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A glance is enough to assign psychological attributes to others. Attractiveness is associated with positive attributes ('beauty‐is‐good' stereotype). Here, we raise the question of a similar but negative bias. Are people with facial anomalies associated with negative personal characteristics? We hypothesized that biases against faces with anomalies arise because of negative stereotypes (less warmth and competence) and forms of dehumanization (animalistic and mechanistic). We enrolled 1493 mTurk participants (N = 1306 after exclusion) to assess 31 traits of photographed people using 60 pairs of photographs of the same person before and after plastic surgery. Half anomalous faces had a scar and the other half had a palsy. To calculate warmth and competence, we conducted a principal components analysis of the 31 attributes. Animalistic dehumanization was assessed by averaging reverse‐scored ratings corresponding to moral sensibility and rationality/logic, and mechanistic dehumanization by averaging across reverse‐scored ratings corresponding to emotional responsiveness and interpersonal warmth. We found that both kinds of anomalous faces were seen as less warm, competent and were dehumanized. Our findings suggest that an 'anomalous‐is‐bad' stereotype generalizes regardless of the aetiology of the anomaly. This effect may be related to a reverse halo effect, that is, the horn effect. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to gain insight from patients with refractory Mycobacterium avium complex lung disease (MAC-LD) into strategies used to manage adverse events (AEs) associated with amikacin liposome inhalation suspension (ALIS). Methods: We conducted semi-structured interviews with US patients with refractory MAC-LD prescribed ALIS in a real-world setting. Interview transcripts were analyzed and coded to identify patterns in participants' descriptions of their ALIS treatment experiences, including AEs and their disruptiveness, and AE mitigation strategies, including participants' ratings of strategies' effectiveness. Concept saturation was also assessed. Results: Twenty participants (mean age 48.7 years; 80% women; mean ALIS duration 5.45 months) were interviewed. At the time of the interview, 15 participants (75%) had received ALIS for > 1 month and 13 (65%) were currently receiving ALIS. Participants described 44 unique AE mitigation strategies, which can be categorized into three groups: prepare for treatment; prevent increased emergence of AEs; and persist on treatment by mitigating AEs. Common strategies (reported by ≥ 50% of participants) included use of educational materials from the patient support program, localized management of throat irritation, and symptom management to reduce fatigue. Evidence of concept saturation was observed: no new strategies were identified in the last five interviews, which suggests the sample was robust enough to identify all mitigation strategies likely to be used by the broader patient population. Conclusions: This real-world study identified a diverse set of potential AE mitigation strategies intended to help individual patients prepare for ALIS treatment, prevent the increased emergence of certain AEs, and mitigate the impact of AEs on treatment persistence. Developing a comprehensive accounting of the types of mitigation strategies in use among patients in real-world settings can inform future investigation of the effectiveness of such strategies, and support evidence-based recommendations for treatment management. [ABSTRACT FROM AUTHOR]

Abstract: Almost every culture engages actively with the arts. Here, we explored how contextual information about content, artist, and technique impacts aesthetic experience. Contextual information increased aesthetic ratings for artworks in Indian and Northern American participants, especially in people more open to experience, and Northern American participants with low art experience. Contextual information reduced the ingroup bias for artworks, suggesting exposure to art may be a potential vehicle to mitigate prejudice against unfamiliar cultures. Similarities and differences in the routes to broader valuations of liking and beauty point to both anthropological universals and cultural specifics of the aesthetic experience. [ABSTRACT FROM AUTHOR]

Aesthetic emotions are defined as emotions arising when a person evaluates a stimulus for its aesthetic appeal. Whether these emotions are unique to aesthetic activities is debated. We address this debate by examining if recollections of different types of engaging activities entail different emotional profiles. A large sample of participants were asked to recall engaging aesthetic (N = 167), non-aesthetic (N = 160), or consumer (N = 172) activities. They rated the extent to which 75 candidate aesthetic emotions were evoked by these activities. We applied a computational psychometric network approach to represent and compare the space of these emotions across the three conditions. At the behavioral level, recalled aesthetic activities were rated as the least vivid but most intense compared to the two other conditions. At the network level, we found several quantitative differences across the three conditions, related to the typology, community (clusters) and core nodes (emotions) of these networks. Our results suggest that aesthetic and non-aesthetic activities evoke emotional spaces differently. Thus, we propose that aesthetic emotions are distributed differently in a multidimensional aesthetic space than for other engaging activities. Our results highlight the context-specificity of aesthetic emotions. [ABSTRACT FROM AUTHOR]

