药价“虚高”:成因、结果分析与对策探讨

药品价格“虚高”已成为近年来药品市场中的一个突出问题。通过考量药价“虚高”的成因,并从实证的角度分析药价“虚高”的结果———“有效需求人数”和“消费者剩余”的减少,提出一些建议。     

“精英症候群”:社会病理分析及对策——医学社会学的解释视角

转型期中国社会的精英群体普遍面临着身体与精神的双重危机。从医学社会学的独特解释视角来看,这一非正常的“精英症候群”实质上是反复循环状态下生产与再生产的一种“社会病”。在社会病理分析的基础上,从社会结构、社会评价体系、预防与保障机制诸方面为“精英症候群”会诊。     

"When no means no": can reactance augment the theory of planned behavior?

A longitudinal study examined women's clinic attendance for treatment and follow-up after having received an abnormal cervical screening result. Participants (N = 660) completed questionnaire measures of variables specified by the theory of planned behavior and J. Kuhl's (2000) measure of low volitional control--reactance--prior to receiving up to 3 subsequent appointments during the following 15 months. The theory of planned behavior was capable of predicting persistent attendance and discriminated women who kept all of their scheduled appointments from those who dropped out from treatment. Consideration of reactance enhanced prediction of behavior and discriminated between women who delayed appointment keeping and women who ceased attending.     

What Triggers Abnormal Eating in Bulimic and Nonbulimic Women?

Dissociative experiences and abnormal eating were examined in 92 non-eating-disordered women and 61 age-matched bulimic women. In the non-clinical sample of women, dissociative experiences were associated with abnormal eating attitudes and behavior, even after controlling for other forms of psychopathology; furthermore, dissociation mediated the relationships between abnormal eating and sexual abuse, abnormal eating and emotional distress, and abnormal eating and impulsivity. Analyses using both bulimic women and occasional binge eaters among the controls showed that a combination of reported negative affect and dissociative experiences preceding a binge was associated with the highest levels of abnormal eating. Finally, in both bulimic women and occasional binge eaters, feelings of panic appeared to decrease as a binge episode progressed, whereas, in bulimic women only, dissociative experiences appeared to increase during binge eating. The implications for the role of dissociation in combination with emotional distress in triggering and reinforcing abnormal eating in women are discussed.     

Role of glucocorticoids in an abnormal grooming behavior in cats with pontile or frontal neocortical lesions.

Cats with pontile or frontal neocortical lesions display a tactually elicited dissociation of appetitive and consummatory grooming behaviors. Systemic administration of glucocorticoids abolished the abnormal grooming behavior in cats with lesions, even when the stimulatory effect of glucocorticoids on serotonin metabolism was blocked by administration of p-chlorophenylalanine (PCPA). Microinjections of glucocorticoids into the superior colliculi also significantly decreased the abnormal grooming behavior. Adrenalectomized cats did not display the abnormal grooming behavior, but the abnormal behavior did occur in PCPA-treated adrenalectomized cats. Administration of either glucorticoids or 5-hydroxytryptophan abolished the abnormal behavior in PCPA-treated adrenalectomized cats. Thus, it appears that the pontile and frontal neocortical lesions produce deficits in both glucocorticoids and serotonin, and these deficits are necessary and sufficient conditions for inducing the abnormal grooming behavior.     

Similarities in the physiological bases of an abnormal grooming behavior in thyroidectomized cats and in cats with lesions of the central nervous system.

Thyroidectomized cats display a dissociation of the appetitive and consummatory components of grooming behavior when the body surface is tactually stimulated, an abnormal behavior that also occurs in cats with pontile or frontal neocortical lesions. Systemic administration of 5-hydroxytryptophan (5-HTP) abolishes the abnormal behavior, whereas dihydroxyphenylalanine administration does not, and p-chlorophenylalanine (PCPA) administration induces the abnormal grooming behavior in thyroidectomized cats that are not displaying the abnormal behavior because of spontaneous seasonal reversions. Microinjections of 5-HTP or serotonin into the superior colliculi also abolish the abnormal grooming behavior in thyroidectomized cats. Lesions of the superior colliculi prevent the development of the abnormal behavior after thyroidectomy, even with PCPA treatment. These pharmacological results in thyroidectomized cats parallel the behavioral effects observed in cats with pontile or frontal neocortical lesions.     

异常心理的哲学四要素

异常心理的哲学四要素主要指异常心理的谱与类、质与度.根据现代心理哲学、哲学及谱系学的观点,提出了异常心理的谱、类、质与度的概念,认为偏离正态分布曲线左侧的是目前公认的个体异常心理,而偏离正态曲线右侧的异常心理的性质、类型、范围、程度等却是一个悬而未绝的重大理论问题.因此,在对异常心理的谱与类、质与度界定的基础上,提出了超常心理存在的可能性并进一步论述了超常心理的本质、范围和特征.     

