Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing.

As life expectancy increases, aging has become a major health challenge, resulting in a huge effort to better discriminate between normal and pathological cognitive decline. It is thus essential that cognitive tests and their administration are as fair as possible. However, an important source of bias during cognitive testing comes from negative aging stereotypes that can impair the memory performance of older adults and inflate age differences on cognitive tasks. The fear of confirming negative aging stereotypes creates an extra pressure among older adults which interferes with their intellectual functioning and leads them to perform below their true abilities. Here, we present a protocol that highlights simple but efficient interventions to alleviate this age-based stereotype threat effect. The first study showed that simply informing older participants about the presence of younger participants (threat condition) led older adults to underperform on a standardized memory test compared with younger participants, and that this performance difference was eliminated when the test was presented as age-fair (reduced-threat condition). The second study replicated these findings on short cognitive tests used to screen for predementia in clinical settings and showed that teaching older adults about stereotype threat inoculated them against its effects. These results provide useful recommendations about how to improve older adults' memory assessment both in Iab studies and in clinical settings.

Visual search for verbal material in patients with obsessive-compulsive disorder.

This study aimed at investigating attentional mechanisms in obsessive-compulsive disorder (OCD) by analysing how visual search processes are modulated by normal and obsession-related distracting information in OCD patients and whether these modulations differ from those observed in healthy people. OCD patients were asked to search for a target word within distractor words that could be orthographically similar to the target, semantically related to the target, semantically related to the most typical obsessions/compulsions observed in OCD patients, or unrelated to the target. Patients' performance and eye movements were compared with those of individually matched healthy controls. In controls, the distractors that were visually similar to the target mostly captured attention. Conversely, patients' attention was captured equally by all kinds of distractor words, whatever their similarity with the target, except obsession-related distractors that attracted patients' attention less than the other distractors. OCD had a major impact on the mostly subliminal mechanisms that guide attention within the search display, but had much less impact on the distractor rejection processes that take place when a distractor is fixated. Hence, visual search in OCD is characterized by abnormal subliminal, but not supraliminal, processing of obsession-related information and by an impaired ability to inhibit task-irrelevant inputs.

Negative Aging Stereotypes Impair Performance on Brief Cognitive Tests Used to Screen for Predementia.

OBJECTIVES: There is today ample evidence that negative aging stereotypes impair healthy older adults' performance on cognitive tasks. Here, we tested whether these stereotypes also decrease performance during the screening for predementia on short cognitive tests widely used in primary care. METHOD: An experiment was conducted on 80 healthy older adults taking the Mini Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) under Threat or Reduced-threat condition. RESULTS: Stereotype threat significantly impaired older adults' performance on both tests, resulting in 40% of older adults meeting the screening criteria for predementia, compared with 10% in Reduced-threat condition (MMSE and MoCA averaged). DISCUSSION: Our research highlights the influence of aging stereotypes on short cognitive tests used to screen for predementia. It is of critical importance that physicians provide a threat-free testing environment. Further research should clarify whether this socially induced bias may also operate in secondary care by generating false positives.

Aging Stereotypes Must be Taken Into Account for the Diagnosis of Prodromal and Early Alzheimer Disease.

Because of a dramatic increase of older people worldwide, screening for prodromal state of Alzheimer disease (AD) is a major societal challenge. Many individuals diagnosed with prodromal AD, do not convert to AD, some remaining stable and others reversing back to normal. We argue that an important source of this overdiagnosis comes from negative aging stereotypes (eg, the culturally shared beliefs that aging inescapably causes severe cognitive decline and diseases). Many laboratory studies show that such stereotypes impair memory performance in healthy older adults, producing inflated age differences. Research is needed to examine how aging stereotypes implicitly permeate neuropsychological testing and contribute to false positives.

Stereotype Threat Alters the Subjective Experience of Memory.

There is now evidence that negative age-related stereotypes about memory reduce older adults' memory performance, and inflate age differences in this domain. Here, we examine whether stereotype threat may also influence the basic feeling that one is more or less able to remember. Using the Remember/Know paradigm, we demonstrated that stereotype threat conducted older adults to a greater feeling of familiarity with events, while failing to retrieve any contextual detail. This finding indicates that stereotype threat alters older adults' subjective experience of memory, and strengthens our understanding of the mechanisms underlying stereotype threat effects.

The effect of connectives on the selection of arguments: implicit consequentiality bias for the connective "but".

Recent studies about the implicit causality of inter-personal verbs showed a symmetric implicit consequentiality bias for psychological verbs. This symmetry is less clear for action verbs because the verbs assigning the implicit cause to the object argument (e.g. "Peter protected John because he was in danger.") tend to assign the implicit consequence to the same argument (e.g. "Peter protected John so he was not hurt."). We replicated this result by comparing continuations of inter-personal events followed by a causal connective "because" or a consequence connective "so". Moreover, we found similar results when the consequence connective was replaced by a contrastive connective "but". This result was confirmed in a second experiment where we measured the time required to imagine a consistent continuation for a fragment finishing with "but s/he ...". The results were consistent with a contrastive connective introducing a denial of a consequence of the previous event. The results were consistent with a model suggesting that thematic roles and connectives can predict preferred co-reference relations.

