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Intention and the omission bias: omissions perceived as nondecisions.

People often evaluate a decision to commit an action more negatively than a decision to omit an action, given that both decisions have the same negative consequence. This phenomenon is called the omission bias. In the present experiments, subjects were not asked to justify their judgments in view of doubts about whether the processes underlying decision making are open to introspection. Instead, they were asked to rate an agent's immorality-or the anger evoked by the employer of the agent-as well as the agent's intention, causality, and responsibility for either a commission or an omission version of several scenarios. The results of the three experiments suggest that the basis of the omission bias is a difference in perceived causality, making the outcome of an omission appear less intended than the outcome of a commission. This reduction in perceived intention for outcomes of omissions might make the evaluation of someone's behavior less negative.

Causality↗

Paradoxical intention in the treatment of agoraphobia and other anxiety disorders.

Following a description of the paradoxical intention procedure and a brief review of the general behavioral literature relevant to this technique, the authors focus on the role of paradoxical treatment programs for agoraphobic clients. The cognitive and exposure components of paradoxical intention are discussed and the procedure is compared and contrasted with other cognitive behavioral methods on one hand, and with flooding on the other. Finally, the authors provide several ideas for future research.

Agoraphobia↗

Paradoxical intention vs stimulus control in the treatment of severe insomnia.

This study compared the effectiveness of paradoxical intention, stimulus control, information and a control group on severe sleep onset insomnia. Results showed that paradoxical intention and stimulus control were equally effective but significantly better than the information and control groups. It is suggested that treatment be adapted for each individual according to data collected from the intensive behavioral analysis of each case.

Adult↗

Comparison of cerebellar intention tremor under isotonic and isometric conditions.

The characteristics of cerebellar intention tremor were investigated by comparing the properties of tremor following movements about the elbow with that following isometric contractions of biceps and triceps brachii. Cerebellar dysfunction was produced by local, reversible cooling of the dentate and interposed nuclei in three Cebus monkeys. Cerebellar nuclear cooling disrupted isometric contractions to the aimed target and produced oscillations in torque. Whereas the cerebellar tremor that followed movements was regular and had a frequency of 3-5 Hz, the oscillations in the isometric task were irregular and were often of a lower frequency. In addition, cycles of tremor following movements were in phase from trial to trial, while the oscillations that occurred following isometric contractions did not show this phase-relationship. It is concluded that a cerebellar tremor can occur in an isometric situation but that movement about a joint is required for development of a rhythmic 3-5-Hz cerebellar intention tremor.

Animals↗

Intention, history, and artifact concepts.

What determines our intuitions as to which objects are members of specific artifact kinds? Prior research suggests that factors such as physical appearance, current use, and intended function are not at the core of concepts such as chair, clock and pawn. The theory presented here, based on Levinson's (1993) intentional-historical theory of our concept of art, is that we determine that something is a member of a given artifact kind by inferring that it was successfully created with the intention to belong to that kind. This theory can explain why some properties (such as shape) are more important than others (such as color) when we determine kind membership and can account for why certain objects are judged to be members of artifact kinds even though they are highly dissimilar from other members of the kinds. It can also provide a framework for explaining the conditions under which broken objects cease to be members of their kinds and new artifacts can come into existence. This account of our understanding of artifact concepts is argued to be consistent with more general "essentialist" theories of our understanding of concepts corresponding to proper names and natural kind terms.

Art↗

Preparation- or intention-to-act, in relation to pre-event potentials recorded at the vertex.

Pre-event potentials were compared in the same subject, for 3 types of forewarned events, in which the foreperiod for orienting or attention began several seconds before the event. All of these trials involved similar non-motor components (expectancy, attentiveness, general orienting to a salient stimulus) but differed in whether motor or non-motor responses were required. A prominent and consistent slow negative shift preceded the pre-set time for a motor response, even when the subject 'vetoed' his intention to act shortly before the pre-set time. Pre-event potentials were absent, or small and brief, when the event was a task-related skin stimulus not involving preparation to move. The findings selectively support the view that mental preparation/intention to act is a necessary and perhaps dominant process associated with the vertex-recorded pre-event, slow negative potential. They also show that such a pre-event potential can appear even when the subject knows he is going to veto his developing intention to act and does not actually move.

