让器物说话——器物医学史：一种新的编史学视角

当下医学与技术史的研究史料大多聚焦于文献、文物,构成相对固化的研究范式,提议医学史研究的视域应适当拓展到近现代新医疗、技术格局下世俗社会的医疗、保健器物,并提出“以器物为中心”的编史学纲要,作为主流医学史的补充。其学理依据既有文物与器物的打通,历史学理性与物性之辨,历史叙事的变轨,医学史与文化史的统合,文献学方法与人类学方法的交映,还有近代新史学理念的启迪,如王国维的“二重证据论”,顾颉刚的“眼光向下”、“民俗生活入史”等。随后,就器物医学史的研究谱系进行了若干展开,以期为后续研究开启思路。     

Instrument inferences and verb schemata

Five studies employed a Stroop paradigm to examine the activation of instruments in sentence comprehension. Two types of instruments were studied, tools (e.g., spoon, hammer) and body parts (e.g., hand, wing). For example, is the concept “broom” activated by the sentence “The man swept the floor,” or is the concept “wing” activated by the sentence “The duck flew over the pond”? Earlier studies have suggested that implicit instruments are not encoded in the underlying representation of a sentence during comprehension. The first four studies in the present paper reveal no evidence that abstract knowledge of the instruments is even activated. In the fifth study, the Stroop task reveals an effect if subjects are instructed to generate implicit instruments, although a facilitatory (rather than an inhibitory) effect is obtained.     

Instrument specificity in experienced musicians

Previous studies have shown that experienced pianists have acquired integrated action–effect (A–E) associations. In the present study, we were interested in how specific these associations are for the own instrument by investigating pianists and guitarists. A–E associations were examined by testing whether the perception of a “potential” action–effect has an influence on actions. Participants played chords on their instrument in response to visual stimuli, while they were presented task-irrelevant auditory distractors (congruent or incongruent) in varying instrument timbre. In Experiment 1, pianists exhibited an interference effect with timbres of their own instrument category (keyboard instruments: piano and organ). In Experiment 2 guitarists showed an interference effect only with guitar timbre. Thus, integrated A–E associations primarily seem to consist of a specific component on a sensory-motor level involving the own instrument. Additionally, categorical knowledge about how an instrument is played seems to be involved.     

Instrument specificity in experienced musicians

Previous studies have shown that experienced pianists have acquired integrated action-effect (A-E) associations. In the present study, we were interested in how specific these associations are for the own instrument by investigating pianists and guitarists. A-E associations were examined by testing whether the perception of a “potential” action-effect has an influence on actions. Participants played chords on their instrument in response to visual stimuli, while they were presented task-irrelevant auditory distractors (congruent or incongruent) in varying instrument timbre. In Experiment 1, pianists exhibited an interference effect with timbres of their own instrument category (keyboard instruments: piano and organ). In Experiment 2 guitarists showed an interference effect only with guitar timbre. Thus, integrated A-E associations primarily seem to consist of a specific component on a sensory-motor level involving the own instrument. Additionally, categorical knowledge about how an instrument is played seems to be involved.     

Creative Writing as a Medical Instrument

Listening and responding to patients’ stories for over 20 years as an emergency physician has strengthened my appreciation for the many ways that the skills and principles drawn from writing fiction double as necessary clinical skills. The best medicine doesn’t work on the wrong story, and the stories patients tell sometimes feel like first drafts—vital and fragile works-in-progress. Increasingly complex health challenges compounded by social, financial, and psychological burdens make for stories that are difficult to articulate and comprehend. In this essay, I argue that healthcare providers need to think like creative writers and the skills and sensitivities necessary to story construction deserve a vital space in medical education. A thorough understanding of story anatomy and the imaginative flexibility to work stories into open spaces serve as antidotes to the reductive nature of clinical decision making and have implications as patient safety and risk management strategies. The examples that I have selected demonstrate how thinking like a creative writer functions at the bedside, providing tools for clinical excellence and empathy. This approach asks that we re-imagine the importance of story in clinical care: from a vehicle to a diagnosis to its place as a critical destination.     

The Multidimensional Trauma Recovery and Resiliency Instrument

Abstract

This paper describes two studies leading to the construction of and psychometric support for the MTRR-99, a shortened version of the Multidimensional Trauma Recovery and Resiliency Scale (MTRR-135, formerly MTRR). In the first study, the original body of MTRR-135 data was reevaluated to remove psychometrically weak or theoretically unnecessary items. The remaining 99 items were then assessed for reliability, validity, and internal consistency. In the second study, the new MTRR-99 was applied to assess the recovery status of 164 incarcerated women prisoners with extensive abuse histories. Together, these two studies further document the utility of a multidimensional approach to assessing trauma impact, recovery, and resiliency; in addition, they provide preliminary evidence for the MTRR-99 as a viable measure for use with clinical and non-clinical populations.     

