An analysis of the changing doctor-patient relationship in China

As China is undergoing marketization and privatization, the doctor-patient relationship (DPR) is changing, posing numerous social problems such as a trust crisis. In this article, the authors look at the characteristics of the DPR, and then present an historical account of the changing features of the Chinese DPR. In the final section, they explain how Chinese traditional culture is important for rebuilding the DPR in reform-era China and make suggestions for its health care reform.     

Morality and political orientations: An analysis of their relationship

Groups are social constructions with differences. People spontaneously attempt to explain differences between groups. Stereotypes often play this explanatory role. Specifically, group members tend to attribute different essences to social categories. Given widespread ethnocentrism, it is not surprising that individuals reserve “the human essence” for their ingroup, while other groups are attributed a lesser humanity. This phenomenon is called infra‐humanisation and happens outside people's awareness. Secondary emotions (e.g., love, hope, contempt, resentment) are considered uniquely human emotions in contrast to primary emotions (e.g., joy, surprise, fear, anger) that are shared with animals. The research programme summarised in this chapter demonstrates through various paradigms that members of groups not only attribute more secondary emotions to their ingroup than to outgroups, but are also reluctant to associate these emotions with outgroups. Moreover, people behave less cooperatively with an outgroup member who expresses himself with secondary emotions than with an ingroup member who uses the same terms. Interestingly, infra‐humanisation occurs for both high‐ and low‐status groups, even in the absence of conflict between groups.     

Parent behavioral training: An analysis of the relationship among multiple outcome measures

The purpose of the present study was to examine the relationship among three types of outcome measures that have been employed to evaluate parent behavioral training: observational data collected by independent observers, parent-collected data, and parent-completed questionnaires. Previous research suggests that all three measures yield positive outcome data; however, a correlational analysis has not been performed to determine if the subjects who demonstrate the largest (smallest) change on one measure demonstrate the largest (smallest) change on the other measures. The present study undertook such a correlational analysis. Subjects were 20 young clinic-referred children and their mothers. Treatment consisted of a standardized parent training program to modifly child noncompliance. All three outcome measures (observational data, parent-collected data, and questionnaire data) indicated that therapy was effective. A correlational analysis performed on the outcome measures indicated a number of significant relationships for dependent variables withinthe observational data and withinthe questionnaire data; however, there were no significant relationships acrossthe three outcome measures. Although different outcome measures may yield similar conclusions about the effectiveness of parent behavioral training, the results suggest that any one subject, relative to other subjects, does not demonstrate uniform degrees of change across the three outcome measures. Explanations for the findings, as well as their implications, are discussed.This research was supported by NIMH grant MH-28859-01.     

An empirical analysis of driver perceptions of the relationship between speed limits and safety

In recent decades, it has become more common for speed limits to be set for political reasons rather than for safety reasons. As a consequence, the motoring public seems to have increasingly begun questioning the rationality of speed limits. This is evident in observed speed data that show that the majority of drivers routinely exceed posted speed limits. A key motivating factor in drivers’ tendency to exceed the speed limit is that they believe that the excess speed does not threaten safety. This paper, specifically studies this matter by using a survey that asked drivers how fast above the speed limit they feel they can drive before safety is threatened. A probabilistic model is estimated using data gathered from 988 drivers in Indiana. Estimation findings show that drivers’ perception of the speed above the speed limit at which they will receive a speeding ticket is a critical determinant of what they believe is a safe speed – suggesting that enforcement plays an important role in safety perceptions. Other variables found to be significant factors in determining the speed above the speed limit at which safety is first threatened include age, gender, being previously stopped for speeding, and drivers’ ethnicity.     

对"先天图与二进制关系"之争的考察与辨析

在11世纪,宋代易学家邵雍详细阐释了先天图;17世纪末18世纪初,德国数学家、哲学家莱布尼茨系统地提出了二进制.二者具有何种关系成为一个经久不衰的话题.本文首先认真地梳理和辨析了前人的研究成果,其次从反思先天图和二进制的文化意义出发,得出以下结论二进制是纯粹的数学方法,先天图是意蕴丰富的哲学符号,二者区别甚大,没有实质性的关系.     

