophysiologically. These data illustrate the role that attentional resources play in the ability to inhibit response tendencies and suggest that age differences in source monitoring may be more related to attentional control than inefficiencies in the encoding of contextual information. As well, they suggest that the ERP late positivity may represent a more general response to item salience rather than serve as an index of recollection as is the current view.

Aged↗
PubMed1998

The representation of arithmetic facts in memory: results from retraining a brain-damaged patient.

This single case study was designed to gather evidence regarding whether the mental representations mediating multiplication fact retrieval make use of single or multiple codes. MC is a brain-damaged volunteer whose numerical processing impairments were limited to multiplication fact retrieval. He relearned three sets of multiplication facts. Each set was relearned in one of three input formats: Arabic, written verbal, or spoken verbal. Following training all facts were tested in all input formats. MC's posttraining performance was virtually error free and showed no effects of input format. However, reaction-time data showed fact retrieval was fastest when the training format matched the test format. Results are discussed in relation to single- and multiple-code models of multiplication fact retrieval.

Adult↗
PubMed1998

The relation of ERP components to complex memory processing.

The relation between various ERP components generated during encoding of a word and its subsequent recall were investigated using a "rote" serial-order and an "elaborative" category memory task. Words (flashed separately) were time-locked to EEG recordings from 21 cortical sites. ERP components from the five subjects having the highest recall scores were compared to the five lowest scoring subjects. Results based on the P200 peak amplitude data as well as the N400 and late positive component peak amplitude and latency data suggest that anterior and posterior distributional differences are elicited during encoding of words for rote and elaborative memory tasks. Furthermore, strong individual differences in these patterns were found as a function of task. A tentative argument was made that the obtained anterior and posterior differences may index different word feature selection and encoding processes, which are differentially utilized by high and low recallers.

Adult↗
PubMed1998

Sex differences in right hemisphere tasks.

We tested the hypothesis that sex differences in spatial ability and emotional perception are due to sex differences in intrahemispheric organization of the right hemisphere. If the right hemisphere is differently organized by sex-primarily specialized for spatial ability in men, but primarily specialized for emotional perception in women-then there should be a negative correlation between spatial ability and emotional perception within sex, and the greatest disparity between abilities should be found in people with characteristic arousal of the right hemisphere. Undergraduate men (N = 86) and women (N = 132) completed tests of Mental Rotation, Surface Development, Profile of Nonverbal Sensitivity, Progressive Matrices, and Chimeric Faces. Although the expected pattern of sex differences was observed, there was no evidence for the hypothesized negative correlation between spatial ability and emotional perception, even after statistical control of general intelligence.

Adult↗
PubMed2001

A tale of two paradigms or metatheoretical approaches to cognitive neuropsychology: did Schmolck, Stefanacci, and Squire (2000) show that hippocampal lesions only impair memory, whereas adjacent (extrahippocampal) lesions impair detection and explanation of sentence ambiguity?

This note discusses two fundamentally different paradigms or metatheoretical approaches that currently guide cognitive neuropsychology: the Theoretical- vs. Anatomical-paradigms. To illustrate these paradigms, we compare a Theoretical-paradigm paper (MacKay & James, 2001) with an Anatomical-paradigm paper (Schmolck, Stefanacci, & Squire, 2000): These papers report virtually identical experiments on relations between language, memory, and hippocampal systems, using the same task (the detection and explanation of ambiguities in sentences that participants know are ambiguous), virtually identical ambiguous sentences, and at least one identical participant (the amnesic HM). However, MacKay and James made strikingly different claims from Schmolck et al., and we show that the Schmolck et al. claims comport not with their data but with an unstated theory to which they are implicitly committed within the Anatomical-paradigm.

Aphasia↗
PubMed1996

Mental imagery as the adaptationist views it.

