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Thinking differently about thinking positive: a discursive approach to cancer patients' talk.

There is an extensive social science and psycho-oncology literature on coping with cancer which claims that "thinking positive" is correlated with--and, by extension, causally implicated in--individuals' morbidity and mortality rates, and their overall level of mental health. Drawing on our own data, in which groups of women with breast cancer talk about "thinking positive", this paper interrogates the basis of such claims from a discursive perspective, by challenging the data analyses upon which they are based. We show that previous literature overwhelmingly relies on self-report data, which are taken as offering more or less accurate depictions of speakers' psychological states (i.e. their mental adjustment or coping style). A discursive approach, by contrast, explores talk as a form of action designed for its local interactional context, and pays detailed attention to what statements about "thinking positive" actually mean for speakers in the contexts in which they occur. We show that "thinking positive" functions not as an accurate report of a internal cognitive state, but rather as a conversational idiom, characterised by vagueness and generality, and summarising a socially normative moral requirement; we also show that even those breast cancer patients who report "thinking positive" can also actively resist its moral prescriptions. Finally, we sketch out the implications of our analysis for analyses of cancer patients' talk more generally and for future research on coping with cancer.

Breast Neoplasms↗

Why do we think? Consequences of regarding thinking as behavior.

Cognitive psychologists have made significant progress in explaining how people think. However, relatively little time and energy have been invested in understanding why we think--the factors that make us start or stop thinking, choose and change strategies and solutions. Such questions are linked to motivation and to discriminative and reinforcing stimuli. In this article, the idea that studying thinking as a form of behavior closely connected to antecedent stimuli and consequences leads to potentially important questions that are not presently being studied in the field of cognitive psychology. This is not an argument for reverting to behaviorism--rather, the argument is made that integrating a behavioral perspective on thinking would enrich cognitive psychology.

Behavior↗

'Right' way to 'do' illness? Thinking critically about positive thinking.

Exhortations to 'be positive' accompany many situations in life, either as a general injunction or in difficult situations where people are facing pressure or adversity. It is particularly evident in health care, where positive thinking has become an aspect of the way people are expected to 'do' illness in developed society. Positive thinking is framed both as a moral injunction and as a central belief system. It is thought to help patients cope emotionally with illness and to provide a biological benefit. Yet, the meanings, expectations and outcomes of positive thinking are infrequently questioned and the risks of positive thinking are rarely examined. We outline some of the latter and suggest that health professionals should exercise caution in both 'prescribing' positive thinking and in responding to patients and carers whose belief systems and feelings of obligation rest on it.

Expressed Emotion↗

[A longitudinal study of critical thinking dispositions & critical thinking skills in baccalaureate nursing students].

PURPOSE: This longitudinal study was done to investigate critical thinking dispositions and critical thinking skills of nursing students enrolled in a 4-year baccalaureate program at a university in Korea. METHOD: The study used a longitudinal design. A convenience sample of 32 nursing students who were completing their 1st, 2nd, 3rd, and 4th year in a baccalaureate program at a selected university was included. The subjects completed the California Critical Thinking Dispositions Inventory (CCTDI), the California Critical Thinking Skill Test (CCTST), and a demographic questionnaire. Data was analyzed by descriptive statistics, repeated ANOVA, adjusted p-values, and Pearson's correlation coefficient with SAS 8.12. RESULTS: There was statistically significant improvement according to academic year in the CCTDI total mean score (F=7.54, p= .0001) and subscales of Open-mindedness, Self-confidence, and Maturity. Contrarily, no statistically significant difference was found in the CCTST total mean score and subscales' score except Analysis. CONCLUSION: There is no significant correlation between critical thinking dispositions and skills, so it will be necessary to repeat a study like this, and the translated instruments should be modified by considering Korean culture.

Adult↗

Standardized measures of critical thinking. Experience with the California Critical Thinking Tests.

