Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine: Brussels, Belgium. 15-18 March 2016

[This corrects the article DOI: 10.1186/s13054-016-1208-6.].

Interpersonal Arrogance and the Incentive Salience of Power Versus Affiliation Cues

The arrogance dimension of the circumplex contrasts people who seemingly value power over affiliation (high arrogance) versus those who do not (low arrogance). Following this line of thinking, and building on an incentive salience model of approach motivation, three studies (total N = 284) examined the differential processing of power versus affiliation stimuli in categorization, perception and approach–avoidance paradigms. All studies found interactions of the same type. In study 2, for example, people high in arrogance perceived power stimuli to be larger than affiliation stimuli, but this differential pattern was not evident at low arrogance levels. People high, but not low, in arrogance also approached power stimuli faster than affiliation stimuli in a motor movement task (study 3). The results contribute to a process–based understanding of how interpersonal arrogance functions while linking such differences to the manner in which power versus affiliation cues are perceived and reacted to. Copyright © 2014 European Association of Personality Psychology

The self's symbolic role in implicit approach/avoidance: movement time evidence

Theories of self-regulation emphasize the special role that the symbolic self may play in approach and avoidance movements, but experimental evidence is lacking. In two experiments (total N = 157), participants moved either a self-relevant (e.g., "me") or non-self (e.g., "not me") agent to one of two locations, one occupied by a positive word and the other occupied by a negative word. In both experiments, the movement agent interacted with the destination valence such that it was only the symbolic self that moved more quickly to positive rather than negative locations. These results established a role for the symbolic self in approach/avoidance that had been questioned, thereby supporting both classic and contemporary self-related theories of approach and avoidance.

Egocentric Perceptions of the Environment in Primary, but not Secondary, Psychopathy

Several theories of psychopathy link it to an egocentric mode of perceiving the world. This explanatory perspective is quite plausible given that psychopaths are viewed as callous, uncaring, and narcissistic. This explanatory perspective, though, has been an insufficient focus of research, particularly in basic cognitive tasks. Building on the work of Wapner and Werner (1957), an implicit measure of cognitive egocentrism was developed. Continuous variations in primary and secondary psychopathy were assessed in a sample of college undergraduates (N = 80). Individuals high in primary psychopathy exhibited cognitive egocentrism, whereas individuals low in primary psychopathy did not. On the other hand, variations in secondary psychopathy were non-predictive of performance in the task. Results are discussed in terms of theories of psychopathy, distinctions between its primary and secondary components, and the utility of modeling egocentrism in basic cognitive terms.

Cognitive Egocentrism Differentiates Warm and Cold People

Warmth-coldness is a fundamental dimension of social behavior. Cold individuals are egocentric in their social relations, whereas warm individuals are not. Previous theorizing suggests that cognitive egocentrism underlies social egocentrism. It was hypothesized that higher levels of interpersonal coldness would predict greater cognitive egocentrism. Cognitive egocentrism was assessed in basic terms through tasks wherein priming a lateralized self-state biased subsequent visual perceptions in an assimilation-related manner. Such effects reflect a tendency to assume that the self's incidental state provides meaningful information concerning the external world. Cognitive egocentrism was evident at high, but not low, levels of interpersonal coldness. The findings reveal a basic difference between warm and cold people, encouraging future research linking cognitive egocentrism to variability in relationship functioning.

Living large: affect amplification in visual perception predicts emotional reactivity to events in daily life

It was hypothesised that affect-amplifying individuals would be more reactive to affective events in daily life. Affect amplification was quantified in terms of overestimating the font size of positive and negative, relative to neutral, words in a basic perception task. Subsequently, the same (N=70) individuals completed a daily diary protocol in which they reported on levels of daily stressors, provocations, and social support as well as six emotion-related outcomes for 14 consecutive days. Individual differences in affect amplification moderated reactivity to daily affective events in all such analyses. For example, daily stressor levels predicted cognitive failures at high, but not low, levels of affect amplification. Affect amplification, then, appears to have widespread utility in understanding individual differences in emotional reactivity.

