Does the philosophy of medicine exist? A commentary on Caplan

Caplan has argued that the philosophy of medicine does not exist. Although I will not deny the points he makes, I will argue that the philosophy of medicine has characteristics of a developing field with the potential to meet all of Caplan's criteria. The argument is based on Dewey's established views on logical development for a field of inquiry, as well as pointing out how other criteria Caplan imposes can be fulfilled.The U.S. Government right to retain a non-exclusive, royalty free licence in and to any copyright is acknowledged.     

Quality of Life and Sense of Coherence in People with Arthritis

This study investigated the physical and psychological impact of arthritis on people's quality of life. A range of variables were examined in a sample of 375 participants who comprised three groups: people with arthritis receiving a support-based service from the Arthritis Foundation of Victoria, people with arthritis receiving standard treatment, and a group of people from the general population. The results revealed that the two arthritis groups reported a significantly higher level of functional impairment, pain, and negative affectivity, and lowered mood, positive affect, and Sense of Coherence, compared to the general population group. They also reported normal levels of importance, but lower levels of satisfaction on various life domains. After statistically controlling for pain however, group differences were eliminated on all variables except for functional impairment and for all satisfaction domains except health. These data are interpreted as evidence that the combination of low domain satisfaction coupled with high domain importance yields a negative psychological state. This, then suggests the possibility of a therapy based on reducing the perceived importance of health.     

论五种宗教对话观

宗教对话是国际宗教学界的一个热门话题、一个前沿领域。本文概要评述了五种最有影响的宗教对话观,即排他论、兼并论、多元论、兼容论和实践论,并力求对它们加以比较性的方法论反思。作者认为,这五种宗教对话观不仅各有不可忽视的理论根据,而且均有值得深思的理论得失。因此,从神哲学方法论上反省它们之间的学术论争,并权衡它们之间的理论张力,将有助于我们进而探索宗教对话领域的疑难问题及其理论突破点。     

For the Healing of the Nations

This meditation on Revelation 22:1‐5, preached at the conclusion of the World Council of Churches' 9th Assembly in Porto Alegre, Brazil, holds up the vision of a world in transformation, and of a life‐giving river that nourishes the earth and all creation, and that cannot be privatized or exploited for the benefit of a few, and that flows freely and directly from the throne of God. The theme of the 9th Assembly was “God, in your grace, transform the world.” It is a prayer that carries, as most prayers do, a confession of faith that the world needs to be transformed and can be transformed.     

A formal framework for characterizing querying algorithms

Algorithmic procedures have been devised for constructing a knowledge space by querying experts. The queries submitted to the expert consist of assertions that are to be accepted or rejected. The present paper provides a characterization of the algorithms that may be used to draw inferences from previously collected answers. It is based on the notion of a closure on the set of all assertions, and its extension to a set containing for each assertion a positive and a negative instance, representing acceptance and rejection, respectively. The developed characterization emphasizes the significance of the well-known QUERY and PS-QUERY procedures. Potential applications of the presented results in contexts other than knowledge space theory are pointed out.     

Let me read your mind: Personality judgments based on a person’s natural stream of thought

Past research on the accuracy of personality judgments has largely focused on person perception scenarios that are public in nature (e.g., face-to-face interactions, personal websites). This study investigated the accuracy of personality judgments on the basis of highly private information: a person’s natural stream of thought. Nine naïve judges rated the personality of 90 targets on the basis of their 20-min stream-of-consciousness essays. Judges’ level of accuracy was significant and substantial for all Big Five dimensions. The substantial and relatively uniform accuracy across all Big Five dimensions suggests that a person’s moment-to-moment thoughts provide good information for the accurate judgment of personality in general rather than specific diagnostic information for the accurate judgment of private traits such as Neuroticism.     

What's Wrong with Creativity Testing?

Creativity testing as it is now done is often based on a defective assumption that different kinds of creativity can be compressed into a single unidimensional scale. There is no reason to believe that the different kinds of creativity represent, simply, different amounts of a single unidimensional construct. The article shows how three different ways of viewing creativity lead to different ways of measuring creativity, all at variance with current unidimensional models. The point of view presented here does not suggest that current creativity tests are invalid, but rather, that care must be taken in the nature of claims made for them. Moreover, many of the same arguments could be applied to the measurement of intelligence and even wisdom as well.     

Conditioned reinforcement and choice with delayed and uncertain primary reinforcers.