Adult↗

Deaf children's expression of communicative intentions.

This study investigated the expression of communicative intentions by 3-year-old hearing-impaired children who were learning a system for manually coded English. Children were videotaped in their homes, interacting with their mothers. Children's communicative expressions were identified and coded according to a system modified from those developed to describe hearing children's pragmatic functioning. Between 4.5 and 5.5 communicative expressions were produced per minute. A large proportion of the expressions consisted of social or imperative intentions while a much smaller proportion were used for heuristic or informational purposes. Implications for the deaf children's future language use and development are discussed. The data presented provide some guidelines for pragmatic expectations for young deaf children and may help clinicians to identify deaf children who have developmental problems in addition to their hearing loss.

Child, Preschool↗

Long-term results after intentional tooth reimplantation in monkeys.

The purpose of this study was to evaluate histologically the long-term response to intentional tooth reimplantation in six rhesus monkeys. The study revealed that cervical and apical root resorption is a universal complication after tooth reimplantation and that arrested areas of resorption will show repair by deposition of cementum. A highly cellular periodontal membrane usually will develop. Periodontal fibers will reattach to reparative bone and cementum but seldom regain functional orientation. Partial or complete ankylosis may result. A further complication is progressive undermining resorption of the ankylosed teeth. Long-term studies are mandatory to evaluate the response to intentional tooth reimplantation.

Alveolar Process↗

Intentional replantation of periodontally involved and endodontically mistreated tooth.

This article presents a case in which a tooth was intentionally replanted after it was endodontically mistreated; there was also a severe periodontal involvement. The unusually long period of time that the tooth survived might be attributed to a different approach to the replantation technique, such as occlusion adjustment prior to replantation, preoperative reduction of oral cavity bacteria and of the harmful aerosols commonly found in the dental operatory, placement of a noneugenol periodontal packing under the acrylic splint to prevent residual liquid monomer from seeping into the periodontal space, use of the patient's own blood and no other material to moisten the root while it was out of the socket, a short extraoral period, loose splinting, complete isolation of the operative site in the oral cavity, and completion of periodontal therapy before intentional replantation.

Adult↗

Posttraumatic intention myoclonus.

A patient with long-standing intention myoclonus was treated with oral clonazepam, which resulted in clinical and electrophysiologic improvement as manifested by dramatic reduction in intention myoclonus and diminished amplitude of somatosensory evoked potentials after treatment.

5-Hydroxytryptophan↗

Analysis of intention tremor.

A marked effect of stereotaxic thalamotomy on intention tremor is described and a neurophysiological interpretation is offered. Tremor-generating activity seems to start in the ventral intermediate nucleus (VIM) of the thalamus, as revealed by recording of the unitary activity through a microelectrode at the tip of the insertion needle, after diminution of facilitatory input due to pathology of the cerebellum or its efferent pathway to the cerebrum. This secondary change within the VIM and the loss of facilitatory input leads to an intention tremor as one of the cerebellar symptoms seen in various neurological diseases.

Adult↗

Magnetic resonance imaging of patients with intention tremor.

We evaluated the magnetic resonance images of the patients with intention tremor. Five patients out of seven had some atrophic structures or changes in signal intensity in the cerebello-rubral thalamic tract. Moreover, the T2-weighted images of the patients group detected the dentate and red nuclei more poorly than those of our control group. From these results, the etiological significance of the tract was confirmed and the mechanism of the intention tremor onset was discussed.

Adolescent↗

Gender differences in knowledge, intentions, and behaviors concerning pregnancy and sexually transmitted disease prevention among adolescents.