Explicit and implicit approach motivation interact to predict interpersonal arrogance

Self-reports of approach motivation are unlikely to be sufficient in understanding the extent to which the individual reacts to appetitive cues in an approach-related manner. A novel implicit probe of approach tendencies was thus developed, one that assessed the extent to which positive affective (versus neutral) stimuli primed larger size estimates, as larger perceptual sizes co-occur with locomotion toward objects in the environment. In two studies (total N = 150), self-reports of approach motivation interacted with this implicit probe of approach motivation to predict individual differences in arrogance, a broad interpersonal dimension previously linked to narcissism, antisocial personality tendencies, and aggression. The results of the two studies were highly parallel in that self-reported levels of approach motivation predicted interpersonal arrogance in the particular context of high, but not low, levels of implicit approach motivation. Implications for understanding approach motivation, implicit probes of it, and problematic approach-related outcomes are discussed.

Toward a cognitive view of trait mindfulness: distinct cognitive skills predict its observing and nonreactivity facets

Dispositional variations in mindfulness and its facets have garnered considerable recent interest in the clinical and personality literatures. Theoretically, high mindful individuals have been characterized as more attuned to momentary sensations and perceptions and/or better able to execute behavior in a controlled manner, yet data of this relatively cognitive type have not been reported. In addition, perceptual attunement and executive control are distinct skills that may underlie, or at least correlate with, distinct facets of mindfulness. In 3 studies involving college students (N = 297), support for the latter idea was found. Individuals high in the observing (but not nonreactivity) facet of mindfulness demonstrated superior perceptual abilities in visual working memory (Study 1) and temporal order (Study 2) tasks. On the other hand, individuals high in the nonreactivity (but not observing) facet of mindfulness exhibited greater cognitive control flexibility (Study 3). Implications for understanding the cognitive basis of mindfulness facets are discussed.

Driven, distracted, or both? A performance-based ex-Gaussian analysis of individual differences in anxiety

Since the inception of the empirical study of personality, and even before it, individual differences in anxiety and distress have been viewed as key predictors of behavioral performance. Yet such literatures have always entertained 2 perspectives, one contending that anxious individuals are "driven" and the other contending that anxious individuals are "distracted." The present 3 studies (total N=289) sought to reconcile such discrepant views according to an ex-Gaussian parsing of reaction time performance tendencies in basic cognitive tasks. As hypothesized, a particular pattern marked by faster responding on the preponderance of trials (in terms of the ex-Gaussian μ parameter) in combination with slower responding on other trials (in terms of the ex-Gaussian τ parameter) was predictive of higher levels of anxiety. Implications for understanding neuroticism, distress, the anxiety-performance interface, and cognitive models of personality processes are discussed.

Approach motivation as incentive salience: perceptual sources of evidence in relation to positive word primes

Four experiments (total N = 391) examined predictions derived from a biologically based incentive salience theory of approach motivation. In all experiments, judgments indicative of enhanced perceptual salience were exaggerated in the context of positive, relative to neutral or negative, stimuli. In Experiments 1 and 2, positive words were judged to be of a larger size (Experiment 1) and led individuals to judge subsequently presented neutral objects as larger in size (Experiment 2). In Experiment 3, similar effects were observed in a mock subliminal presentation paradigm. In Experiment 4, positive word primes were perceived to have been presented for a longer duration of time, again relative to both neutral and negative word primes. Results are discussed in relation to theories of approach motivation, affective priming, and the motivation-perception interface.

Cognitive-emotional dysfunction among noisy minds: predictions from individual differences in reaction time variability

Mental noise can be defined as less reliable information processing. Individuals with high levels of mental noise are thought to be disadvantaged in cognitive, emotional, and behavioural realms. The present five studies (total N=298) investigated such potential disadvantages among normally functioning college undergraduates. Mental noise was operationalised in terms of the reaction time coefficient of variation (RTCV), a measure of RT variability that corrects for average levels of mental speed. Individuals with higher RTCV exhibited less effective cognitive control (Studies 1 and 5), less controlled behaviour (Study 2), and were more prone to negative emotional experiences (Study 3) and depressive symptoms (Study 4). Study 5 extended these results and found that individuals higher (versus lower) in RTCV were more adversely affected by their attentional lapses in daily life. Results converge on the idea that mental noise is an important individual difference dimension with multiple adverse correlates and consequences.

Extraversion and reward-related processing: probing incentive motivation in affective priming tasks

Based on an incentive motivation theory of extraversion (Depue & Collins, 1999), it was hypothesized that extraverts (relative to introverts) would exhibit stronger positive priming effects in affective priming tasks, whether involving words or pictures. This hypothesis was systematically supported in four studies involving 229 undergraduates. In each of the four studies, and in a subsequent combined analysis, extraversion was positively predictive of positive affective priming effects, but was not predictive of negative affective priming effects. The results bridge an important gap in the literature between biological and trait models of incentive motivation and do so in a way that should be informative to subsequent efforts to understand the processing basis of extraversion as well as incentive motivation.

