Social marketing and mass media interventions to increase sexually transmissible infections (STIs) testing among young people: social marketing and visual design component analysis.

INTRODUCTION: Globally, sexually transmissible infections (STIs) continue to disproportionately affect young people. Regular STI testing is an important public health strategy but remains low among this age group. Raising awareness of testing is an essential step and requires effective interventions designed for young people. To inform the development of effective interventions that promote STI testing among young people, we conducted a systematic literature review to describe the social marketing and visual design components commonly found in STI testing interventions and explore associations of these components with intervention effectiveness. METHODS: We used a systemic review methodology to identify peer-reviewed articles that met pre-defined inclusion criteria. Social marketing and visual component analyses were conducted using structured data extraction tools and coding schemes, based on the eight key social marketing principles and 28 descriptive dimensions for visual analysis. RESULTS: 18 studies focusing on 13 separate interventions met the inclusion criteria. Most interventions used photograph-based images, using conventionally attractive actors, positioned centrally and making direct eye contact to engage the viewer. The majority of interventions featured text sparingly and drew on a range of tones (e.g. serious, humorous, positive, reassuring, empowering and informative) and three interventions used sexualised content. Four articles explicitly stated that the interventions was informed by social marketing principles, with two explicitly referencing all eight principles. Around half of the articles reported using a formal theoretical framework, but most were considered to have theoretical constructs implicit in interventions materials. Four articles provided detailed information regarding developmental consumer research or pre-testing. All articles suggested segmentation and development of materials specifically for young people. Explicit consideration of motivation and competition was lacking across all articles. This study found that there were some design elements common to interventions which were considered more effective. High social marketing complexity (where interventions met at least seven of the 11 criteria for complexity) seemed to be associated with more effective interventions. CONCLUSIONS: Our findings suggest that the incorporation of social marketing principles, could be more important for intervention effectiveness than specific elements of visual design. Effective and systematic use of social marketing principles may help to inform future evidence-informed and theoretically based interventions and should be employed within sexual health improvement efforts.

A possible shared underlying mechanism among involuntary autobiographical memory and déjà vu.

We propose that IAM and déjà vu may not share a placement on the same gradient, per se, but the mechanism of cue familiarity detection, and a major differentiating factor between the two metacognitive experiences is whether the resulting inward directed search of memory yields retrieved content or not. Déjà vu may manifest when contentless familiarity detection is inexplicable by the experiencer.

A virtual reality paradigm with dynamic scene stimuli for use in memory research.

Episodic memory may essentially be memory for one's place within a temporally unfolding scene from a first-person perspective. Given this, pervasively used static stimuli may only capture one small part of episodic memory. A promising approach for advancing the study of episodic memory is immersing participants within varying scenes from a first-person perspective. We present a pool of distinct scene stimuli for use in virtual environments and a paradigm that is implementable across varying levels of immersion on multiple virtual reality (VR) platforms and adaptable to studying various aspects of scene and episodic memory. In our task, participants are placed within a series of virtual environments from a first-person perspective and guided through a virtual tour of scenes during a study phase and a test phase. In the test phase, some scenes share a spatial layout with studied scenes; others are completely novel. In three experiments with varying degrees of immersion, we measure scene recall, scene familiarity-detection during recall failure, the subjective experience of déjà vu, the ability to predict the next turn on a tour, the subjective sense of being able to predict the next turn on a tour, and the factors that influence memory search and the inclination to generate candidate recollective information. The level of first-person immersion mattered to multiple facets of episodic memory. The paradigm presents a useful means of advancing mechanistic understanding of how memory operates in realistic dynamic scene environments, including in combination with cognitive neuroscience methods such as functional magnetic resonance imaging and electrophysiology.

Opening a conceptual space for metamemory experience.

The experiences associated with remembering, including metamemory feelings about the act of remembering and attempts at remembering, are not often integrated into general accounts of memory. For example, David Rubin (2022) proposes a unified, three-dimensional conceptual space for mapping memory states, a map that does not systematically specify metamemory feelings. Drawing on Rubin's model, we define a distinct role for metamemory in relation to first-order memory content. We propose a fourth dimension for the model and support the proposal with conceptual, neurocognitive, and clinical lines of reasoning. We use the modified model to illustrate several cases, and show how it helps to conceptualize a new category of memory state: autonoetic knowing, exemplified by déjà vu. We also caution not to assume that memory experience is directly correlated with or caused by memory content, an assumption Tulving (1989) labeled the doctrine of concordance.

