关注肿瘤患者的心理健康，提高医患沟通质量

心理健康对于肿瘤患者来说非常重要,医生应该在治疗患者身体疾病的同时,关注他们的心理健康状态,注意医惠沟通技巧。不仅有利于患者的康复,也能提高医患沟通质量,促进发展良好的医患关系。     

Seventeen-month-olds appeal to false beliefs to interpret others' referential communication

Recent studies have demonstrated infants' pragmatic abilities for resolving the referential ambiguity of non-verbal communicative gestures, and for inferring the intended meaning of a communicator's utterances. These abilities are difficult to reconcile with the view that it is not until around 4 years that children can reason about the internal mental states of others. In the current study, we tested whether 17-month-old infants are able to track the status of a communicator's epistemic state and use this to infer what she intends to refer to. Our results show that manipulating whether or not a communicator has a false belief leads infants to different interpretations of the same communicative act, and demonstrate early mental state attribution in a pragmatic context.     

The director task: A test of Theory-of-Mind use or selective attention?

Over two decades, the director task has increasingly been employed as a test of the use of Theory of Mind in communication, first in psycholinguistics and more recently in social cognition research. A new version of this task was designed to test two independent hypotheses. First, optimal performance in the director task, as established by the standard metrics of interference, is possible by using selective attention alone, and not necessarily Theory of Mind. Second, pragmatic measures of Theory-of-Mind use can reveal that people actively represent the director’s mental states, contrary to recent claims that they only use domain-general cognitive processes to perform this task. The results of this study support both hypotheses and provide a new interactive paradigm to reliably test Theory-of-Mind use in referential communication.     

Mental states in animals: cognitive ethology

This article addresses the question of mental states in animals as viewed in 'cognitive ethology'. In effect, this field of research aims at studying naturally occurring behaviours such as food caching, individual recognition, imitation, tool use and communication in wild animals, in order to seek for evidence of mental experiences, self-awareness and intentionality. Cognitive ethologists use some philosophical concepts (e.g., the 'intentional stance') to carry out their programme of the investigation of natural behaviours. A comparison between cognitive ethology and other approaches to the investigation of cognitive processes in animals (e.g., experimental animal psychology) helps to point out the strengths and weaknesses of cognitive ethology. Moreover, laboratory attempts to analyse experimentally intentional behaviours such as deception, the relationship between seeing and knowing, as well as the ability of animals to monitor their own states of knowing, suggest that cognitive ethology could benefit significantly from the conceptual frameworks and methods of animal cognitive psychology. Both disciplines could, in fact, contribute to the understanding of which cognitive abilities are evolutionary adaptations.     

Communicative abilities in autism: evidence for attentional deficits

Although there are many theories about autism, something all of them agree upon is that autistics are impaired in the ability to communicate. The explanation is either their incapacity to attribute mental states to others or the interference of irrelevant stimuli with the access and processing of the communication (low). Our study on mute autistic children aims to investigate their communicative ability in order to bring some new evidence on the debate. We used an experimental technique that allows autistic children to access and process the communicative acts in a familiar context for as long as needed. The experimental results show that our sample of autistic children performs as well as the control group of normal children in dealing with directs, indirects, ironies, deceits, and recoveries of failure. Independent of their respective difficulty, the felicitous outcome of any of these acts requires the capacity to attribute an adequate communicative intention to the actor. Moreover, our results show that, contrary to the established findings in the literature, autistics' performance in the standard false belief task, a task that requires one to understand the mental states of other people, is equivalent to the performance of normal subjects. We argue that an attentional deficit affects the communicative performance of autistics in experiments where classic methodologies are used; with the proper methodology, we can access the unexplored world where mute autistic children also communicate. As far as we know, this is the first systematic experiment on pragmatic abilities in mute autistic children. Indeed, our work shows that tests and methodologies which help to focus on the communicative task improve the autistics' performance with respect to those used in the literature. We conclude that the autistic communicative deficit is at the performance level and that it has an attentional nature.     