Error-Monitoring Ability Predicts Daily Stress Regulation

This study examined whether individual differences in error-related self-regulation predict emotion regulation in daily life, as suggested by a common-systems view of cognitive and emotional self-regulation. Participants (N = 47) completed a Stroop task, from which error-related brain potentials and behavioral measures of error correction were computed. Participants subsequently reported on daily stressors and anxiety over a 2-week period. As predicted by the common-systems view, a physiological marker of error monitoring and a behavioral measure of error correction predicted emotion regulation in daily life. Specifically, participants higher in cognitive control, as assessed neurally and behaviorally, were less reactive to stress in daily life. The results support the notion that cognitive control and emotion regulation depend on common or interacting systems.

Can One's Temper be Cooled?: A Role for Agreeableness in Moderating Neuroticism's Influence on Anger and Aggression

The study followed from the idea that neuroticism captures hot or facilitative vulnerabilities related to anger and aggression, whereas agreeableness captures cool or inhibitory processes in relation to these same outcomes. As such, it was predicted that neuroticism and agreeableness should interact to predict anger and aggression according to hot/cool models of self-regulation. This hypothesis was systematically examined among three independent samples of participants (total N = 176). As predicted, neuroticism and agreeableness interacted to predict anger and aggression among all samples, and did so in a manner consistent with the hypothesis that neuroticism-anger relations would be lower at high levels of agreeableness. The results therefore highlight the distinct roles of neuroticism and agreeableness in predicting anger and aggression, while placing these traits in a common interactive self-regulatory framework.

Agreeableness and the Self-Regulation of Negative Affect: Findings Involving the Neuroticism/Somatic Distress Relationship

In the temperament literature, agreeableness has been theoretically linked to effortful control. Further, research in this area has suggested that effortful control may play a broad role in moderating temperament-based tendencies toward negative affect. The present three studies, involving a total of 300 undergraduate participants, sought to extend this perspective to the adult literature by examining potential interactions between agreeableness and neuroticism in predicting reported somatic symptoms. Although such symptoms have been linked to neuroticism, they are not characteristic of the interpersonal concerns linked to agreeableness. Nevertheless, all studies found that agreeableness and neuroticism interacted to predict somatic symptoms such that high levels of agreeableness decoupled the relationship between neuroticism and somatic distress. These findings indicate a broad role for agreeableness in the self-regulation of neuroticism-linked distress.

Neurotic contentment: a self-regulation view of neuroticism-linked distress

The present hypotheses were guided by four premises, which were systematically examined in six studies involving 409 undergraduate participants. The first premise, established by prior work, is that trait neuroticism is closely associated with avoidance-related goals. The second premise, however, is that neuroticism may be uncorrelated with cognitive tendencies to recognize threats as they occur, and subsequently to down-regulate them. In support of this point, all six studies found that neuroticism was unrelated to post-error behavioral adjustments in choice reaction time. The third premise is that post-error reactivity would nonetheless predict individual differences in threat-recognition (Studies 1 and 2) and its apparent mitigation (Study 3), independently of trait neuroticism. These predictions were supported. The fourth premise is that individual differences in neuroticism and error-reactivity would interact with each other in predicting everyday experiences of distress. In support of such predictions, Studies 4-6 found that higher levels of error-reactivity were associated with less negative affect at high levels of neuroticism, but more negative affect at low levels of neuroticism. The findings are interpreted in terms of trait-cognition self-regulation principles.

Neuroticism and Affective Priming: Evidence for a Neuroticism-Linked Negative Schema

Neuroticism has been hypothesized to systematically relate to semantic memory networks favoring negative affect, but no studies using affective priming tasks have established this link. The present two studies, involving 145 undergraduate participants, sought to provide initial evidence along these lines. Study 1 used a task in which participants were asked to judge their emotions in the past, whereas Study 2 used a perceptual identification task in which participants merely had to identify the word in question. In both studies, neuroticism was positively correlated with negative affective priming, but not positive affective priming. The studies suggest that neuroticism systematically relates to the inter-connectivity of negative affect with semantic memory systems, whether involving the self-concept (Study 1) or not (Study 2). These results are novel and important in understanding individual differences in neuroticism and their affective processing correlates.

