Self-criticism is strongly correlated with a range of psychopathologies, such as depression, eating disorders and anxiety. In contrast, self-reassurance is inversely associated with such psychopathologies. Despite the importance of self-judgements and evaluations, little is known about the neurophysiology of these internal processes. The current study therefore used a novel fMRI task to investigate the neuronal correlates of selfcriticism and self-reassurance. Participants were presented statements describing two types of scenario, with the instruction to either imagine being self-critical or self-reassuring in that situation. One scenario type focused on a personal setback, mistake or failure, which would elicit negative emotions, whilst the second was of a matched neutral event. Self-criticism was associated with activity in lateral prefrontal cortex (PFC) regions and dorsal anterior cingulate (dAC), therefore linking self-critical thinking to error processing and resolution, and also behavioural inhibition. Self-reassurance was associated with left temporal pole and insula activation, suggesting that efforts to be self-reassuring engage similar regions to expressing compassion and empathy towards others. Additionally, we found a dorsal/ventral PFC divide between an individual's tendency to be self-critical or self-reassuring. Using multiple regression analyses, dorsolateral PFC activity was positively correlated with high levels of self-criticism (assessed via self-report measure), suggesting greater error processing and behavioural inhibition in such individuals. Ventrolateral PFC activity was positively correlated with high self-reassurance. Our findings may have implications for the neural basis of a range of mood disorders that are characterised by a preoccupation with personal mistakes and failures, and a self-critical response to such events.

According to cognitive and neural theories of emotion, attentional processing of innate threat stimuli, such as angry facial expressions, is prioritised over neutral stimuli. To test this hypothesis, the present study used a modified version of the rapid serial visual presentation (RSVP) paradigm to investigate the effect of emotional face stimuli on the attentional blink (AB). The target stimuli were schematic faces which depicted threatening (angry), positive or neutral facial expressions. Results showed that performance accuracy was enhanced (i.e., the AB was reduced) on trials in which the second target was an angry face, rather than a neutral face. Results extend previous research by demonstrating that angry faces reduce the AB, and that this effect is found for schematic facial expressions. These findings further support the proposal that, when there is competition for attentional resources, threat stimuli are given higher priority in processing compared with nonthreatening stimuli.

Critical thinking is an important focus in higher education and is essential for good academic achievement. We report the development of a tool to measure critical thinking for three purposes: (i) to evaluate student perceptions and attitudes about critical thinking, (ii) to identify students in need of support to develop their critical thinking, and (iii) to predict academic performance. Seventy-seven items were generated from focus groups, interviews and the critical thinking literature. Data were collected from 133 psychology students. Factor Analysis revealed three latent factors based on a reduced set of 27 items. These factors were characterised as: Confidence in Critical Thinking; Valuing Critical Thinking; and Misconceptions. Reliability analysis demonstrated that the sub-scales were reliable. Convergent validity with measures of grade point average and argumentation skill was shown, with significant correlations between subscales and validation measures. Most notably, in multiple regression analysis, the three sub-scales from the new questionnaire substantially increased the variance in grade point average accounted for by measures of reflective thinking and argumentation. To sum, the resultant scale offers a measure that is simple to administer, can be used as a diagnostic tool to identify students who need support in developing their critical thinking skills, and can also predict academic performance.

BackgroundLonger consultations in primary care have been linked with better quality of care and improved health-related outcomes. However, there is little evidence of any potential association between consultation length and patient experience.AimTo examine the relationship between consultation length and patient-reported communication, trust and confidence in the doctor, and overall satisfaction.Design and settingAnalysis of 440 videorecorded consultations and associated patient experience questionnaires from 13 primary care practices in England.MethodPatients attending a face-to-face consultation with participating GPs consented to having their consultations videoed and completed a questionnaire. Consultation length was calculated from the videorecording. Linear regression (adjusting for patient and doctor demographics) was used to investigate associations between patient experience (overall communication, trust and confidence, and overall satisfaction) and consultation length.ResultsThere was no evidence that consultation length was associated with any of the three measures of patient experience (P >0.3 for all). Adjusted changes on a 0–100 scale per additional minute of consultation were: communication score 0.02 (95% confidence interval [CI] = −0.20 to 0.25), trust and confidence in the doctor 0.07 (95% CI = −0.27 to 0.41), and satisfaction −0.14 (95% CI = −0.46 to 0.18).ConclusionThe authors found no association between patient experience measures of communication and consultation length, and patients may sometimes report good experiences from very short consultations. However, longer consultations may be required to achieve clinical effectiveness and patient safety: aspects also important for achieving high quality of care. Future research should continue to study the benefits of longer consultations, particularly for patients with complex multiple conditions.

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Objectives Teacher retention is a key issue facing schools, with stress, student behavior, current competitive policies, and practices resulting in many leaving within the first 5 years of qualification. Consequently, recent in-school research initiatives have focused on resilience training, although the quality of such conducted studies is debated. Drawn from compassion-focused therapy (CFT), this study set out to explore a six-module compassionate mind training (CMT) program with school staff to improve well-being. Methods As part of their continued professional development, over 70 teachers and support staff took part in the CMT, with a mixed-measures AAB quantitative and qualitative design employed. This enabled us to explore both implementation effectiveness and outcome effectiveness in terms of parameters of well-being. Results The initiative was well received with the majority of staff reporting positively on their experiences of the curriculum and practices. Additionally, exercise practice was associated with significant increases in self-compassion (p < 0.01) and significant decreases in self-criticism (p < 0.05). Thematic analyses further revealed benefits of CMT for dealing with emotional difficulties. Conclusions As a feasibility study, our results demonstrate many benefits of CMT in educational settings. CMT may hold promise as a way of helping those in education counteract the current competition-based nature of education, especially that which contributes to negative changes in well-being. Given this, future research should employ a control group design, a larger sample size, and a range of well-being measures at follow-up, to fully evaluate the utility of CMT in educational settings.

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The anonymous reviewers are thanked for their helpful comments, suggestions and advice concerning this manuscript; as is James Elander. AbstractNeuroimaging data suggest that emotional information, especially threatening faces, automatically capture attention and receive rapid processing. Whilst this is consistent with the majority of behavioural data, behavioural studies of the attentional blink (AB) additionally reveal aversive emotional first target (T1) stimuli are associated with prolonged attentional engagement or 'dwell' time. One explanation for this difference is that few AB studies have utilised manipulations of facial emotion as the T1. To address this, schematic faces varying in expression (neutral, angry, happy) served as the T1 in the current research. Results revealed that the blink associated with an angry T1 face was, primarily, of greater magnitude than that associated with either a neutral or happy T1 face, but also that initial recovery from this processing bias was faster following angry, compared with happy, T1 faces. The current data therefore provide important information regarding the time-course of attentional capture by angry faces: angry faces are associated with both the rapid capture and rapid release of attention.