On How to Get Beyond the Opening Stage

Any well-structured argumentative exchange must be preceded by some preparatory stages. In the pragma-dialectical four-stage model of critical discussion, the clarification of issues and positions is relegated to the confrontation stage and the other preparatory matters are dealt within the opening stage. In the opening stage, the parties involved come to agree to discuss their differences and to do so by an argumentative exchange rather than by, say, a sequence of bids and offers. They should also come to agree on the rules of dialogue, on roles, on logical principles, on types of argument, and on the propositions that can be used as basic premises. All in all, a lot of work needs to be done before the first topical argument can be put forward. Especially the opening stage seems prone to further disagreements and protracted discussions, e.g., about the admissibility of particular kinds of argument or particular basic premises. There is also the problem that a successful opening stage threatens to settle matters beforehand and thus put the argumentation stage out of business. The paper suggests some measures that could alleviate the workload of the opening stage, without making the argumentation stage otiose.     

重视终末期肾病患者的心理治疗

心理治疗在终末期肾病(ESRD)治疗中的作用非常重要,不但可缓解患者的心理压力,还可改善患者的生理障碍、减少并发症,因此重视对ESRD患者的心理治疗,可使患者保持良好的生理、心理状态,并能提高患者的生活质量,改善预后。     

不同病期肿瘤患者的治疗选择

肿瘤从早期到晚期,需要选择不同的治疗手段来达到不同的治疗目的。从早期的根治性治疗到晚期的支持性治疗,随着肿瘤进展,抗肿瘤治疗强度从弱到强,到晚期又减弱。从能保证病人的生存质量到仅能减轻病人的癌性痛苦。这是肿瘤矛盾转化的必然结果,是抗肿瘤治疗的正确选择。     

Introduction: Attaining a New Stage

The current issue of The Journal of Adult Development addresses one of the threads of adult development, namely stage and stage change. There are four major forms of adult developmental study that can be identified: positive adult development, directionless change, stasis, and decline. The first of the four forms, positive adult developmental processes, is divided into at least six areas of study: hierarchical complexity (orders, stages), knowledge, experience, expertise, wisdom, and spirituality. The topic of this special issue, stage and stage change, is therefore part of the study of positive adult developmental processes. Finally, the manner in which these topics are studied both in this special issue and elsewhere can be characterized in terms of three broad classifications (Commons & Bresette, 2000, Commons & Miller, 1998) for the acquisition of knowledge and the verification of truth in general. These classifications include analytic, experiential, and empirical means to reach truth.     

晚期喉癌患者的个体化治疗和心理干预

晚期喉癌患者往往伴有严重的心理负担。这种负性心理状态因疾病的特殊性以及患者本身个体就医背景的差异而产生有别于其他癌症的个体特征。把握患者的个体负性心理状态,运用相应的心理干预措施,使患者的期望和医生的治疗目的趋向统一,将有助于晚期喉癌个体化治疗模式的有效实施。     

A reason for the non-specialist to care about the metaphysics of properties and persistence

We have compelling extra-philosophical reasons for caring about identity, parthood, and location. For example, we desire ceteris paribus that nothing every part of which is very near to our location be very near to the location of something dangerous, evil, or otherwise unpleasant. This essay argues that such considerations are relevant to certain first-order metaphysical debates, namely, the debates over immanent universals and tropes and endurantism and perdurantism, respectively. As a consequence, even the non-specialist has a reason to care about the metaphysics of properties and persistence.     

Thoughts,Processive Character and the Stream of Consciousness

Abstract

This paper explores the relation of thought and the stream of consciousness in the light of an ontological argument raised against cognitive phenomenology views. I argue that the ontological argument relies on a notion of ‘processive character’ that does not stand up to scrutiny and therefore it is insufficient for the argument to go through. I then analyse two more views on what ‘processive character’ means and argue that the process-part account best captures the intuition behind the argument. Following this view, I reconstruct the ontological argument and argue that it succeeds in establishing that some mental episodes like judging, understanding and occurrent states of thought do not enter into the stream but fails to exclude episodes like entertaining. Contrary to what it might seem, this conclusion fits well with cognitive phenomenology views, given that, as I show, there is a way for non-processive mental episodes to be fundamentally related to processive ones, such that they cannot be excluded from the phenomenal domain. This paper sheds light on the nature of different kinds of thoughts and questions a fundamental asymmetry between the perceptual and the cognitive domain when it comes to their ontology and temporal character.     