Mental images are one of the more obvious aspects of human conscious experience. Familiar idioms such as "the mind's eye" reflect the high status of the image in metacognition. Theoretically, a defining characteristic of mental images is that they can be analog representations. But this has led to an enduring puzzle in cognitive psychology: How do "mental pictures" fit into a general theory of cognition? Three empirical problems have constituted this puzzle: The incidence of mental images has been unpredictable, innumerable ordinary concepts cannot be depicted, and images typically do not resemble things well. I argue in this paper that theorists have begun to address these problems successfully. I argue further that the critical theoretical framework involves thinking of mental images as information within a cognitive system that is fundamentally adaptive. The main outline of the adaptationist framework was evident in the school of thought known as American Functionalism, but adaptationism has formed a consistent pattern of theorizing across many authors and decades. I briefly describe Functionalism and then present seven basic claims about imagery that were common in the years before the predominance of behaviorism. I then show how these claims have reappeared and been further articulated in modern cognitive psychology. I end with a brief integration of some of the basic elements of an adaptationist theory of imagery.

Cognition↗
PubMed1996

The importance of a consideration of qualia to imagery and cognition.

Experiences of qualia, subjective sensory-like aspects of stimuli, are central to imagistic representation. Following Raffman (1993), qualia are considered to reflect experiential knowledge distinct from descriptive, abstract, and propositional knowledge; following Jackendoff (1987), objective neural activity is distinguished from subjective experience. It is argued that descriptive physical knowledge does not provide an adequate accounting of qualia, and philosophical scenarios such as the Turing test and the Chinese Room are adapted to demonstrate inadequacies of accounts of cognition that ignore subjective experience. Arguments by Dennett and others that qualia do not exist or that qualia do not provide additional explanatory power are addressed, and it is suggested that consideration of qualia is necessary in order to explain (and not just predict) objective behavior. The hypotheses of functional equivalence, second-order isomorphism, and psychophysical complementarity between imagery and perception are discussed, and the ability of analog and schematic models of imagery to account for qualia is examined.

Cognitive Science↗
PubMed1996

Ways of knowing.

Explore the source record for details and available documents.

Awareness↗
PubMed1996

How much work can a quale do?

It is argued that theoretical models cannot use qualia as explanatory tools, and cannot explain them either; thus, there is no way to make qualia do any useful work at all, at least in a theory. However, qualia do occur in both imagery and perception, and this article presents some ways of thinking about qualia from a functional perspective. Imagery differs from perception in its function. It is not a faded copy of perception. It is less distinct than perception because it is only as distinct as it needs to be, not because it is inherently indistinct. Qualia represent functionally relevant encodings whether in perception or imagery. The present approach is functionalist and quite similar to Pam's (1996).

Cognitive Science↗
PubMed1996

Imagery, creativity, and emergent structure.

Recent advances in the field of creative cognition have helped to reveal the cognitive structures and processes that are involved in creative thinking and imagination. This article begins by reviewing recent studies of creative imagery that have explored the emergent properties of mental images. The geneplore model of creative cognition, which describes how preinventive structures such as creative mental images are generated and interpreted, is then discussed. In discussing this model and its implications, a distinction is made between aspects of creative imagery that reflect conscious, deliberate control and those that reflect the absence of such control, as illustrated particularly by the emergence of unanticipated structures in imagined forms. The intentional, structured qualities of creative thinking are then contrasted with its spontaneous, unstructured qualities. The article concludes by discussing the recent topics of chaotic cognition and creative realism and how they bear on the general issue of balancing structured and unstructured processes in creative endeavors.

Cognitive Science↗
PubMed1996

Pragmatics in analogical mapping.

Theories of analogical reasoning differ in the roles they ascribe to pragmatic factors as a source of constraints on analogical mappings. The multiconstraint theory as instantiated in the ACME model (Holyoak & Thagard, 1989a) claims that pragmatic constraints interact with structural and semantic constraints within the mapping stage itself, in addition to influencing pre-mapping and post-mapping stages. Participants in three experiments were asked to generate mappings between non-isomorphic analogs for which mappings for some elements were ambiguous on structural grounds. In all experiments, manipulations of participants' processing goals influenced their preferred mappings. At the same time, goal-irrelevant information contributed to many-to-one mappings (Experiments 1 and 2) and to the resolution of mappings that were ambiguous on the basis of goal-relevant information alone (Experiment 3). The qualitative pattern of results was successfully simulated using the ACME model, implementing the impact of processing goals as an inhibitory process of selective attention.

Association↗
PubMed2001

Representing properties locally.