Background: Chronic obstructive pulmonary disease (COPD) is a common comorbidity in patients with nontuberculous mycobacterial lung disease (NTMLD). Both conditions are associated with increased morbidity and mortality, but data are lacking on the additional burden associated with NTMLD among patients with COPD. Thus, the goal of this study was to assess the incremental mortality risk associated with NTMLD among older adults with COPD. Methods: A retrospective cohort study was conducted using the US Medicare claims database (2010–2017). Patients with preexisting COPD and NTMLD (cases) were matched 1:3 by age and sex with patients with COPD without NTMLD (control patients). Patients were followed up until death or data cutoff (December 31, 2017). Incremental risk of mortality was evaluated by comparing the proportions of death, annualized mortality rate, and mortality hazard rate between cases and control patients using both univariate and multivariate analyses adjusting for age, sex, comorbidities, and COPD severity. Results: A total of 4,926 cases were matched with 14,778 control patients. In univariate analyses, a higher proportion of cases (vs. control patients) died (41.5% vs. 26.7%; P < 0.0001), unadjusted annual mortality rates were higher among cases (158.5 vs. 86.0 deaths/1000 person-years; P < 0.0001), and time to death was shorter for cases. This increased mortality risk was also reflected in subsequent multivariate analyses. Patients with COPD and NTMLD were more likely to die (odds ratio [95% CI], 1.39 [1.27–1.51]), had higher mortality rates (rate ratio [95% CI], 1.36 [1.28–1.45]), and had higher hazard of death (hazard ratio [95% CI], 1.37 [1.28–1.46]) than control patients. Conclusions: The substantial incremental mortality burden associated with NTMLD in patients with COPD highlights the importance of developing interventions targeting this high-risk group and may indicate an unmet need for timely and appropriate management of NTMLD. [ABSTRACT FROM AUTHOR]

Researchers have invested a great deal in creating reliable, "gold-standard" creativity assessments that can be administered in controlled laboratory settings, though these efforts have come at the cost of not using ecologically and face-valid tasks. To help fill this critical gap, we developed and implemented a novel, face-valid paradigm that required participants to paint abstract pieces of art, which were later rated for creative quality. We first sought to evaluate whether there was good convergence among creativity ratings provided by independent raters. Next, we examined whether its measure of creativity correlated with (a) existing creativity measures and (b) individual traits (e.g. openness, fluid intelligence) that are typically correlated with indices of creativity. Our findings indicate that our abstract-painting paradigm is feasible to implement (independent ratings of the creativity of the paintings converged well), and that its measure of creativity significantly correlated with some of the gold-standard indices of creativity (thereby providing convergent validity). These findings suggest that having participants engage in abstract painting provides a valid index of creativity, thereby opening new opportunities for future research to index a more-face-valid measure of creativity. [ABSTRACT FROM AUTHOR]

Curiosity, creativity, and aesthetics are typically studied separately. The extent to which they share psychological and neural mechanisms is not well understood, despite all being linked to broader personality characteristics like Openness to Experience and are driven by a desire for information and knowledge. Here, we review evidence and advance the hypothesis that creative and aesthetic experiences depend on curiosity as a driver of information-seeking and exploratory behavior because they are exemplars of situations that highlight gaps in knowledge or require problem finding and solving. At the psychological level, we link curiosity, creativity, and aesthetics to Openness to Experience and to ones' semantic memory. We demonstrate how Openness is a critical personality trait in enhancing curious behaviors, as well as creative and aesthetic acts. Furthermore, we highlight the role of semantic memory in such information-seeking behavior, leading to knowledge acquisition. At the neural level, we examine the neurobiological underpinnings of these constructs in relation to the mesolimbic dopaminergic reward system, as related to information-seeking. Finally, we link creativity and aesthetic experience and discuss how stages of art viewing and making relate to curiosity. Thus, we argue that information-seeking, the key behavior attributed to curiosity, motivates both creative and aesthetic activities. [ABSTRACT FROM AUTHOR]

What kinds of impacts can visual art have on a viewer? To identify potential art impacts, we recruited five aesthetics experts from different academic disciplines: art history, neuroscience, philosophy, psychology and theology. Together, the group curated a set of terms that corresponded to descriptive features (124 terms) and cognitive‐affective impacts (69 terms) of artworks. Using these terms as prompts, participants (n = 899) were given one minute to generate words for each term related to how an artwork looked (descriptive features) or made them think or feel (cognitive‐affective impacts). Using network psychometric approaches, we identified terms that were semantically similar based on participants' responses and applied hierarchical exploratory graph analysis to map the relationships between the terms. Our analyses identified 17 descriptive dimensions, which could be further reduced to 5, and 11 impact dimensions, which could be further reduced to 4. The resulting taxonomy demonstrated overlap between the descriptive and impact networks as well as consistency with empirical evidence. This taxonomy could serve as the foundation to empirically evaluate art's impacts on viewers. [ABSTRACT FROM AUTHOR]

Art is embedded in its historical, social, political, and cultural context, and rarely evaluated in isolation. The semantic context created by providing text-based information about an artwork influences how an artwork will be evaluated. In the current study, we investigated how contextual information influences the aesthetic appreciation of artworks. Experiment 1 explored whether contextual information such as artist or technique information influenced aesthetic judgments of abstract artworks by Jackson Pollock. The combination of artist and technique information increased liking and interest for the artworks. Experiment 2 investigated whether contextual information about the artist, technique, or content of representational artworks by Indian and European/American artists influenced aesthetic responses of Northern American participants. We found that artist, content, and technique information compared to no information influenced the aesthetic experience of representational artworks. For both experiments, the effect of contextual information was stronger in participants with little art experience, and those more open to experience, and for artworks from another culture compared to one's own. In sum, along-with theories of empirical and neuro-aesthetics, the current findings also have implications for aesthetics education and museum curation. It seems crucial to consider the type of artwork, the type of contextual information, its potential to enhance aesthetic experience, and the curatorial background of the museum or exhibition, as well as individual differences of viewers. Artworks that are unfamiliar to its viewers might require more contextual information to have an impact on the viewers, and may lower viewers' prejudices against artworks/artists originating from an out-group. [ABSTRACT FROM AUTHOR]

