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Leaning against the affordances of narratological clarity that the rhetoric of afterness sometimes seems to promise—a spatiotemporal legibility complicated in the queer poetics of John Ashbery and Harryette Mullen—this chapter returns to Eve Kosofsky Sedgwick’s formulation of reparative reading as it first appears in her introduction to Novel-Gazing (rather than its later form in Touching Feeling) for its illumination of a mode of relational attention, inseparable from the latter’s quality of effort, that Sedgwick figures in terms of the experimental spirit of the palpable. Both echoing William James’s characterization of the “strain and squeeze” of tendency and echoed in Lauren Berlant and Kathleen Stewart’s articulation of a horizon of the palpable as sidelong “tendency dilating,” the haptic absorptions of Sedgwick’s vision of reading invite us to shift our attention to a textual substance whose complex responsiveness interrupts the perceptual ease of object relations. Brian Teare’s Pleasure and Maggie Nelson’s The Argonauts offer instances of such textual ecologies turned in on and against themselves, giving productive pause to the hand of the eye.
Whether nudges succeed in promoting pro-environmental behavior strongly depends on their public acceptance. Prior literature shows that the framing of nudges, i.e., whether they address the individual (personal framing) or the society (societal framing), is one critical factor in determining nudging acceptance. Since a personal framing highlights the costs individuals have to bear to comply, we hypothesize that people accept nudges more when addressing the general public rather than themselves personally. We expect the framing effect to be stronger for nudges that elicit high-effort behavior than low-effort behavior. Results of multilevel linear regression analyses in two online experiments (nStudy 1 = 294, nobs = 4,410; nStudy 2 = 565, nobs = 11,300) reveal an opposite pattern: People accept nudges more when personally (vs societally) framed. As predicted, nudges receive higher support when the promoted behavior is perceived as low effort. Exploratory path analysis in Study 2 shows that the perceived effectiveness of the nudge mediates the positive relation between personal framing and nudging acceptance. This project provides novel insights on facilitators and barriers in nudging acceptance and their implications for policy-making.
According to international guidelines, respiratory rehabilitation (RR) for patients with chronic obstructive pulmonary disease (COPD) is a cornerstone of standard non-pharmacological treatment.
Aims:
To evaluate feasibility of a home-designed RR program and analyze its medium-term impact on respiratory parameters and quality of life.
Methods:
This was a prospective study involving 74 COPD patients enrolled in January 2019 and put on inhaled bronchodilator treatment associated with RR at home following a written protocol, for 16 weeks. The comparative statistical analysis highlights the difference before and after RR in terms of clinical and functional respiratory parameters as well as in terms of quality of life (assessed on the short form 36 (SF-36) questionnaire). The comparison involves RR-adherent patients versus non-adherent patients.
Results:
Mean age was 66.7 ± 8.3 years with a median of 67 years. All patients were smokers, out of which 42 patients (57%) did not quit yet. Forty-one percent of patients were frequent exacerbators. The average COPD assessment test (CAT) score in our patients was 23. The average 6-minutes walk distance (MWD) was 304 m. The BODE index in our patients was 4.11 on average. The RR program was followed by 36 patients (48%). Thirty patients (40%) applied it at least twice a week. RR-adherent patients had an average CAT score decreasing from 23 to 14.5 (P = 0.011). Their average 6-MWD was 444.6 m by the end of the study, which would be 64.2% of the calculated theoretical value. The average FEV1 increase after RR was 283 mL. The majority (69%) of RR-adherent patients were ranked as quartile 1; BODE index ≤2. The average scores of physical, psycho-social, and general dimensions assessed on the SF-36 questionnaire improved in RR-adherent patients.
Conclusions:
RR is a key non-pharmacological treatment for COPD. Its interest originates from its multidisciplinary nature, hence its effectiveness in several respiratory parameters. Our study reflects the feasibility of home-designed protocols in the absence of contraindications. We highlight also the positive impact on quality of life after RR at home.
