Affective Sequences and Student Actions Within Reasoning Mind
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ABSTRACT:
SUBMITTER: Bittencourt I
PROVIDER: S-EPMC7334159 | biostudies-literature | 2020 Jun
REPOSITORIES: biostudies-literature
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Project description:IntroductionClinical reasoning is a core competency for every physician, as well as one of the most complex skills to learn. This study aims to provide insight into the perspective of learners by asking students about their own experiences with learning clinical reasoning throughout the medical Master's curriculum.MethodsWe adopted a constructivist approach to organise three semi-structured focus groups within the Master's curriculum at the medical school of the Radboud University Medical Center in Nijmegen (Netherlands) between August and December 2019. Analysis was performed through template analysis.ResultsThe study included 18 participants who (1) defined and interpreted clinical reasoning, (2) assessed the teaching methods and (3) discussed how they used their context in order to learn and perform clinical reasoning during their clinical rotations. They referred to a variety of contexts, including the clinical environment and various actors within it (e.g. supervisors, peers and patients).ConclusionWith regard to the process by which medical students learn clinical reasoning in practice, this study stresses the importance of integrating context into the clinical reasoning process and the manner in which it is learnt. The full incorporation of the benefits of dialogue with the practice of clinical reasoning will require additional attention to educational interventions that empower students to (1) start conversations with their supervisors; (2) increase their engagement in peer and patient learning; (3) recognise bias and copy patterns in their learning process; and (4) embrace and propagate their role as boundary crossers.
| S-EPMC8740056 | biostudies-literature
Project description: Not available
| S-EPMC9292623 | biostudies-literature
Project description:BackgroundMedical students transitioning into professional practice feel underprepared to deal with the emotional complexities of real-life ethical situations. Simulation-based learning (SBL) may provide a safe environment for students to probe the boundaries of ethical encounters. Published studies of ethics simulation have not generated sufficiently deep accounts of student experience to inform pedagogy. The aim of this study was to understand students' lived experiences as they engaged with the emotional challenges of managing clinical ethical dilemmas within a SBL environment.MethodsThis qualitative study was underpinned by an interpretivist epistemology. Eight senior medical students participated in an interprofessional ward-based SBL activity incorporating a series of ethically challenging encounters. Each student wore digital video glasses to capture point-of-view (PoV) film footage. Students were interviewed immediately after the simulation and the PoV footage played back to them. Interviews were transcribed verbatim. An interpretative phenomenological approach, using an established template analysis approach, was used to iteratively analyse the data.ResultsFour main themes emerged from the analysis: (1) 'Authentic on all levels?', (2)'Letting the emotions flow', (3) 'Ethical alarm bells' and (4) 'Voices of children and ghosts'. Students recognised many explicit ethical dilemmas during the SBL activity but had difficulty navigating more subtle ethical and professional boundaries. In emotionally complex situations, instances of moral compromise were observed (such as telling an untruth). Some participants felt unable to raise concerns or challenge unethical behaviour within the scenarios due to prior negative undergraduate experiences.ConclusionsThis study provided deep insights into medical students' immersive and embodied experiences of ethical reasoning during an authentic SBL activity. By layering on the human dimensions of ethical decision-making, students can understand their personal responses to emotion, complexity and interprofessional working. This could assist them in framing and observing appropriate ethical and professional boundaries and help smooth the transition into clinical practice.
| S-EPMC5806291 | biostudies-literature
Project description:The neuropathology of Parkinson's disease (PD) involves the frontal-subcortical circuit, an area responsible for processing affective theory of mind (ToM). Patients with PD are expected to experience deficits in the affective ToM. This study aims to investigate whether the ability to infer emotion in others is affected in either young-onset Parkinson's disease (YOPD) or middle-onset PD (MOPD) patients and to test whether the impairments in affective ToM are associated with the motor symptoms. The affective ToM, global mental abilities, and clinical symptoms were assessed in a total of 107 MOPD, 30 YOPD, and 30 normal controls (NCs). The MOPD patients exhibited deficits in affective ToM to the negative and neutral valences, when compared to the participants in the NCs and YOPD group. By conducting gender-stratified analysis, the deficits in affective ToM was only found in female participants. After adjusting for demographic variables, the multiple linear regression model revealed that affective ToM predicted motor symptoms, especially in female MOPD patients. The present study may aid in the development of medical care programs by advocating for a more comprehensive therapeutic plan that includes continuous disease progression monitoring and social skills training for female MOPD patients or their caregivers.
| S-EPMC6207749 | biostudies-literature
Project description:Affective Theory of Mind (ToM), an important aspect of ToM, involves the understanding of affective mental states. This ability is critical in the developmental phase of adolescence, which is often related with socio-emotional problems. Using a developmentally sensitive behavioral task in combination with functional magnetic resonance imaging, the present study investigated the neural development of affective ToM throughout adolescence. Eighteen adolescent (ages 12-14 years) and 18 young adult women (aged 19-25 years) were scanned while evaluating complex affective mental states depicted by actors in video clips. The ventromedial prefrontal cortex (vmPFC) showed significantly stronger activation in adolescents in comparison to adults in the affective ToM condition. Current results indicate that the vmPFC might be involved in the development of affective ToM processing in adolescence.
