The benefits of item-method-directed forgetting.

The present experiments examined the encoding and retrieval conditions in an item-method-directed forget (IMDF) study that included a novel control condition. In the IMDF condition, half of the items were followed by a remember cue whereas the other half were followed by a forget cue. In a remember-both control condition, half of the items were followed by an item identifier called Set A; whereas the other half of the items were followed by a Set B identifier. At the test, items were recalled as a function of the instruction cue or the set identifier. Across two experiments, directed-forgetting effects and associated benefits were found. Further, results from both studies revealed a new way to demonstrate the benefit of IMDF - directed-forgetting participants made more correct source attributions compared to remember-both participants. These benefits were obtained using a within-subjects IMDF paradigm (Experiment 1) as well as a between-subjects IMDF paradigm (Experiment 2). These patterns of results are consistent with several current theories of item-method-directed forgetting.

Directed forgetting of emotionally toned items and mental health: a meta-analytic review.

Item- and list-method directed forgetting paradigms have been used to study forgetting of emotionally toned items in clinical and control group populations for several decades. Meta-analysis of item-method studies found that clinical populations retained more remember- than forget-cued items of each valence. These effects were comparable to that shown by control populations for positive and negative items, but less than that shown by controls on neutral items. Encoding deficits may underlie clinical populations' item-method directed forgetting since those populations retained fewer remember-cued items of each valence compared to control populations. Moderator analysis indicated larger effect size variability for some clinical populations (e.g., anxiety disorders) than other populations (e.g., PTSD, schizophrenia). Meta-analysis of list-method directed forgetting among clinical populations revealed only List 1 forgetting or costs for neutral items; i.e., better memory for to-be-remembered than forgotten List 1 neutral items, but no List 2 enhancements or benefits; i.e., better memory for List 2 items among those told to forget than remember List 1 items, for any item valence. Control populations showed costs and benefits for all item valences. Results from both paradigms are discussed in terms of clinical-control population differences in executive processes. Limitations of the meta-analyses and suggestions for future research are presented.

Refractive results with SMILE using lower energy settings in the United States.

PURPOSE: To report the visual and refractive results of small incision lenticule extraction (SMILE) with low energy settings in the United States (US) and to evaluate outcomes for low astigmatism treatment. SETTING: Private clinical practice. DESIGN: Retrospective cohort study. METHODS: This study retrospectively reviewed 462 consecutive eyes that underwent SMILE with lower energy settings. Inclusion criteria included all patients between the ages of 19-39 with myopic astigmatism up to -11.25 diopters (D) spherical equivalent (sphere up to -10.00 D, astigmatism up to -3.00 D), and corrected distance visual acuity of at least 20/25. Eyes with low astigmatism (0.25 D-0.50 D) were also included. Outcome analysis was performed according to the Standard Graphs for Reporting Refractive Surgery at postoperative month (POM) 1, and POM 3-6 when data were available. RESULTS: The mean preoperative spherical equivalent treated was -4.96 ± 2.07; at POM 1, 92% of eyes achieved uncorrected visual acuity (UCVA) of 20/20 or better and maintained visual stability throughout the remainder of the study. At last visit, 431 eyes (93%) achieved UCVA of 20/20 or better, and 461 eyes (99.8%) were 20/25 or better. Ninety-seven (21%) eyes gained at least 1 Snellen line of corrected distance visual acuity and no eyes lost 2 or more lines. Almost all eyes (n = 453, 98%) were within 0.5D of target; 85% of eyes with low astigmatism had ≤0.25 D at last visit compared to 80% of eyes with moderate astigmatism. CONCLUSIONS: SMILE with U.S.-approved low energy settings is safe, predictable, and efficacious and provides patients with a fast visual recovery.

Directed forgetting of emotionally valenced faces.

An item-method directed forgetting task was used in three studies to present photographs of happy, neutral and sad faces to participants who had been induced to adopt a happy, neutral or sad mood. At test remember, forget or new judgments of old and new photographs of happy, neutral or sad faces were collected. According to the affect-as-cognitive-feedback hypothesis positively valenced stimuli serve as 'go signals' validating the use of currently accessible cognitions to process task demands whereas negatively valenced stimuli serve as 'stop signals' inhibiting or reversing the use of those cognitions. Since directed forgetting tasks entail the cognitions (among others) that some stimuli should be remembered and others should be forgotten, happy faces should facilitate task demands whereas sad faces should not. As predicted, directed forgetting effects were found for happy but not sad faces in Experiments 1 and 3, and directed forgetting effects were found neutral valenced faces in Experiment 2. Across all three studies mood state did not influence directed forgetting. Findings are discussed in terms of the effects of facial valence cues on directed forgetting and some directions for future research.