Gender differences in knowledge, intentions, and behaviors regarding preventing pregnancies and sexually transmitted diseases were studied. Data for the study were collected from 1,033 students in 13 California high schools. Females in this sample were more likely than males to have discussed sexuality topics with parents, to have engaged in sexual intercourse more frequently, to have experienced a pregnancy scare, to have used oral contraceptives during their last sexual encounter, to perceive that a larger proportion of their peers were engaging in sex and using birth control, to obtain birth control from health facilities, and to report intentions to abstain or use protection in hypothetical situations placing them at risk for unprotected sex. In contrast, males reported that they were more likely to have always used birth control, to have used birth control during their first sexual encounter, and to have used a condom during their last sexual encounter. Furthermore, males were more likely to obtain birth control from a store or a friend. Finally, males knew more about using condoms correctly and their role in preventing sexually transmitted diseases. The efficacy of interventions designed to reduce unintended pregnancy and sexually transmitted diseases among adolescents may be increased by addressing these gender differences. Understanding gender differences may also facilitate an increased role for males in the overall prevention scheme. Further research is clearly needed to increase knowledge about these gender differences.

Adolescent↗

Intentional self-poisoning with the chlorophenoxy herbicide 4-chloro-2-methylphenoxyacetic acid (MCPA).

STUDY OBJECTIVE: Data on poisoning with MCPA (4-chloro-2-methyl-phenoxyacetic acid) are limited to 6 case reports. Our objective is to describe outcomes from intentional self-poisoning with MCPA in a prospective case series of 181 patients presenting to hospitals in Sri Lanka. METHODS: Patient information was collected by on-site study physicians as part of an ongoing prospective cohort study of poisoned patients. Medical history, clinical details, and blood samples were obtained prospectively. RESULTS: Overall clinical toxicity was minimal in 85% of patients, including mild gastrointestinal symptoms in 44% of patients. More severe clinical signs of chlorophenoxy poisoning reported previously, such as rhabdomyolysis, renal dysfunction, and coma, also occurred but were uncommon. Eight patients died (4.4%). Most deaths occurred suddenly from cardiorespiratory arrest within 48 hours of poisoning; the pathophysiological mechanism of death was not apparent. The correlation between admission plasma MCPA concentration and clinical markers of severity of toxicity (physical signs, symptoms, and increased creatine kinase level) was poor. CONCLUSION: Intentional self-poisoning with MCPA generally causes mild toxicity, but cardiorespiratory arrest and death may occur. All patients should receive routine resuscitation and supportive care. It seems reasonable to correct acidosis and maintain an adequate urine output, but there is insufficient evidence to support other specific interventions. Our data do not support a clinical role for measurement of plasma MCPA in the acute management of poisoning, and insufficient data were available to fully examine the utility of measured electrolytes and creatine kinase levels.

2-Methyl-4-chlorophenoxyacetic Acid↗

Primary care practitioners' understanding of physiatric practice: effects on intention to refer.

OBJECTIVES: To learn what family practice and internal medicine physicians understand about the scope of practice of physical medicine and rehabilitation (PM&R) and to study what effect that understanding and various demographic variables have on their intention to refer to physiatrists. DESIGN: Survey-based. SETTING: National survey. PARTICIPANTS: One thousand internal medicine and family practice physicians were contacted, with 460 respondents. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Intention to refer patients to physiatrists using 13 case scenarios (10 appropriate referrals, 4 inappropriate referrals) and self-reported number of referrals per year associated with understanding of 7 skills of physiatrists analyzed by multiple logistic regression analyses. RESULTS: Although most respondents were likely to refer to physiatrists, a wide variation existed in the types of patients referred. Physicians with a greater understanding of the scope of physiatric practice were more likely to refer ( P =.003). Female physicians were more likely to refer than male physicians ( P =.003). CONCLUSIONS: There appears to be an association between an understanding of physiatric practice and primary care practitioners' willingness to refer to PM&R. Primary care physicians should be educated about the benefits of referring patients to physiatrists.

