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Updated: Sep 16, 2025

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Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
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Exposure to subtle dominance cues activates the stress response and affects decision-making
Maryam Bamshad1, Karina Xie1, Rema Rasheed1
1Department of Biological Sciences, Lehman College, CUNY, Bronx, NY, United States.
Frontiers in Psychology
|July 11, 2025
Summary
Subtle dominance cues from doctors can offend patients, activating stress responses. Decision-making, like taking medication, was impacted when condescending text combined with a dominant face, affecting patient trust.
Area of Science:
- Psychology
- Human-Computer Interaction
- Social Psychology
Background:
- Dominance cues in social interactions can elicit negative emotions like anger.
- The affect-as-information theory suggests emotions influence decision-making.
Purpose of the Study:
- To investigate if subtle dominance cues in doctor-patient communication activate the stress response.
- To examine the impact of dominance cues on patient decision-making regarding medication.
Main Methods:
- Participants imagined being patients exposed to subtle dominance cues from a doctor (text and/or images).
- Skin conductance levels and self-reported assessments were measured.
- Participants evaluated medication side effect probabilities and decided whether to take prescribed medication.
Main Results:
- Dominance cues, in text or with images, were perceived as offensive.
- Medication adherence decisions were influenced when condescending text was paired with a dominant facial image.
- Physiological arousal increased with dominance cues but decreased when making decisions after exposure to condescending cues and dominant faces.
Conclusions:
- Subtle dominance cues can negatively impact patient perceptions and decisions.
- Understanding these emotional responses is crucial for designing empathetic AI and improving patient-provider interactions.
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