Background: Mycobacterium avium complex lung disease (MAC-LD) is an infection that is increasing in frequency, associated with substantial disease burden, and often refractory to treatment. Amikacin liposome inhalation suspension (ALIS) is the first therapy approved for refractory MAC-LD. In the CONVERT study of adult patients with refractory MAC-LD, adding ALIS to a multidrug background regimen showed evidence of MAC infection elimination in sputum by month 6, which was maintained in most patients through the end of treatment (≤ 12 months post-conversion). This study assessed changes in healthcare resource utilization (HCRU) among patients initiating ALIS in real-world settings. Methods: This retrospective cohort study of the All-Payer Claims Database (October 2018–April 2020) included patients aged ≥ 18 years with ≥ 1 pharmacy claim for ALIS and ≥ 12 months of continuous health plan enrollment pre- and post-ALIS initiation. Respiratory disease-related (and all-cause) HCRU (hospitalizations, length of stay [LOS], emergency department [ED] visits, and outpatient office visits) were compared 12 months pre- and post-ALIS initiation. Outcomes were reported at 6-month intervals; 0–6 months pre-ALIS initiation was the reference period for statistical comparisons. Results: A total of 331 patients received ALIS, with HCRU highest in the 6 months pre-ALIS initiation. Compared with 26.9% during the reference period, respiratory-related hospitalizations decreased to 19.3% (P < 0.01) and 15.4% (P < 0.0001) during 0–6 and 7–12 months post-ALIS initiation, respectively. Mean number of respiratory disease-related hospitalizations per patient/6-month period decreased from 1.0 (reference period) to 0.6 (P < 0.0005) at both timepoints post-ALIS initiation. A similar pattern was observed for all-cause hospitalizations and hospitalizations per patient/6-month period (both P < 0.005). Reductions in all-cause and respiratory disease–related LOS post-ALIS initiation were significant (both P < 0.05). ED visits were few and unchanged during the study. Significant reductions per patient/6-month period in all-cause and respiratory-related outpatient office visits were observed post-ALIS initiation (all P < 0.01). Conclusions: In this first real-world study of ALIS, respiratory disease-related (and all-cause) hospitalizations and outpatient visits were reduced in the 12 months following ALIS initiation. The results of this study provide HCRU-related information to better understand the impact of initiating ALIS treatment. Trial registration: Not appliable. [ABSTRACT FROM AUTHOR]

Background: Mycobacterium avium complex lung disease (MAC-LD) is an infection that is increasing in frequency, associated with substantial disease burden, and often refractory to treatment. Amikacin liposome inhalation suspension (ALIS) is the first therapy approved for refractory MAC-LD. In the CONVERT study of adult patients with refractory MAC-LD, adding ALIS to a multidrug background regimen showed evidence of MAC infection elimination in sputum by month 6, which was maintained in most patients through the end of treatment (≤ 12 months post-conversion). This study assessed changes in healthcare resource utilization (HCRU) among patients initiating ALIS in real-world settings.Methods: This retrospective cohort study of the All-Payer Claims Database (October 2018-April 2020) included patients aged ≥ 18 years with ≥ 1 pharmacy claim for ALIS and ≥ 12 months of continuous health plan enrollment pre- and post-ALIS initiation. Respiratory disease-related (and all-cause) HCRU (hospitalizations, length of stay [LOS], emergency department [ED] visits, and outpatient office visits) were compared 12 months pre- and post-ALIS initiation. Outcomes were reported at 6-month intervals; 0-6 months pre-ALIS initiation was the reference period for statistical comparisons.Results: A total of 331 patients received ALIS, with HCRU highest in the 6 months pre-ALIS initiation. Compared with 26.9% during the reference period, respiratory-related hospitalizations decreased to 19.3% (P < 0.01) and 15.4% (P < 0.0001) during 0-6 and 7-12 months post-ALIS initiation, respectively. Mean number of respiratory disease-related hospitalizations per patient/6-month period decreased from 1.0 (reference period) to 0.6 (P < 0.0005) at both timepoints post-ALIS initiation. A similar pattern was observed for all-cause hospitalizations and hospitalizations per patient/6-month period (both P < 0.005). Reductions in all-cause and respiratory disease-related LOS post-ALIS initiation were significant (both P < 0.05). ED visits were few and unchanged during the study. Significant reductions per patient/6-month period in all-cause and respiratory-related outpatient office visits were observed post-ALIS initiation (all P < 0.01).Conclusions: In this first real-world study of ALIS, respiratory disease-related (and all-cause) hospitalizations and outpatient visits were reduced in the 12 months following ALIS initiation. The results of this study provide HCRU-related information to better understand the impact of initiating ALIS treatment.Trial Registration: Not appliable. [ABSTRACT FROM AUTHOR]

Artificial intelligence (AI) will affect almost every aspect of our lives and replace many of our jobs. On one view, machines are well suited to take over automated tasks and humans would remain important to creative endeavors. In this essay, I examine this view critically and consider the possibility that AI will play a significant role in a quintessential creative activity, the appreciation and production of visual art. This possibility is likely even though attributes typically important to viewers–the agency of the artist, the uniqueness of the art and its purpose might not be relevant to AI art. Additionally, despite the fact that art at its most powerful communicates abstract ideas and nuanced emotions, I argue that AI need not understand ideas or experience emotions to produce meaningful and evocative art. AI is and will increasingly be a powerful tool for artists. The continuing development of aesthetically sensitive machines will challenge our notions of beauty, creativity, and the nature of art. [ABSTRACT FROM AUTHOR]

