6B · Sensing, perceiving, and responding

Making sense of the environment

Psych

The cognitive machinery: paying attention, thinking and solving problems, intelligence, how cognition develops, states of consciousness, memory, and language.

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Attention

Psych med-yield

Limited cognitive resources are aimed at some inputs and not others.

Selective attention focuses on one stimulus among many; the cocktail-party effect is hearing your name across a noisy room (proof that unattended input is still monitored). Divided attention is multitasking (poor for effortful tasks). Inattentional blindness (missing an obvious stimulus while focused elsewhere — the "invisible gorilla") and change blindness show how much we fail to notice without attention.

Cognition & problem-solving

Psych high-yield

How we represent information and reach solutions or decisions — using algorithms, heuristics, and (often) biased shortcuts.

Thinking uses mental representations (concepts, prototypes — the most typical example of a category, and schemas — organized knowledge frameworks). To solve problems we use algorithms (step-by-step methods guaranteeing a solution) or faster heuristics (mental shortcuts that usually work but can mislead). Insight (sudden solution) and trial and error are other strategies. Barriers include mental set (sticking to a familiar approach) and functional fixedness (seeing an object only in its usual use).

Heuristics & cognitive biases

process Psych high-yield

Fast shortcuts that bias judgment: availability (judge by how easily examples come to mind) and representativeness (judge by resemblance to a prototype, ignoring base rates).

Other high-yield biases: confirmation bias (seek info that confirms beliefs), belief perseverance (cling to beliefs despite contrary evidence), anchoring (over-rely on the first piece of info), framing effects (the same facts framed differently change choices), overconfidence, and the gambler's fallacy / hot-hand fallacy. Two thinking modes: fast/automatic intuition vs. slow/effortful analysis.

How AAMC tests it

A scenario describes a judgment error and asks you to name the bias — the tell is what drove the error (ease of recall → availability; resemblance/stereotype → representativeness; first number → anchoring).

Intelligence

Psych med-yield

Theories range from a single general factor to multiple intelligences; fluid vs. crystallized is the most-tested split.

Fluid intelligence is reasoning and solving novel problems (declines with age); crystallized intelligence is accumulated knowledge and skills (stable/rises with age). Spearman's general intelligence (g) vs. Gardner's multiple intelligences and Sternberg's triarchic theory (analytical, creative, practical). Note variables in intelligence: heritability, the Flynn effect (rising scores over generations), and environmental/SES influences.

Cognitive development (Piaget)

theory Psych high-yield trap

Piaget's four stages: sensorimotor → preoperational → concrete operational → formal operational, driven by assimilation and accommodation.

Children build schemas and adapt them by assimilation (fit new info into an existing schema) and accommodation (change the schema to fit new info). The stages:

  • Sensorimotor (0–2): experiences the world through senses/actions; achieves object permanence.
  • Preoperational (2–7): symbolic thinking and language, but egocentrism and no conservation.
  • Concrete operational (7–11): logical thinking about concrete events; masters conservation.
  • Formal operational (11+): abstract and hypothetical reasoning.

Also know Vygotsky (development driven by social/cultural interaction; the zone of proximal development and scaffolding) as the contrast to Piaget.

Don't confuse

Assimilation vs. accommodation — assimilation adds to an existing schema (calling a whale a "fish"); accommodation revises the schema (learning whales are mammals). A reliable AAMC pair.

Consciousness, sleep & drugs

PsychBio high-yield

States of awareness — wakefulness, the sleep stages and their cycle, dreaming, hypnosis, and how psychoactive drugs alter consciousness.

The circadian rhythm is the ~24-hour biological clock (regulated by the suprachiasmatic nucleus and melatonin). Sleep cycles through stages, tracked by EEG:

  • Awakebeta waves (alert) give way to alpha waves (relaxed, eyes closed).
  • NREM 1 — light sleep, theta waves, hypnagogic jerks.
  • NREM 2sleep spindles and K-complexes.
  • NREM 3 — deep slow-wave sleep, delta waves; restorative.
  • REMrapid eye movement, vivid dreaming, paradoxical sleep (brain active, body paralyzed).