Intraoperative outcomes and safety of femtosecond laser-assisted cataract surgery: Canadian perspective.

OBJECTIVE: To report the intraoperative surgical outcomes and safety of femtosecond laser-assisted cataract surgery (FLACS) during surgeon learning curve and compare those outcomes with those of conventional phacoemulsification in a Canadian public hospital setting. DESIGN: Retrospective chart review. PARTICIPANTS: FLACS and phacoemulsification patients at Brandon Regional Health Centre, Brandon, Manitoba, Canada. METHODS: Intraoperative surgical outcomes and safety (rates of intraoperative complications and phacoemulsification parameters) were compared among 3 groups: the first consecutive 197 cases using femtosecond laser (FSL) pretreatment to ultrasound phacoemulsification in cataract surgery (group 1; early FLACS), the second consecutive 165 cases using FSL (group 2; later FLACS), and 80 consecutive conventional cataract surgery cases (group 3; conventional phaco). RESULTS: There was a statistically significant difference for phacoemulsification parameters (actual phaco time [APT], effective phaco time [EPT], and ultrasound average) among the 3 groups (all p-values < 0.05). The mean phacoemulsification parameters (APT and EPT) for the early FLACS and the conventional phaco groups were significantly longer than those for the later FLACS group (p < 0.05). The mean FSL time for the early FLACS group was significantly longer than that for the later FLACS group. There was no statistical difference among the rates of intraoperative complications (suction breaks, capsular tags, FSL-induced miosis, posterior capsular tears, and anterior vitrectomy) for the 3 groups. CONCLUSIONS: During the learning curve, the intraoperative outcomes and safety of FLACS are comparable to the conventional phacoemulsification technique. After the learning curve, FLACS is significantly superior to conventional surgery in all measured phacoemulsification parameters.

Femto-second laser (FSL) techniques and consistency in corneal surgery: experimental study.

OBJECTIVE: To investigate the feasibility, effectiveness, and reproducibility of femtosecond laser (FSL) technology in different corneal cuts. DESIGN: Experimental study at the Brandon Regional Health Centre. PARTICIPANTS: Twenty two Human Cadaver eyes donated for research and supplied by the eye bank of Manitoba university. METHODS: In this experimental study, the effectiveness and reproducibility of FSL were investigated in different corneal cuts. The corneas were divided into 5 groups: group I for penetrating keratoplasty; group II for anterior lamellar keratoplasty; group III for corneal pockets for inlays; group IV for intracorneal ring tunnels; and group V for corneal cross-linking pockets. Our primary endpoint was the repeatability of planned versus obtained thickness and diameter of the cuts with FSL. A secondary endpoint was the effectiveness and ease of dissection, rated from 0-4, with 4 being the easiest and 0 the most difficult to dissect. RESULTS: There was a high correlation between planned and obtained thickness (r = 0.997, p < 0.001) and diameter (r = 0.998, p < 0.001). Both were statistically significant. Linear regression analyses showed that the obtained thickness of corneal cuts in micrometers was significantly predicted by the planned thickness of corneal cuts in micrometers (ß = 0.996, t = 56.47, p < 0.001). Likewise, the obtained diameter of corneal cuts in millimeters was significantly predicted by the planned diameter of corneal cuts in millimeters (ß = 0.971, t = 70.85, p < 0.001). The surgeons gave 15 out of a total of 22 corneas (68.2%) the maximum score for ease of dissection (Grade 4), where no adhesions were found and the dissection was smooth and steady. Five corneas out of a total of 22 (22.7%) were given a score of 3 of 4 where minor adhesions were found. Two corneas out of a total of 22 (9.1%) were given a score of 2 of 4 where >1 adhesion was found, with some difficulty in separating the cut cornea from the bed. No corneas were given grade 1 or grade 0. No significant differences were obtained for the ease of dissection among the 5 surgery types using Kruskal-Wallis H test (H [4] = 4.971, p > 0.05). CONCLUSION: The measured corneal-cut geometry correlated well with laser settings in a variety of full- and partial-thickness FSL corneal patterns, including different depths and diameters. This reproducible efficacy and measurement accuracy of the planned versus obtained cuts could have a favourable result on a variety of corneal surgeries. It also yields a favourable ease of dissection of the cut lenticule from the stromal bed.

