关于患者家属在复苏现场的思考

医疗水平不断地发展和进步使越来越多的疾病可以在医院得到救治。但有研究显示,在医院接受心肺复苏（CPR）的患者中,只有很小的部分能被救治成功。由于CPR的成功率低,在CPR时是否允许有患者的家人陪伴在其身边逐渐成了医患双方共同关注的问题。家人的陪伴,或许能让患者抢救或死亡的过程变得更人性化,同时成为增加医患双方相互理解的渠道。但是这个过程的实施仍然面临许多问题,要让其成为常规制度,还有很长的路要走。     

From Speechlessness to Presence

Spiritual direction, or the directed art of inner conversation, emerges from a psychological inflection in which we learn that radical inner otherness is the fuel of spirit. Spirit, manifesting between self and other incarnates through and in the subject, as well as through the other encountered as authentic subject. One individuates, then, by relating to the Self as a desiring subject. Moving in the direction of spirit, we push back dimension by dimension to get to one dimension. Eventually, we may encounter a numinous silence, an emptiness that is full.     

儿童"假想伙伴"研究及其对教育的启示

“假想伙伴”现象的描述最早出现于20世纪30年代,但把它单独作为一个重要课题进行专门研究却是近二十年的事情。文章回顾了有关假想伙伴研究的历史起源和近期研究成果。文章认为创造假想伙伴是儿童解决适应困难的一个有效手段。分析这一现象对幼儿教育具有很大的启示意义。     

Social Facilitation as a Function of the Mere Presence of Others

Abstract

According to R. B. Zajonc's (1965) drive theory of social facilitation, the mere presence of others increases arousal and, thereby, the frequency of dominant responses (i.e., responses with the greatest habit strength). In the present experiment, U.S. undergraduates performed a stimulus discrimination task under 1 of 2 conditions: in the presence of another individual (audience) or alone. The mere presence condition was designed to make it difficult for the participants to attend directly to the audience. The task was designed to minimize the likelihood that the specific response (numerical preference) would be attributable to a desire to respond appropriately to the audience. There was a significant difference in the mean number of dominant responses between the participants in the audience condition and those in the alone condition. The results provide support for Zajonc's mere presence drive theory of social facilitation.     

Presence and absence through the mirror of transference: a model of the transcendent function

The workings of the transcendent function are explored through the development of a model of psychical process which is founded on the symbolism of the mirror. The model consists in a three-dimensional psychical manifold comprising apperceptive, reflective, and subjective axes. A fourth, temporal axis is implicit in the process character of the model. A fifth, affective axis is not discussed. The model is used to enhance understanding of both failed and successful transcendent functioning. Parallels with modes of initiation are developed. The transference role of the therapist is explored.     

Social presence in online discussion groups: testing three conceptions and their relations to perceived learning

The correlation between three conceptions of social presence (seen as 1. a subjective quality of a medium that determines the quality of the communication and perception of others, 2. self-projection onto the group, and 3. identification with the group) and different aspects of perceived learning in online discussion groups were tested. Six hundreds and fifty nine students completed a web-based questionnaire that was distributed via 50 course Websites. Self projection, perception of others and identification with the group correlated positively with each other. They also correlated positively with most aspects of perceived learning. The subjective quality of the medium did not correlate with these conceptions and also did not correlate with any aspects of perceived learning. Thus, social presence may afford learning by setting a convenient climate. Alternatively, it may contribute only to the socioemotional source of perceived learning while leaving cognitive source unaffected.

The development and predictive relations of play and language across the second year.

The play and language development of 171 toddlers was examined at 14 and 18 months by observing their activities on the Symbolic Play Test and by assessing their language skills using the MacArthur Communicative Development Inventories (MCDI) and the Reynell Developmental Language Scales. Additionally, data from the Bayley Scales of Infant Development and the MCDI were obtained at 24 months, in order to investigate how play and language measures taken at 14 and 18 months predict children's development at the age of 2 years. The results showed that the vocabulary production and symbolic play of the 14-month-old toddlers made a unique contribution to their language and cognitive skills at the age of 2 years, while at 18 months only language variables made a similar contribution. Other-directed pretense discriminated between the children's subsequent language and cognitive skills best, whereas nonsymbolic play had no independent predictive contribution. Significant gender differences were found in the use of nonsymbolic and symbolic play acts already at 14 months. Gender did not, however, contribute to the prediction of the children's subsequent skills, whereas maternal education significantly added to the prediction of the 2-year-olds' maximum sentence length and that of their cognitive development.     