We examine the effect of an irrelevant task that may become a reference point on subjects’ effort, feelings and perceptions. All subjects complete up to 25 tasks and are paid $0.10 per task solved correctly. However, some subjects have an easy task of finding one letter and others have a hard task of finding two letters. In the irrelevant-task treatment conditions subjects are told about the two types of tasks and are then assigned randomly to one. In addition, there are two control conditions, and in each control condition subjects are assigned to a specific task without the other task being possible or mentioned. Subjects in the irrelevant-task treatments express more positive (negative) feelings when assigned to the easy (hard) task. The control conditions that have no reference point of another task are in between the two irrelevant-task treatments in the feeling ratings. We hypothesized that for a given task, the subjects in the experimental conditions that have more positive feelings will also solve more tasks, but this hypothesis was not supported by the data. Finally, subjects who receive the easy task complete more tasks than the ones with the hard task.
The goal of this chapter is to call into question the ways we inherently define success and force us to consider and subsequently be explicit about the criteria we use to evaluate our goals. Importantly, this chapter is not intended to devalue the importance of evaluating success by the outcomes, but rather to acknowledge that the outcome is not the only measure of success. Indeed, though individuals seem by default to define success as a function of the desired outcome, the process by which that outcome is attained as well as the effort invested in the process to attain the desired outcome offer alternative criteria that may best fit depending on the goal.
There is limited research examining the impact of the validity of cognitive test performance on treatment outcome. All known studies to date have operationalized performance validity dichotomously, leading to the loss of predictive information. Using the range of scores on a performance validity test (PVT), we hypothesized that lower performance at baseline was related to a worse treatment outcome following cognitive behavioral therapy (CBT) in patients with Chronic Fatigue Syndrome (CFS) and to lower adherence to treatment.
Method:
Archival data of 1081 outpatients treated with CBT for CFS were used in this study. At baseline, all patients were assessed with a PVT, the Amsterdam Short-Term Memory test (ASTM). Questionnaires assessing fatigue, physical disabilities, psychological distress, and level of functional impairment were administered before and after CBT.
Results:
Our main hypothesis was not confirmed: the total ASTM score was not significantly associated with outcomes at follow-up. However, patients with a missing follow-up assessment had a lower ASTM performance at baseline, reported higher levels of physical limitations, and completed fewer therapy sessions.
Conclusions:
CFS patients who scored low on the ASTM during baseline assessment are more likely to complete fewer therapy sessions and not to complete follow-up assessment, indicative of limited adherence to treatment. However, if these patients were retained in the intervention, their response to CBT for CFS was comparable with subjects who score high on the ASTM. This finding calls for more research to better understand the impact of performance validity on engagement with treatment and outcomes.
At one point or another, most of us have been accused of not trying our hardest, and most of us have leveled similar accusations at others. The disputes that result are often intractable and raise difficult questions about effort, ability, and will. This essay addresses some of these questions by examining six representative cases in which the accusation is leveled. The questions discussed include (1) what trying one's hardest involves, and (2) the conditions under which complaints about lack of effort are true, and (3) how much their truth matters. One conclusion that emerges is that both the relevant form of effort and the impediments to making it can vary greatly, while another is that trying one's hardest is less important than trying as hard as one could reasonably be expected to try.
This study was designed to investigate the contribution of non-native (L2) patterns of pausing to the perceived effort of listening to speech. English-language speech samples from ten native speakers of Korean and Mandarin Chinese (five of each) previously assessed as having intermediate proficiency in English were manipulated by removing all non-juncture silent pauses as well as all filled pauses. The original and manipulated speech samples, as well as samples of comparable but un-manipulated English speech produced by ten native speakers of Korean and Mandarin Chinese with higher English proficiency were evaluated in a between-groups design by 60 native speakers of American English. Although the removal of non-juncture pauses did not significantly alter listeners’ ratings of the intermediate speech, results did suggest a subtle interaction between ratings of effort and measures of listeners’ working memory capacity, suggesting that the detrimental effects of pausing in non-native accented speech may be related to increased demand on limited-capacity cognitive processing resources such as working memory.
