The developmental origins of naïve psychology in infancy

Electronic cigarettes as a harm reduction strategy among patients with COPD: protocol for an open-label two arm randomized controlled pilot trial

Background

Smoking cessation is the most effective means of slowing the decline of lung function associated with chronic obstructive pulmonary disease (COPD). While effective smoking cessation treatments are available, they are underutilized and nearly half of people with COPD continue to smoke. By addressing both nicotine and behavioral dependence, electronic cigarettes (EC) could help people with COPD reduce the harm of combustible cigarettes (CC) through reductions in number of Cigarettes per Day (CPD) or quitting CC completely. The purpose of this pilot study is to identify barriers and facilitators to the use of and assess the preliminary effectiveness of EC as a harm reduction strategy among people with COPD.

Methods

In an open-label two-arm randomized controlled trial pilot study, 60 patients identified as smokers with a COPD diagnosis via electronic health records from a large urban health center are randomized in a 1:1 ratio to either standard care [counseling + nicotine replacement therapy (NRT)] or counseling + EC. The NRT arm will receive nicotine patches and nicotine lozenges for 12 weeks. The EC arm will receive EC for 12 weeks. Both cohorts will receive counseling from a licensed mental health counselor. Using ecological momentary assessment, participants will report their use of CC in both arms and EC use in the EC arm daily via text message. Primary outcomes will be feasibility and acceptability of intervention, and secondary outcomes will be reduction in CPD and change in COPD symptoms as measured by COPD Assessment Tool (CAT) score at 12-weeks. EC displacement of CC. To explore attitudes towards the use of EC as a harm-reduction strategy for patients with COPD, interviews will be performed with a sample of participants from both study arms.

Discussion

Despite decades of availability of smoking cessation medications, nearly half of people with COPD still smoke. This study aims to address the unmet need for feasible and effective strategies for reducing CC use among those with COPD, which has the potential to significantly improve the health of people with COPD who smoke.

Trial Registration ClinicalTrials.gov Identifier: NCT04465318.

If horses had toes: demonstrating mirror self recognition at group level in Equus caballus

Mirror self-recognition (MSR), investigated in primates and recently in non-primate species, is considered a measure of self-awareness. Nowadays, the only reliable test for investigating MSR potential skills consists in the untrained response to a visual body mark detected using a reflective surface. Here, we report the first evidence of MSR at group level in horses, by facing the weaknesses of methodology present in a previous pilot study. Fourteen horses were used in a 4-phases mirror test (covered mirror, open mirror, invisible mark, visible colored mark). After engaging in a series of contingency behaviors (looking behind the mirror, peek-a-boo, head and tongue movements), our horses used the mirror surface to guide their movements towards their colored cheeks, thus showing that they can recognize themselves in a mirror. The analysis at the group level, which ‘marks’ a turning point in the analytical technique of MSR exploration in non-primate species, showed that horses spent a longer time in scratching their faces when marked with the visible mark compared to the non-visible mark. This finding indicates that horses did not see the non-visible mark and that they did not touch their own face guided by the tactile sensation, suggesting the presence of MSR in horses. Although a heated debate on the binary versus gradualist model in the MSR interpretation exists, recent empirical pieces of evidence, including ours, indicate that MSR is not an all-or-nothing phenomenon that appeared once in phylogeny and that a convergent evolution mechanism can be at the basis of its presence in phylogenetically distant taxa.

Children's reasoning about the efficiency of others' actions: The development of rational action prediction

The relative efficiency of an action is a central criterion in action control and can be used to predict others' behavior. Yet, it is unclear when the ability to predict on and reason about the efficiency of others' actions develops. In three main and two follow-up studies, 3- to 6-year-old children (n = 242) were confronted with vignettes in which protagonists could take a short (efficient) path or a long path. Children predicted which path the protagonist would take and why the protagonist would take a specific path. The 3-year-olds did not take efficiency into account when making decisions even when there was an explicit goal, the task was simplified and made more salient, and children were questioned after exposure to the agent's action. Four years is a transition age for rational action prediction, and the 5-year-olds reasoned on the efficiency of actions before relying on them to predict others' behavior. Results are discussed within a representational redescription account.