Ethical Issues in Accounting and Economics Experimental Research: Inducing Strategic Misrepresentation

Forensic psychologists face a variety of ethical issues in conducting evaluations. One such issue is attorney presence during a forensic evaluation. In forensic evaluations, it is necessary to use standardized procedures while also attending to the rights of the individuals being assessed. This article examines the neuropsychological literature on extraneous influences in evaluations including effects of attorney presence. Then the article discusses the limited knowledge about attorney presence during forensic evaluations, addresses attorney motivations for being present during an evaluation, and considers attorney presence in the context of ethical mandates. Finally, suggestions are offered for forensic clinicians confronted with attorneys who wish to be present during assessments.     

The Sense of Touch: From Tactility to Tactual Probing

Because philosophical reflections on touch usually start from our ability to perceive properties of objects, they tend to overlook features of touch that are crucial to correct understanding of tactual perception. This paper brings out these features and uses them to develop a general reconception of the sense of touch. I start by taking a fresh look at our ability to feel, in order to reveal its vital role. This sheds a different light on the skin's perceptual potential. While it is commonly observed that tactile experiences have two intentional objects, an external object and one's own body, I will advance a more accurate alternative: in tactile experiences, one becomes aware of what one's body undergoes. This alternative not only fits better with tactility's vital role; it is also key to explaining how active touching provides for a unique contribution to our perceptual relation to material objects. By thus connecting tactility's vital role to the way we rely on touch while manipulating objects, this essay offers a cross-sectional survey of our tactile powers that reveals the interplay between sensing and touching.     

Beyond the evil empire: Horseplay and aggression

The dominant mode of studying the antecedents of human aggression in psychology has been to look for these precursors in negative life events, for example, being physically punished, observing models using aggressive means, or experiencing forms of privation or frustration. In contrast, within the ethological literature, certain playful activities, in particular “play fighting,” have been interpreted as crucial precursors of later social activities, both aggressive and nonaggressive. Among humans, horseplay, which may be considered synonymous with play fighting, has only rarely been mentioned in psychological literature and scarcely ever in relation to aggression. Within this study, college students rated the extent to which they had engaged in horseplay and in aggressive acts with same-sex friends and boyfriends or girlfriends over the past 3 years. Analyses indicated that a broad range of playful and aggressive activities was reported by a large proportion of the sample. Results also indicated strong relationships between the tendency to horseplay and to aggress. The relationship was strongest for men with men friends and for women with boyfriends. In general, having steady relationships increased the likelihood that both horseplay and aggressive acts would occur. Weekend alcohol consumption was related to playful activities; heavier use correlated with greater aggressive activities of men with men only. The study suggests that it is useful to broaden the base for conceptualizing aggression to take into account the ways in which playful and friendly activities can facilitate those that are regarded as antisocial and aggressive.     

Affectionate Same-Sex Touch: The Influence of Homophobia on Observers' Perceptions

Abstract

The author extended the proposition (V. J. Derlega, R. J. Lewis, S. Harrison, B. A. Winstead, & R. Costanza, 1989) that the fear of being seen as homosexual accounts for the common finding that U.S. women engage in more same-sex touch than do U.S. men. The author proposed a theoretic model positing that the magnitude of homophobia's influence on behavior and on reactions to behavior is proportional to the likelihood that the behavior is sexual in nature. An experiment involving reactions to same-sex embraces demonstrated that, although homophobia was negatively related to evaluations of same-sex affectionate touch, the magnitude of the relationship covaried with the probability that the touch was sexual. The implications of these findings for longer range theory development are discussed.     