To enhance math achievement, numerous instructional strategies have been and will continue to be developed. Neither typical instructional procedures nor new methods for teaching math will be successful unless students choose to engage in assigned math activities. Two factors that can influence choice are response effort and reinforcement strength. Enhancing students’ basic math fact fluency can reduce the effort required to complete simple and more complex math tasks, making it more likely that students will choose to engage in math activities. Four evidence-based procedures designed to enhance basic math fact fluency are described (i.e., Cover, Copy, and Compare; Taped Problems; Explicit Timing; and Detect, Practice, and Repair). Also, procedures designed to enhance reinforcement for choosing to engage in math tasks are reviewed. These procedures include the Additive Interspersal Procedure, altering longer assignments into multiple briefer assignments, and applying interdependent group-oriented bonus rewards.
This chapter describes the behavior change technique of goal setting. Goal setting is an established and ubiquitous technique that has been used successfully in varied and diverse contexts, for multiple behaviors, and in numerous populations. Goal setting encompasses many different perspectives from individual-level goal setting (e.g., making a new year’s resolution or reading one book a week) to goal setting by global organizations (e.g., the United Nations’ sustainable development goals). This chapter considers many different kinds of goal setting interventions, including those that have emerged in popular culture and those derived from specific theories. Given that goal setting is ubiquitous, numerous theories have emerged to explain how and why goals operate, with Locke and Latham’s (1990) goal setting theory, the focus of the current chapter, as the only theory that deals with goal setting as a behavior change technique in its own right. Goal setting theory is described in detail and used to illustrate how different types of goal setting interventions might operate. The final section includes a step-by-step guide of what to do, what not to do, and what can be left to personal preference when setting goals.
Some things are more difficult to know than others. For example, proving the Poincaré conjecture is certainly more difficult than coming to know what does 2 + 2 equal. However, as obvious as it seems, explaining that knowledge can be difficult in familiar epistemological terms (e.g., in evidentialist or simple reliabilist terms) is less straightforward than one could initially think. The aim of the chapter is to show that virtue reliabilism (unlike virtue responsibilism) provides a promising framework for accounting for the relationship between difficulty and knowledge. However, it argues that virtue reliabilism first needs to get rid of the problematic assumption that cognitive abilities are reliable dispositions to form true beliefs in appropriate conditions. The reason is that this idea not only prevents the theory from explaining how knowledge relates to difficulty, but also renders its main tenet – the thesis that knowledge requires the manifestation of cognitive ability in appropriate conditions – false. To amend this problem, the chapter connects the virtue reliabilist framework with recent work on the notions of achievement and difficulty. It then advances a positive proposal: the view that knowledge is a special kind of challenge with varying degrees of difficulty.
Traditional perspectives on the study of aging and cognition have focused on what has been characterized as “cold cognition.” However, recent theoretical and empirical advances have emphasized the need to examine age differences in the factors that energize and direct cognitive activity (i.e., “hot cognition”). In the present chapter, the roles of goals and motivation are considered in terms of both explaining age differences in performance and characterizing adaptive functioning in later life. As an illustration of goal influences, three different perspectives associated with normative changes in goals across adulthood – social cognitive goals, socioemotional goals, and goal priorities – are discussed, along with their impact on cognition. The impact of aging on motivational processes associated with energizing, directing, and sustaining actions directed toward achieving goals is then considered, using selective engagement as an organizational framework.