Coevolution of language and symbolic meaning: Co-opting meaning underlying the initial arts in early human culture

Many of language's components, including communicating symbolic meaning, have neurobiological roots that go back millions of years in evolutionary time. The intersection with the human social survival strategy spawned additional adaptive meaning systems. Under conditions threatening survival in socially oriented human groups, extra-language meaning systems co-opted and adapted to facilitate unity, including the early formats of the arts. They would have percolated into cultural practice for this social purpose and ultimately survival. With evolutionary pressures tapping into biologically inherited, physiologically functioning sensory-motor pathways, anchored specifically in rhythm cognition and motor synchrony output, initial art practice conveyed symbolic group cohesion through communal, all-inclusive synchronously moving dance formations and rhythmically produced vocal or percussion sounds. As with the sounds of language in the deep past, and numerous other cultural behaviors, such nonmaterial early art formats would not have left marks in the archeological record but their evolutionary driven practice would have contributed to adaptive genetic factors woven into brain-behavior evolution. Their practice is likely to have well predated unearthed art-related objects. Consolidation of evidence and notions from language evolution, genetics, human physiology, comparative animal communication, archeology, and climate history in the distant past of early humans in Africa supports the evolutionary driven practice of initial nonmaterial art formats conveying symbolic expressions optimizing group survival. This article is categorized under: Cognitive Biology > Evolutionary Roots of Cognition Linguistics > Evolution of Language Psychology > Comparative Psychology.

Videos look faster as children grow up: Sense of speed and impulsivity throughout primary school

Previous research has documented systematic biases when adult observers judge the original speed of real-life video clips. What does the unfolding of events in videos-an increasingly pervasive "substitute reality"-look like as children grow up? The current study investigated the sense of speed during childhood and the relation with a number of performance and personality indexes. A group of 142 children aged 6-10 years adjusted the speed of video clips representing various scenes until reaching the apparent right speed. We found a tendency to underestimate speed; on average, videos played at their original speed were considered to be too slow. This tendency was larger in younger children and decreased with age (-3.16%/year). Uncertainty in judging video speed also decreased over the same age period (-10.79%/year). Children then performed a simple visuomotor task requiring response control, which revealed high accuracy and, in older children, faster responses. Children were also assessed for impulsivity/inattention and visuomotor habits through parents' questionnaires. When all variables were considered together, age and video game playing stood out as the only significant predictors of speed biases, both associated with an increase in apparent video speed. Thus, this study provides evidence of a change in the sense of speed during the primary school period, possibly involving the progressive overriding of a slow motion prior and/or the protracted calibration of perceptual mechanisms for speed constancy. The sense of speed, however, did not seem to be influenced by impulsivity traits in the population considered.

Probing the depth of infants' theory of mind: disunity in performance across paradigms

There is currently a hot debate in the literature regarding whether or not infants have a true theory of mind (ToM) understanding. According to the mentalistic view, infants possess the same false belief understanding that older children have but their competence is masked by task demands. On the other hand, others have proposed that preverbal infants are incapable of mental state attribution and simply respond to superficial features of the events in spontaneous-responses tasks. In the current study, we aimed to clarify the nature of infants' performance in tasks designed to assess implicit theory of mind (ToM) by adopting a within-subject design that involved testing 18-month-old infants on two batteries of tasks measuring the same four ToM constructs (intention, desire, true belief, and false belief). One battery included tasks based on the violation-of- expectation (VOE) procedure, whereas the other set of tasks was based on the interactive, helping procedure. Replication of the original findings varied across tasks, due to methodological changes and the use of a within-subject design. Convergent validity was examined by comparing performance on VOE and interactive tasks that are considered to be measures of the same theory of mind concept. The results revealed no significant relations between performance on the pairs of tasks for any of the four ToM constructs measured. This pattern of results is discussed in terms of current conflicting accounts of infants' performance on implicit ToM tasks. A video abstract of this article can be viewed at: https://www.youtube.com/watch?v=U3vqfe_zdhA&feature=youtu.be.