Biodegradation of carbonate apatite/collagen composite membrane and its controlled release of carbonate apatite

The aim of this study was to investigate the biodegradation of carbonate apatite (CO(3)Ap)/collagen composite membrane as a new guided tissue regeneration membrane in vivo and to estimate its controlled release of CO(3)Ap in vitro. To control the biodegradation of the guided tissue regeneration membrane and to promote hard tissue regeneration in the periodontal region, we added CO(3)Ap into the collagen membrane. To investigate the biodegradation of CO(3)Ap/collagen composite membranes, the prepared membranes (CO(3)Ap:0, 10 wt %) were cut into 5 x 5 x 0.1 mm and subcutaneously implanted into the backside of male rats under general anesthesia. The explanted membranes were investigated histologically. To estimate their controlled release of CO(3)Ap in vitro, the membranes (CO(3)Ap 0-10 wt %, 5 x 5 x 0.1 mm) were immersed into collagenase solution and compulsorily dissolved for 48 h. Histological results suggested that the membrane had a good biocompatibility and the biodegradable period was shortened with the presence of CO(3)Ap. In the solubility experiments of the membrane, eluted Ca concentrations gradually increased with total dependence on the dissolution of the collagen membrane. Our study demonstrated that the biodegradation time can be controlled by CO(3)Ap contents in the membrane and CO(3)Ap could be released from the membrane with the biodegradation period.

Squamous cell carcinoma of the maxillary sinus treated with radiation therapy and conservative surgery

BACKGROUND

For patients with squamous cell carcinoma of the maxillary sinus, combined modality treatment is usually employed, involving radiation and en bloc radical surgery. In this study, local control was analyzed retrospectively in patients who underwent less aggressive piecemeal surgery.

METHODS

Of the 37 patients irradiated between 1973 and 1992, 62% were classified as having T4 lesions. Thirty-two patients underwent surgery and radiation therapy; conventional fractionation radiation therapy was used in most cases. Thirty of these patients underwent piecemeal debulking of their tumors and simultaneous radiation therapy.

RESULTS

Local recurrence free survival at 5 years was 59%, and orbital exenteration was performed on only 1 patient. T classification, the number of operations, and the presence of macroscopic residual disease each had a statistically significant impact on local recurrence. For the patients with macroscopic residual disease, more than 58 gray administered in conventional fractionation appeared to be necessary to improve local control.

CONCLUSIONS

Combined with radiation therapy, conservative surgery with piecemeal debulking was an effective method of treatment for the patients in this study.

Local control of piriform sinus cancer treated by radiation therapy alone

Local control rate by radical radiation therapy was analyzed in 33 patients with a piriform sinus cancer. Twenty-five patients (76%) were in stage T3 + T4. Local recurrence-free survival at 3 years was 49% in T1 + T2 and 25% in T3 + T4 (p = 0.01). In T1 + T2 lesions, a biologically effective dose for an acute reaction over 80 Gy and total treatment time less than 70 days appeared to improve local control. In T3 + T4 lesions, good radiation response assessed by the regaining of laryngeal mobility affected local control favorably. An esophageal involvement and destruction of the laryngeal cartilage as well as soft tissue extension precluded the possibility of local control by radiation therapy alone. In addition to the T-stage, other tumor factors should also be considered for predicting local control with radiation therapy.

[A case of complete remission following recurrent relapses 12 years after onset of acute myelocytic leukemia. Response to protocol including neocarzinostatin]

A 23-year-old male who had suffered recurrent relapses of acute myelocytic leukemia was treated with a protocol including neocarzinostatin (NCS) and complete remission was obtained. At the age of 11 years, he had complained of general fatigue and anemia, and was diagnosed as having AML because of the presence of leukemic cell infiltration in the bone marrow as well as peripheral blood. Auer bodies and a positive reaction to peroxidase were found. The last episode of relapse occurred at the age of 15 years, when he achieved complete remission following a trial protocol which included NCS. NCS seemed to be effective after it had been used intravenously for a short time. The patient has maintained complete remission for the past 7 years and has had no consolidation therapy in the last 3 years. For the last 18 months, he has been working in a market as a clerk 8 hours a day. NCS with a rapid infusion time seems to have effects on leukemic cells when it used with proteolytic enzyme. Neither skull radiation nor testicular biopsy were attempted. Results of CSF examination were within normal limits, but EEG and CT scan revealed the probability of early-stage leukoencephalopathy, although no significant clinical signs were observed. He had suffered an asthmatic attack before the onset of AML, but no further attack occurred until several months ago. In order to establish any relationship between these two diseases, further detailed analysis will be necessary.