Chapter 3 focuses on discussions of simile (tashbīh) in the nonphilosophical critical tradition, namely, in al-Jurjānī’s Asrār al-balāgha (The Secrets of Eloquence), which forms the site of the most elaborate articulation of an aesthetic theory of wonder. The chapter argues that the pleasure that arises from simile is attributed to its ability to elucidate (bayān), which in turn allows the listener to go through an experience of discovery and wonder. The more effort is required to grasp a simile and the stranger it is, the more beautiful it is. The chapter goes on to show how the principles that enhance the strangeness and farfetchedness of simile put forth by al-Jurjānī are later systematized and organized in the science of eloquence as formalized by al-Sakkākī and al-Khaṭīb al-Qazwīnī. While the specific elements that allow for an experience of discovery in simile are unique to that figure, the general discovery-based theory of aesthetic experience forms the foundation for the aesthetics of metaphor and sentence construction, as well, which are tackled in Chapters 4 and 5.
Performance validity tests (PVTs) are designed to detect nonvalid responding on neuropsychological testing, but their associations with disease-specific and other factors are not well understood in multiple sclerosis (MS). We examined PVT performance among MS patients and associations with clinical characteristics, cognition, mood, and disability status.
Method:
Retrospective data analysis was conducted on a sample of patients with definite MS (n = 102) who were seen for a clinical neuropsychological evaluation. Comparison samples included patients with intractable epilepsy seen for presurgical workup (n = 102) and patients with nonacute mild traumatic brain injury (mTBI; n = 50). Patients completed the Victoria Symptom Validity Test (VSVT) and validity cutoffs were defined as <16/24 and <18/24 on the hard items.
Results:
In this MS cohort, 14.4% of patients scored <16 on the VSVT hard items and 21.2% scored <18. VSVT hard item scores were associated with disability status and depression, but not with neuropsychological scores, T2 lesion burden, atrophy, disease duration, or MS subtype. Patients applying for disability benefits were 6.75 times more likely to score <18 relative to those who were not seeking disability. Rates of nonvalid scores were similar to the mTBI group and greater than the epilepsy group.
Conclusions:
This study demonstrates that nonvalid VSVT scores are relatively common among MS patients seen for clinical neuropsychological evaluation. VSVT performance in this group relates primarily to disability status and psychological symptoms and does not reflect factors specific to MS (i.e., cognitive impairment, disease severity). Recommendations for future clinical and research practices are provided.
Aberrant salience may contribute to the development of schizophrenia symptoms via alterations in reward processing and motivation. However, tests of this hypothesis have yielded inconsistent results. These inconsistencies may reflect problems with the validity and specificity of measures of aberrant salience in schizophrenia. Therefore, we investigated relationships among measures of aberrant salience, reward, and motivation in schizophrenia and anxiety.
Method
Individuals with schizophrenia (n = 30), anxiety (n = 33) or unaffected by mental disorder (n = 30) completed measures of aberrant salience [Aberrant Salience Inventory (ASI), Salience Attribution Test (SAT)], motivation (Effort Expenditure for Reward Task), and reinforcer sensitivity (Stimulus Chase Task).
Results
Schizophrenia participants scored higher than anxiety (d = 0.71) and unaffected (d = 1.54) groups on the ASI and exhibited greater aberrant salience (d = 0.60) and lower adaptive salience (d = 0.98) than anxious participants on the SAT. There was no evidence of a correlation between measures of aberrant salience. Schizophrenia was associated with related deficits in motivated behaviour and maladaptive reward processing. However, these differences in reward processing did not correlate with aberrant salience measures.
Conclusions
The results suggest that key measures of aberrant salience have limited specificity and validity. These problems may account for inconsistent findings reported in the literature.
My primary aim is to defend a nonreductive solution to the problem of action. I argue that when you are performing an overt bodily action, you are playing an irreducible causal role in bringing about, sustaining, and controlling the movements of your body, a causal role best understood as an instance of agent causation. Thus, the solution that I defend employs a notion of agent causation, though emphatically not in defence of an account of free will, as most theories of agent causation are. Rather, I argue that the notion of agent causation introduced here best explains how it is that you are making your body move during an action, thereby providing a satisfactory solution to the problem of action.
