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PubMed2000

Response strategies and the Simon effect.

The study investigated whether the Simon effect, and its facilitation and interference components, shows up in reaction time (RT) or in movement time (MT), depending on the response strategy. Experiment 1 replicated a study by Hietanen and Rämä. Subjects had to press one of two lateralised keys in response to one of two stimuli. The stimuli were presented in the center (neutral condition) or to the left or right side (corresponding or non-corresponding conditions). To press the response key, a reaching movement was necessary, and both RT and MT were recorded. One group of subjects showed an RT facilitation effect and an MT interference effect. Another group of subjects showed both MT facilitation and MT interference effects. It was hypothesized that the two groups used different response strategies. In Exps. 2 and 3, the subjects were explicitly instructed to use the two strategies that were hypothesized for Exp. 1. The results showed that whether facilitation and interference manifest themselves in RT or MT depends on the response strategy adopted by the subjects.

Humans↗
PubMed2006

Movement-specific enhancement of corticospinal excitability at subthreshold levels during motor imagery.

This study examined modulation of corticospinal excitability during both actual and imagined movements. Seven young healthy subjects performed actual (3-50% maximal voluntary contractions) and imagined index finger force production, and rest. Individual responses to focal transcranial magnetic stimulation (TMS) in four fingers (index, middle, ring, and little) were recorded for all three tested conditions. The force increments at the threshold of activation were predicted from regression analysis, representing the TMS-induced response at the threshold activation of the corticospinal pathways. The measured increment in the index finger during motor imagery was larger than that at rest, but smaller than the predicted increment at the threshold of activation. On the other hand, the measured increment in the uninstructed (middle, ring, and little), slave fingers during motor imagery was larger than that at rest, but not different from the predicted increment at the threshold of activation. These contrasting results suggest that the degree of imagery-induced enhancement in corticospinal excitability was significantly less than what could be predicted for threshold levels from regression analysis, but only for the index finger, and not the adjacent slave fingers. It is concluded that corticospinal excitability for the explicitly instructed index finger is specifically enhanced at subthreshold levels during motor imagery.

Adult↗
PubMed2003

The item-order hypothesis reconsidered: the role of order information in free recall.

According to the item-order approach of free recall, in pure short lists the free recall of unrelated items is organized according to their order of presentation in the study list. The approach was applied in the present study to experimenter-performed tasks (EPTs) and subject-performed tasks (SPTs). It claims that EPTs provide better serial order information than SPTs. Consequently, free recall of EPTs should be more organized along the presentation order of the items than the free recall of SPTs. In three experiments, some specific aspects of this approach were studied. Firstly, it was demonstrated that serial retrieval is not strongly used spontaneously and that its use is overestimated in the literature because it is usually evoked by an order reconstruction test which follows free recall testing. Secondly, a serial retrieval strategy in free recall can be encouraged by explicit instructions. Finally, the present experiments showed that a serial output strategy alone does not allow one to predict performance in free recall. The implications of these findings for the item-order approach will be discussed.

Attention↗
PubMed2002

Tracking simple and complex sequences.

We address issues of synchronization to rhythms of musical complexity. In two experiments, synchronization to simple and more complex rhythmic sequences was investigated. Experiment 1 examined responses to phase and tempo perturbations within simple, structurally isochronous sequences, presented at different base rates. Experiment 2 investigated responses to similar perturbations embedded within more complex, metrically structured sequences; participants were explicitly instructed to synchronize at different metrical levels (i.e., tap at different rates to the same rhythmic patterns) on different trials. We found evidence that (1) the intrinsic tapping frequency adapts in response to temporal perturbations in both simple (isochronous) and complex (metrically structured) rhythms, (2) people can synchronize with unpredictable, metrically structured rhythms at different metrical levels, with qualitatively different patterns of synchronization seen at higher versus lower levels of metrical structure, and (3) synchronization at each tapping level reflects information from other metrical levels. The latter finding provides evidence for a dynamic and flexible internal representation of the sequence's metrical structure.

Attention↗
PubMed1993

Performance demand and sexual arousal in women.