In an adjusting-delay choice procedure, pigeons could peck on either a red key or a green key. A peck on the red key always led to a delay associated with red houselights and then food. The delay was adjusted over trials to estimate an indifference point--a delay at which the two keys were chosen about equally often. In some conditions, a peck on the green key led to food on all trials after delays of either 10 s or 30 s, and green houselights were lit during the delays. In other conditions, food was presented on only half of the green-key trials. If the green houselights continued to occur on both reinforcement and nonreinforcement trials, preference for the green key always decreased. Preference for the green key also decreased if half of the trials had 30-s houselights followed by food and the other half had no green houselights and no food. However, preference for the green key actually increased if half of the trials had 10-s green houselights followed by food and the other half had no green houselights followed by no food. The latter condition therefore demonstrated a case in which preference for an alternative increased when food was removed from half of the trials. The results suggest that the red and green houselights served as conditioned reinforcers. A hyperbolic decay model (Mazur, 1989) provided good predictions for all conditions by assuming that the strength of a conditioned reinforcer is inversely related to the total time spent in its presence before food is delivered.     

中央线索化对听觉障碍人群辨别任务返回抑制的影响

选取一组先天聋被试和与之匹配的听力正常被试,采用线索提示范式考察中央线索化对听觉障碍被试在辨别任务中基于位置返回抑制的影响。实验结果发现,在有中央线索化的任务实验中,听力正常和听觉障碍被试都出现了返回抑制,但是听觉障碍被试消失得比听力正常被试早。无中央线索化的辨别任务实验中,听力正常被试组仅在SOA=650ms时,听觉障碍被试没有发现返回抑制现象。结果表明听觉障碍被试辨别任务的返回抑制更易受中央线索化条件的影响,听障被试的空间注意调节机制更具策略性和有效性。     

关于自闭症的临床、实验心理学的研究

最近,国际上的临床心理学、实验心理学对自闭症的诊断、分类、发生率以及教育与治疗等,从各个角度展示了许多新的研究结果。实验心理学的调查结果表明,自闭症儿童的注意力异常,对视、听、触等感觉反应处理样式,不同于弱智儿童和正常儿童。语言障碍是自闭症儿童发展障碍中的核心症侯,这与自闭症在社会性和人际关系上存在障碍有着密切的关系。进入９０年代以后,对自闭症“心的理论”的各种实验研究,引起各国研究者的注目和争论     

Reversal learning in young children as a function of number of choice-alternatives

Discrimination learning and reversal problems were given to 128 children aged two and three years in which there were either two, three, six, or nine choice-alternatives per problem. The position of the correct object (either a toy car on the original problem and a ball on the reversal problem or vice versa) was varied randomly among all the possible positions, all other positions being occupied by duplicates of the incorrect object. It was found that two-choice reversal problems were much more difficult than all others. There was also a direct and monotonic relationship between ease of solution and number of choices present during reversal learning. Additional analysis inlicated that position response biases were probably responsible for this effect.     

Commentary on Ted Ruffman’s “Belief or not belief: …”

I applaud Ruffman for cautioning us against interpreting early sensitivity to others’ beliefs as evidence for an innate theory of mind and for making room for learning. In turn, however, I caution against his claim that all infants need is to understand that people act depending on what they perceive. Instead, infants may keep experiential records (Perner & Roessler, 2010) for other people or records of what they have registered (Apperly & Butterfill, 2009), which makes it less obvious that all required knowledge can be acquired by statistical learning. As a general criticism I remonstrate with current theory of mind research on its lack of concern that we understand people as acting for reasons which goes beyond detecting lawful regularities in behaviour.     

癫痫诊治中医患同盟建立的实践与策略

通过对肝硬化者行超声检测,预测食管静脉出血,结果显示,出血组门静脉及胃左静脉管径均增粗,但胃左静脉更明显,门静脉血流速减慢而胃左静脉增快;出血组胃左静脉均呈离肝血流,其分流指数明显增大。胃左静脉的管径及血流速与门静脉比较具有显著的变化,其分流指数和血流方向在预测出血方面具有更大的价值。     

A Review of Symptoms Commonly Associated with Menopause: Implications for Clinical Neuropsychologists and Other Health Care Providers

Menopause is a process, either naturally or medically induced, that occurs in nearly all women at some point in life. Some of the most commonly reported symptoms associated with menopause are hot flushes/flashes, fatigue, headaches, irritability, insomnia, and depression. These symptoms overlap with symptoms commonly reported in Traumatic Brain Injury (TBI) as well as postconcussive syndrome. This overlap between symptoms commonly associated with menopause and neuropsychological conditions makes it necessary to have the base rates of these symptoms and conditions available. The purpose of the present review was to consolidate the clinical literature on the most commonly reported menopausal symptoms and to calculate the base rates associated with these symptoms.     