Theories of knowledge such as feature lists, semantic networks, and localist neural nets typically use a single global symbol to represent a property that occurs in multiple concepts. Thus, a global symbol represents mane across HORSE, PONY, and LION. Alternatively, perceptual theories of knowledge, as well as distributed representational systems, assume that properties take different local forms in different concepts. Thus, different local forms of mane exist for HORSE, PONY, and LION, each capturing the specific form that mane takes in its respective concept. Three experiments used the property verification task to assess whether properties are represented globally or locally (e.g., Does a PONY have mane?). If a single global form represents a property, then verifying it in any concept should increase its accessibility and speed its verification later in any other concept. Verifying mane for PONY should benefit as much from having verified mane for LION earlier as from verifying mane for HORSE. If properties are represented locally, however, verifying a property should only benefit from verifying a similar form earlier. Verifying mane for PONY should only benefit from verifying mane for HORSE, not from verifying mane for LION. Findings from three experiments strongly supported local property representation and ruled out the interpretation that object similarity was responsible (e.g., the greater overall similarity between HORSE and PONY than between LION and PONY). The findings further suggest that property representation and verification are complicated phenomena, grounded in sensory-motor simulations.

Analysis of Variance↗
PubMed2001

Methods of cognitive analysis to support the design and evaluation of biomedical systems: the case of clinical practice guidelines.

This article provides a theoretical and methodological framework for the use of cognitive analysis to support the representation of biomedical knowledge and the design of clinical systems, using clinical-practice guidelines (CPGs) as an example. We propose that propositional and semantic analyses, when used as part of the system-development process, can improve the validity, usability, and comprehension of the resulting biomedical applications. The framework we propose is based on a large body of research on the study of how people mentally represent information and subsequently use it for problem solving. This research encompasses many areas of psychology, but the more important ones are the study of memory and the study of comprehension. Of particular relevance is research devoted to investigating the comprehension and memory of language, expressed verbally or in text. In addition, research on how contextual variables affect performance is informative because these psychological processes are influenced by situational variables (e.g., setting, culture). One important factor limiting the acceptance and use of clinical-practice guidelines (CPGs) may be the mismatch between a guideline's recommended actions and the physician-user's mental models of what seems appropriate in a given case. Furthermore, CPGs can be semantically complex, often composed of elaborate collections of prescribed procedures with logical gaps or contradictions that can promote ambiguity and hence frustration on the part of those who attempt to use them. An improved understanding of the semantics and structure of CPGs may help to improve such matching, and ultimately the comprehensibility and usability of CPGs. Cognitive methods of analysis can help guideline designers and system builders throughout the development process, from the conceptual design of a computer-based system to its implementation phases. By studying how guideline creators and developers represent guidelines, both mentally and in text, and how end-users understand and make decisions with such guidelines, we can inform the development of technologies that seek to improve the match between the representations of experts and practitioners. We urge informaticians to recognize the potential relevance of cognitive analysis methods and to begin more extensive experimentation with the their use in biomedical informatics research.

Cognition↗
PubMed2001

Analysis of complex decision-making processes in health care: cognitive approaches to health informatics.

Decision making by health care professionals is often complicated by the need to integrate ill-structured, uncertain, and potentially conflicting information from various sources. In this paper cognitive approaches to the study of decision making are presented within the context of a variety of complex health care applications. In recent years it has become increasingly accepted that in order to build information systems that can support complex decision making it will be necessary to more fully understand human decision-making processes. Methodological approaches are described that aim to explicate the decision making and reasoning skills of subjects as they perform activities involving the processing of complex information. The paper begins by presenting the theoretical foundations for cognitive analyses of decision making, including discussion of major approaches to the study of decision making in a range of real-world domains, including medicine. Applications of cognitive approaches are then illustrated, including a description of a study in which subjects were asked to "think aloud" in providing treatment decisions for complex medical cases. The resulting protocols were then analyzed for subjects' use of decision strategies and problems in reasoning. Extension of cognitive approaches to the study of group decision-making processes is also described. Recent approaches are discussed which borrow from advances in the study of human-computer interaction and which utilize video analysis of decision-making activities involving information technologies. Using these approaches it has been found that health care information systems, such as computerized patient record systems, may have inadvertent effects on human decision making. Implications of a cognitive approach to improving our understanding of complex decision making are discussed in the context of developing appropriate computer-based decision support for both individuals and groups.

Cognitive Science↗