社会化媒体时代的医患关系沟通探索

社会化媒体是近年来迅速兴起的新型在线媒体,它从社会交往形式、信息获取方式、语言表达习惯等方面对人们的行为习惯产生了深刻影响。微博作为一种基于网络社会化媒体形式,在许多年轻医生中已经成为一种表达自我的重要平台。在这个平台上,医务人员进行科普教育,同时具有表达自我、舒解情绪的功能,社会化媒体也让医患双方具有平等的话语权,这种医患交流的平台有及时有效反馈信息的功能,具有较强的实效性和现场感,但也面临新的医学伦理问题。发挥社交网络中医患沟通的优势,改善医患关系是一个全新的挑战。     

Approach‐Avoidance Motivation and the Use of Affect as Information

Individuals often rely on their affect for information. However, positive or negative affect may not be informative for individuals who are more prone to feel affect of this particular valence in general, unless they chronically monitor their internal states. A series of studies demonstrates that differences in individuals’ internal versus external focus of attention and in trait affective valence associated with their approach versus avoidance motivation determine reliance on affect as information. Specifically, our findings show that while positive affect is used as an input in product satisfaction judgments regardless of individuals’ approach versus avoidance motivation, negative affect is used only by individuals with a predominant approach motivation.     

Conceptualizing Coping: Optimism as a Case Study

Coping involves any effort to deal with difficult or challenging situations, and coping strategies vary, often depending on individual differences and situational circumstances. Research has typically characterized coping as either involving problem‐focused or emotion‐focused strategies, or sometimes approach or avoidance strategies. The current review suggests that a more useful distinction would be found in crossed dimensions, such as problem‐focused approach or avoidance, or emotion‐focused approach or avoidance. For example, the individual difference of dispositional optimism has been found to be positively associated with approach coping strategies seeking to solve or control either problems or emotions, depending on the type of stressor. Although widely used, current coping scales may contribute to a skewed view of coping strategies and may not adequately depict coping dimensions. The current review calls for revisions of current scales or creation of new and better scales.     

Conceptualizing Genetic Counseling as Psychotherapy in the Era of Genomic Medicine

Discussions about genetic contributions to medical illness have become increasingly commonplace. Physicians and other health-care providers in all quarters of medicine, from oncology to psychiatry, routinely field questions about the genetic basis of the medical conditions they treat. Communication about genetic testing and risk also enter into these conversations, as knowledge about genetics is increasingly expected of all medical specialists. Attendant to this evolving medical landscape is some uncertainty regarding the future of the genetic counseling profession, with the potential for both increases and decreases in demand for genetic counselors being possible outcomes. This emerging uncertainty provides the opportunity to explicitly conceptualize the potentially distinct value and contributions of the genetic counselor over and above education about genetics and risk that may be provided by other health professionals. In this paper we suggest conceptualizing genetic counseling as a highly circumscribed form of psychotherapy in which effective communication of genetic information is a central therapeutic goal. While such an approach is by no means new—in 1979 Seymour Kessler explicitly described genetic counseling as a “kind of psychotherapeutic encounter,” an “interaction with a psychotherapeutic potential”—we expand on his view, and provide research evidence in support of our position. We review available evidence from process and outcome studies showing that genetic counseling is a therapeutic encounter that cannot be reduced to one where the counselor performs a simple “conduit for information” function, without losing effectiveness. We then discuss potential barriers that may have impeded greater uptake of a psychotherapeutic model of practice, and close by discussing implications for practice.     

Affect as a motivational state

Using Brehm's (1999) intensity of emotion paradigm, we investigated whether basic positive or negative affect operates like a motivational state. We focused on one of the most basic affects, the sensory affect experienced when eating food. Participants tasted a delicious chocolate truffle (Study 1) or some bitter chocolate (Study 2) and were exposed to either a weak, moderately strong, or a very strong reason for feeling an opposing-valence affect or to no reason. In line with the predictions, the affect that participants reported in response to chocolate functioned like a motivational state as its intensity was a cubic function of the importance of the reason for feeling an opposing affect. We discussed the implications of these findings for the conceptualisation of affect and consider several applications for food advertising and consumer rating research.     

Ethical Problems Inherent in Psychological Research based on Internet Communication as Stored Information

This paper deals with certain ethical problems inherent in psychological research based on internet communication as stored information. Section 1 contains an analysis of research on Internet debates. In particular, it takes into account a famous example of deception for psychology research purposes. In section 2, the focus is on research on personal data in texts published on the Internet. Section 3 includes an attempt to formulate some ethical principles and guidelines, which should be regarded as fundamental in research on stored information.     

Mechanisms for Affect Communication from Dance: A Mixed Methods Study

Dance is a multifaceted creative act that has been used to communicate emotions throughout human evolution. Despite this history, there has been no empirical exploration of components of dance that allow it to communicate emotion. We address this with a mixed methods study in which a quantitative study with dance viewers builds upon qualitative findings with dance artists. Qualitative analysis revealed proposed components of dance responsible for emotion communication are narrative content, social interaction, emotion portrayal intent, and textural quality of movement. These elements were then manipulated using dance video stimuli to quantitatively test viewers' emotion perception accuracy. Results revealed emotion portrayal intent (i.e., expression intent in dance creation) is an important factor for viewers to accurately perceive emotion, regardless of narrative content. While prior studies have focused on the perceiver's role in emotion perception from dance, this is the first study to demonstrate emotions are perceived from dance based on intent during dance creation. Findings highlight the nuanced structure of emotion communication in dance, for which we pose a theoretical framework. Together, dance holds possibilities for studying distinct mechanisms for creative communication that may be important for the study of generalized affect communication outside of creative arts contexts.     