Effect of femtosecond laser on efficiency of cataract surgery in public setting.

OBJECTIVE: To determine the time needed to perform a femtosecond laser-assisted cataract surgery (FLACS) and its effect on the efficiency of cataract surgery flow in a Canadian public health centre. DESIGN: Retrospective chart review. PARTICIPANTS: Patients who had cataract surgery performed in the first 3 months of femtosecond laser (FSL) technology use were compared with patients who had conventional phacoemulsification in the 3 months before FSL installation at Brandon Regional Health Centre (Brandon, Man.). METHODS: The primary outcome measure was the time needed to complete FLACS versus the time needed to complete conventional phacoemulsification. Secondary outcome measures were the time the patient spent in the operating room (time in and time out) and the number of cataract surgeries done per surgical day before and after FSL was implemented systemwide. RESULTS: There were 235 FSL cases and 199 conventional cases. Operating room time, total surgery time, and manual time were significantly longer in patients who underwent FLACS compared with patients who underwent conventional phacoemulsification (p < 0.001). Manual times and FSL suction times on the first day of implementing FLACS surgery were significantly longer than those on day 23 (p < 0.03), which suggests a learning curve effect. The number of cases per surgical day dropped by 28.6% in the first operative day and by 7.1% in the second and third operative days of FSL use, then reverted to pre-FSL levels. CONCLUSION: The addition of FLACS results in longer time per case than traditional cataract surgery. Although statistically significant, the results may not be indicative of practical differences.

Emotional salience and the isolation effect.

When a homogeneous list contains a few items that are different from the rest of the items in the list, these isolated items show enhanced recall compared to the same items in a list where these items are not isolated. This phenomenon, known as the isolation effect, has been explained on the basis of isolated items eliciting salience. In this experiment, negative pictures and neutral pictures were isolated at the early and late part of the list. The salience explanation would predict that participants would pay more attention to these isolated items resulting in higher judgments of learning (JOL) ratings compared to the same items in the control list. Negative pictures showed the isolation effect for both early and late isolation; however, for early isolation, JOL was similar between the isolated and non-isolated pictures indicating that the emotional isolation effect does not require emotional salience.

Emotion, directed forgetting, and source memory.

We investigated the role of emotion on item and source memory using the item method of directed forgetting (DF) paradigm. We predicted that emotion would produce source memory impairment because emotion would make it more difficult to distinguish between to-be-remembered (R items) and to-be-forgotten items (F items) by making memory strength of R and F items similar to each other. Participants were presented with negatively arousing, positively arousing, and neutral pictures. After each picture, they received an instruction to remember or forget the picture. At retrieval, participants were asked to recall both R and F items and indicate whether each item was an R or F item. Recall was higher for the negatively arousing than for the positively arousing or neutral pictures. Further, DF occurred for the positively arousing and neutral pictures, whereas DF was not significant for the negatively arousing pictures. More importantly, the negatively arousing pictures, particularly the ones with violent content, showed a higher tendency of producing misattribution errors than the other picture types, supporting the notion that negative emotion may produce source memory impairment, even though it is still not clear whether the impairment occurs at encoding or retrieval.

Directed forgetting of faces: the role of response criterion.

In two experiments, we examined recognition for faces following item method directed forgetting. During testing, participants reported whether the face was a new face or, if they thought it was a studied face, they identified the instruction paired with the face during study. In both experiments, the proportion of new faces falsely recognized and classified as forget faces exceeded those falsely recognized and classified as remember faces. Despite the use of different response criteria during testing, participants showed greater discrimination accuracy when identifying remember faces than when identifying forget faces. Taken together, these data patterns indicate that participants employed a strength-based criterion when responding. Specifically, participants responding to new faces were more likely to classify those faces as forget faces from study rather than as remember faces from study.

Hypermnesia: a further examination of age differences between young and older adults.