Up to now, no experimental studies have inquired into the possible role of performance demand in female sexuality. The objective of this study is to investigate the effects of performance demand on sexual arousal in functional women, using explicit instructions. Forty-eight female subjects were asked to respond with maximum sexual arousal within 2 min, both during sexual fantasy and while watching an erotic film excerpt. Photoplethysmographic pulse amplitude was continuously recorded and self-report ratings of sexual arousal and affective reactions were collected after each erotic condition. Subjects were also instructed to continuously indicate their subjective sexual excitement during the conditions by means of a lever. Performance demand resulted in higher genital responses and was most effective in the fantasy condition. These results corroborate the findings for functional men. Although for both measures of subjective experience of sexual arousal performance demand yielded significantly higher ratings, this was conditioned by the order in which subjects were exposed to conditions. Women who masturbate with a mean frequency of 4 times a month reported higher subjective sexual arousal during performance demand conditions as compared with women who masturbate substantially more or who do not masturbate. Genital vasocogestion did not differ between masturbation-groups. Continuous subjective monitoring yielded lower correlations with vasocongestion than discrete ratings of sexual arousal and appears to be more sensitive to order effects.

Adult↗
PubMed1992

Search patterns and neglect: a case study.

An irregular and unsystematic search pattern may contribute to unilateral neglect. We examined the sequence of cancellations performed by a patient with unilateral neglect and found that she followed a systematic and stereotypic vertical search pattern. To overcome this vertical search pattern, foils were placed in rows. These foils induced slightly more horizontal movements, but did not alter her neglect. In another attempt to overcome her vertical search and tendency to cancel on the right, she was explicitly instructed to cancel targets alternating to and from the right and left sides of the array. This strategy overcame her vertical search, but, instead of modifying the severity of her neglect, this task only changed its spatial distribution. The altered spatial distribution of neglect is difficult to reconcile with current theories of neglect. We suggest that this patient demonstrates a limited capacity to sequentially be aware of or act upon stimuli.

Aged↗
PubMed1996

Semantic and episodic memory in aphasia.

Within the framework of the distinction between episodic and semantic memory, it has been argued that these two memory Systems are organised in a hierarchical way. The hierarchical hypothesis assumes that episodic memory is a specific subsystem of semantic memory and therefore implies that episodic memory cannot exist without semantic memory. If this hypothesis is correct, it should be expected that (episodic) yes/no recognition performance would improve in patients with preserved semantic memory, following semantic encoding. In the present study we investigated the influence of semantic encoding on recognition memory performance in a population of 28 aphasic patients (AA) and 14 normal controls (NC). Experiment 1 considered recognition memory for semantically unrelated items, whereas Experiments 2 and 3 assessed recognition memory for semantically related items. In Experiment 3, but not in Experiment 2, subjects were explicitly instructed to make a semantic association between the items. AA were impaired, compared to NC, only on the recognition memory performance of Experiment 1. The ability to make a semantic association between two items was significantly and positively correlated to the ability to recognise, in a subsequent test, those same items. A further analysis showed that patients who were impaired on the semantic association task did significantly worse on the recognition task of Experiment 3 than NC and than patients who were unimpaired on the semantic association task. These findings are discussed in the context of memory deficits in aphasia and interpreted as giving support to the view that episodic memory for an item is affected by the level of semantic awareness of that same item.

Aphasia↗
PubMed1996

The influence of semantic encoding on recognition memory in Alzheimer's disease.

Within the framework of the distinction between episodic and semantic memory, it has been argued that these two memory systems are organised in a hierarchical way. The hierarchical hypothesis assumes that episodic memory is a specific subsystem of semantic memory and therefore implies that episodic memory cannot exist without semantic memory. If this hypothesis is correct, it should be expected that patients with impaired semantic memory also have impaired episodic memory. In the present study, two experiments investigated the influence of semantic encoding on recognition memory performance in a population of 20 patients with Alzheimer's disease and 18 normal controls. Both experiments assessed recognition memory for semantically-related items. In Experiment 2, but not in Experiment 1, subjects were explicitly instructed to make a semantic association between the items. Alzheimer's disease patients were impaired, compared to the normal controls, on the recognition memory performance of both experiments. The ability to make a semantic association between two items was significantly and positively correlated with the subjects' performance on the recognition tasks. A further analysis showed that patients who were impaired on the semantic association task did significantly worse on the recognition task of Experiment 2 than normal controls and patients who were unimpaired on the semantic association task. These findings are discussed in the context of memory deficits in Alzheimer's disease, and are interpreted as supporting the view that episodic memory for an item is affected by the level of semantic awareness of that same item.