Can cue familiarity during recall failure prompt illusory recollective experience?

Recognition memory is thought to involve two bases: familiarity (a sense that something was encountered previously) and recollection (retrieval of specifics or context). The present study investigated the hypothesis that a sensation of familiarity during cued-recall failure might increase illusory recollective experience. This hypothesis was driven, in part, by the suggestion in the literature that the type of familiarity-driven recollective confabulation often seen in populations experiencing memory impairment might actually be a common feature of normal human memory. We examined the hypothesis that as perceived cue familiarity increases during the uncertainty of target retrieval failure, so does illusory recollection of a contextual detail. Toward this end, we systematically varied the amount of cue-to-target(s) surface feature-overlap in the recognition without cued recall paradigm, which has been shown to increase perceived cue familiarity during target recall failure. Increasing perceived cue familiarity during target retrieval failure led to increased confidence in knowing a contextual detail that was not actually known. As perceived cue familiarity increased, so did erroneous confidence in knowing the arrow direction (left or right) that supposedly accompanied the unretrieved target (Experiment 1), the background color (Experiment 2), and whether an accompanying tone was high or low (Experiment 3).

Specifying a relationship between semantic and episodic memory in the computation of a feature-based familiarity signal using MINERVA 2.

Approaches to modeling episodic recognition memory often imply a separability from semantic memory insofar as an implicit tabula rasa (i.e., blank slate) assumption is apparent in many simulations. This is evident in the common practice of having new test probes correspond to zero memory traces in the store while old test probes correspond to traces representing instances of items' occurrence on a study list. However, in list-learning studies involving word lists, none of the test items would actually correspond to zero items in the person's memory, as all of the test words are generally known to participants, whether old or new. By focusing on a list-learning recognition phenomenon that likely results from feature-based familiarity detection and necessarily involves a role of preexisting knowledge in its mechanisms-the semantic-feature-based recognition without cued recall phenomenon-we show how incorporating preexisting knowledge into the MINERVA 2 model enables it to simulate previously shown empirical patterns with this phenomenon. The simulation patterns reported here raise new theoretical implications worth further exploration, such as the extent to which the variances change in the signal versus the noise distribution when preexisting knowledge is present versus absent in the simulations.

Subjective distinguishability of seizure and non-seizure Déjà Vu: A case report, brief literature review, and research prospects.

Roughly two-thirds of all people report having experienced déjà vu-the odd feeling that a current experience is both novel and a repeat or replay of a previous, unrecalled experience. Reports of an association between déjà vu and seizure aura symptomatology have accumulated for over a century, and frequent déjà vu is also now known to be associated with focal seizures, particularly those of a medial temporal lobe (MTL) origin. A longstanding question is whether seizure-related déjà vu has the same basis and is the same subjective experience as non-seizure déjà vu. Survey research suggests that people who experience both seizure-related and non-seizure déjà vu can often subjectively distinguish between the two. We present a case of a person with a history of focal MTL seizures who reports having experienced both seizure-related and non-seizure common déjà vu, though the non-seizure type was more frequent during this person's youth than it is currently. The patient was studied with a virtual tour paradigm that has previously been shown to elicit déjà vu among non-clinical, young adult participants. The patient reported experiencing déjà vu of the common non-seizure type during the virtual tour paradigm, without associated abnormalities of the intracranial EEG. We situate this work in the context of broader ongoing projects examining the subjective correlates of seizures. The importance for memory research of virtual scenes, spatial tasks, virtual reality (VR), and this paradigm for isolating familiarity in the context of recall failure are discussed.

Increased pupil dilation during tip-of-the-tongue states.