Are horses capable of mirror self-recognition? A pilot study

Mirror Self-Recognition (MSR) unveils complex cognitive, social and emotional skills and it has been found only in humans and few other species, such as great apes, dolphins, elephants and magpies. In this pilot study, we tested if horses show the capacity of MSR. Four subjects living socially under naturalistic conditions were selected for the experiment. We adopted the classical mark test, which consists in placing a coloured mark on an out-of-view body part, visible only through mirror inspection. If the animal considers the image as its own, it will use its reflection to detect the mark and will try to explore it. We enhanced the classical paradigm by introducing a double-check control. Only in the presence of the reflecting surface, animals performed tactile and olfactory exploration of the mirror and looked behind it. These behaviors suggest that subjects were trying to associate multiple sensory cues (visual, tactile and olfactory) to the image in the mirror. The lack of correspondence between the collected stimuli in front of the mirror and the response to the colored mark lead us to affirm that horses are able to perceive that the reflected image is incongruent when compared with the memorized information of a real horse. However, without replication of data, the self-directed behavior towards the colored marks showed by our horses cannot be sufficient per se to affirm that horses are capable of self-recognition.

The Structural and Functional Organization of Cognition

This article proposes that what have been historically and contemporarily defined as different domains of human cognition are served by one of four functionally- and structurally-distinct areas of the prefrontal cortex (PFC). Their contributions to human intelligence are as follows: (a) BA9, enables our emotional intelligence, engaging the psychosocial domain; (b) BA47, enables our practical intelligence, engaging the material domain; (c) BA46 (or BA46-9/46), enables our abstract intelligence, engaging the hypothetical domain; and (d) BA10, enables our temporal intelligence, engaging in planning within any of the other three domains. Given their unique contribution to human cognition, it is proposed that these areas be called the, social (BA9), material (BA47), abstract (BA46-9/46) and temporal (BA10) mind. The evidence that BA47 participates strongly in verbal and gestural communication suggests that language evolved primarily as a consequence of the extreme selective pressure for practicality; an observation supported by the functional connectivity between BA47 and orbital areas that negatively reinforce lying. It is further proposed that the abstract mind (BA46-9/46) is the primary seat of metacognition charged with creating adaptive behavioral strategies by generating higher-order concepts (hypotheses) from lower-order concepts originating from the other three domains of cognition.

Adequate formal language performance in unilateral cochlear implanted children: is it indicative of complete recovery in all linguistic domains? Insights from referential communication

OBJECTIVES

Referential communication (RC) is a key element in achieving a successful communication. This case series aimed to evaluate RC in children with unilateral cochlear implants (CIs) with formal language skills within the normal range.

METHODS AND MATERIALS

A total of 31 children with CIs, with language development within the normal range, were assessed using the Pragmatic Language Skills test (MEDEA).

RESULTS

Of the children with CIs, 83.9% reached performance levels appropriate for their chronological ages. The results confirmed a positive effect of cochlear implantation on RC development, although difficulties remained in some CI users.

CONCLUSIONS

The outcomes emphasize the need to pay greater attention to the pragmatic aspects of language, assessing them with adequate testing in the early phase after cochlear implantation. Clear knowledge of children's communicative competence is the key in optimizing their communicative environments in order to create the basis for future successful interpersonal exchanges and social integration.

Atypical monitoring and responsiveness to goal-directed gaze in autism spectrum disorder

We hypothesized that difficulty in understanding the goals of others' actions in autism spectrum disorder (ASD) might be linked to a diminished attention and responsivity to relevant social cues. Using an eye-tracking paradigm, we investigated how 24 children with ASD and 24 matched children without ASD responded to the observation of uncompleted actions without a clear target (neutral condition) versus a condition in which the actor's gaze direction indicated the target of the actions (head-turning condition). Children without ASD significantly increased their attention to the actor's face and to the action's target in the head-turning condition compared to the neutral condition, while this was not the case in the ASD group. Overall, our findings suggest a diminished monitoring and responsivity to social cues signalling goal-directedness, which might impact on the ability to understand other's action goals in young children with ASD.

