信息时代的“数字占有”——数字囤积及其相关研究

数字囤积是指数字文件的积累致使个体降低目标检索能力,最终导致个体的压力和混乱,与实物囤积有联系但有所不同。数字囤积者的认知表现、情感特点、行为动机可分别从自我损耗、禀赋效应、进化的视角进行理解。未来研究应完善测量工具,并考虑文化背景,针对不同数字囤积人群,考察其行为的潜在动机和前因后果,同时应采用不同的研究方法,加强该领域的量化研究。     

依恋焦虑对大学生囤积行为的影响:无法忍受不确定性与经验性回避的序列中介作用

为探讨依恋焦虑、无法忍受不确定性、经验性回避与大学生囤积行为的关系，本研究构建了一个序列中介模型。采用问卷法对黑龙江等地高校的610名大学生进行调查研究。结果发现：（1）无法忍受不确定性和经验性回避在依恋焦虑与大学生囤积行为之间均起部分中介作用；（2）无法忍受不确定性和经验性回避在依恋焦虑和大学生囤积行为之间构成序列中介，即依恋焦虑个体通过增强无法忍受不确定性，从而提高经验性回避倾向，进而增加大学生的囤积行为。研究进一步从认知和应对手段角度来考察依恋焦虑对大学生囤积行为的作用机制，对囤积行为的预防和干预具有启示意义。     

强迫症诊断研究的新变化

临床实践与相关研究表明,强迫症的诊断标准已不能满足复杂的临床工作需要。首先,有关患者的自知力以及主观痛苦程度等诊断指标需要进一步修订。其次,就强迫症的核心症状而产生的争议,研究者提出应重新考虑强迫症、焦虑障碍、强迫谱系障碍和囤积障碍这四个概念之间的从属关系和诊断标准。未来研究应考虑从认知神经科学的视角探索强迫症的核心症状和病理机制,为强迫症的诊断标准提供新的依据。     

我国独立设置囤积障碍疾病的探讨

分析在我国独立设置囤积障碍的优缺点,虽然与传统文化存在差异,病名不易被接受、可能加重对心理工作的不信任感、可能导致囤积障碍诊断的宽泛化等缺点,但具备可以明确诊断目前临床上存在的囤积现象、有利于明确治疗方案和评估治疗效果、有利于精神卫生知识的宣传等优点,进而提出现阶段在我国有独立设置囤积障碍的必要。同时,提出制定本土化囤积障碍的诊断标准、设置囤积倾向的诊断、严格化囤积障碍的治疗方案、加强囤积障碍心理健康教育而非疾病的宣传,以期为未来的囤积障碍诊断和治疗提供参考。     

暴食症的影响因素及其机制

暴食症表现为反复发作的暴饮暴食症状, 并伴随着强烈的沮丧感, 个体在进食时通常感觉失去控制, 进食大量食物。暴食行为受到应激、负性情绪、冲动性人格、身体不满意与限制性进食以及父母的喂养方式影响。关于暴食症发生和维持的理论模型主要有情感调节理论、食物成瘾模型、人际关系模型以及完美主义模型。未来要进一步探究影响暴食的因素, 完善暴食症的理论模型, 运用脑成像等技术深入研究暴食症的认知神经机制并加强对暴食症的干预与治疗研究。     

知识治理机制对知识共享敌意的影响：员工关系的中介作用

为了考查“关系导向”的中国文化背景下企业的知识治理机制、员工间的人际关系与知识共享敌意之间的关系,研究开发了知识共享敌意测量问卷,并采用问卷对知识型企业中212名员工进行调查研究。结果表明：（1）交易型知识治理机制对员工的工具性关系起促进作用,契约型知识治理机制对员工的工具性关系起抑制作用,而对情感性关系起促进作用;工具性关系对知识囤积和知识排斥起促进作用,情感性关系对消极分享失败态度起抑制作用。（2）工具性关系在知识治理机制与知识囤积、知识排斥之间起中介作用,而情感性关系在契约型知识治理机制与消极的分享失败态度之间起中介作用。     

咽异感症与A型性格的关系

一、引言在长期的耳鼻喉科门诊工作中,我们不仅发现咽异感症病情的轻重与情绪有关,而且还进一步发现有些病人有一些独特的行为特征,即心理波动对咽异感症的发生和转归都起主要作用。为了探讨咽异感症与性格的关系,我们自一九八七年下半年起用A型性格问卷对临床确诊为咽异感症的患者50人及对照组40人进行测定,目     