The Interface Between Attachment and Intersubjectivity: Perspective from the Longitudinal Study of Disorganized Attachment

This article considers the interface between the concepts of attachment and intersubjectivity in light of accumulated research on infant development. Both Tomasello (1999) and Hobson (2002) have argued persuasively that the flexible human capability for sharing mental states with others reframes and revolutionizes our older, more highly channeled primate biological heritage. In contrast to this emphasis on discontinuity from primate to human evolution, attachment theorists have stressed the continuities between human attachment and attachment in other primates. The implication of new work on infant intersubjectivity for reframing aspects of attachment theory is first explored. By the same token, however, the extent to which the infant–caregiver attachment relationship functions to maintain positive engagement and regulate the infant's fearful arousal will have escalating consequences over development for the organization of intersubjectivity. Therefore, attachment research has much to offer in understanding the development of joint attention and the sharing of mental states under conditions of increased emotional arousal. The potential contributions of attachment research for understanding the development of intersubjectivity are discussed in light of recent work from the author's lab on forms of young adult symptomatology associated with deviance in the early intersubjective dialogue between mother and infant. The clinical implication emerging from all these diverse areas of research is that fostering more collaborative forms of communication may lie at the heart of evolutionary change, developmental change, and changes resulting from psychodynamic psychotherapy.     

不只是“谈话疗法”：精神分析治疗中的非言语维度

精神分析治疗在很长一段时间里被视为“谈话疗法”,其治愈机制是将潜意识的内容意识化,语言解释在其中发挥关键作用。自20世纪末开始,越来越多分析师强调非言语交流在治疗中的作用。非言语交流不仅能够为咨访双方提供更丰富的交流形式,还能通过互动中的“相遇时刻”,实现对患者过去经验的重组,改变其有缺陷的内隐关系知晓。非言语交流和语言交流能够在治疗中发挥互补作用,未来的精神分析心理学要继续加强对非言语领域的研究。     

不只是“谈话疗法”：精神分析治疗中的非言语维度

精神分析治疗在很长一段时间里被视为“谈话疗法”,其治愈机制是将潜意识的内容意识化,语言解释在其中发挥关键作用。自20世纪末开始,越来越多分析师强调非言语交流在治疗中的作用。非言语交流不仅能够为咨访双方提供更丰富的交流形式,还能通过互动中的“相遇时刻”,实现对患者过去经验的重组,改变其有缺陷的内隐关系知晓。非言语交流和语言交流能够在治疗中发挥互补作用,未来的精神分析心理学要继续加强对非言语领域的研究。     

New Developments in Understanding Emotional Facial Signals in Chimpanzees

ABSTRACT— There has been little research over the past few decades focusing on similarities and differences in the form and function of emotional signals in nonhuman primates, or whether these communication systems are homologous with those of humans. This is, in part, due to the fact that detailed and objective measurement tools to answer such questions have not been systematically developed for nonhuman primate research. Despite this, emotion research in humans has benefited for over 30 years from an objective, anatomically based facial-measurement tool: the Facial Action Coding System (FACS). In collaboration with other researchers, we have now developed a similar system for chimpanzees (ChimpFACS) and, in the process, have made exciting new discoveries regarding chimpanzees' perception and categorization of emotional facial expressions and similarities in the facial anatomy of chimpanzees and humans, and we have identified homologous facial movements in the two species. Investigating similarities and differences in primate emotional communication systems is essential if we are to understand unique evolutionary specializations among different species.     

AN EXPERIMENTAL ANALYSIS OF FACILITATED COMMUNICATION

We evaluated the authorship of messages produced through facilitated communication by 7 adults with moderate or severe mental retardation and their facilitators. The clients had been reported to be communicating fluently through facilitated communication. We controlled the facilitators' access to information to be communicated in two evaluation formats, naming pictures and describing activities. In both formats we conducted three conditions: (a) the facilitator and client had access to the same information, (b) the facilitator did not have access to the picture or activity, and (c) the facilitator was given false information about the picture or activity. The results showed that the clients typed the correct answer only when the facilitator had access to the same information, never typed the correct answer when the facilitator had no information or false information, and typed the picture or activity presented to the facilitator when it was different from the one experienced by the client. These results provide unequivocal evidence for facilitator control of typing during facilitated communication.     

‘Hope givers’? A scoping review of new media and mental health in 27 Australian Christian organisations

This article explains a range of conceptual and methodological innovations in the use of new media for the clinical practice and public communication of mental health. Building on two current contexts – the emerging research area of new media and mental health, and major reform of the mental health system in Australia – this article presents a scoping review of the online communication of Christian organisations that offer mental health care in Australia. This article compares the websites of 27 Australian Christian mental health organisations, analysing these organisations’ configurations of mainstream and religious modalities of mental health care, their discursive and visual communication strategies, as well as their use of social media platforms.     