Affect as a mediator of attributional egotism

A three-stage model of the relationships among achievement outcomes, outcome-related affect, attribution, and emotion is tested in two studies. It is suggested that success and failure elicit positive and negative affective states due to prior conditioning. These affective states then lead to an attribution process that serves to defend and enhance self-esteem. Next, emotional labels are chosen that are consistent with the affective states and the attributions. Two studies were designed to test the proposed relationships among achievement outcomes, affective states, and attributions. In the first study, subjects received information indicating that they were strongly or mildly aroused as a result of receiving outcome feedback on an achievement task. The results indicated that low arousal reduced egotistical attributions to internal factors. In the second study, subjects either succeeded or failed on an achievement task. Half of the subjects were provided with an opportunity to misattribute the arousal elicited by their outcomes to an irrelevant source. Subjects in the misattribution condition made less egotistical attributions to external factors than subjects who were given no opportunity to misattribute their arousal. The results of both studies suggest that outcome-related affect mediates the relationship between outcomes and attributions in achievement situations.     

医患沟通中患者的信息认知

医患沟通在医疗过程中发挥着重要的作用,沟通中的主要内容是信息交流,信息交流的主要目标是达到医患双方的相互理解.论述影响医患沟通中信息认知的几个因素,其中包括信息的形式,情绪因素,沟通行为因素三个方面.通过对这些因素的干预,提高患者对信息的认知能力将使医患沟通更加有效,从而有利于合作式的医患关系的形成.     

Fukushima ETHOS: Post-Disaster Risk Communication,Affect, and Shifting Risks

ETHOS Fukushima is a risk communication (RC) program organized after the Fukushima nuclear accident by the International Commission on Radiological Protection and other international organizations supported by the Japanese government. ETHOS has been hailed as a model RC that is participatory and dialogue-based. Yet the critical and feminist literature has shown the need for analyzing the power relations in participatory projects, and for analyzing affect as a target of management by neoliberal governmentality. The affective work of ETHOS is characterized by narratives of self-responsibility, hope and anticipation, and transnational solidarity with Chernobyl victims. These resonate with the affective regime under neoliberalism that privileges self-responsibility, anticipation, maximization of emotional potential, and cosmopolitan empathy. This particular regime of affect has been integral in shifting risk from the nuclear industry and the government to individual citizens. ETHOS Fukushima has supported continued residence in contaminated areas. It has helped portray the reduction of government/industry responsibility as morally defensible, and the decision to stay in Fukushima as a free choice made by hopeful and determined citizens. At the same time, ETHOS has helped characterize the state’s and the nuclear industry’s roles in cleaning up and compensating the victims as restricting individual freedom and demoralizing the local people. The recent RC literature increasingly argues for a positive assessment of emotion, but this argument warrants careful analysis, as emotion is socially regulated and entangled in power relations. Moreover, deploying affective tropes is a crucial technique of neoliberal governmentality, especially because of affect’s seemingly oppositional and external relationship to neoliberalism.     

Space and Language in Conceptualizing Identity

In this paper, we discuss the conceptualization of space as a dimension relevant to personal identity and the central role that is attributed to language with respect to its constitution. It is argued that the identification with a certain geographical space and the use of (a) certain language(s) or linguistic variety can be regarded as crucial for the self-definition of individuals and also groups. We pursue a threefold goal: (1) to highlight the contribution of geographical research to our understanding of the self as a phenomenon situated in space; (2) to discern merits, but also problems related to the recent strong emphasis of the role of language with respect to identity constitution, especially in constructivist and poststructuralist approaches; and (3) on the basis of these findings, to draw conclusions concerning the given and constructed elements of identity, with a particular focus on space and language. In addition to a survey of relevant theoretical positions, empirical examples are presented with the aim to illustrate how geographically marked identity is constituted.

     

From Affect to Mood: Homophobia as Case in Point

This article reflects on emotion as an internal state caused by external forces that can result in mood disturbance. It traces the shift from affect to feeling to emotion to mood, following Johann Gottfried von Herder (1744–1803) to Friedrich Schleiermacher (1768–1834) to William James (1842–1910) to Donald Capps (1939-) as mileposts. It reflects on the phenomena of homophobia/heterosexism and heteronormativity as ideological climate and concludes with a proposal for healing the unhealed wound of sexual minorities.     

Affect as a marker of the psychic surface

The author reviews the literature on identifying affect as a technical tool, on the nature of affect in general, and on the relationship between affect and repression. How affect comes to light in the clinical setting is discussed, as well as how it and defenses against it can be worked with to deepen the psychoanalytic process. Two extended clinical examples and many shorter vignettes illustrate the usefulness of following the patient's affect in the psychoanalytic setting.