农村与城镇终末期肾病患者临床状况比较分析

时比分析农村与城镇终末期肾病患者的临床状况,旨在了解新农合政策带给农村终末期肾病患者的益处及今后还需完善和努力之处.对广西壮族自治区人民医院血液净化治疗中心2007年新增的238例终末期肾病患者按农村与城镇进行分组对比分析.96例农村患者,88例选择血液透析,8例放弃治疗;142例城镇患者,23例选择腹膜透析,108例血液透析,11例放弃.无论是城镇还是农村患者慢性肾炎为主要的原发病、都存在透析过晚、并发症发生率高、急诊透析率高的现象.与城镇组相比,农村组患者平均年龄、肾痛知晓率、残余肾功能、血红蛋白、二氧化碳结合力、尿素清除指数低于城镇组(P<0.05);梗阻性肾病发病率、并发症发生率、急诊透析率、死亡率、失访率高于城镇组(P<0.05).新农合的实施使农村终末期肾病患者获得了治疗的机会,针对农村患者肾病知晓率低、临床状况差的特点,需加强农村慢性肾病的防治工作.     

客体连续性的加工机制

把先前和现在遇到的客体视为同一个体的现象就可以称为客体连续性。目前对客体连续性的形成主要存在四种解释机制：相似理论、时空理论、种类理论和因果理论。研究者对时空理论中时空信息和客体表面特征信息, 种类理论和因果理论在此过程中所起的作用存在争论。今后应构建相似、种类、因果理论的实验范式, 改进时空、种类和因果理论实验设计的不足并把客体连续性的研究从视觉领域拓展到到嗅觉、听觉等领域。     

CD-CAT初始阶段项目选取方法

CD-CAT是CDA同CAT的相结合的产物,适用于课堂教学,是教师补救教学、学生自我学习的重要工具。作为CD-CAT重要组成部分的初始阶段项目选取方法是影响测验判准率的重要因素。本文基于现有研究和CDA的项目区分度提出了四种新的初始阶段项目选取方法:CTTID法、CDI法、CTTIDR*法和CDIR*法。通过模拟研究发现,在定长的CD-CAT下,题库质量是HD-HV下,初始阶段结束时,CTTIDR*法的PCCR比现有的T阵法高了.2999,比PWKL高了.1707,其它题库下趋势相同。整个测验结束时CTTIDR*法的判准率仍然是最高的。在变长的CD-CAT下,最大后验概率大于.7、.8、.9下,CTTIDR*法的被试平均测验长度比T阵法分别缩短了2.6170、2.2347、1.7470道题。     

The role of visible persistence for perception of visual bilateral symmetry1

Abstract: Although the detection of visual bilateral symmetry has been claimed to be highly efficient, the possible involvement and function of visual memory in such efficient mechanisms has rarely been examined. We hypothesized that symmetry perception is rapid, as it can be achieved from rapidly decaying information of visible persistence. To test this hypothesis, we employed a temporal integration paradigm. A symmetric dot pattern was randomly divided into two asymmetric patterns and presented successively with a blank screen presented between patterns. Observers could detect symmetry when the two patterns were presented close in time (Experiment 1), indicating that observers perceived symmetry presumably utilizing visible persistence. In addition, the inverse‐intensity effect of visible persistence (Di Lollo & Bischof, 1995) was evident in our temporal integration task of symmetry (Experiment 2). The results of the current study clearly demonstrate that the detection of symmetry can be achieved based on the visible persistence. The large capacity and high spatial precision of visible persistence might be adequate for the rapid and spatially global encoding of visual symmetry.     

Intervention Effects on Stage of Change Membership and Transitions among Adolescent Energy Balance Behaviors

The transition from childhood to adolescence is a crucial period for the development of healthy behaviors to be sustained later in life. With obesity a leading public health problem, the promotion of healthy behaviors has the potential to make a huge impact. The current study evaluated Stage of Change progression in a large (N = 4158) computer-delivered, Transtheoretical Model-tailored intervention focusing on physical activity and fruit and vegetable consumption (FV). Markov models were used to explore stage transitions and patterns of discrete change from sixth to ninth grade. Nested model comparisons examined the consistency of these patterns across time and intervention condition. Major findings supported models in which participants were free to transition forward and backward to any of the stages, but higher probabilities were observed for remaining in the same stage or for transitioning one or two stages forward. Participants in the intervention group had higher probabilities of transitioning toward Maintenance, with more change occurring relative to the comparison group during transitions from grades six to eight but not for grades eight to nine.     