先天性红-绿色觉异常者的非彩色表色色差辨别研究

该文就先天性红－绿色觉异常者对非彩色系表色色差的辨别展开了研究。结果表明,先天性红－绿色觉异常者色差识别的量值△Ｅ随目视评价的等级不同而异;先天性红－绿色觉异常者与色党正常者在非彩色表色辨别上存在一定的差异;同一明度等级上、下限的变化对先天性红－绿色觉异常者的非彩色表色辨别存在影响,这种影响与明度的级别有关。     

Effects of Self-Esteem and Depression on Abnormal Eating Behavior among Korean Female College Students: Mediating Role of Body Dissatisfaction

Body dissatisfaction is widely acknowledged to exert considerable impact on abnormal eating behavior. Previous studies that reported the mediating role of body dissatisfaction between psychological variables and abnormal eating behavior mostly used western samples. The aim of this study was to investigate the direct and indirect association of psychological factors (i.e., self-esteem and depression) on abnormal eating behavior on a Korean sample. In addition, we examined a possible mediating effect of body dissatisfaction in this relationship. A sample of 502 Korean female college students enrolled in a private university participated in this cross-sectional study. Results indicated that self-esteem and depression did not have direct impacts on abnormal eating behavior. However, they did have indirect effects through the mediating factor, body dissatisfaction. Our findings suggest that students who have low self-esteem and high depression are likely to have higher levels of body dissatisfaction, and this, in turn, tends to be associated with greater abnormal eating behavior. Identification of this path has clinical implications in the development of programs to prevent abnormal eating behaviors among young female college students.     

父母关系与子女行为异常

我们利用父母关系问卷、家庭背景问卷和行为症状量表对中国5个城市550个家庭、1493名被试者进行了调查与测试。结果表明,父亲职业、父亲文化水平、家庭的经济条件等社会经济地位因素影响父母关系：父母的社会经济地位高,父母关系好。父母婚姻状况影响父母关系：问题婚姻状态下的父母关系较差。父母关系对子女行为异常有显著影响：父母关系差,子女行为异常水平高。     

Serotonin, the superior colliculus, and grooming behavior in cats with neocortical lesions.

Previous studies of cats with pontile lesions indicate that a serotonergic deficit exists in the superior colliculi and that this deficit is involved in the genesis of an abnormal grooming behavior. Cats with frontal neocortical lesions exhibit the same serotonergic deficit and the same abnormal grooming behavior. The present study established that the serotonergic deficit is involved in the mediation of the abnormal grooming behavior in cats with frontal neocortical lesions. Microinjections of 5-hydroxytryptophan (5-HTP) and 5-hydroxytryptamine (5-HT) into the superior colliculi abolished or signigicantly reduced the abnormal behavior in cats with frontal neocortical lesions, whereas no effects of 5-HTP were observed after injections into the cerebrospinal fluid above the superior colliculi, into the tegmentum beneath the superior colliculi, or into the medial dorsal nucleus rostral to the superior colliculi. Other substances (tryptophan, noradrenaline, and gamma-amino-butyric acid) had no effect on the abnormal behavior when injected into the superior colliculi. Further evidence implicating a serotonergic deficit in the mediation of the abnormal behavior was obtained by systemic injections: The abnormal behavior was abolished with 5-HTP in cats with frontal neocortical lesions and in adrenalectomized cats that were previously treated with p-chlorophenylalanine.. The present study also demonstrated that the abnormal grooming behavior is induced by frontal neocortical lesions and not by more caudal lesions of the neocortex. The anatomical relations between the frontal neocortex and the superior colliculus and the role of these structures in grooming behavior are discussed.     

"Psychotherapy" versus "treatment"

Presents a comment on "Psychological treatments" by D. H. Barlow. Barlow proposed that we distinguish between the terms "treatment" and "psychotherapy." The author believes that not only is the distinction unnecessary, but that its implications could have negative consequences for the field of clinical psychology. It is the proposed distinguishing feature that treatments are "specifically tailored to the pathological process that is causing the impairment and distress" that is most problematic. Clinical psychology does not need a distinction that further exacerbates the split between researchers and practitioners.     

Quantitative scores of normal and abnormal subjects on Initial-letter Word-association Test.

The quotient of the mean quantitative score on Initial-letter Word-association Test for 193 normal subjects was significantly higher than the quotient of the mean quantitative score of 44 abnormal (psychotic) subjects. This is interpreted as meaning that, in general, the normal subjects have predominantly a positive attitude towards their surrounding world in contradistinction to the abnormal subjects whose attitude was predominantly negative, ambivalent, and repressive. On the other hand, the mean of the quotients of the quantitative scores of the 44 abnormal subjects was higher than the mean of the quotients of the quantitative scores of the normal subjects which suggests increased oral tendencies of the abnormal subjects expressed much as the unwarranted optimism of small children.     