Tip-of-the-tongue states (TOTs) are feelings of impending word retrieval success during a current failure to retrieve a target word. Though much is known and understood about TOT states from decades of research, research on potential psychophysiological correlates of the TOT state is still in its infancy, and existing studies point toward the involvement of neural processes that are associated with enhanced attention, motivation, and information-seeking. In the present study, we demonstrate that, during instances of target retrieval failure, TOT states are associated with greater pupillary dilation (i.e., autonomic arousal) in 91% of our sample. This is the first study to demonstrate a pupillometric correlate of the TOT experience, and this finding provides an important step toward understanding emotional attributes associated with TOT states. Mean pupil dilation also increased such that instances of target identification failure that were unaccompanied by TOT states < instances in which TOTs occurred < instances of target identification success. It is possible that TOTs reflect an intermediary state between complete target retrieval failure and full target retrieval.

Déjà vu and the feeling of prediction: an association with familiarity strength.

A recent laboratory study by Cleary and Claxton [2018. Déjà vu: An illusion of prediction. Psychological Science, 29(4), 635-644. http://journals.sagepub.com/doi/full/10.1177/0956797617743018] documented a relationship between déjà vu and feelings of premonition. During instances of retrieval failure, participants reported stronger feelings of prediction during déjà vu than non-déjà vu states, despite displaying no actual predictive ability in such instances. The present study further explored the link between déjà vu reports and feelings of prediction. Although feelings of prediction were more likely to occur during reports of déjà vu than non-déjà vu, they were not the sole defining feature of déjà vu, accounting for just over half of all reported déjà vu states. Instances of déjà vu that were accompanied by feelings of prediction were associated with greater feelings of familiarity than instances that were not. This was shown by a greater likelihood of reporting that the scene felt familiar and also by a higher rated intensity of the feeling of familiarity elicited by the scene when it did feel familiar. Though the present study was mainly descriptive in characterising the interrelations between déjà vu, feelings of prediction, and familiarity, the full pattern points toward the possibility that high familiarity intensity may contribute to the feeling of prediction during déjà vu.

The tip-of-the-tongue state bias permeates unrelated concurrent decisions and behavior.

The tip-of-the-tongue (TOT) state-the feeling of being near accessing an as yet inaccessible word from memory-is associated with cognitive bias. For example, prior work has shown that TOTs are associated with a bias toward inferring positive qualities of the unretrieved information. People are biased during TOTs to indicate that the unretrieved target has a greater likelihood of being positively valenced and to have been associated with a higher value number earlier in the experiment. Additionally, when the TOT is for a pictured person's name, that person is judged to be more likely to be ethical. The present study demonstrates that the TOT positivity bias extends to unrelated concurrent decisions and behavior. In Experiment 1, participants reported a greater inclination to take an unrelated gamble during TOTs than non-TOTs. Experiment 2 demonstrated the concurrent nature of this spillover effect. The TOT bias toward a greater inclination to gamble significantly diminished with a 10-second delay between the time of reporting the TOT state and the time to report the inclination. Finally, Experiment 3 showed that the increased inclination to want to take a gamble during TOTs translated to actual gambling behavior. Participants chose to gamble for points more often during TOTs than non-TOTs.

Déjà Vu: An Illusion of Prediction.

Déjà vu is beginning to be scientifically understood as a memory phenomenon. Despite recent scientific advances, a remaining puzzle is the purported association between déjà vu and feelings of premonition. Building on research showing that déjà vu can be driven by an unrecalled memory of a past experience that relates to the current situation, we sought evidence of memory-based predictive ability during déjà vu states. Déjà vu did not lead to above-chance ability to predict the next turn in a navigational path resembling a previously experienced but unrecalled path (although such resemblance increased reports of déjà vu). However, déjà vu states were accompanied by increased feelings of knowing the direction of the next turn. The results suggest that feelings of premonition during déjà vu occur and can be illusory. Metacognitive bias brought on by the state itself may explain the peculiar association between déjà vu and the feeling of premonition.

Help-seeking patterns and attitudes to treatment amongst men who attempted suicide.