The Riddle of Laughter: Neural and Psychoevolutionary Underpinningsof Joy

Modest advances are being made in understanding the neurology and functions of laughter. The discovery of tickle-induced "laughter" in animals should facilitate the characterization of this basic emotional response of the mammalian brain. The existence of such vocal activities in species other than humans (e.g., rats) suggests that the fundamental brain processes for joyful affect may have emerged early in vertebrate brain evolution. Here, I summarize the little that we know about the evolutionary and brain sources of laughter, and how the accompanying positive emotions may solidify social bonds within the mammalian brain. Discovery of unique neurochemistries that specifically promote laughter and joy may provide clues for development of new classes of antidepressants.     

The watching eyes phenomenon: The role of a sense of being seen and public self‐awareness

In recent years, a growing number of researchers have examined the watching eyes phenomenon (i.e., increased prosocial and decreased antisocial behavior when subtle watching eyes are present in the environment). Somewhat surprisingly, the questions of how and under what conditions subtle cues of being watched operate have been unanswered so far. The present contribution addresses this research gap. In two studies, we document that (a) subtle cues of being watched induce a sense of being seen and (b) chronic public self‐awareness moderates the watching eyes phenomenon in that specifically individuals with strong chronic public self‐awareness show more prosocial behavior under conditions of watching eyes. The applicability of subtle cues of being watched in research on social presence is discussed.     

The driver whose heart was full of sand: Leigh's story - a play therapy case study of a bereaved child

This paper describes the therapeutic journey of Leigh (not his real name), a nine-year-old boy who was referred for play therapy due to the death of his 15-year-old brother. The play therapy was offered through a joint project called 'Playing through Loss' and run jointly between a UK university and the local branch of a national bereavement organisation. The project was set up to offer play therapy to bereaved children in the local area. Leigh had eight sessions of therapy and this paper describes the major themes of his play and makes some preliminary explorations of the meaning the play may have had for him. Interestingly some of his play focused on a computer game called 'Zelda' and an exploration of the powerfulness of this as a therapeutic tool is also explored. The therapist's theoretic orientation is described along with her perceived role as 'loyal companion'. Finally, the process by which Leigh worked with his loss is discussed.     

The Aging Of Grief: Parents' Grieving Of Israeli Soldiers

Abstract

This chapter examines long-term parental grief of soldiers within the context of the Israeli society. Parental grief is discussed along the life span, commencing at the immediate phase following the loss through the bereavement process in middle to late adulthood and its manifestations in aging. Interviews with a group of elderly bereaved parents whose sons were killed during military service give further support to previous findings regarding the notion that the passage of time has no diminishing effect on their grief nor does it relinquish their attachment to the deceased. With aging, there appears to be an increase in internalized involvement with the long-lost child, fears of fading memories, and the need to eternalize the deceased. In reviewing the past, parents reevaluate their coping with the loss and their relationship with the surviving children. The parents' preoccupation is twofold: On one hand, the strong attachment seems to continue in inner representations of the lost child, and, on the other, this preoccupation is enhanced externally owing to Israeli society's attitude toward dead soldiers. An intersection is therefore established between society and bereaved families. Grief is apparently a central theme in aging parents who are preoccupied with the “aging” of their grief rather than their own aging.     

Loss Of Trust: Correlates Of The Comorbidity Of Ptsd and Severe Mental Illness

Abstract

The prevalence of post-traumatic stress disorder (PTSD) in the general population of the United States is a topic of speculation, with estimates ranging from 0.4% to 9% (Breslau, Davis, Andreski, & Peterson, 1991; Helzer, Robins, & McEvoy, 1987; Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995). Likewise, estimates of the prevalence of PTSD within the population of persons with serious mental illness have varied widely, depending on how PTSD has been measured. While record verification of PTSD within mental health outpatient samples has routinely been very low (0%-3%), research assessments of PTSD have resulted in estimated rates of co-occurrence of 29% to 43% (Cascardi, Mueser, DeGirolomo, & Murrin, 1996; Craine, Henson, Colliver, & MacLean, 1998; Mueser et al., 1998). A lack of documentation of PTSD in clinical records and inattention to PTSD in clinical diagnoses are thought to greatly underestimate the extent of PTSD within mental health treatment populations. The general consensus among researchers has been that the occurrence of PTSD is much higher within the population of persons with diagnoses of mental illness than in the general population, particularly among those who have major depression (Friedman & Rosenheck, 1996).