Developing an Iranian ELT Context-Specific Grit Instrument

Grit as an interesting and significant topic in psychology has been associated with better study habits and higher grades through perseverance and passion for long term goals. The only available measurement instrument of grit (Duckworth et al. in J Personal Soc Psychol 92:1087–1101, 2007) is general both in terms of its subject matter and context. Thus, this study aims to develop and validate an English as a foreign language (EFL) grit instrument whose items are specific to EFL context to obtain a more detailed view of its components for Iranian EFL learners, and to tap on other grit related factors in the EFL context. A four component model of EFL grit was developed through reviewing the existing literature and exploring EFL experts’ perspectives. This tentative theoretical model of EFL grit encompasses overarching construct of effort including the following main components: Trying hard to learn English (THLE) having interest in learning English (ILE) practicing a lot in order to learn English (PLE) and having goal for learning English (HGLE). The model was then cross checked against the results of the interviews, and evolved into a scenario-based, 5 point Likert-scale EFL grit instrument. It was later operationalized by an instrument consisting of 26 items, i.e. 6 items for each component plus 2 items for themes 1 and 3. The piloting and testing of the tentative model through exploratory and confirmatory data analyses on a sample of 306 EFL learners indicated the reliability of 0.833 and an acceptable validity. The findings called for a more meaningful interpretation of the concept of grit in relation to Iranian EFL context and offered new insights for higher education administrators considering student academic performance.     

Instrument considerations in measuring fast eye movements

The dynamic limitations of eye movement recorders can distort the measurement of fast eye movements such as saccades and nystagmic quick phases. In this paper, the effects of the bandwidth and noise of recording methods and the problems incurred by digital sampling are discussed theoretically with respect to the measurement of peak velocity and duration of fast eye movements. As a practical example, a TV-based infrared corneal reflex system is examined and a method for calibrating it for peak velocity measurement is described.     

Instrument Development With Web Surveys and Multiple Imputations

This article outlines the development of a tool to assess psychosocial needs in U.S. Air Force (USAF) units. Instrument development began with the construction of an item taxonomy, pretesting procedures (Q-sort; cognitive interviews), and a pilot web survey to document internal consistency and test-retest reliability, followed by two large-scale Web surveys to derive a viable factor structure. Because certain items (e.g., child care) were not relevant to all respondents, multiple imputations to replace missing values were necessary before factor analyses could proceed. Exploratory factor analyses of data from the first Web survey revealed an eight-factor solution; and data from the second Web survey confirmed that the eight-factor solution could be replicated on an independent sample. Developed in accordance with psychometric principles, the final assessment tool tapped a range of psychosocial factors spanning quality of work life, community life, family functioning, and personal well-being.     

Language Experience Affects Grouping of Musical Instrument Sounds

Language experience clearly affects the perception of speech, but little is known about whether these differences in perception extend to non‐speech sounds. In this study, we investigated rhythmic perception of non‐linguistic sounds in speakers of French and German using a grouping task, in which complexity (variability in sounds, presence of pauses) was manipulated. In this task, participants grouped sequences of auditory chimeras formed from musical instruments. These chimeras mimic the complexity of speech without being speech. We found that, while showing the same overall grouping preferences, the German speakers showed stronger biases than the French speakers in grouping complex sequences. Sound variability reduced all participants’ biases, resulting in the French group showing no grouping preference for the most variable sequences, though this reduction was attenuated by musical experience. In sum, this study demonstrates that linguistic experience, musical experience, and complexity affect rhythmic grouping of non‐linguistic sounds and suggests that experience with acoustic cues in a meaningful context (language or music) is necessary for developing a robust grouping preference that survives acoustic variability.     

An Abbreviated Screening Instrument for Autism Spectrum Disorders

The reliability and validity of the Parent's Observations of Social Interactions (POSI), a new, seven‐item screening instrument for autism spectrum disorders (ASD), is examined in two substudies. In Study 1, parents of 217 children (18–48 months) evaluated at a developmental clinic completed intake questionnaires that included the POSI and the Modified Checklist for Autism in Toddlers (M‐CHAT) checklist. POSI and M‐CHAT scores were compared to clinical evaluation results to assess reliability and validity. In Study 2, parents of 232 children (16–36 months) from both primary care and subspecialty settings completed the POSI, the M‐CHAT, and a report of their child's diagnoses. POSI and M‐CHAT scores were compared to reported diagnoses to assess reliability and validity. In both studies, the POSI demonstrated adequate internal reliability (Cronbach α = 0.83 and 0.86, respectively). In Study 1, POSI sensitivity (89%) was higher than that for the M‐CHAT (71%; p < .05); specificities were not significantly different (POSI: 54%, M‐CHAT: 62%). In Study 2, sensitivity (83%) compared favorably to that for the M‐CHAT (50%), although specificity was lower (75 vs. 84%). Despite its brevity, the POSI demonstrated good internal reliability and comparable sensitivity/specificity to the M‐CHAT checklist in two independent populations. If results are reproduced in larger, more diverse samples, the POSI may provide an efficient method for ASD screening in young children.     