知识治理机制与知识共享敌意的关系:员工关系的中介作用

为了考查"关系导向"的中国文化背景下企业的知识治理机制、员工间的人际关系与知识共享敌意之间的关系,研究开发了知识共享敌意测量问卷,并采用问卷对知识型企业中212名员工进行调查研究。结果表明:(1)交易型知识治理机制对员工的工具性关系起促进作用,契约型知识治理机制对员工的工具性关系起抑制作用,而对情感性关系起促进作用;工具性关系对知识囤积和知识排斥起促进作用,情感性关系对消极分享失败态度起抑制作用。(2)工具性关系在知识治理机制与知识囤积、知识排斥之间起中介作用,而情感性关系在契约型知识治理机制与消极的分享失败态度之间起中介作用。     

论友善

友善的本义是指像朋友一样善良。作为公民道德规范的友善 ,本质上是指友好善良的公民伦理关系和公民秩序。公民关系和公民秩序应该友善 ,是因为 ,我们的良序社会及其公共领域 ,都是伦理性的合作体系。友善规范具有规范、创造、整合功能。友善规范是抽象的 ,它的实施需要细分为更具体的义务 ,即善益待人、和气待人、诚实待人、宽厚以待人、平等相待。友善也是公民的一种主要道德品质 ,公民由之在公共领域做出友善的事情和行为友善。当前公民对于友善患有三症 ,即友善情感上的冷默症、友善行为上的推卸症、友善结果上的恐惧症。克服这三种症状 ,需要伦理、道德、管理等相结合 ,从伦理上建设公民关系和公共秩序。     

敦煌藏经洞封闭与北宋“舍利”供奉思想

对敦煌藏经洞封闭原因,迄今为止学界已提出多种学说,但都不能作出合理的解释。近年来我国多处佛教考古的发现,为解决这一问题提供了新思路。在北宋初期无论皇家还是寺院僧人以及民众信徒,盛行着建塔修寺崇奉"舍利"之风。寺院间早年积累下来的佛经和佛像在不能丢弃的情况下,被当作"感应舍利"给予埋藏。其目的就是让这些佛法圣物得到永久的"安息"和保存,是一种护佛弘法、做功德的行为。敦煌藏经洞的封闭正是在这种思想影响下所致,大量的旧佛经被作为"舍利"予以封藏,绢画、刺绣、纸画、社会文书、法器等物则作为舍利供养物伴随封闭。这种行为的产生与北宋和敦煌地区的佛教发展社会背景密切相关。     

Categorization in compulsive hoarding

Based on hypothesizing about the role of information processing, and in particular, underinclusive categorization in compulsive hoarding, this study examined categorization processes in people with clinically significant compulsive hoarding problems. Twenty-one participants with primary compulsive hoarding, 21 with OCD without hoarding, and 21 non-psychiatric controls completed three categorization tasks. Hoarding and OCD participants reported significantly more distress prior to each of the three tasks than did controls. On tasks sorting common household items, the groups did not differ on the number of piles created nor on the amount of time taken to sort. However, on a task sorting personally relevant items, hoarding participants took more time, created more piles, and reported more anxiety than non-psychiatric controls. Hoarders also took more time than the OCD group, and tended to create more piles. Hoarding severity was correlated with the number of piles created, but only when the objects were personally relevant. Results support under-inclusive categorizing for people with compulsive hoarding, but the effect was largely confined to objects of personal relevance.     

Hoarding in a compulsive buying sample

Previous research has indicated that many compulsive buyers also suffer from compulsive hoarding. The present work specifically examined hoarding in a compulsive buying sample. Sixty-six treatment-seeking compulsive buyers were assessed prior to entering a group therapy for compulsive buying using the Compulsive Buying Scale (CBS), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)-Shopping Version, the Compulsive Acquisition Scale (CAS), the German-CBS, the Saving Inventory-Revised (SI-R), the Maudsley Obsessive Compulsive Inventory (MOCI), the Barratt Impulsiveness Scale (BIS-11), and the Structured Clinical Interview for DSM-IV Axis I (SCID). Inclusion criteria were current problems with compulsive buying according to the proposed diagnostic criteria for compulsive buying by McElroy, Keck, Pope, Smith, and Strakowski [(1994). Compulsive buying: A report of 20 cases. Journal of Clinical Psychiatry, 55, 242-248]. Our results support the assumption that many but not all compulsive buyers suffer from compulsive hoarding. A significant association between the SI-R and the compulsive buying measures CBS, Y-BOCS-SV, German-CBS, and the CAS-Buy subscale was found, which is mostly caused by the SI-R subscale acquisition. The SI-R subscales clutter and difficulty discarding were more closely associated with the CAS-Free subscale and with obsessive-compulsive symptoms. Hoarding compulsive buyers reported more severe buying symptoms and obsessive-compulsive symptoms and presented with a higher psychiatric co-morbidity, especially any current affective, anxiety and eating disorder. Specific therapeutic interventions for compulsive buyers who also report compulsive hoarding appear indicated.     