Dream theories: activation-synthesis (dreams are the cortex interpreting random brainstem activity) vs. consolidation/memory and Freud's wish-fulfillment. Know major sleep disorders (insomnia, narcolepsy, sleep apnea, night terrors). Psychoactive drugs by class: depressants (alcohol, barbiturates, benzodiazepines — slow CNS), stimulants (caffeine, nicotine, cocaine, amphetamines — speed CNS, raise dopamine), opiates/narcotics (heroin, morphine — pain relief, euphoria), and hallucinogens (LSD, marijuana). The brain's reward pathway (dopamine, nucleus accumbens, mesolimbic pathway) underlies addiction.

How AAMC tests it

Identify a sleep stage from its EEG signature, or classify a drug and predict its effect on the nervous system and neurotransmitters.

Each sleep stage has a signature EEG pattern: alert beta gives way to alpha, then theta (N1), spindles and K-complexes (N2), high-amplitude delta (N3, deep sleep), and finally REM, whose fast low-amplitude waves resemble wakefulness.
EEG waveform traces across the sleep stages: awake (beta, fast low-amplitude), relaxed (alpha), NREM 1 (theta), NREM 2 (sleep spindles and K-complexes), NREM 3 (delta, slow high-amplitude), and REM (fast low-amplitude).

Each sleep stage has a signature EEG pattern: alert beta gives way to alpha, then theta (N1), spindles and K-complexes (N2), high-amplitude delta (N3, deep sleep), and finally REM, whose fast low-amplitude waves resemble wakefulness.

The brain's reward (mesolimbic) pathway: dopamine projects from the ventral tegmental area to the nucleus accumbens and prefrontal cortex — the circuit underlying reinforcement and addiction.
Medial view of the brain showing the mesolimbic dopamine reward pathway running from the ventral tegmental area (VTA) to the nucleus accumbens and prefrontal cortex, with the amygdala and hippocampus labeled.

The brain's reward (mesolimbic) pathway: dopamine projects from the ventral tegmental area to the nucleus accumbens and prefrontal cortex — the circuit underlying reinforcement and addiction.

Memory

PsychBio high-yield

Encoding → storage → retrieval across sensory, short-term/working, and long-term stores; plus the many ways memory fails.

Encoding can be automatic or effortful; the levels-of-processing effect says deeper (semantic) encoding remembers better than shallow. The classic store model:

  • Sensory memory — brief, large-capacity (iconic ~visual, echoic ~auditory).
  • Short-term / working memory — ~7±2 items for ~20–30s; working memory (Baddeley) actively manipulates info. Chunking and rehearsal extend it.
  • Long-term memory — effectively unlimited; split into explicit (declarative)episodic (events) and semantic (facts) — and implicit (nondeclarative)procedural (skills) and conditioned responses.

Retrieval uses recall vs. recognition, aided by priming, context-dependent and state-dependent cues, and the serial position effect (primacy + recency). Forgetting: encoding failure, decay, interference (proactive = old disrupts new; retroactive = new disrupts old), and retrieval failure. Memory is reconstructive: the misinformation effect and source monitoring errors distort it (Loftus). Neural basis: the hippocampus (forming explicit memories), amygdala (emotional memories), cerebellum (procedural), and long-term potentiation (LTP) (the cellular basis of learning). Dysfunction: Alzheimer's, Korsakoff's syndrome, and anterograde vs. retrograde amnesia.

Don't confuse

Proactive vs. retroactive interference (pro = prior learning interferes forward; retro = recent learning interferes backward) and anterograde vs. retrograde amnesia (antero = can't form new memories; retro = lost old ones).

Language

Psych med-yield

The structure of language, theories of how it's acquired, and the brain areas behind it.

Building blocks: phonemes (smallest sound units), morphemes (smallest meaning units), semantics (meaning), syntax (grammar/word order), and pragmatics (social context). Acquisition theories: Skinner (learning/reinforcement), Chomsky (nativist — an innate language acquisition device and universal grammar), and the interactionist view (biology + social interaction). The Whorfian (linguistic relativity) hypothesis holds that language shapes thought — its weak form (linguistic relativity) says language influences thought; its strong form (linguistic determinism) says language determines/limits it (the strong form is largely rejected). Brain areas: Broca's area (speech production — Broca's aphasia is broken/effortful speech) and Wernicke's area (comprehension — Wernicke's aphasia is fluent but meaningless speech); damage to the connecting fibers causes conduction aphasia.

Don't confuse

Broca's (production, "broken speech") vs. Wernicke's (comprehension, "word salad") aphasia — a near-guaranteed pairing.

Worked question

A man recently changed his phone number, but when asked for it he keeps reciting his old number instead. This is an example of:

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