Standardized measures of student critical thinking are an attractive option for nursing educators under pressure to demonstrate student higher order thinking skills. One program's experience using the California Critical Thinking Skills Test and the California Critical Thinking Dispositions Inventory illustrates some of the problems of using standardized test and potential solutions.

California↗

Assessing students' self-reflective thinking in the classroom: the self-reflective thinking questionnaire.

The development of a questionnaire to assess students' use of self-reflective thinking in the classroom is described. On the basis of a literature search, items were selected. The items are students' self-report measures and open-ended questions. The participants were 96 fourth grade secondary vocational students from six classes in The Netherlands, all of whom were used to learning in cooperative groups. Complementary data were selected to validate this questionnaire. Visual inspection of the frequencies indicated a difference between levels of students' self-reflecting thinking. Between-subjects t tests showed that students' motivational engagement and marks could be used to validate the measure of self-reflective thinking. The implication of the questionnaire to assess students' self-reflective thinking within the classroom are discussed.

Adolescent↗

The cognitive imperative: thinking about how we think.

There are three domains of expertise required for consistently effective performance in emergency medicine (EM): procedural, affective, and cognitive. Most of the activity is performed in the cognitive domain. Studies in the cognitive sciences have focused on a number of common and predictable biases in the thinking process, many of which are relevant to the practice of EM. It is important to understand these biases and how they might influence clinical decision-making behavior. Among the specialities, EM provides a unique clinical milieu of inconstancy, uncertainty, variety, and complexity. Injury and illness are seen within narrow time windows, often under pressured ambient conditions. These operating characteristics force practitioners to adopt a distinctive blend of thinking strategies. Principal among them is the use of heuristics, a form of abbreviated thinking that often leads to successful outcomes but that occasionally may result in error. A number of opportunities exist to overcome interdisciplinary, linguistic, and other historical obstacles to develop a sound approach to understanding how we think in EM. This will lead to a better awareness of our cognitive processes, an improved capacity to teach effectively about cognitive strategies, and, ultimately, the minimization or avoidance of clinical error.

Attitude of Health Personnel↗

Critical thinking and accuracy of nurses' diagnoses. Part I: Risk of low accuracy diagnoses and new views of critical thinking.

Interpretations of patient data are complex and diverse, contributing to a risk of low accuracy nursing diagnoses. This risk is confirmed in research findings that accuracy of nurses' diagnoses varied widely from high to low. Highly accurate diagnoses are essential, however, to guide nursing interventions for the achievement of positive health outcomes. Development of critical thinking abilities is likely to improve accuracy of nurses' diagnoses. Newer views of critical thinking serve as a basis for critical thinking in nursing. Seven cognitive skills and ten habits of mind are identified as dimensions of critical thinking for use in the diagnostic process.

Nursing Diagnosis↗

We talk, therefore we think? A cultural analysis of the effect of talking on thinking.

The Western assumption that talking is connected to thinking is not shared in the East. The research examines how the actual psychology of individuals reflects these different cultural assumptions. In Study 1, Asian Americans and European Americans thought aloud while solving reasoning problems. Talking impaired Asian Americans' performance but not that of European Americans. Study 2 showed that participants' beliefs about talking and thinking are correlated with how talking affects performance, and suggested that cultural difference in modes of thinking can explain the difference in the effect of talking. Study 3 showed that talking impaired Asian Americans' performance because they tend to use internal speech less than European Americans. Results illuminate the importance of cultural understanding of psychology for a multicultural society.

Analysis of Variance↗

Children's original thinking: an empirical examination of alternative measures derived from divergent thinking tasks.

Children's creative potential is often assessed using cognitive tests that require divergent thinking, such as the Torrance Tests of Creative Thinking (TTCT; E. P. Torrance, 1974, 1976, 1990). In this study the authors investigated the effect of various scoring systems on the originality index, evaluating the high intercorrelation of fluency and originality measures found in the TTCT scoring system and the applicability of TTCT scoring norms over time and across age groups. In 3 studies, the originality of elementary school children was measured using TTCT norms and various sample-specific scoring methods with the TTCT Unusual Uses of a Box test as well as social-problem-solving tasks. Results revealed an effect of scoring technique on creativity indices as well as on the reliability of originality scores and the relationship between originality and other ability measures. The usefulness of the various measures for understanding children's original thinking are discussed.