There is a notion that mathematical equations can be considered aesthetic objects. However, whereas some aesthetic experiences are triggered primarily by the sensory properties of objects, for mathematical equations aesthetic judgments extend beyond their sensory qualities and are also informed by semantics and knowledge. Therefore, to the extent that expertise in mathematics represents the accumulation of domain knowledge, it should influence aesthetic judgments of equations. In a between-groups study design involving university students who majored in mathematics (i.e., experts) or not (i.e., laypeople), we found support for the hypothesis that mathematics majors exhibit more agreement in their aesthetic judgments of equations—reflecting a greater degree of shared variance driven by formal training in the domain. Furthermore, their judgments were driven more strongly by familiarity and meaning than was the case for laypeople. These results suggest that expertise via advanced training in mathematics alters (and sharpens) aesthetic judgments of mathematical equations. [ABSTRACT FROM AUTHOR]

People have an "anomalous-is-bad" stereotype whereby they make negative inferences about the moral character of people with craniofacial anomalies like scars. This stereotype is hypothesized to be a byproduct of adaptations for avoiding pathogens. However, evidence for the anomalous-is-bad stereotype comes from studies of European and North American populations; the byproduct hypothesis would predict universality of the stereotype. We presented 123 Hadza across ten camps pairs of morphed Hadza faces—each with one face altered to include a scar—and asked who they expected to be more moral and a better forager. Hadza with minimal exposure to other cultures chose at chance for both questions. Hadza with greater exposure to other cultures, however, expected the scarred face to be less moral and a better forager. These results suggest the anomalous-is-bad stereotype may be culturally shared or learned erroneously through associations with population-level differences, providing evidence against a universal pathogen avoidance byproduct hypothesis. [ABSTRACT FROM AUTHOR]

The Action-sentence Compatibility Effect (ACE) is a well-known demonstration of the role of motor activity in the comprehension of language. Participants are asked to make sensibility judgments on sentences by producing movements toward the body or away from the body. The ACE is the finding that movements are faster when the direction of the movement (e.g., toward) matches the direction of the action in the to-be-judged sentence (e.g., Art gave you the pen describes action toward you). We report on a pre-registered, multi-lab replication of one version of the ACE. The results show that none of the 18 labs involved in the study observed a reliable ACE, and that the meta-analytic estimate of the size of the ACE was essentially zero. [ABSTRACT FROM AUTHOR]

Hedonic evaluation of sensory objects varies from person to person. While this variability has been linked to differences in experience, little is known about why stimuli lead to different evaluations in different people. We used linear mixed‐effects models to determine the extent to which the openness, contour, and ceiling height of interior spaces influenced the beauty and pleasantness ratings of 18 participants. Then, by analyzing structural brain images acquired for the same group of participants, we asked if any regional gray matter volume (rGMV) covaried with these differences in the extent to which the three features influence beauty and pleasantness ratings. Voxel‐based morphometry analysis revealed that the influence of openness on pleasantness ratings correlated with rGMV in the anterior prefrontal cortex (Brodmann area (BA)‐10), and the influence of openness on beauty ratings correlated with rGMV in the temporal pole (BA38) and cluster, including the posterior cingulate cortex (BA31) and paracentral lobule (BA5/6). There were no significant correlations involving contour or ceiling height. Our results suggest that regional variance in gray matter volume may play a role in the computation of hedonic valuation and account for differences in the way people weigh certain attributes of interior architectural spaces. [ABSTRACT FROM AUTHOR]

Humans are deeply affected by stories, yet it is unclear how. In this study, we explored two aspects of aesthetic experiences during narrative engagement - literariness and narrative fluctuations in appraised emotional intensity. Independent ratings of literariness and emotional intensity of two literary stories were used to predict blood-oxygen-level-dependent signal changes in 52 listeners from an existing fMRI dataset. Literariness was associated with increased activation in brain areas linked to semantic integration (left angular gyrus, supramarginal gyrus, and precuneus), and decreased activation in bilateral middle temporal cortices, associated with semantic representations and word memory. Emotional intensity correlated with decreased activation in a bilateral frontoparietal network that is often associated with controlled attention. Our results confirm a neural dissociation in processing literary form and emotional content in stories and generate new questions about the function of and interaction between attention, social cognition, and semantic systems during literary engagement and aesthetic experiences. Hartung & Wang et al. use fMRI data from 52 participants to explore two aspects of aesthetic experiences during narrative engagement - literariness and narrative fluctuations in appraised emotional intensity. Their results demonstrate a neural dissociation in processing literary form and emotional content in stories and generate questions about the function of and interaction between attention, social cognition, and semantic systems during literary engagement. [ABSTRACT FROM AUTHOR]