Previous studies that examined age differences in hypermnesia reported inconsistent results. The present experiment investigated whether the different study materials in these studies were responsible for the inconsistency. In particular, the present experiment examined whether the use of a video, as opposed to words and pictures, would eliminate previously reported age differences in hypermnesia. Fifteen college students and 15 older adults viewed a 3-minute video clip followed by two free-recall tests. The results indicated that older adults, as a whole, did not show hypermnesia. However, when older adults were divided into low and high memory groups based on test 1 performance, the high memory group showed hypermnesia whereas the low memory group did not show hypermnesia. The older adults in the low memory group were significantly older than the older adults in the high memory group - indicating that hypermnesia is inversely related to age in older adults. Reminiscence did not show an age-related difference in either the low or high memory group whereas inter-test forgetting did show an age difference in the low memory group. As expected, older adults showed greater inter-test forgetting than young adults in the low memory group. Findings from the present experiment suggest that video produces a pattern of results that is similar to the patterns obtained when words and pictures are used as study material. Thus, it appears that the nature of study material is not the source of inconsistency across the previous studies.

Classification accuracy across multiple tests following item method directed forgetting.

We investigated recall of line-drawing pictures paired at study with an instruction either to remember (TBR items) or to forget (TBF items). Across three 7-minute tests, net recall (items reported independent of accuracy in instructional designation) and correctly classified recall (recall conditional on correct instructional designation) showed directed forgetting. That is, for both measures, recall of TBR items always exceeded recall of TBF items. Net recall for both item types increased across tests at comparable levels showing hypermnesia. However, across tests, correct classification of both item types decreased at comparable levels. Collectively, hypermnesia as measured by net recall is possible for items from multiple sets, but at the cost of accurate source information.

Segregation accuracy in item-method directed forgetting across multiple tests.

Two experiments examined recall across tests following item-method directed-forgetting instructions and the varying of presentation duration of items at study. For both immediate testing (Experiment 1) and delayed testing (Experiment 2), accurate recall of remember instruction items (R-items) exceeded the accurate recall of forget instruction items (F-items). However, some F-items from study were inaccurately recalled as R-items and R-items from study as F-items. Inaccurate recall persisted across tests for both immediate and delayed recall and increased across tests for immediate recall. We view the R-item advantage in accurate recall as consistent with the account they receive more rehearsal at study than do F-items. We view inaccurate recall as reflecting the bias to report items retrieved on an immediate test lacking instructional tags as F-items. On delayed tests, items retrieved lacking instructional tags are first assessed against a criterion point on a memory-strength continuum and those with strength above the criterion reported as R-items and those below the criterion as F-items.

Source-monitoring accuracy across repeated tests following directed forgetting.

The repeated recall of items from lists that participants were earlier instructed to either remember or to forget was examined in two experiments. RR participants (those instructed to remember both lists they were presented) tended to recall more List 1 items than FR participants (those instructed to forget the first list and to remember the second list). FR participants recalled more List 2 items than did RR participants, but only when directed to report those items (Experiment 1), not when directed to report items from both lists (Experiment 2). Participants experienced difficulty correctly reporting the list source of items they recalled and incorrect source recall increased across tests, showing hypermnesia. This later result underscores the need for caution when assessing the accuracy of information retrieved from multiple sources across repeated tests. Together, the data patterns provide support for the retrieval dynamics account of hypermnesia, the context-change account of directed forgetting, and limited support for the retrieval inhibition view of directed forgetting.

The role of intentional forgetting in employee selection.

The authors examined the effects of forbidden information on the employee-selection process. They presented the participants with 4 applicants for the position of cashier-stockperson. One of the applicants (the Target Applicant) provided a mixture of forbidden and job-relevant information; the remaining applicants gave no forbidden information. Some of the participants were told before they reviewed the applicants what types of information were to be considered as forbidden, and they were instructed to disregard any such information in the applications. The remaining participants were not aware of the presence of the forbidden information, nor were they instructed to disregard such information. The participants who were instructed to disregard the forbidden information rated the Target Applicant more favorably than did those who were not aware of its presence. Moreover, those in the disregard condition recalled less of the forbidden information and more of the job-relevant information about the Target Applicant than did those in the no-instruction condition. These data patterns support laboratory-based studies on intentional forgetting.