Child↗

Thinking styles in relation to personality traits: an investigation of the Thinking Styles Inventory and NEO-PI-R.

This study is an investigation of the Sternberg-Wagner Thinking Style Inventory (TSI), with regard to cross-cultural replication and relation to the five-factor personality model (FFM). TSI and NEO-PI-R were administered to 107 participants from USA and 114 participants from Norway. Inter-correlations between NEO-PI-R dimensions and TSI-scales and factors were not very strong, few exceeding 0.40, and the correlations were in predicted directions. Joint factor analyses of TSI and NEO-PI-R showed that TSI covers variance that NEO-PI-R does not explain. Thus, it is argued that the thinking styles give an independent contribution beyond FFM dimensions. However, TSI did not relate to FFM in the same manner in the two samples. Finally, the TSI-scales and factors were replicable across samples by Procrustes rotation. The question whether thinking style may be regarded as a valid and reliable construct is discussed.

Cross-Cultural Comparison↗

[Eugen Bleuler's warning of "autistic undisciplined thinking in medicine" as a contribution to the scientific critique of medical research. A Zurich concept on "ratio et experientia" in medical thinking].

Bleuler, well known for introducing psychoanalysis into university psychiatry, is less known for his more important achievement: his introduction of results of brain research into scientific thinking, especially epistemology. His short tract on "autistic and undisciplined thinking" summarises these themes, culminating in his critical rejection of a science which denies the "natural unity" of the brain, and insists on the separation of emotions from thinking despite the evidence to the contrary gained from studying associations and their physical substrate.

Emotions↗

How system designers think: a study of design thinking in human factors engineering.

The paper presents a descriptive study of design thinking in human factors engineering. The objective of the study is to analyse the role of interpretation in design thinking and the role of design practice in guiding interpretation. The study involved 10 system designers undertaking the allocation of cognitive functions in three production planning and control task scenarios. Allocation decisions were recorded and verbal protocols of the design process were collected to elicit the subjects' thought processes. Verbal protocol analysis showed that subjects carried out the design of cognitive task allocation as a problem of applying a selected automation technology from their initial design deliberations. This design strategy stands in contrast to the predominant view of system design that stipulates that user requirements should be thoroughly analysed prior to making any decisions about technology. Theoretical frameworks from design research and ontological design showed that the system design process may be better understood by recognizing the role of design hypotheses in system design, as well as the diverse interactions between interpretation and practice, means and ends, and design practice and the designer's pre-understanding which shape the design process. Ways to balance the bias exerted on the design process were discussed.

Automation↗

Thinking about the past: early knowledge about links between prior experience, thinking, and emotion.

In two studies the authors investigated the situations where 3- to 7-year-olds and adults (N = 152) will connect a person's current feelings to the past, especially to thinking or being reminded about a prior experience. Study 1 presented stories featuring a target character who felt sad, mad, or happy after an event in the past and who many days later felt that same negative or positive emotion upon seeing a cue related to the prior incident. For some story endings, the character's emotion upon seeing the cue matched, or was congruent, with the current situation, whereas for others, the emotion mismatched the present circumstances. Participants were asked to explain the cause of each character's current feelings. As a further comparison, children and adults listened to behavior cuing stories and provided explanations for characters' present actions. Study 2 presented emotional scenarios that varied by emotion-situation fit (whether the character's emotion matched the current situation), person-person fit (whether the character's emotion matched another person's), and past history information (whether information about the character's past was known). Results showed that although there were several significant developments with increasing age, even most 3-year-olds demonstrated some knowledge about connections between past events and present emotions and between thinking and feeling. Indeed, children 5 years and younger revealed strikingly cogent understanding about historical-mental influences in certain situations, especially where they had to explain why a person, who had experienced a negative event in the past, was currently feeling sad or mad in a positive situation. These findings help underwrite a more general account of the development of children's coherent understandings of life history, mind, and emotion.