BACKGROUND: A high percentage of those who complete suicide are not in contact with the psychiatric services and this is particularly evident among men who are the most at-risk group. AIM: To examine take-up of psychiatric services and attitudes to treatment among a sample of men who made a suicide attempt. METHOD: Fifty-two males, aged between 18 and 30 years, who made a medically serious suicide attempt, were followed up 7 years later using chart information and national mortality records. RESULTS: On discharge from hospital all participants were referred to psychiatric aftercare services but one-third (32.7%) never presented and 20% attended only for a short period. Yet almost half (48%) of the sample made a subsequent attempt and 12% completed suicide. Factors contributing to low take-up of services include lack of awareness of psychiatric symptoms, reluctance to disclose distress and negative attitudes to seeking professional help. CONCLUSION: Young males are reluctant to seek professional help for psychiatric problems even following a serious suicide attempt. Factors influencing this include health behaviours linked to traditional expectations for men as well as the type of services provided.

Recognition during recall failure: Semantic feature matching as a mechanism for recognition of semantic cues when recall fails.

Research suggests that a feature-matching process underlies cue familiarity-detection when cued recall with graphemic cues fails. When a test cue (e.g., potchbork) overlaps in graphemic features with multiple unrecalled studied items (e.g., patchwork, pitchfork, pocketbook, pullcork), higher cue familiarity ratings are given during recall failure of all of the targets than when the cue overlaps in graphemic features with only one studied target and that target fails to be recalled (e.g., patchwork). The present study used semantic feature production norms (McRae et al., Behavior Research Methods, Instruments, & Computers, 37, 547-559, 2005) to examine whether the same holds true when the cues are semantic in nature (e.g., jaguar is used to cue cheetah). Indeed, test cues (e.g., cedar) that overlapped in semantic features (e.g., a_tree, has_bark, etc.) with four unretrieved studied items (e.g., birch, oak, pine, willow) received higher cue familiarity ratings during recall failure than test cues that overlapped in semantic features with only two (also unretrieved) studied items (e.g., birch, oak), which in turn received higher familiarity ratings during recall failure than cues that did not overlap in semantic features with any studied items. These findings suggest that the feature-matching theory of recognition during recall failure can accommodate recognition of semantic cues during recall failure, providing a potential mechanism for conceptually-based forms of cue recognition during target retrieval failure. They also provide converging evidence for the existence of the semantic features envisaged in feature-based models of semantic knowledge representation and for those more concretely specified by the production norms of McRae et al. (Behavior Research Methods, Instruments, & Computers, 37, 547-559, 2005).

The use of cue familiarity during retrieval failure is affected by past versus future orientation.

Cue familiarity that is brought on by cue resemblance to memory representations is useful for judging the likelihood of a past occurrence with an item that fails to actually be retrieved from memory. The present study examined the extent to which this type of resemblance-based cue familiarity is used in future-oriented judgments made during retrieval failure. Cue familiarity was manipulated using a previously-established method of creating differing degrees of feature overlap between the cue and studied items in memory, and the primary interest was in how these varying degrees of cue familiarity would influence future-oriented feeling-of-knowing (FOK) judgments given in instances of cued recall failure. The present results suggest that participants do use increases in resemblance-based cue familiarity to infer an increased likelihood of future recognition of an unretrieved target, but not to the extent that they use it to infer an increased likelihood of past experience with an unretrieved target. During retrieval failure, the increase in future-oriented FOK judgments with increasing cue familiarity was significantly less than the increase in past-oriented recognition judgments with increasing cue familiarity.

Intuitively detecting what is hidden within a visual mask: familiar-novel discrimination and threat detection for unidentified stimuli.

Recognition without identification is the finding that, among recognition test items that go unidentified (as when a word is unidentified from a fragment), participants can discriminate those that were studied from those that were unstudied. In the present study, we extended this phenomenon to the more life-like situation of discriminating known from novel stimuli. Pictures of famous and nonfamous faces (Exp. 1), famous and nonfamous scenes (Exp. 2), and threatening and nonthreatening images (Exp. 3) were filtered in order to impede identification. As in list-learning recognition-without-identification paradigms, participants attempted to identify each image (e.g., whose face it was, what scene it was, or what was in the picture) and rated how familiar the image seemed on a scale of 0 (very unfamiliar) to 10 (very familiar). Among the unidentified stimuli, higher familiarity ratings were given to famous than to nonfamous faces (Exp. 1) and scenes (Exp. 2), and to threatening than to nonthreatening living/animate (but not to nonliving/nonanimate) images (Exp. 3). These findings suggest that even when a stimulus is too occluded to allow for conscious identification, enough information can be processed to allow a sense of familiarity or novelty with it, which appears also to be related to the sense of whether or not a living creature is a threat. That the sense of familiarity for unidentified stimuli may be related to threat detection for living or animate things suggests that it may be an adaptive aspect of human memory.