People in developed countries spend over 90% of their time in built environments. Yet, we know little about its pervasive and often hidden effects on our mental state and our brain. Despite growing interest in the neuroscience of architecture, much of this scholarship has been descriptive. The typical approach is to map knowledge of the brain onto constructs important to architecture. For a programmatic line of research, how might descriptive neuroarchitecture be transformed into an experimental science? We review the literature outlining how one might consider experimental architecture first by examining the role of natural features in architectural settings. We then turn to the human experience of occupants, and hypothesized that aesthetic responses to architectural interiors reduce to key psychological dimensions. Conducting Psychometric Network Analysis (PNA) and Principal Components Analysis (PCA) on responses to curated images, we identified three components: coherence (ease of organizing and comprehending a scene), fascination (informational richness and generated interest), and hominess (personal ease and comfort). Coherence and fascination are well-established dimensions for natural scenes. Hominess was a new dimension related to architectural interiors. Central to all three communities in the PNA was emotional valence. We also reanalyzed data from an earlier fMRI study in which participants made beauty and approach-avoidance decisions while viewing the same images. Regardless of task, the degree of fascination covaried with neural activity in the right lingual gyrus. In contrast, coherence covaried with neural activity in the left inferior occipital gyrus only when participants judged beauty, and hominess covaried with neural activity in the left cuneus only when they made approach-avoidance decisions. The visual brain harbours hidden sensitivities to architectural interiors that are captured by the dimensions of coherence, fascination, and hominess. These findings represent first steps towards an experimental neuroarchitecture. [ABSTRACT FROM AUTHOR]

Beauty and wellness are terms used often in common parlance, however their meaning and relation to each other is unclear. To probe their meaning, we applied network science methods to estimate and compare the semantic networks associated with beauty and wellness in different age generation cohorts (Generation Z, Millennials, Generation X, and Baby Boomers) and in women and men. These mappings were achieved by estimating group-based semantic networks from free association responses to a list of 47 words, either related to Beauty , Wellness , or Beauty + Wellness. Beauty was consistently related to Elegance , Feminine , Gorgeous , Lovely , Sexy , and Stylish. Wellness was consistently related Aerobics , Fitness , Health , Holistic , Lifestyle , Medical , Nutrition , and Thrive. In addition, older cohorts had semantic networks that were less connected and more segregated from each other. Finally, we found that women compared to men had more segregated and organized concepts of Beauty and Wellness. In contemporary societies that are pre-occupied by the pursuit of beauty and a healthy lifestyle, our findings shed novel light on how people think about beauty and wellness and how they are related across different age generations and by sex. [ABSTRACT FROM AUTHOR]

Background: Sensitive measures of cognition are needed in preclinical and prodromal Alzheimer's disease (AD) to track cognitive change and evaluate potential interventions. Neurofibrillary tangle pathology in AD is first observed in Brodmann Area 35 (BA35), the medial portion of the perirhinal cortex. The importance of the perirhinal cortex for semantic memory may explain early impairments of semantics in preclinical AD. Additionally, our research has tied figurative language impairment to neurodegenerative disease.Objective: We aim to identify tasks that are sensitive to cognitive impairment in individuals with mild cognitive impairment (MCI), and that are sensitive to atrophy in BA35.Methods: Individuals with MCI and cognitively normal participants (CN) were tested on productive and receptive experimental measures of semantic memory and experimental tests of figurative language comprehension (including metaphor and verbal analogy). Performance was related to structural imaging and standard neuropsychological assessment.Results: On the experimental tests of semantics and figurative language, people with MCI performed worse than CN participants. The experimental semantic memory tasks are sensitive and specific; performance on the experimental semantic memory tasks related to medial temporal lobe structural integrity, including BA35, while standard neuropsychological assessments of semantic memory did not, demonstrating the sensitivity of these experimental measures. A visuo-spatial analogy task did not differentiate groups, confirming the specificity of semantic and figurative language tasks.Conclusion: These experimental measures appear sensitive to cognitive change and neurodegeneration early in the AD trajectory and may prove useful in tracking cognitive change in clinical trials aimed at early intervention. [ABSTRACT FROM AUTHOR]

Visual art offers cognitive neuroscience an opportunity to study how subjective value is constructed from representations supported by multiple neural systems. A surprising finding in aesthetic judgment research is the functional activation of motor areas in response to static, abstract stimuli, like paintings, which has been hypothesized to reflect embodied simulations of artists' painting movements, or preparatory approach–avoidance responses to liked and disliked artworks. However, whether this motor involvement functionally contributes to aesthetic appreciation has not been addressed. Here, we examined the aesthetic experiences of patients with motor dysfunction. Forty-three people with Parkinson disease and 40 controls made motion and aesthetics judgments of high-motion Jackson Pollock paintings and low-motion Piet Mondrian paintings. People with Parkinson disease demonstrated stable and internally consistent preferences for abstract art, but their perception of movement in the paintings was significantly lower than controls in both conditions. The patients also demonstrated enhanced preferences for high-motion art and an altered relationship between motion and aesthetic appreciation. Our results do not accord well with a straightforward embodied simulation account of aesthetic experiences, because artworks that did not include visual traces of the artist's actions were still experienced as lower in motion by Parkinson patients. We suggest that the motor system may be involved in integrating low-level visual features to form abstract representations of movement rather than simulations of specific bodily actions. Overall, we find support for hypotheses linking motor responses and aesthetic appreciation and show that altered neural functioning changes the way art is perceived and valued. [ABSTRACT FROM AUTHOR]

Are people with flawed faces regarded as having flawed moral characters? An "anomalous-is-bad" stereotype is hypothesized to facilitate negative biases against people with facial anomalies (e.g., scars), but whether and how these biases affect behavior and brain functioning remain open questions. We examined responses to anomalous faces in the brain (using a visual oddball paradigm), behavior (in economic games), and attitudes. At the level of the brain, the amygdala demonstrated a specific neural response to anomalous faces--sensitive to disgust and a lack of beauty but independent of responses to salience or arousal. At the level of behavior, people with anomalous faces were subjected to less prosociality from participants highest in socioeconomic status. At the level of attitudes, we replicated previously reported negative character evaluations made about individuals with facial anomalies, and further identified explicit biases directed against them as a group. Across these levels of organization, the specific amygdala response to facial anomalies correlatedwith stronger just-world beliefs (i.e., people getwhat they deserve), less dispositional empathic concern, and less prosociality toward people with facial anomalies. Characterizing the "anomalous-is-bad" stereotype at multiple levels of organization can reveal underappreciated psychological burdens shouldered by people who look different. [ABSTRACT FROM AUTHOR]