"Enmeshment" and "Fusion"

The paper examines two related concepts utilized by two different schools of family therapy. Any family seen to be "enmeshed" is also seen as "fused," and vice versa. The difference in the level of focus, on the "system containing the individuals" (structural) or the "individual in the system" (fusion), determines the difference in therapeutic approach of these two schools.     

“对的”与“好的”

什么是“对的”,和对它的证立,是道德哲学中具有争议性的核心问题,也是效用主义和道义论间的主要差异之所在。统合效用主义对于“好的就是对的”这个陈述有一套完整周延的说法。而道义论对这个问题的证立不够周延或没有足够的说服力。     

异常心理病理机制的哲学思考

通过现代心理学、异常心理学、心理哲学及分子生物学的研究成果对异常心理病理机制的哲学分析,探讨异常心理病理机制的哲学本质.异常心理同正常心理一样不仅有自然物质世界的各种特性,还有许多自然物质世界不具有的高级和复杂特性.异常心理病理机制的哲学本质是它的意义世界和价值世界.     

"Us" and "Them":

Abstract: In the Aristotelian tradition, politics is a matter of public deliberation over questions of justice and injustice. The Bush administration's response to the terrorist attacks of September 11, 2001, has been uniformly hostile to this notion, and it has instead promoted a jingoistic politics of self‐assertion by an America largely identified with the executive branch of its government. This is doubly disturbing, as the executive branch has sought to free itself from international law, multinational commitments, and domestic judicial regulation, even as it has sought to validate itself by demonizing its enemies. This essay draws out the disturbing echoes here of Carl Schmitt's work of the 1920s, in particular of Schmitt's conception of the sovereign as the ungrounded ground of the law and the political as the site of mortal conflict between friend and enemy. The essay argues that Schmitt's position in the twenties, for all of its evident problems, is superior to that of Bush, Wolfowitz, and Ashcroft in at least two senses: Schmitt condemns the idea of waging war for profit and recognizes that such wars will often be disguised as moral crusades waged against the “inhuman”; and he acknowledges that claiming to fight a war for humanity denies one's enemies their humanity, leaving them open to torture and even extermination.     

PREFERRING "HOUSEWIVES" TO "FEMINISTS"

Four studies are described outlining the favorability of attitudes toward women. In Study 1, participants indicated their attitudes toward women and men and their construal of the term "women". The results revealed that women were evaluated more favorably than men, but that male right-wing authoritarians (RWAs) who construed women as referring primarily to feminists were least favorable in their attitudes. In Study 2, participants indicated their attitudes toward both "housewives" and "feminists". The results revealed that feminists were evaluated less favorably than housewives, and that the most negative attitudes toward feminists were expressed by authoritarian men. Study 3 revealed that high-RWA males held more negative symbolic beliefs concerning feminists (i.e., beliefs that feminists failed to promote participants'values) and that these beliefs accounted for variation in attitudes among high RWAs and much of the RWA-attitude relation. Finally, Study 4 revealed that high RWAs perceived greater value dissimilarity between them-selves and feminists. The implications of the findings for future research are discussed.     

"本体论"与"伦理学"--形而上学的两个向度

形而上学有两个密切相关的内在向度,就是本体论向度与伦理学向度.在哲学史上,哲学家们之所以在"追求形而上学"的同时,又总是"反形而上学",并非是人们的形上本性出了问题,而是因为人们总是将形而上学视为单纯的"一维性",总是用一个向度来取代或遮蔽另一个向度.而所谓的"后形而上学思想",也并不是消解了形而上学,而是指形而上学从"本体论向度"转向了"伦理学向度".     

Normal and abnormal personality traits: evidence for genetic and environmental relationships in the Minnesota Study of Twins Reared Apart

ABSTRACT Recent studies have demonstrated substantial correlations between normal and abnormal personality traits. Yet little is known about how these correlations are mediated genetically and environmentally: Do normal and abnormal personality traits stem from the same underlying genes and environments? We addressed this question using data from 128 monozygotic and dizygotic twin pairs in the Minnesota Study of Twins Reared Apart (MISTRA). Additive genetic and nonshared environmental correlations between scales of the Minnesota Multiphasic Personality Inventory (MMPI)—an index of abnormal personality—and the Multidimensional Personality Questionnaire (MPQ)—an index of normal personality—were estimated. Results indicated that phenotypic correlations between normal and abnormal personality were mediated by genetic as well as environmental factors, although the magnitude of genetic mediation tended to be larger overall. Moreover, the patterns of phenotypic, genetic, and environmental relationships among the scales were similar, suggesting that influences on normal and abnormal personality act through systems common to both. It is suggested that future research focus on the neurogenetic substrates of these shared systems and how dysfunction in these systems influences development of disordered personality.