Four‐year‐olds incorporate speaker knowledge into pragmatic inferences

Human communication relies on the ability to take into account the speaker's mental state to infer the intended meaning of an utterance in context. For example, a sentence such as ‘Some of the animals are safe to pet’ can be interpreted as giving rise to the inference ‘Some and not all animals are safe to pet’ when uttered by an expert. The same inference, known as a scalar implicature, does not arise when the sentence is spoken by someone with partial knowledge. Adults have been shown to derive scalar implicatures in accordance with the speaker's knowledge state, but in young children this ability is debated. Here, we revisit this question using a simple visual world paradigm. We find that both 4‐ and 5‐year‐olds successfully incorporate speaker knowledge into the derivation of scalar inferences. However, this ability does not generalize immediately to non‐linguistic communicative contexts. These findings have important implications for the development of pragmatic abilities.     

Pragmatic aspects of communication and language comprehension in groups of children differentiated by teacher ratings of inattention and hyperactivity

Children with attention‐deficit hyperactivity disorder (ADHD) experience pragmatic language deficits, but it is not known whether these difficulties are primarily associated with high levels of inattention, hyperactivity, or both. We investigated pragmatic aspects of communication and language comprehension in relation to poor attention and/or high hyperactivity in a nondiagnosed population of 7‐ to 11‐year olds. Classroom teachers rated their pupils' attention and hyperactivity/impulsivity on the ADD‐H Comprehensive Teacher Rating scale (ACTeRS). Three groups were formed: children with poor attention and low hyperactivity (poor attention group), children with good attention and high hyperactivity (high hyperactivity group), and children with both poor attention and high hyperactivity (poor attention/high hyperactivity group). Their performance was compared with that of same‐age controls in two studies: Study 1 (N = 94) investigated the comprehension of figurative language in and out of context and Study 2 (N = 100) investigated the pragmatic aspects of communication using the Children's Communication Checklist – Second Edition. Two groups, the poor attention and the poor attention/high hyperactivity groups, were impaired in both their comprehension of figurative language and their communication skills. The high hyperactivity group was impaired in their comprehension of figurative language but they did not exhibit communication impairments. The findings extend work with clinical populations of children with ADHD: even in a nondiagnosed sample of children, poor attention and elevated levels of hyperactivity are associated with pragmatic language weaknesses.     

Affect and the weight of idealistic versus pragmatic concerns in decision situations

Individuals consider abstract values and principles important aspects of their identities. Nonetheless, they often make judgments and decisions that contradict these values and principles for the sake of pragmatic benefits. Assuming that the process of weighting idealistic and pragmatic concerns is context sensitive, the present research argues that affect influences the relative weight of idealistic versus pragmatic concerns in decision situations owing to its influence on the level of abstraction at which individuals represent situations mentally. Studies 1 and 2 demonstrate that more positive affect increases the prominent weighting of idealistic over pragmatic concerns while less positive affect leads to less differentiation between the relevance of idealistic and pragmatic concerns. Studies 3 and 4 test the assumption that affective influences on mental abstraction are crucial for affect‐dependent shifts in the weighting of idealistic and pragmatic concerns. By bringing together theorizing on affect and cognition with recent theorizing on the role of mental abstraction for decision processes, this article highlights a mechanism through which decisions can be influenced by feelings that goes beyond the mechanisms that have typically been discussed in the affect and cognition literature so far.     

Pragmatic difficulties in children with specific language impairment. The role of mentalistic tasks

Several subjects with Specific Language Impairment (SLI) show communicative and pragmatic problems. In this study, we suggested that mentalistic comprehension tasks would help us to find a deteriorated pragmatic profile among the population with SLI. To achieve this goal, a group of participants with conventional SLI (n=11) was compared to a group of SLI with more pragmatic problems (n=9) and their respective control group with typically developed language (n=13), of ages between 4 and 7 years. Results revealed that all the groups were able to attribute mental states in tasks where the context was structured. However, the subjects with predominant pragmatic SLI showed poorer performance than those with conventional SLI when tasks were communicative-oriented and they needed to process non-explicit information from the context. These findings suggest that it is possible to isolate a SLI subtype with more pragmatic problems and also that we can use mentalistic tasks to assess these difficulties more accurately.     