Comparing nouns and verbs in a lexical task.

We analyzed the differential processing of nouns and verbs in a lexical decision task. Moderate and high-frequency nouns and verbs were compared. The characteristics of our material were specified at the formal level (number of letters and syllables, number of homographs, orthographic neighbors, frequency and age of acquisition), and at the semantic level (imagery, number and strength of associations, number of meanings, context dependency). A regression analysis indicated a classical frequency effect and a word-type effect, with latencies for verbs being slower than for nouns. The regression analysis did not permit the conclusion that semantic effects were involved (particularly imageability). Nevertheless, the semantic opposition between nouns as prototypical representations of objects, and verbs as prototypical representation of actions was not tested in this experiment and remains a good candidate explanation of the response time discrepancies between verbs and nouns.

Stereotype threat strengthens automatic recall and undermines controlled processes in older adults.

The threat of being judged stereotypically (stereotype threat) may impair memory performance in older adults, thereby producing inflated age differences in memory tasks. However, the underlying mechanisms of stereotype threat in older adults or other stigmatized groups remain poorly understood. Here, we offer evidence that stereotype threat consumes working memory resources in older adults. More important, using a process-dissociation procedure, we found, for the first time, that stereotype threat undermines the controlled use of memory and simultaneously intensifies automatic response tendencies. These findings indicate that competing models of stereotype threat are actually compatible and offer further reasons for researchers and practitioners to pay special attention to age-related stereotypes during standardized neuropsychological testing.

How long does it take to find a cause? An online investigation of implicit causality in sentence production.

Some interpersonal verbs show an implicit causality bias in favour of their subject or their object. Such a bias is generally seen in offline continuation tasks where participants are required to finish a fragment containing the verb (e.g., Peter annoyed Jane because ...). The implicit causality bias has been ascribed to the subject's focusing on the initiator of the event denoted by the verb. According to this "focusing theory" the implicit cause has a higher level of activation, at least after the connective "because" has been read. Recently, the focusing theory has been criticized by researchers who used a probe recognition or reading-time methodology. However no clear alternative has been proposed to explain the offline continuation data. In this paper, we report three experiments using an online continuation task, which showed that subjects took more time to imagine an ending when the fragment to be completed contained an anaphor that was incongruent with the verbal bias (e.g., Peter annoyed Jane because she ...). This result suggests that the offline continuation data could reflect the cognitive effort associated with finding a predicate with an agent incongruent with the implicit causality bias of a verb. In the discussion, we suggest that this effort could be related to the number of constraints that an incongruent clause must satisfy to be consistent with the causal structure of the discourse.

Working memory and semantic involvement in sentence processing: a case of pure progressive amnesia.

ED, a 83-year-old woman, meets the criteria of pure progressive amnesia, with gradual impairment of episodic and autobiographical memory, sparing of semantic processing and strong working memory (WM) deficit. The dissociation between disturbed WM and spared semantic processing permitted testing the role of WM in processing anaphors like pronouns or repeated names. Results showed a globally normal anaphoric behavior in two experiments requiring anaphoric processing in sentence production and comprehension. We suggest that preserved semantic processing in ED would have compensated for working memory deficit in anaphoric processing.

New arguments in favour of an automatic gender pronominal process.

This paper examines the automatic and strategic use of gender information in pronominal processing. Experiments 1 and 2 used short sentences where a pronoun was preceded by two potential antecedents. Results showed that even when adult readers did not use pronominal gender to strategically accelerate pronominal resolution, they remained sensitive to a gender disagreement between the pronoun and its potential referents. This gender sensitivity was further explored in Experiments 3 and 4. These experiments used longer texts where only one of the two potential referents was highly accessible when the pronoun was encountered. A gender disagreement between the pronoun and this antecedent induced longer reading times. The four experiments confirm the existence of a nonstrategic gender coindexation process between a pronoun and the entity in the focus of a discourse.

Comprehension of sentences with stylistic inversion by French aphasic patients.

Three French-speaking agrammatic aphasics and three French-speaking Conduction aphasics were tested for comprehension of Active, Passive, Cleft-Subject, Cleft-Object, and Cleft-Object sentences with Stylistic Inversion using an object manipulation test. The agrammatic patients consistently reversed thematic roles in the latter sentence type, and the Conduction aphasics performed at chance. The results are discussed in relationship to existing models of aphasic impairments in assigning syntactic structures and using them to determine thematic roles in sentences. We conclude that the results for the agrammatic patients demonstrate the importance of compensatory mechanisms underlying aphasic comprehension and the results in the Conduction aphasics indicate the importance of working memory deficits in determining such deficits. The results are also relevant to models of normal syntactic structure.