We engage with the nature and the value of achievement through a critical examination of an argument according to which biomedical “enhancement” of our capacities is impermissible because enhancing ourselves in this way would threaten our achievements. We call this the argument against enhancement from achievement. We assess three versions of it, each admitting to a strong or a weak reading. We argue that strong readings fail, and that weak readings, while in some cases successful in showing that enhancement interferes with the nature or value of achievement, fail to establish that enhancement poses an unusual threat to achievement.
It is frequently reported that processing speed slows and executive functions (EFs) become less effective in the course of healthy aging. This chapter highlights research supporting these claims in three areas of investigation: cognitive aging research, the neuropsychological perspective, and studies evaluating the association of EF with structural and functional imaging measures. Several themes emerge in this review. For example, diminished processing speed with aging appears to reflect aging-related changes in the anterior cingulate/superior medial frontal cortex, as well as perceptuomotor slowing. The definition of EF varies between different publications and there is a need for more precise operational definitions. There is also a need to decompose EFs into their component processes. Impairments of EF are strongly related to damage in prefrontal regions, but disorders of EF also occur with injury to nonfrontal regions, indicating that complex networks are involved in EF. Additionally, domain-specific changes beyond the changes in EF are important considerations in network analyses. We propose a method to advance future research on EF by using focal frontal lesion studies and neural network principles as frameworks to expand our understanding of aging-related changes in EF and processing speed.
Iraq and Afghanistan Veterans with posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) history have high rates of performance validity test (PVT) failure. The study aimed to determine whether those with scores in the invalid versus valid range on PVTs show similar benefit from psychotherapy and if psychotherapy improves PVT performance.
Method:
Veterans (N = 100) with PTSD, mild-to-moderate TBI history, and cognitive complaints underwent neuropsychological testing at baseline, post-treatment, and 3-month post-treatment. Veterans were randomly assigned to cognitive processing therapy (CPT) or a novel hybrid intervention integrating CPT with TBI psychoeducation and cognitive rehabilitation strategies from Cognitive Symptom Management and Rehabilitation Therapy (CogSMART). Performance below standard cutoffs on any PVT trial across three different PVT measures was considered invalid (PVT-Fail), whereas performance above cutoffs on all measures was considered valid (PVT-Pass).
Results:
Although both PVT groups exhibited clinically significant improvement in PTSD symptoms, the PVT-Pass group demonstrated greater symptom reduction than the PVT-Fail group. Measures of post-concussive and depressive symptoms improved to a similar degree across groups. Treatment condition did not moderate these results. Rate of valid test performance increased from baseline to follow-up across conditions, with a stronger effect in the SMART-CPT compared to CPT condition.
Conclusion:
Both PVT groups experienced improved psychological symptoms following treatment. Veterans who failed PVTs at baseline demonstrated better test engagement following treatment, resulting in higher rates of valid PVTs at follow-up. Veterans with invalid PVTs should be enrolled in trauma-focused treatment and may benefit from neuropsychological assessment after, rather than before, treatment.
In many situations, incentives exist to acquire knowledge and make correct political decisions. We conduct an experiment that contributes to a small but growing literature on incentives and political knowledge, testing the effect of certain and uncertain incentives on knowledge. Our experiment builds on the basic theoretical point that acquiring and using information is costly, and incentives for accurate answers will lead respondents to expend greater effort on the task and be more likely to answer knowledge questions correctly. We test the effect of certain and uncertain incentives and find that both increase effort and accuracy relative to the control condition of no incentives for accuracy. Holding constant the expected benefit of knowledge, we do not observe behavioral differences associated with the probability of earning an incentive for knowledge accuracy. These results suggest that measures of subject performance in knowledge tasks are contingent on the incentives they face. Therefore, to ensure the validity of experimental tasks and the related behavioral measures, we need to ensure a correspondence between the context we are trying to learn about and our experimental design.