Cry babies and pollyannas: Infants can detect unjustified emotional reactions

Infants are attuned to emotional facial and vocal expressions, reacting most prominently when they are exposed to negative expressions. However, it remains unknown if infants can detect whether a person's emotions are justifiable given a particular context. The focus of the current paper was to examine whether infants react the same way to unjustified (e.g., distress following a positive experience) and justified (e.g., distress following a negative experience) emotional reactions. Infants aged 15 and 18 months were shown an actor experiencing negative and positive experiences, with one group exposed to an actor whose emotional reactions were consistently unjustified (i.e., did not match the event), while the other saw an actor whose emotional reactions were justified (i.e., always matched the event). Infants' looking times and empathic reactions were examined. Only 18-month-olds detected the mismatching facial expressions: those in the unjustified group showed more hypothesis testing (i.e., checking) across events than the justified group. Older infants in the justified group also showed more concerned reactions to negative expressions than those in the unjustified group. The present findings indicate that infants implicitly understand how the emotional valence of experiences is linked to subsequent emotional expressions.

Early rationality in action perception and production? A theoretical exposition

Within recent years, the question of early rationality in action perception and production has become a topic of great interest in developmental psychology. On the one hand, studies have provided evidence for rational action perception and action imitation even in very young infants. On the other hand, scholars have recently questioned these interpretations and proposed that the ability to rationally evaluate actions is not yet in place in infancy. Others have examined the development of the ability to make rational action choices and have indicated limitations of young children's ability to act rationally. This editorial to the special issue on Early Rationality in Action Perception and Production? introduces the reader to the current debate. It elucidates the underlying theoretical assumptions that drive the debate on whether or not young children's action perception and production is rational. Finally, it summarizes the papers and their contributions to the theoretical debate.

Struggle for life, struggle for love and recognition: the neglected self in social cognitive neuroscience

In the following article we present a view that social cognition and social neuroscience, as shaped by the current research paradigms, are not sufficient to improve our understanding of psychopathological phenomena. We hold that the self, self-awareness, and inter-subjectivity are integral to social perception and actions. In addition, we emphasize that the self and self-awareness are, by their very nature and function, involved over the entire lifespan with the way the individual is perceived in the social environment. Likewise, the modes of operation and identification of the self and self-awareness receive strong developmental contributions from social interactions with parental figures, siblings, peers, and significant others. These contributions are framed by a competitive and cooperative struggle for love and recognition. We suggest that in humans social cognitive neuroscience should be informed by a thoughtful appreciation of the equal significance of the struggle for "life" and that for love and recognition. In order to be better positioned to improve the research agenda and practice of clinical psychiatry, we propose that cognitive and social neurosciences explicitly incorporate in their models phenomena relative to the self, self-awareness, and inter-subjectivity.

Continuity from an implicit to an explicit understanding of false belief from infancy to preschool age

An implicit understanding of false belief indicated by anticipatory looking has been shown to be significantly correlated with performance on explicit false-belief tasks in 3- and 4-year-old children (Low, 2010). Recent evidence from infant research indicates, however, that implicit false-belief understanding guides infants' expectations about goal-directed actions even in the second year of life. The present study presents data from a sample of N= 70 infants who were tested longitudinally at 15, 18, 30, 36 and 48 months with implicit and explicit Theory of Mind measures, as well as an assessment of verbal IQ. Belief-based anticipatory looking in the false-belief task at 18 months significantly predicted verbal false-belief reasoning at 48 months, after controlling for verbal IQ. These findings indicate developmental continuity and conceptual specificity in belief reasoning from infancy to preschool age. They are discussed with respect to competing accounts of infants' understanding of the mind.