People vary widely in their acceptance of the use of pharmacological cognitive enhancement (CE). We tested the hypothesis that the acceptability of CE is malleable, by varying the context in which CE use takes place, by framing the use of CE with positive and negative metaphors, and by distinguishing between self and other CE use. 2,519 US-based participants completed 2 surveys using Amazon's Mechanical Turk. First, participants responded to vignettes describing a fictional character, which varied by framing metaphor (Pandora's box that releases brain performance vs. key that unlocks brain potential), role/setting (student/educational vs. employee/professional), and activity type (blue vs. white collar). Second, participants viewed personalized vignettes describing their own situations. Across both surveys, participants generally found CE use more acceptable for employees than students, while the effects of framing metaphors were unreliable and smaller than previously reported. People were more accepting of CE use by others than by themselves. Participants also found CE use more acceptable if more peers used CE, the environment was less competitive, and authority figures encouraged CE use. Our findings suggest that opinions about CE are indeed malleable, and concerns that peer pressure, the influence of authority figures, and competition might affect CE use are not unfounded. [ABSTRACT FROM AUTHOR]

Few classic philosophers are as popular as Immanuel Kant. Kant's ideas seem to be used ubiquitously in contemporary aesthetics discussions. Here, we critically review the way his ideas are being applied in empirical research. We focus on the four moments presented in the Critique of the Power of Judgment (first published in 1790) and show that Kant's precise (and sometimes counter-intuitive) use of language paired with his complex transcendental framework make interpretation of his work difficult. In some cases, colliding terminological systems easily lead to misinterpretations of his ideas. Further complicating matters, Kant developed a coherent and static description of judgments on the beautiful, while modern empiricists conduct experiments to construct a dynamic explanation of aesthetic experiences. These two approaches are difficult to reconcile. We outline points of tension and also areas where his ideas relate to and might motivate productive research questions. [ABSTRACT FROM AUTHOR]

Gestures might serve communicative functions by supplementing spoken expressions or restorative functions by facilitating speech production. Also, speakers with speech deficits use gestures to compensate for their speech impairments. In this study, we examined gesture use in speakers with and without speech impairments and how spoken spatial expressions changed when gestures were restrained. Six patients with speech problems and with left frontal and/or temporal lesions and 20 neurotypical controls described motion events in 3 different conditions (spontaneous gesture, only speech, and only gesture). In addition to the group analyses, we ran case analyses. Results showed that patients used more gestures compared to controls. Gestures served both communicative and restorative functions for patients whereas controls only used gestures for communicative purposes. Case analyses revealed that there were differential patterns among patients. Overall, gesture production is multifunctional and gestures serve different functions for different populations as well as within a population. [ABSTRACT FROM AUTHOR]

Time is talked about in terms of space more frequently than the other way around. Some have suggested that this asymmetry runs deeper than language. The idea that we think about abstract domains (like time) in terms of relatively more concrete domains (like space) but not vice versa can be traced to Conceptual Metaphor Theory. This theoretical account has some empirical support. Previous experiments suggest an embodied basis for space-time asymmetries that runs deeper than language. However, these studies frequently involve verbal and/or visual stimuli. Because vision makes a privileged contribution to spatial processing it is unclear whether these results speak to a general asymmetry between time and space based on each domain's general level of relative abstractness, or reflect modality-specific effects. The present study was motivated by this uncertainty and what appears to be audition's privileged contribution to temporal processing. In Experiment 1, using an auditory perceptual task, temporal duration and spatial displacement were shown to be mutually contagious. Irrelevant temporal information influenced spatial judgments and vice versa with a larger effect of time on space. Experiment 2 examined the mutual effects of space, time, and pitch. Pitch was investigated because it is a fundamental characteristic of sound perception. It was reasoned that if space is indeed less relevant to audition than time, then spatial distance judgments should be more easily contaminated by variations in auditory frequency, while variations in distance should be less effective in contaminating pitch perception. While time and pitch were shown to be mutually contagious in Experiment 2, irrelevant variation in auditory frequency affected estimates of spatial distance while variations in spatial distance did not affect pitch judgments. Results overall suggest that the perceptual asymmetry between spatial and temporal domains does not necessarily generalize across modalities, and that time is not generally more abstract than space. [ABSTRACT FROM AUTHOR]

The widespread use of stimulants among healthy individuals to improve cognition has received growing attention; however, public attitudes toward this practice are not well understood. We determined the effect of framing metaphors and context of use on public opinion toward cognitive enhancement. We recruited 3,727 participants from the United States to complete three surveys using Amazon's Mechanical Turk between April and July 2017. Participants read vignettes describing an individual using cognitive enhancement, varying framing metaphors (fuel versus steroid), and context of use (athletes versus students versus employees). The main outcome measure was the difference in respondent-assigned level of acceptability of the use of cognitive enhancement by others and by themselves between the contrasting vignettes. Participants were more likely to support the use of cognitive enhancement by others than by themselves and more when the use of enhancement by others was framed with a fuel metaphor than with a steroid metaphor. Metaphoric framing did not affect participants' attitudes toward their own use. Participants supported the use of enhancement by employees more than by students or athletes. These results are discussed in relation to existing ethical and policy literature. [ABSTRACT FROM AUTHOR]