中国青少年心理健康素质·人际素质的研究

采用《青少年心理健康素质调查表·人际素质分量表》对全国23个省、市、自治区的44063名青少年人际心理健康素质发展状况进行调查。结果表明：（1）我国青少年人际素质处于较好的发展水平;（2）青少年在整体人际素质及人际交往、人际调控、人际知觉等各维度上的年级变化呈现一定差异,整体人际素质与人际交往、人际调控维度得分随年级增长呈现下降趋势,人际知觉维度得分随年级的增长呈逐渐上升趋势。     

Centre-embedded structures are a by-product of associative learning and working memory constraints: evidence from baboons (Papio Papio)

Influential theories have claimed that the ability for recursion forms the computational core of human language faculty distinguishing our communication system from that of other animals (Hauser, Chomsky, & Fitch, 2002). In the present study, we consider an alternative view on recursion by studying the contribution of associative and working memory processes. After an intensive paired-associate training with visual shapes, we observed that baboons spontaneously ordered their responses in keeping with a recursive, centre-embedded structure. This result suggests that the human ability for recursion might partly if not entirely originate from fundamental processing constraints already present in nonhuman primates and that the critical distinction between animal communication and human language should more likely be found in working memory capacities than in an ability to produce recursive structures per se.     

Pragmatic communication skills in patients with Parkinson's disease

BACKGROUND: Pragmatic communication abilities may depend on intact frontal lobe systems. Independent evidence suggests that some persons with Parkinson's disease (PD) are impaired on measures of frontal lobe function. HYPOTHESIS: We therefore hypothesized in Study 1 that pragmatic communication skills would be impaired in some persons with PD and would be linked to frontal dysfunction in these patients. In Study 2 we hypothesized that PD patients would be unaware of their pragmatic communication deficits. METHODS: In Study 1 we administered tests of pragmatic abilities and frontal lobe functioning to twenty-two persons with Parkinson's disease (PD) and 10 healthy controls. In Study 2 we obtained self-ratings of pragmatic abilities from 11 PD patients and then checked these self-ratings against ratings of these same abilities by the patient's spouses. RESULTS: We found in Study 1 that patients with PD were: (a) significantly impaired on measures of pragmatic communication abilities, especially in the areas of conversational appropriateness, turn-taking, prosodics and proxemics, and that this impairment was significantly related to measures of frontal lobe function. In study 2 we found that PD patients overestimated their own abilities relative to spousal ratings of those abilities and thus were unaware of the extent of their problems with pragmatic social communication skills. CONCLUSION: We conclude that pragmatic social communication skills are impaired in PD and that this impairment may be related to frontal lobe dysfunction.     

Contact calls: Information and social function

The focus of acoustic communication studies differs between birds and primates due to differences between the avian and primate social structures. Contact calls exist in almost all species independent of social structure, indicating their importance for animals. Contact calls contain various types of information about the sender. They function to keep groups cohesive or to help reunite visually separated individuals. In this review, we first describe the type of information contained in the acoustic structure of contact calls, and then we consider the function of contact calls in animals' social lives, particularly their function as identity advertisements.     

Psychopathy and the ability to read the “language of the eyes”: Divergence in the psychopathy construct

The capacity to interpret others people's behavior and mental states is a vital part of human social communication. This ability, also called mentalizing or Theory of Mind (ToM), may also serve as a protective factor against aggression and antisocial behavior. This study investigates the relationship between two measures of psychopathy (clinical assessment and self‐report) and the ability to identify mental states from photographs of the eye region. The participants in the study were 92 male inmates at Bergen prison, Norway. The results showed some discrepancy in connection to assessment methodology. For the self‐report (SRP‐III), we found an overall negative association between mental state discrimination and psychopathy, while for the clinical instrument (PCL‐R) the results were more mixed. For Factor 1 psychopathic traits (interpersonal and affective), we found positive associations with discrimination of neutral mental states, but not with the positive or negative mental states. Factor 2 traits (antisocial lifestyle) were found to be negatively associated with discrimination of mental states. The results from this study demonstrate a heterogeneity in the psychopathic construct where psychopathic traits related to an antisocial and impulsive lifestyle are associated with lower ability to recognize others' mental states, while interpersonal and affective psychopathic traits are associated with a somewhat enhanced ability to recognize others' emotional states.