When hoarding is a symptom of OCD: A case series and implications for DSM-V

Hoarding, the excessive collection and failure to discard objects of apparently little value, can represent a serious psychiatric problem and pose a threat to public health. Hoarding has traditionally been considered a symptom (or symptom dimension) of Obsessive-Compulsive Disorder (OCD), but its nosological status has recently been debated. Mounting evidence suggests that, once other primary causes are ruled out, hoarding may be a discrete diagnostic entity, recently named Hoarding Disorder. However, hoarding can sometimes be a genuine OCD symptom. This can be confusing and clinicians may sometimes struggle making the differential diagnosis. To illustrate this, we describe 10 OCD patients with severe hoarding behavior that is better conceptualized as a symptom of OCD. We focus on the motivations for hoarding and the overlapping of hoarding with other obsessive-compulsive symptom dimensions. We estimate that this clinical presentation is relatively rare and accounts for a minority of severe hoarding cases. We discuss the unique characteristics of hoarding as a symptom of OCD and the implications for DSM-V.     

Hoarding behaviors in a large college sample

Hoarding behaviors occur in many clinical syndromes but are most commonly linked to obsessive compulsive disorder. Surprisingly little empirical work has examined the nature of hoarding behaviors despite their association with significant distress and impairment. The current study examined hoarding in 563 unselected college students. Using principal components analysis, we identified four domains of hoarding behaviors as measured by the 26-item Saving Inventory-Revised: Difficulty Discarding, Acquisition Problems, Clutter, and Interference/Distress. All four domains and total hoarding behaviors were strongly related to hoarding beliefs and to obsessive compulsive (OC) symptoms. Hoarding behaviors were most strongly correlated with subscales of an OC disorder (OCD) measure assessing hoarding and obsessions and least strongly correlated with the washing subscale. Hoarding behaviors also showed significant, but more modest, correlations with social anxiety, depressive symptoms, and worry. However, worry was not found to contribute unique variance to the prediction of hoarding behaviors. Of greatest note, hoarding behaviors showed a surprisingly strong relationship with anxiety sensitivity, similar in magnitude to the relationship between hoarding and OCD symptoms. Results are interpreted and lines of future research are proposed, with particular emphasis on further elucidating the relationship between hoarding behaviors and anxiety sensitivity.     

Neuropsychological impairment associated with compulsive hoarding

A group of patients with compulsive hoarding (n=30) was compared to a mixed clinical group (n=30) and a nonclinical community group (n=30) on laboratory tests of information-processing features hypothesized to be central to hoarding (memory, attention, and decision-making). Hoarding patients demonstrated slower and more variable reaction time, increased impulsivity, greater difficulty distinguishing targets and nontargets, and worse spatial attention relative to comparison groups. Multiple regression analyses demonstrated that slower reaction time and increased impulsivity were significantly related to hoarding symptoms over and above the effect of depression, schizotypy, and other obsessive-compulsive disorder (OCD) symptoms. There were no group differences on a test of emotion-based decision-making. Results are discussed in terms of previous findings and theoretical models of compulsive hoarding.     

