The human mind is a mosaic composed of multiple selves with conflicting desires. How can coherent actions emerge from such conflicts? Classical desire theory argues that rational action depends on maximizing the expected utilities evaluated by all desires. In contrast, intention theory suggests that humans regulate conflicting desires with an intentional commitment that constrains action planning towards a fixed goal. Here, we designed a series of 2D navigation games in which participants were instructed to navigate to two equally desirable destinations. We focused on the critical moments in navigation to test whether humans spontaneously commit to an intention and take actions that would be qualitatively different from those of a purely desire-driven agent. Across four experiments, we found three distinctive signatures of intentional commitment that only exist in human actions: "goal perseverance" as the persistent pursuit of an original intention despite unexpected drift making the intention suboptimal; "self-binding" as the proactive binding of oneself to a committed future by avoiding a path that could lead to many futures; and "temporal leap" as the commitment to a distant future even before reaching the proximal one. These results suggest that humans spontaneously form an intention with a committed plan to quarantine conflicting desires from actions, supporting intention as a distinctive mental state beyond desire. Additionally, our findings shed light on the possible functions of intention, such as reducing computational load and making one's actions more predictable in the eyes of a third-party observer.
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http://dx.doi.org/10.1016/j.cognition.2023.105513 | DOI Listing |
Int Urogynecol J
January 2025
Division of Health Services Research & Implementation Science, Southern California Permanente Medical Group, San Diego, CA, USA.
Introduction And Hypothesis: This manuscript is part of the International Urogynecological Consultation (IUC) on Pelvic Organ Prolapse (POP), Chapter 3, Committee 1 focusing on pessary management of POP.
Methods: A narrative review was conducted by an international, multi-disciplinary group of clinicians working in the field of pelvic health following a search of the literature using the MeSH terms "pelvic organ prolapse" OR "urogenital prolapse" OR "vaginal prolapse" OR "uterovaginal prolapse" AND "pessary" OR "support device" OR "intravaginal device." Relevant studies, as determined after review using the Covidence manuscript review platform, were included.
Patient advocacy is a duty for professional nurses; however, not all nurses are empowered to advocate for meeting patients' needs. Participation in labor unions may serve as a venue for nurses with limited institutional decision-making authority to advocate for patient needs; however, unionization can be a time-intensive and fraught process. This study examined how nurses participating in a new union in an urban United States hospital described their reasons for participating in a labor union during collective bargaining.
View Article and Find Full Text PDFPalliat Care Soc Pract
January 2025
Heidelberg University Hospital - Department of Palliative Medicine, Germany.
Background: The specialist palliative home service (SAPV) federal framework contract for adults, to be enacted in Germany until 2028, does not legally mandate the hiring of a third professional group beyond specialist nurses and physicians, although palliative care embraces the psychosocial dimension and an interprofessional approach.
Objectives: This article aims to explore the role of medical staff in integrating social work (SW) into SAPV.
Design: Qualitative case study.
Arch Sex Behav
January 2025
Department of Psychology and Neuroscience, Life Sciences Centre, Dalhousie University, 1355 Oxford Street, P.O. Box 15,000, Halifax, NS, B3H 4R2, Canada.
Prior cross-sectional research established that four distinct responses to sexual rejection are associated with sexual and relationship well-being among couples affected by Sexual Interest/Arousal Disorder (SIAD). Examining these associations daily and prospectively will provide insight into within-person variations, temporality, and directionality. Women and gender-diverse individuals diagnosed with SIAD and their partners (N = 232 couples) completed a baseline survey, 56-day diary, and 6-month follow-up survey, assessing responses to sexual rejection, sexual satisfaction, dyadic sexual desire, sexual distress, and relationship satisfaction.
View Article and Find Full Text PDFActa Psychol (Amst)
January 2025
Kingsborough Community College, CUNY, United States.
Terror Management Theory (TMT) holds that mortal threats bolster people's desire to support their worldviews, which may contribute to increased outgroup bias. In 2020, two events likely increased mortality salience and death anxiety: COVID-19 and the Black Lives Matter (BLM) protests that followed George Floyd's murder. We used Project Implicit data to investigate their impact on implicit anti-Black bias, controlling for demographic variables.
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