Associations Among Perceived Autonomy Support,Forms of Self-Regulation,and Persistence: A Prospective Study

According to self-determination theory, when the social context is autonomy supportive, people are motivated to internalize the regulation of important activities, and whereas when the context is controlling, self-determined motivation is undermined. A model that incorporates perceptions of coaches' interpersonal behaviors (autonomy support vs. control), 5 forms of regulation (intrinsic motivation, identified, introjected and external regulation, and amotivation), and persistence was tested with competitive swimmers (N = 369) using a prospective 3-wave design. Analyses using structural equation modeling revealed that experiencing relationships as controlling fostered non–self-determined forms of regulation (external regulation and amotivation). Greater levels of self-determined motivation occurred when relationships were experienced as autonomy supportive. Individuals who exhibited self-determined types of regulation at Time 1 showed more persistence at both Time 2 (10 months later) and Time 3 (22 months later). Individuals who were amotivated at Time 1 had the highest rate of attrition at both Time 2 and Time 3. Introjected regulation was a significant predictor of persistence at Time 2 but became nonsignificant at Time 3. External regulation was not a significant predictor of behavior at Time 2, but became negatively associated with persistence at Time 3. The findings are discussed in light of the determinants of the internalization process and the consequences of different forms of self-regulation for psychological functioning.     

Treatment of Patients with Advanced Hepatocellular Carcinoma using Stem Cell Differentiation Stage Factors

Hepatocellular carcinoma (HCC) represents the third leading cause of cancer-related death. Because HCC is multicentric with time, excluding the few transplanted patients, sooner or later it becomes untreatable with loco-regional therapies and, until some years ago, it was not responsive to systemic therapies. In 2005 a randomized trial indicated the efficacy of a product containing stem cell differentiation stage factors (SCDSF) taken from zebrafish embryos during the stage in which the totipotent stem cells are differentiating into the pluripotent adult stem cells. In such a trial the patients, with “intermediate” and “advanced” HCC according to Barcelona Clinic Liver Cancer/American Association for the Study of Liver Diseases (BCLC/AASLD) guidelines, presented benefit in terms of performance status and objective tumoral response, with some cases (2.4%) of complete response, that is, sustained disappearance of the neoplastic areas or blood supply therein, accompanied by normalization of alpha-fetoprotein (AFP) levels (complete response [CR]). A second study reporting the experience of a tertiary referral center on patients with “advanced” stage confirmed the possibility to obtain CR. Out of 38 patients, 5 presented a sustained CR (13.1%). Improvement on PS was obtained in 17 patients (34.6%). No side effects occurred.     

终末期肾脏疾病治疗的社会问题

终末期肾脏病是一种常见的导致劳动力丧失的疾病,在我国主要靠血液透析、腹膜透析或肾移植等替代治疗,医疗资源的不平衡分布致使只有部分患者能得以治疗,长期的替代治疗给患者的家庭造成巨大的经济负担,使患者对医护人员家庭成员等产生强烈的依赖感,从而使其处于焦虑、抑郁等负面心理状态,影响家庭与社会的稳定。针对这些社会和心理问题制定相关的行业规范是必需和必要的。     

心理咨询和治疗的知情同意原则及其影响因素

随着心理咨询和治疗的发展,患者的知情同意成为临床心理学实践的一个基本伦理观念和原则.首先提出心理咨询和治疗实践中的知情同意问题,介绍心理咨询和治疗知情同意的要素、过程、内容、意义和影响因素,并附心理咨询和治疗提供给患者的知情同意问卷,旨在引起从业者的注意和重视,并在临床实践中自觉地遵守.     

Stage and Contextual Approaches to Development in Professional Supervision

This paper discusses supervision as a means of professional and personal development in adulthood and analyzes its relevant mechanisms and processes. By using several theoretical concepts of development the stage and contextual approaches to supervision are discussed. While the stage approach describes the movement of supervisee, supervisor, and supervision relationship along perceivable and predictable stages, the contextual approach understands the development of an adult as a progression towards increased differentiation and integration of some of its functions, to which experiences, the context of one's life, and one's own activity contribute a great deal.     

Organizing Components into Combinations: How Stage Transition Works

This paper investigates the nature of transition between stages. The Model of Hierarchical Complexity of tasks leads to a quantal notion of stage, and therefore delineates the nature of stage transition. Piaget's dialectical model of stage change was extended and precisely specified. Transition behavior was shown to consist of alternations in previous-stage behavior. As transition proceeded, the alternations increased in rate until the previous stage behaviors were &#x201C;smashed&#x201D; together. Once the smashed-together pieces became coordinated, new-stage behavior could be said to have formed. Because stage transition is quantal, individuals can only change performance by whole stage. We reviewed theories of the specific means by which new-stage behavior may be acquired and the emotions and personalities associated with steps in transition. Contemporary challenges in the society increasingly call for transition to postformal and postconventional responses on the part of both individuals and institutions as the examples illustrate.