Aged↗
PubMedDate not supplied

Delivery on the hands and knees. A case study approach.

This article uses a case study approach to describe two deliveries on the hands and knees. This alternative birthing position is suggested as a means of preserving the perineal floor at the time of delivery. Explicit instruction in the conduct of a hands and knees delivery position is offered. Both advantages and disadvantages of this birth position are outlined. The primary advantage of preserving the perineum may come at the expense of the vulvar structures. Further study is urged on the use of alternative birthing positions and their effect on the birthing process.

Adult↗
PubMedDate not supplied

ERPs to stimuli requiring response production and inhibition: effects of age, probability and visual noise.

Sixty-six normal adults ranging in age from 20 to 85 years were presented with stimuli containing explicit instructions to initiate or to inhibit a motor response (the words 'push' or 'wait'). In one task, the effect of stimulus probability was investigated by varying probability between 0.25 and 0.75 for both Go and No-go stimuli. In another task, the effect of visual noise was investigated by degrading the stimuli with ampersands on half of the trials. Regression analysis was used to examine the effects of age on P3 amplitude and latency for each stimulus type. The effects of stimulus variables on P3, independent of age, were examined by standardizing each subject's data to those expected for a 20 year old. P3 latency to all stimuli and RT to Go stimuli increased with age. The latency of P3s to No-go stimuli was less sensitive to age than Go stimuli. P3 amplitude at Cz and Pz (but not Fz) diminished with age. P3s to Go stimuli were maximal at Pz and earlier than P3s to No-go stimuli. P3s to No-go stimuli were maximal at Cz. These differences between Go and No-go stimuli remained true under visual noise and probability manipulations. Visual noise prolonged the latency of Go and No-go P3. Less probable Go and No-go stimuli elicited larger and later P3s than more probable stimuli. Decreasing the probability of the No-go stimulus enhanced its central distribution.

Adult↗
PubMed2006

How we predict what other people are going to do.

We present a framework for discussing two major aspects of social cognition: the ability to predict what another person is like and what another person is likely to do next. In the first part of this review, we discuss studies that concern knowledge of others as members of a group and as individuals with habitual dispositions. These include studies of group stereotypes and of individual reputation, derived either from experience in reciprocal social interactions such as economic games or from indirect observation and cultural information. In the second part of the review, we focus on processes that underlie our knowledge about actions, intentions, feelings and beliefs. We discuss studies on the ability to predict the course of motor actions and of the intentions behind actions. We also consider studies of contagion and sharing of feelings. Lastly, we discuss studies of spatial and mental perspective taking and the importance of the perception of communicative intent. In the final section of this review, we suggest that the distinction between top-down and bottom-up processes, originally applied to non-social cognitive functions, is highly relevant to social processes. While social stimuli automatically elicit responses via bottom-up processes, responses to the same stimuli can be modulated by explicit instructions via top-down processes. In this way, they provide an escape from the tyranny of strong emotions that are readily aroused in social interactions.

Cognition↗
PubMed2004

Electrophysiological correlates of interval timing in the Stop-Reaction-Time task.

Scalp-recorded event-related potentials were recorded while participants completed an auditory or a visual Stop-Reaction-Time task (Stop-RT task). Participants were asked to listen to a sequence of tones (Experiment 1) or view a sequence of LED flashes (Experiment 2) that had a constant stimulus onset asynchrony (SOA) of either 470 or 770 ms, and to respond as soon as the sequence ended. Sequence length varied across trials, so counting the tones or light flashes did not permit determination of sequence end. Instead, participants had to time the SOA, even though they were not explicitly instructed to do so, and respond when the SOA had been exceeded. At sequence end, a biphasic negative-positive ERP response was emitted following the point in time when a stimulus would have occurred had the sequence continued. The negative component of this omission potential (OP) had a right fronto-central focus, whereas the positive component had a parietal focus; a pattern that held across SOA duration and signal modality. Moreover, the mean peak latency of the negative OP was equivalent in the visual and auditory modalities, even though the behavioral Stop-RTs obtained in the auditory experiment were 200 ms faster than those obtained in the visual experiment. The amodal negative OP appears to be a correlate of an interval-timing process that precedes response initiation, whereas the positive OP is most likely a target P300.