Analysis of Variance↗

Double-blind test of the effects of distant intention on water crystal formation.

The hypothesis that water "treated" with intention can affect ice crystals formed from that water was pilot tested under double-blind conditions. A group of approximately 2,000 people in Tokyo focused positive intentions toward water samples located inside an electromagnetically shielded room in California. That group was unaware of similar water samples set aside in a different location as controls. Ice crystals formed from both sets of water samples were blindly identified and photographed by an analyst, and the resulting images were blindly assessed for aesthetic appeal by 100 independent judges. Results indicated that crystals from the treated water were given higher scores for aesthetic appeal than those from the control water (P = .001, one-tailed), lending support to the hypothesis.

California↗

The influence of smoking imagery on the smoking intentions of young people: testing a media interpretation model.

PURPOSE: To assess a theoretical model of adolescents' exposure to films, perceptions of smoking imagery in film, and smoking intentions. METHODS: A structured questionnaire was completed by 3041 Year 8 (aged 12 years) and Year 12 (aged 16 years) students from 25 schools in Auckland, New Zealand. The survey assessed the relationships among exposure to films, attitudes about smoking imagery, perceptions of smoking prevalence and its acceptability, and expectations of smoking in the future. Measures included exposure to films, perceived pervasiveness of, and nonchalant attitudes about smoking imagery, identification of positive smoker stereotypes in films, perceived smoking prevalence, judgment of smoking acceptability, and smoking expectations. Path analytic techniques, using multiple regression analyses, were used to test the pattern of associations identified by the media interpretation model. RESULTS: Hierarchical regression analyses revealed that film exposure predicted higher levels of perceived smoking prevalence, perceived imagery pervasiveness, and nonchalant attitudes about smoking imagery. Nonchalant attitudes, identification of positive smoker stereotypes, and perceived smoking prevalence predicted judgments of smoking acceptability. Acceptability judgments, identification of positive stereotypes, and perceived smoking prevalence were all positively associated with smoking expectations. The media interpretation model accounted for 24% of the variance in smoking expectations within the total sample. CONCLUSIONS: Smoking imagery in film may play a role in the development of smoking intentions through inflating the perception of smoking prevalence and presenting socially attractive images.

Adolescent↗

Self-esteem and adolescent sexual behaviors, attitudes, and intentions: a systematic review.

PURPOSE: This review systematically examined the relationship between self-esteem and adolescents' sexual behaviors, attitudes, and intentions, as empirically investigated by researchers over the last 20 years. METHODS: Based on the Matrix Method for systematic reviews, five electronic databases and reference lists of published studies were searched. Thirty-eight (n = 38) publications met specific inclusion and exclusion criteria and comprised the final sample. Each study was assigned a methodological quality score (MQS; maximum = 20 points). Each study's empirical test of the relationship between self-esteem and sexual behaviors/attitudes/intentions was counted as a single finding and was classified as exhibiting an inverse linear relationship, no statistically significant linear relationship, or a positive linear relationship. RESULTS: A total of 189 findings (average = 4.97/publication, range 1-28) were analyzed. Most findings (n = 138, 73%) consisted of tests of self-esteem and sexual behaviors. Regarding the nature of the relationship between self-esteem and the various behavior/attitude/intention variables, 62% of behavior findings and 72% of the attitudinal findings exhibited no statistically significant association. All of the intention-related findings exhibited some type of relationship (either positive or inverse). Studies' average MQS was 11.71 (SD = 1.60). Higher quality studies yielded findings of positive or absence of relationship (Cramer's V = .329, p = .001). CONCLUSIONS: If most findings exhibit no association between self-esteem and adolescent sexual behaviors/attitudes/intentions, questions are inevitably raised whether the emphasis placed on self-esteem by public health professionals is innocuous. Recommendations for methodological improvement of this body of research are also presented.

Adolescent↗