Affect↗

Value-Focused Thinking versus Alternative-Focused Thinking: Effects on Generation of Objectives.

Within the context of decision analysis, the aim of this work is to discover whether the structure of objectives generated with value-focused thinking (VFT) is different from the structure generated with alternative-focused thinking (AFT). In the first of two studies, two different groups of subjects created a structure of objectives for the same decision problem. Fourteen independent assessments were made for each group. After the terms used by the two groups, were standardized, it was found that the group using VFT generated a more extensive and hierarchical structure than the AFT group. With regard to the content of the objectives, it can be stated that the VFT structure covered aspects of the problem not covered by AFT. In the second study, structures representative of the two approaches were judged by a group of decision-makers-actually involved in the problem-with respect to several qualities. It was found that the structure generated by VFT was equal or superior to that generated by AFT in all qualities judged. Copyright 1999 Academic Press.

Journal Article↗

Sounder thinking through clearer writing. A graduate course on scientific writing can, if appropriately designed, strengthen scientific thinking.

Bad scientific writing involves more than stylistic inelegance: it is often the outward and visible form of an inward confusion of thought. The scientific literature at its present standard distorts rather than forms the graduate student's view of scientific knowledge and thought, and corrupts his ability to write, to read, and to think. Strong educational measures are needed to effect reform. I advocate a course on scientific writing as an essential feature in every scientist's training. Such a course delves deep into the philosophy and method of science if it deals with logic, precision, and clarity; on how these qualities can be achieved in writing; and on how such achievement strengthens the corresponding faculties in thinking.

Education↗

Thinking with images or thinking with language: a pilot EEG probability mapping study.

This pilot EEG mapping study was designed to explore thinking processes using complex mental imagery and thought processes. EEG was recorded with 19 electrodes (10/20 system against averaged ear lobe signals) while volunteers (n = 42) performed two separate tasks: visualization of an abstract concept and interpretation of a painting. Average spectral parameters such as amplitude, local and interhemispheric coherences were computed for five frequency bands (theta, alpha, beta 1, 2 and 3). Results indicate that the frontal regions are strongly involved during these tasks as evidenced by coherence changes. Changes are also present in temporal, parietal and occipital regions and are discussed in relation to information processing with the frontal regions considering the different cognitive functions required by the tasks.

Adolescent↗

When we think about thinking: the acquisition of belief verbs.

Mental-content verbs such as think, believe, imagine and hope seem to pose special problems for the young language learner. One possible explanation for these difficulties is that the concepts that these verbs express are hard to grasp and therefore their acquisition must await relevant conceptual development. According to a different, perhaps complementary, proposal, a major contributor to the difficulty of these items lies with the informational requirements for identifying them from the contexts in which they appear. The experiments reported here explore the implications of these proposals by investigating the contribution of observational and linguistic cues to the acquisition of mental predicate vocabulary. We first demonstrate that particular observed situations can be helpful in prompting reference to mental contents, specifically, contexts that include a salient and/or unusual mental state such as a false belief. We then compare the potency of such observational support to the reliability of alternate or concomitant syntactic information (e.g., sentential complementation) in tasks where both children and adults are asked to hypothesize the meaning of novel verbs. The findings support the efficacy of false belief situations for increasing the saliency of mental state descriptions, but also show that syntactic information is a more reliable indicator of mentalistic interpretations than even the most cooperative contextual cues. Moreover, when syntactic and observational information sources converge, both children and simulated adult learners are vastly more likely to build conjectures involving mental verbs. This is consistent with a multiple-cue constraint satisfaction view of vocabulary acquisition. Taken together, our findings support the position that the informational demands of mapping, rather than age-related cognitive deficiency, can bear much of the explanatory burden for the learning problems posed by abstract words.

Child↗