Construction and Validation of a Biodata Selection Instrument

Abstract

Biodata instruments can be used in selection for several purposes (including screening, prediction, analysis of decision strategies). This article is concerned with the construction and validation of a biodata instrument for the selection of intermediaries by a profit-making employment agency in the Netherlands. The instrument was constructed according to the sample approach and measures work experiences with regard to relevant tasks and job dimensions. A field study gathered biodata scores from applicants (n £ 300) and present employees (n £ 70), interview ratings from the applicants, and ratings of job performance for the employees. The results obtained indicated that the instrument was a potentially useful selection device. The homogeneity of scale scores was sufficient and the scores show little overlap with other selection devices (interview ratings). In addition, particular scores correlate at a statistically significant level (P < 0.01) with ratings of job performance of present employees (r £ 0.30 to 0.40). Estimates of the utility (financial gains) of using the instrument in selection revealed that the instrument may yield considerable pay-offs. It is concluded that the construction and validation of the instrument yielded several positive results, and that the sample approach in constructing biodata selection instruments is an option worth considering.     

运用基因表达式编程的自陈量表数据建模

探讨基因表达式编程对自陈量表测量数据的建模方法。运用威廉斯创造力测验和认知需求量表获得400位中学生的测量分数,通过数据清洗,保留383个被试的分数作为建模的数据集。运用哈曼单因素检验方法没有发现共同方法偏差。采用均匀设计方法对基因表达式编程中的5个参数进行优化配置,在测试拟合度最大的试验条件下,找到了测试误差最小的模型。比较基因表达式编程和BP神经网络、支持向量回归机、多元线性回归、二次多项式回归所建模型的预测精度。研究表明,基因表达式编程能用于自陈量表测量数据的建模,该模型比传统方法所建的模型具有更高的预测精度,而且模型是稳健的。     

Self-Reflection Counselling as an Instrument in Organisational Learning

Self reflection is an important factor in the relationship between individual and organisational development, but until recently, it has gone unnoticed. Reviewing the significance of self reflection through analysis of three vital areas of organisational development—leadership, women-in-management, and organisational survival—it is argued that there is a vital case to be made for the development of counselling strategies aimed at encouraging and assisting self-reflective practice among organisational participants. Reflecting upon the authors' own practice among managers, a number of strategies and potential strategies for reaching people in the work-place are outlined.     

Measuring Multicultural Training Reactance: Initial Instrument Psychometrics

Resistant behaviors in multicultural courses are a common dilemma within counselor education. On the basis of psychological reactance theory (J. W. Brehm, 1966), the authors created a multicultural training reactance scale to measure the construct. Exploratory factor analysis and initial reliability and validity data are presented, followed by suggestions that address course reactions. Los comportamientos resistentes en los cursos multiculturales son un dilema frecuente en la educación de consejeros. Basándose en la teoría de reactancia psicológica (J. W. Brehm, 1966), los autores crearon una escala de reactancia en la capacitación multicultural para medir el constructo. Se presenta un análisis factorial exploratorio, así como datos iniciales de fiabilidad y validez, seguidos por sugerencias que abordan las reacciones al curso.     

Illinois Classroom Assessment Profile: Development of the Instrument

This article describes the development of a teacher rating scale that is sensitive to a select group of behavior disorders exhibited by children in the classroom. The scale, the Illinois Classroom Assessment Profile (ICAP), was developed to distinguish among behavioral dimensions representing sustained attention, impulsivity, conduct, fine motor coordination, and evaluative anxiety. The fact that disorders in these behaviors are observed in children diagnosed as hyperactive has served as the impetus for this research. The ICAP is intended to facilitate research investigating the effects of specific treatments on each of these behavioral dimensions.     

金刚铃:藏传佛教之器

藏传佛教金刚铃,可将它归为法器与乐器两种:一般作为供奉物,或任何造像的相关器物时会尊崇为法器;实际演奏时又归为乐器。金刚铃在藏传佛教寺院仪轨中有着特殊的地位,但很少被人们关注。本文依据宗教学、音乐学、图像学等研究方法,对藏传佛教法器(乐器)中具有代表性的法器金刚铃的词释义、法相、历时(纵向)性和共时(横向)性,金刚铃中佛学内涵以及诵经仪轨中的运用进行说明。