Background: Patients with cancer frequently experience physical and psychological distress that can worsen their quality of life. Objectives: We assessed the outcomes of an 8-week mindfulness-based art therapy (MBAT) intervention, Walkabout: Looking In, Looking Out, on symptoms, sleep quality, health-related quality of life, sense of coherence (SOC), and spirituality in outpatients with cancer. Methods: A 1-group, pre–post intervention design with repeated measures at baseline, week 4, and week 8. Results: Despite a small pilot sample (n = 18), we found large effect sizes and statistically significant improvements from week 1 to week 8 in depression, the comprehensibility subscale of the SOC, and each subscale of spirituality, that is, peace, meaning, and faith. There were no significant changes in physical functioning, pain, sleep, tiredness, drowsiness, nausea, and appetite. Conclusions: The MBAT intervention, Walkabout, seems to meet key palliative care goals including improvement in emotional well-being, comprehensibility, and meaning making among outpatients with cancer. [ABSTRACT FROM AUTHOR]

Rationale Over half of acute ischemic stroke patients have a low National Institutes of Health Stroke Scale of 0-5 and up to two-thirds may not appear clearly disabled at presentation. The efficacy of intravenous alteplase for the latter group is not known. Aim Potential of rtPA for Ischemic Strokes with Mild Symptoms (PRISMS) was designed to evaluate the safety and efficacy of intravenous alteplase for the treatment of acute ischemic stroke with National Institutes of Health Stroke Scale 0-5 and without clearly disabling deficits. Sample size estimates A maximum of 948 subjects were required to test the superiority hypothesis with 80% power, according to a one-sided 0.025 level of significance. Methods and design PRISMS was a multicenter, randomized, double-blind, placebo-controlled phase 3b clinical trial. Patients were randomized to the active arm (intravenous alteplase standard dose of 0.9 mg/kg, up to a maximum of 90 mg, plus oral aspirin placebo) or the control arm (intravenous alteplase placebo plus active oral aspirin dose of 325 mg). Study outcome The primary efficacy endpoint was favorable functional outcome, defined as a modified Rankin Scale score 0 or 1 assessed at 90-day postrandomization. [ABSTRACT FROM AUTHOR]

Importance: More than half of patients with acute ischemic stroke have minor neurologic deficits (National Institutes of Health Stroke Scale [NIHSS] score of 0-5) at presentation. Although prior major trials of alteplase included patients with low NIHSS scores, few without clearly disabling deficits were enrolled.Objective: To evaluate the efficacy and safety of alteplase in patients with NIHSS scores of 0 to 5 whose deficits are not clearly disabling.Design, Setting, and Participants: The PRISMS trial was designed as a 948-patient, phase 3b, double-blind, double-placebo, multicenter randomized clinical trial of alteplase compared with aspirin for emergent stroke at 75 stroke hospital networks in the United States. Patients with acute ischemic stroke whose deficits were scored as 0 to 5 on the NIHSS and judged not clearly disabling and in whom study treatment could be initiated within 3 hours of onset were eligible and enrolled from May 30, 2014, to December 20, 2016, with final follow-up on March 22, 2017.Interventions: Participants were randomized to receive intravenous alteplase at the standard dose (0.9 mg/kg) with oral placebo (n = 156) or oral aspirin, 325 mg, with intravenous placebo (n = 157).Main Outcomes and Measures: The primary outcome was the difference in favorable functional outcome, defined as a modified Rankin Scale score of 0 or 1 at 90 days via Cochran-Mantel-Haenszel test stratified by pretreatment NIHSS score, age, and time from onset to treatment. Because of early termination of the trial, prior to unblinding or interim analyses, the plan was revised to examine the risk difference of the primary outcome by a linear model adjusted for the same factors. The primary safety end point was symptomatic intracranial hemorrhage (sICH) within 36 hours of intravenous study treatment.Results: Among 313 patients enrolled at 53 stroke networks (mean age, 62 [SD, 13] years; 144 [46%] women; median NIHSS score, 2 [interquartile range {IQR}, 1-3]; median time to treatment, 2.7 hours [IQR, 2.1-2.9]), 281 (89.8%) completed the trial. At 90 days, 122 patients (78.2%) in the alteplase group vs 128 (81.5%) in the aspirin group achieved a favorable outcome (adjusted risk difference, -1.1%; 95% CI, -9.4% to 7.3%). Five alteplase-treated patients (3.2%) vs 0 aspirin-treated patients had sICH (risk difference, 3.3%; 95% CI, 0.8%-7.4%).Conclusions and Relevance: Among patients with minor nondisabling acute ischemic stroke, treatment with alteplase vs aspirin did not increase the likelihood of favorable functional outcome at 90 days. However, the very early study termination precludes any definitive conclusions, and additional research may be warranted.Trial Registration: ClinicalTrials.gov Identifier: NCT02072226. [ABSTRACT FROM AUTHOR]