Acoustic Stimulation↗
PubMed2006

Oculomotor and manual indexes of incidental and intentional spatial sequence learning during middle childhood and adolescence.

The goal of this study was to examine incidental and intentional spatial sequence learning during middle childhood and adolescence. We tested four age groups (8-10 years, 11-13 years, 14-17 years, and young adults [18+ years]) on a serial reaction time task and used manual and oculomotor measures to examine incidental sequence learning. Participants were also administered a trial block in which they were explicitly instructed to learn a sequence. Replicating our previous study with adults, oculomotor anticipations and response times showed learning effects similar to those in the manual modality. There were few age-related differences in the sequence learning indexes during incidental learning, but intentional learning yielded differences on all indexes. Results indicate that the search for regularities and the ability to learn a sequence rapidly under incidental conditions are mature by 8 to 10 years of age. In contrast, the ability to learn a sequence intentionally, which requires cognitive resources and strategies, continues to develop through adolescence.

Adolescent↗
PubMed2006

Retrieving autobiographical memories of painful events activates the anterior cingulate cortex and inferior frontal gyrus.

UNLABELLED: Patients will often reflect on the meaning of a painful episode, as, for example, when completing questionnaire measures of subjective pain experience or in clinical interviews. Neuroimaging studies of the human cortical and subcortical physical pain response have identified a neural network consistently referred to as the "pain matrix." We used functional magnetic resonance imaging to investigate whether the pain matrix could be activated through the retrieval of memories relating to previously painful events, in the absence of any direct peripheral noxious input. Fourteen pain-free participants were explicitly instructed to recall autobiographical memories of painful episodes in response to pain-related words and non-painful episodes in response to equally salient but non-pain words. Memories triggered by pain-related words produced significantly greater activation of left caudal anterior cingulate cortex (BA32'), and left inferior frontal gyrus (BA44, extending to BA47/45) more than memories triggered by equally salient but non-pain words. We suggest that these activations demonstrate a semantic retrieval process for pain-related memories, which may provide a means of cognitively reappraising the memory of the painful episode, thus allowing the person to elaborate on the circumstances surrounding the event, without physically re-experiencing it. PERSPECTIVE: The present study reveals a putative neural mechanism for the retrieval of autobiographical memories of previously painful events, which may provide a means of cognitively reappraising a painful episode, without physically re-experiencing it. This finding has implications for understanding disease mechanisms of chronic pain and their impact on subsequent treatment.

Accidents, Traffic↗
PubMed2005

Contracts, covenants and advance care planning: an empirical study of the moral obligations of patient and proxy.

Previously we had speculated that the patient-proxy relationship existed on a contractual to covenantal continuum. In order to assess this hypothesis, and to better understand the moral obligations of the patient-proxy relationship, we surveyed 50 patient-proxy pairs as well as 52 individuals who had acted as proxies for someone who had died. Using structured vignettes representative of three distinct disease trajectories (cancer, acute stroke, and congestive heart failure), we assessed whether respondents believed that proxies should follow explicit instructions regarding life-sustaining therapy and act contractually or whether more discretionary or covenantal judgments were ethically permissible. Additional variables included the valence of initial patient instructions--for example, "to do nothing" or "to do everything"--as well as the quality of information available to the proxy. Responses were graded on a contractual to covenantal continuum using a modified Likert scale employing a prospectively scored survey instrument. Our data indicate that the patient-proxy relationship exists on a contractual to covenantal continuum and that variables such as disease trajectory, the clarity of prognosis, instructional valence, and the quality of patient instructions result in statistically significant differences in response. The use of interpretative or covenantal judgment was desired by patients and proxies when the prognosis was grim, even if initial instructions were to pursue more aggressive care. Nonetheless, there was a valence effect: patients and proxies intended that negative instructions to be left alone be heeded. These data suggest that the delegation of patient self-determination is morally complex. Advance care planning should take into account both the exercise of autonomy and the interpretative burdens assumed by the proxy. Patients and proxies think inductively and contextually. Neither group viewed deviation from patient instructions as a violation of the principal's autonomy. Instead of adhering to narrow notions of patient self-determination, respondents made nuanced and contextually informed moral judgments. These findings have implications for patient education as well as the legal norms that guide advance care planning.