Mood, personality disorder symptoms and disability in obsessive compulsive hoarders: a comparison with clinical and nonclinical controls

Hoarding is a symptom of obsessive compulsive disorder (OCD), as well as a diagnostic criterion for obsessive compulsive personality disorder (OCPD). One recent study suggests that people who suffer from compulsive hoarding report more general psychopathology than people who do not [Frost, R.O., Krause, M.S., & Steketee, G. (1996). Hoarding and obsessive compulsive symptoms. Behavior Modification, 20, 116-132]. The present study addressed whether persons with OCD hoarding exhibit more depression, anxiety, OCD and personality disorders symptoms than community controls, OCD nonhoarders, or other anxiety disorder patients. Disability was also examined. Hoarding subjects were older than the other three groups, but age did not account for any of the differences observed among the groups. Compared to controls, OCD hoarding, nonhoarding OCD and anxiety disorder patients showed elevated YBOCS scores, as well as higher scores on depression, anxiety, family and social disability. Compared to nonhoarding OCD and anxiety disorder patients, OCD hoarding patients scored higher on anxiety, depression, family and social disability. Hoarding subjects had greater personality disorder symptoms than controls. However, OCD hoarding subjects differed from OCD nonhoarding and anxiety disorder subjects only on dependent and schizotypal personality disorder symptoms. The findings suggest that hoarding is associated with significant comorbidity and impairment compared to nonhoarding OCD and other anxiety disorders.     

Do traumatic events influence the clinical expression of compulsive hoarding?

Traumatic experiences have been posited as one potential catalyst for the abrupt onset of obsessive-compulsive symptoms including compulsive hoarding. To determine whether traumatic life events (TLEs) might influence the expression of compulsive hoarding in obsessive-compulsive disorder (OCD), interview responses to the Posttraumatic Stress Disorder module of the Structured Clinical Interview for DSM-IV (SCID) were examined in 180 individuals with OCD. Compared to individuals with OCD who did not meet criteria for hoarding, participants classified as hoarders (24% of the sample) were significantly more likely to have reported at least one TLE in their lifetime. Patients who met criteria for hoarding and who had also experienced TLEs had significantly greater hoarding symptom severity than those hoarders not exposed to trauma. This association was found to be robust. That is, the relationship between TLEs and hoarding symptom severity was not better accounted for by age, age of OCD onset, depressive symptoms, general OCD symptomatology, or mood and anxiety comorbidity. Closer examination revealed that the clutter factor of compulsive hoarding (and not difficulty discarding or acquisitioning) was most strongly associated with having experienced a traumatic event.     

My possessions need me: Anthropomorphism and hoarding

Hoarding disorder (HD ), a new DSM ‐5 classification, is characterized by difficulty discarding and the excessive acquisition of possessions to the extent that living spaces are compromised by clutter. Individuals with hoarding difficulties have a variety of motivations for object ownership, including emotional attachment towards their possessions which sometimes manifests through imbuing possessions with human‐like terms. Limited extant evidence suggests that anthropomorphism, attributing human qualities to non‐human objects, is related to hoarding, possibly because of difficulties with interpersonal attachment and social isolation. The current study investigated the relationship between hoarding behaviors (i.e., difficulty discarding, excessive acquisition, and clutter), hoarding beliefs (i.e., motivations for ownership including responsibility, emotional attachment, memory, control), anthropomorphism (i.e., generally in childhood, generally in adulthood, and towards three different personally‐owned objects), and loneliness. Moderation analyses examined whether hoarding beliefs or loneliness impacted how anthropomorphism related to hoarding symptoms. Results suggested that all dimensions of anthropomorphism were related to hoarding behaviors. Regression analyses indicated that anthropomorphism in adulthood and of personally owned‐objects were the best predictors of hoarding behavior. Mixed evidence was found for hoarding beliefs and loneliness moderating these associations. Findings successfully replicated and extended previous literature and provide a novel measure of anthropomorphism specifically incorporating personal ownership.     

Family burden of compulsive hoarding: results of an internet survey

Compulsive hoarding, the acquisition of and failure to discard large numbers of possessions, is associated with substantial health risk, impairment in functioning, and economic burden. Despite clear indications that hoarding has a detrimental effect on people living with or near someone with a hoarding problem, no empirical research has examined these harmful effects. The aim of the present study was to examine the burden of hoarding on family members. Six hundred sixty-five family informants who reported having a family member or friend with hoarding behaviors completed an internet-based survey. Living with an individual who hoards during childhood was associated with elevated reports of childhood distress and family strain. Family members reported high levels of patient rejection attitudes, suggesting high levels of family frustration and hostility. Rejecting attitudes were predicted by severity of hoarding symptoms, the individual's perceived lack of insight into the behavior, and having lived in a cluttered environment during childhood. These results suggest that compulsive hoarding adversely impacts not only the hoarding individual, but also those living with them.