Modern spatial navigation requires fluency with multiple representational formats, including visual scenes, signs, and words. These formats convey different information. Visual scenes are rich and specific but contain extraneous details. Arrows, as an example of signs, are schematic representations in which the extraneous details are eliminated, but analog spatial properties are preserved. Words eliminate all spatial information and convey spatial directions in apurely abstract form. How does the human brain compute spatial directions within and across these formats? To investigate this question, we conducted two experiments on men and women: a behavioral study that was preregistered and a neuroimaging study using multivoxel pattern analysis of fMRI data to uncover similarities and differences among representational formats. Participants in the behavioral study viewed spatial directions presented as images, schemas, or words (e.g., "left"), and responded to each trial, indicating whether the spatial direction was the same or different as the one viewed previously. They responded more quickly to schemas and words than images, despite the visual complexity of stimuli being matched. Participants in the fMRI study performed the same task but responded only to occasional catch trials. Spatial directions in images were decodable in the intraparietal sulcus bilaterally but were not in schemas and words. Spatial directions were also decodable between all three formats. These results suggest that intraparietal sulcus plays a role in calculating spatial directions in visual scenes, but this neural circuitry may be bypassed when the spatial directions are presented as schemas or words. [ABSTRACT FROM AUTHOR]

A burgeoning interest in the intersection of neuroscience and architecture promises to offer biologically inspired insights into the design of spaces. The goal of such interdisciplinary approaches to architecture is to motivate construction of environments that would contribute to peoples' flourishing in behavior, health, and well-being. We suggest that this nascent field of neuroarchitecture is at a pivotal point in which neuroscience and architecture are poised to extend to a neuroscience of architecture. In such a research program, architectural experiences themselves are the target of neuroscientific inquiry. Here, we draw lessons from recent developments in neuroaesthetics to suggest how neuroarchitecture might mature into an experimental science. We review the extant literature and offer an initial framework from which to contextualize such research. Finally, we outline theoretical and technical challenges that lie ahead. [ABSTRACT FROM AUTHOR]

Metaphors are comparisons that link dissimilar conceptual domains. We hypothesized that the aptness of a metaphor is linked to the reader's experience of beauty, and that age and expertise influence these aesthetic judgments. We had young adults, literary experts, and elderly adults rate metaphors for beauty or aptness. Experimental materials consisted of single-sentence novel metaphors whose familiarity, figurativeness, imageability, interpretability, and overall valence ratings were known. Results suggest that beauty and aptness of metaphors are linked for elderly adults but are orthogonal for young adults and literary experts. Elderly participants seem to conflate emotional content with aptness. Young adults are most swayed by a perceived feeling of familiarity when rating for aptness, but not for beauty. Literary experts are relatively unaffected by the psycholinguistic variables, suggesting an emotionally distanced approach to these sentences. Individual differences in literary training and life experience have varying effects on the aesthetic experience of metaphor in regard to beauty and aptness. [ABSTRACT FROM AUTHOR]

As the cognitive neuroscience of metaphor has evolved, so too have the theoretical questions of greatest interest. To keep pace with these developments, in the present study we generated a large set of metaphoric and literal sentence pairs ideally suited to addressing the current methodological and conceptual needs of metaphor researchers. In particular, the need has emerged to distinguish metaphors along three dimensions: the grammatical class of their base terms, the sensorimotor features of their base terms, and the syntactic form in which the base terms appear. To meet this need, we generated nominal metaphors (and matched literal sentences) using entity nouns as the base terms, with the intention that they be used in concert with already published sets of predicate metaphors or nominal metaphors using event nouns. Using the results of three norming experiments, we provide 120 pairs of closely matched metaphoric and literal sentences that are characterized along 14 dimensions: 11 at the sentence level (length, frequency, concreteness, familiarity, naturalness, imageability, figurativeness, interpretability, ease of interpretation, valence, and valence judgment reaction time), and three related to the base term (visual, motion, and auditory imagery). These items extend previously published stimuli, filling an extant gap in metaphor research and allowing for tests of new behavioral and neural hypotheses about metaphor. [ABSTRACT FROM AUTHOR]

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Embodied cognition accounts posit that concepts are grounded in our sensory and motor systems. An important challenge for these accounts is explaining how abstract concepts, which do not directly call upon sensory or motor information, can be informed by experience. We propose that metaphor is one important vehicle guiding the development and use of abstract concepts. Metaphors allow us to draw on concrete, familiar domains to acquire and reason about abstract concepts. Additionally, repeated metaphoric use drawing on particular aspects of concrete experience can result in the development of new abstract representations. These abstractions, which are derived from embodied experience but lack much of the sensorimotor information associated with it, can then be flexibly applied to understand new situations. [ABSTRACT FROM AUTHOR]

The author comments on the reason residents may be more likely to prescribe opioids for chronic non-malignant pain.

Aesthetic evaluations are appraisals that influence choices in important domains of human activity, including mate selection, consumer behavior, art appreciation, and possibly even moral judgment. The nascent field of neuroaesthetics is advancing our understanding of the role of aesthetic evaluations by examining their biological bases. Here, we conduct a selective review of the literature on neuroaesthetics to demonstrate that aesthetic experiences likely emerge from the interaction between emotion-valuation, sensory-motor, and meaning-knowledge neural systems. This tripartite model can in turn be evoked to explain phenomena central to aesthetics, such as context effects on preferences. Indeed, context-dependent appraisals that focus on objects rather than on outcomes could be an important factor distinguishing aesthetic experiences from other kinds of evaluations. [ABSTRACT FROM AUTHOR]