| S-EPMC4090969 | biostudies-literature
Project description:Real-world processes are complex and require ideas from multiple disciplines to be explained. However, many science courses offer limited opportunities for students to synthesize scientific ideas into coherent explanations. In this study, we investigated how students constructed causal explanations of complex phenomena to better understand the ways they approach this practice. We interviewed 12 undergraduate science majors and asked them to explain real-world phenomena. From these interviews, we developed a characterization framework that described the reasoning patterns we found. In this framework, we identified three explanatory frames that differentiated the kinds of explanations students provided: a colloquial frame, wherein participants activated conceptual resources based on personal experience using everyday language; an emerging mechanistic frame, wherein participants used scientific concepts in semicoherent ways; and a causal mechanistic frame, wherein participants cohesively drew upon scientific conceptual resources to construct mechanistic explanations. Overall, the causal mechanistic frame was the least prevalent frame invoked by students. Instead, many drew on an emerging mechanistic frame and struggled to identify and apply scientific concepts to real-world scenarios. We advocate for incorporating opportunities to reason about real-world phenomena into undergraduate science curricula to provide students with experience integrating scientific concepts to explain real-world phenomena.
| S-EPMC6234831 | biostudies-literature
Project description:Instructors communicate what they value about students' written work through their comments and feedback, and this feedback has the potential to direct how students approach writing assignments. In this study, we examined how graduate student teaching assistants (TAs) attended and responded to students' written lab reports in an introductory biology course. We collected and analyzed marked lab reports from five TAs and interviewed them about their marking decisions. The results show that TAs attended mainly to writing style and form in their markings and comments on lab reports. However, there were occasions when they attended to students' scientific reasoning in their markings and during interviews. We provide evidence that TAs' understanding of the purpose of the laboratory course and assessment structure influenced their attention. We also provide evidence that TAs could shift their attention from style and form to reasoning in response to moment-to-moment contextual cues. Building on these results, we discuss course design and professional development that reframes labs and reports to focus on students' biological reasoning.
| S-EPMC5998315 | biostudies-literature
Project description:For students, cognitive and motivational-affective characteristics are the most powerful prerequisites for successful learning. For teachers, judgments on their students' characteristics shape how they plan and implement instructional activities in order to offer individual learning support. On the student side, research is starting to find out more about the interplay of different characteristics within individual students. On the teacher side, studies still regard teacher judgment accuracy of only single characteristics. By taking a person-centered approach, regarding NS = 503 students and their NT = 41 mathematics and languages arts teachers, our manuscript joined teacher and student perspectives on student characteristics interplay and suggests methodology to compare them. We found that student assessments suggested ample diversity regarding this interplay-and teachers did not perceive this. In their views, "homogeneous" sets of average characteristics were dominant. Findings suggest addressing students' views and the diagnosis of their characteristics in teacher education to enable individual support.
| S-EPMC6093607 | biostudies-literature
Project description:Action observation engages higher motor areas, possibly reflecting an internal simulation. However, actions considered odd or unusual were found to trigger additional activity in the so-called theory of mind (ToM) network, pointing to deliberations on the actor's mental states. In this functional magnetic resonance imaging study, the hypothesis was tested that an allocentric perspective on a normal action, and even more so the sight of the actor's face, suffices to evoke ToM activity. Subjects observed short videos of object manipulation filmed from either the egocentric or the allocentric perspective, the latter including the actor's face in half of the trials. On the basis of a regions of interest analysis using ToM coordinates, we found increased neural activity in several regions of the ToM network. First, perceiving actions from an allocentric compared with the egocentric perspective enhanced activity in the left temporoparietal junction (TPJ). Second, the presence of the actor's face enhanced activation in the TPJ bilaterally, the medial prefrontal cortex (mPFC) and posterior cingulate cortex (PCC). Finally, the mPFC and PCC showed increased responses when the actor changed with respect to the preceding trial. These findings were further corroborated by zmap findings for the latter two contrasts. Together, findings indicate that observation of normal everyday actions can engage ToM areas and that an allocentric perspective, seeing the actor's face and seeing a face switch, are effective triggers.
| S-EPMC6869955 | biostudies-literature
Project description:This article presents valence/pleasantness, activity/arousal, power/dominance, origin, subjective significance, and source-of-experience norms for 1,586 Polish words (primarily nouns), adapted from the Affective Norms for English Words list (1,040 words) and from my own previous research (546 words), regarding the duality-of-mind approach for emotion formation. This is a first attempt at creating affective norms for Polish words. The norms are based on ratings by a total of 1,670 college students (852 females and 818 males) from different Warsaw universities and academies, studying various disciplines in equal proportions (humanities, engineering, and social and natural sciences) using a 9-point Likert Self-Assessment Manikin scale. Each participant assessed 240 words on six different scales (40 words per scale) using a paper-and-pencil group survey procedure. These affective norms for Polish words are a valid and useful tool that will allow researchers to use standard, well-known verbal materials comparable to the materials used in other languages (English, German, Portuguese, Spanish, French, Dutch, etc.). The normative values of the Polish adaptation of affective norms are included in the online supplemental materials for this article.
| S-EPMC4545176 | biostudies-literature