Moral injury and the priesthood of all believers1

This article proceeds from the conviction that moral injury suffered by many combat veterans is a deeply spiritual matter requiring spiritual resources for healing. The tradition of the care of souls commends itself. It takes into account that the “soul” is an expression of the whole person in all its physical, spiritual, and social realities. Moral injury affects all those dimensions of personhood or soul. Since the Reformation the care of souls has been a vocation for the ministry of the whole people of God under the theology of the priesthood of all believers. A caring community is essential to healing for many dealing with moral injury. Indeed, the veterans themselves, in sharing their stories and their pain, become part of that ministry of the priesthood of all believers and may well find healing in the meaningfulness of their mutual ministry.     

实践社区成员的面子意识对知识传播的影响

为研究中国人面子意识是否影响实践社区及其成员的知识传播过程,采用自编实践社区成员面子意识问卷以及知识传播过程与效果问卷对重庆、银川、南京和上海等地企业的430名实践社区成员进行测量。结果表明:问卷具有良好的信度和效度;男性的面子意识显著高于女性;工作年限为11~15年的被试"面子—能力学识"得分显著高于其他组别;"面子—人际交往"对"投入程度"、"区外获取"及"传播效果"的预测作用都为正向,而"面子—能力学识"对这三项的预测作用均为负向;"面子—人际交往"和"面子—能力学识"是面子的两个独立维度。     

重复启动条件下语义启动效应减少的机制

采用重复启动范式探讨语义启动效应减少的机制。结果发现,在SOA为短的167ms条件下,重复/相同和重复/相关的启动效应无差异,且重复/相关启动并未导致语义启动效应的减少;而在SOA为长的1200ms条件下,重复/相同和重复/相关的启动效应差异显著,且重复/相关启动导致了语义启动效应的减少,而重复/相同未导致语义启动效应的减少。在抵消了期望和消退的作用后,在SOA为1200ms条件下所得到的重复/相同和重复/相关启动效应的差异,是由于扩散受到了阻碍而导致的。这一结论支持了激活扩散是有一定条件的观点。     

维果茨基心理学理论述评

维果茨基是苏联早期一位才华横溢的杰出心理学家,社会文化历史学派的创始人。近年来国际上出现的维果茨基研究热,充分显示了维果茨基心理学思想对现代心理科学的重要的现实意义。维果茨基的心理学理论异常丰富,主要包括活动理论、工具理论、思维和言语理论、教学和发展理论、心理学方法论等。维果茨基心理学理论是对意识的文化历史决定的研究的重要贡献,其理论不足之处主要带有抽象社会观点的色彩等。     

Resonance and Ambiguity—about Metaphorical Thinking

This presentation is based on the theory, presented by the author, of the development of the mind and its psychoanalytic treatment as a stage-specific continuum, applicable in principle to all levels of disturbed and arrested mental development. This paper focuses on the nature of attainment and mediation of understanding with psychotic, borderline and neurotic patients, and the significance of successful conveyance of understanding as related to the general goal of psychoanalysis, to achievement of a structural change in the analysand's representational world and, finally, to the question of the main curative factor in psychoanalytic treatment. After discussing all these questions, the author ends up giving the conveyance of stage-specific and individual understanding a central place in all of them. The goals of understanding and psychoanalysis in general seem to be more-or-less identical. Starting and continuing new structuring internalizations in the patient's world of experience is primarily motivated by conveyance of the analyst's stage-specific and individual understanding, and thereby leading to alleviation or elimination of consequences of the developmental arrest. It seems thus warranted to conclude that conveyance of the stage-specific and individual understanding seems to be the central curative element in the psychoanalytic interaction.     

Problems for biomedical research at the academia-industrial interface

Throughout much of the world, universities have driven towards industrial partnerships. This collaboration, which, in the biochemical field at least, has to continue if potential benefits for patients are to be realised, has brought with it a number of problems. These include the neglect of long-term research in favour of short-term projects, the curtailing of free dissemination of research information within university departments and the biasing of results of clinical trials by the financial interests of the investigators. It is very important that governments, universities, and industry itself address these problems. Universities should monitor the amount of basic, curiosity-driven research that is being carried on, compared with that which is more short-term goal orientated. PhD students and post-doctoral fellows should be exposed to the principles of bioethics early on in their careers. Further work is necessary on the terms of research contracts to protect, on the one hand, the rights of individual scientists and, on the other, industry from rogue scientists. Where problems arise, procedures should be in place for independent reviews to be conducted by bodies such as the Medical Research Council in the UK or the National Institutes of Health in the USA. The conflict-of-interest rules recently introduced for publication in medical journals should be extended to all branches of science.