Emotional facial expressions differentially influence predictions and performance for face recognition.

This study examined how participants' predictions of future memory performance are influenced by emotional facial expressions. Participants made judgements of learning (JOLs) predicting the likelihood that they would correctly identify a face displaying a happy, angry, or neutral emotional expression in a future two-alternative forced-choice recognition test of identity (i.e., recognition that a person's face was seen before). JOLs were higher for studied faces with happy and angry emotional expressions than for neutral faces. However, neutral test faces with studied neutral expressions had significantly higher identity recognition rates than neutral test faces studied with happy or angry expressions. Thus, these data are the first to demonstrate that people believe happy and angry emotional expressions will lead to better identity recognition in the future relative to neutral expressions. This occurred despite the fact that neutral expressions elicited better identity recognition than happy and angry expressions. These findings contribute to the growing literature examining the interaction of cognition and emotion.

What Flips Attention?

A central feature of our waking mental experience is that our attention naturally toggles back and forth between "external" and "internal" stimuli. In the midst of an externally demanding task, attention can involuntarily shift internally with no clear reason how or why thoughts momentarily shifted inward. In the case of external attention, we are typically exploring and encoding aspects of our external world, whereas internal attention often involves searching for and retrieving potentially relevant information from our memory networks. Cognitive science has traditionally focused on understanding forms of internal and external attention separately, leaving a mystery about what sparks the seemingly automatic shifts between the two. Specifically, what shifts attentional focus from being outward-directed to being inward-directed? We present a candidate mechanism: Familiarity-detection.

Piquing Curiosity: Déjà vu-Like States Are Associated with Feelings of Curiosity and Information-Seeking Behaviors.

Curiosity during learning increases information-seeking behaviors and subsequent memory retrieval success, yet the mechanisms that drive curiosity and its accompanying information-seeking behaviors remain elusive. Hints throughout the literature suggest that curiosity may result from a metacognitive signal-possibly of closeness to a not yet accessible piece of information-that in turn leads the experiencer to seek out additional information that will resolve a perceptibly small knowledge gap. We examined whether metacognition sensations thought to signal the likely presence of an as yet unretrieved relevant memory (such as familiarity or déjà vu) might be involved. Across two experiments, when cued recall failed, participants gave higher curiosity ratings during reported déjà vu (Experiment 1) or déjà entendu (Experiment 2), and these states were associated with increased expenditure of limited experimental resources to discover the answer. Participants also spent more time attempting to retrieve information and generated more incorrect information when experiencing these déjà vu-like states than when not. We propose that metacognition signaling of the possible presence of an as yet unretrieved but relevant memory may drive curiosity and prompt information-seeking that includes further search efforts.

On the relationship between tip-of-the-tongue states and partial recollective experience: Illusory partial recollective access during tip-of-the-tongue states.

Most people have experienced the sensation of having a word on the tip of the tongue. A common assumption is that a major driving force underlying the tip-of-the-tongue (TOT) state is conscious partial recollective access to some of the unretrieved word's attributes, such as its first letter. In the present study, under free-report conditions, participants provided more partial recollection responses during TOTs than non-TOTs without being more accurate among their provided responses. Under forced-guessing conditions in which participants needed to guess at the unidentified target word's first letter, participants exhibited false partial recollective experience during TOTs. This was shown by a strong tendency during TOTs to indicate that they knew the first letter, when in actuality, they were wrong in their first-letter guess. An additional experiment showed illusory partial recollection of a contextual detail during TOTs relative to non-TOTs. The full pattern of results portrays an alternative possible theoretical relationship between TOT states and subjective partial recollective experience. (PsycInfo Database Record (c) 2023 APA, all rights reserved).