Advance Care Planning↗
PubMed2005

Visual letter matching: hemispheric functioning or scanning biases?

Finding two mixed-case letters that share the same name is easier to do when the letters are presented in opposite visual fields than when they are both in the same field. By contrast, finding a match between two same-case letters is easier when they are in the same field. These visual field effects have been attributed to the ability of the corpus callosum to coordinate the work of the cerebral hemispheres [Banich, M. T. (1998). The missing link: The role of interhemispheric interaction in attentional processing. Brain and Cognition, 36, 128-157; Weissman, D. H., & Banich, M. T. (2000). The cerebral hemispheres cooperate to perform complex but not simple tasks. Neuropsychology, 14, 41-59]. The present study considers the alternative hypothesis that attentional scanning biases may be at work. Experiment 1 examined the effects of explicit instructions to scan items in a specific order; Experiment 2 examined influences of implicit location biasing; Experiment 3 considered the possibility that same-case letter matching is different because a perceptual grouping mechanism can be used in that task. In each experiment, we first interpreted the results within the hemispheric framework before considering the alternative accounts. We concluded that two scanning biases may be in effect: (1) an automatic bias favoring items in locations relatively distant from the current focus of attention and (2) a learned bias to scan letters in a left-to-right direction.

Analysis of Variance↗
PubMed2003

The history of cesarean technique.

Cesarean section has been practiced since ancient times. Unfortunately, no ancient medical documents describing the techniques for cesarean section are extant. In the early medieval period, cesarean section was usually performed by midwives. One of the first explicit instructions in medical literature on cesarean technique dates from about 1480 ce from southern Germany. We discuss the evolution of cesarean surgical technique and point up the contribution of many giants in the field of obstetrics and gynecology, such as Blundell, Frank, Harris, Joel-Cohen, Kehrer, Kerr, Lebas, Levret, Maylard, Pfannenstiel, Porro, Portes, and Sanger.

Cesarean Section↗
PubMed2003

Rhythmic and discrete elements in multi-joint coordination.

Everyday actions invariably consist of a combination of discrete and rhythmic elements within or across joints. The study investigated constraints arising from the co-occurrence of the two actions in a two-joint task and how endpoint trajectories are shaped due to these action elements at the joint level. The task consisted of an elbow oscillation in the plane that was to be merged with a fast discrete adduction or abduction in the shoulder triggered by an auditory signal. The task was performed with and without explicit instruction about the joint involvement. Two hypotheses were tested: (1) kinematic constraints for the coupling of discrete and rhythmic elements arise at the neuro-muscular level, such that EMG bursts of the discrete and rhythmic movement have a tendency to synchronize. This effect was documented previously in a comparable single-joint task. (2) The merging of the two elements is constrained by intersegmental torques such that initiation and performance of the discrete movement utilizes interaction torques. This hypothesis rests on the assumption that the CNS has an internal model of the limb dynamics and exploits passive torques. Key results support hypothesis 1: (i) the discrete action's initiation at the shoulder was constrained to a preferred phase of the ongoing elbow oscillation. (ii) The rhythmic elbow movement showed a systematic phase advance during the discrete shoulder shift, similar to those reported for the single-joint variant of the task. Reaction times of the discrete movement were longer and peak velocities slower than reported for isolated discrete movements, due to the simultaneous presence of the oscillation. (iii) Interaction torques acting from the elbow onto the shoulder joint were not selectively exploited for the acceleration of the discrete shoulder movement. Indirectly however, hypothesis 2 also found support: torques at the elbow generated compensatory muscle activity in the shoulder that stabilized the stationary joint. It was this rhythmic activity that posed the direct constraints on the initiation of the discrete movement.

Adult↗