An analysis of the relationship of teachers' reported use of classroom management strategies on types of classroom interactions

The results of an investigation to determine teachers' reported use of classroom management strategies and their relationship to teacher and student interactions are presented. We interviewed 20 teachers to determine how they developed and used classroom management strategies, and then observed the interactions of these teachers with children with serious behavior disorders (SBD). Results identified two groups of teachers: one that scored high on planned use of the strategies, and one that scored low. Comparisons between the two groups of the interaction patterns revealed small, but statistically significant differences in the mean length and total percent time involved in positive interactions. The group reporting higher use of the management strategies engaged in positive interactions which were longer in duration than the interactions of the group reporting lower use. The results are discussed in terms of further research needs and implications for teacher training programs.     

An examination of the dynamic relationship between self-efficacy and performance across levels of analysis and levels of specificity

This research used resource allocation theory to generate predictions regarding dynamic relationships between self-efficacy and task performance from 2 levels of analysis and specificity. Participants were given multiple trials of practice on an air traffic control task. Measures of task-specific self-efficacy and performance were taken at repeated intervals. The authors used multilevel analysis to demonstrate differential and dynamic effects. As predicted, task-specific self-efficacy was negatively associated with task performance at the within-person level. On the other hand, average levels of task-specific self-efficacy were positively related to performance at the between-persons level and mediated the effect of general self-efficacy. The key findings from this research relate to dynamic effects--these results show that self-efficacy effects can change over time, but it depends on the level of analysis and specificity at which self-efficacy is conceptualized. These novel findings emphasize the importance of conceptualizing self-efficacy within a multilevel and multispecificity framework and make a significant contribution to understanding the way this construct relates to task performance.     

An investigation of age-related factors in the age-job-satisfaction relationship

Most researchers have found a positive linear relation between age and job satisfaction. We attempted to account for this relationship by measuring variables that had been proposed to be causal factors. Subjects were 496 city and county managers working in Florida. Potential explanatory variables were (a) job congruence (the difference between what managers prefer and what they perceive they have in a job), (b) internal-external locus of control, and (c) related demographics-age, salary, organizational tenure, position tenure, and organizational level. Multiple regression analyses found that job congruence and work locus of control accounted for almost all of the variance in the age-satisfaction relationship. This study supports the job change hypothesis, which proposes tha older workers get more of what they want out of work.     

Time-series analysis of the relationship between dizziness and stress

Ten individuals with dizziness participated in a longitudinal study on the relationship between stress and dizziness. The participants rated dizziness and stress on visual analogue scales twice daily for a period of 28 days (in all 56 data points). The ratings of stress included physical stress, mental stress, emotional stress, and the presence of stressful events. The data was analysed by means of time-series analysis (ARIMA), and the temporal associations investigated by lagged correlations. Results showed concurrent associations between dizziness and mental and emotional stress. However, individual differences were observed indicating complex and diverse patterns of association between different forms of stress and dizziness.     

An investigation of the relationship between cognitive reactivity and rumination

Teasdale’s (Teasdale, J.D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2, 247–274) differential activation hypothesis refers to the ease with which maladaptive cognitive processes are triggered by mild dysphoria as cognitive reactivity. Supporting this model is evidence of a differential association between sad mood and dysfunctional cognitions in formerly depressed and never-depressed individuals and the finding that cognitive reactivity predicts depression recurrence in remitted depressives. The Leiden Index of Depression Sensitivity–Revised (LEIDS-R; Van der Does, A.J.W., Williams, J.M.G. (2003). Leiden Index of Depression Sensitivity–Revised (LEIDS-R). Retrieved September 4, 2007, from http://www.dousa.nl/publications_depression.htm#LEIDS) is a recently developed self-report measure that provides clinicians and researchers with a time-efficient means by which to assess cognitive reactivity. This study investigated the relationship between cognitive reactivity (indexed by the LEIDS-R) and depressive rumination in a nonclinical sample (N = 324). As predicted, partial correlations between the LEIDS-R (subscale and Total scores) and the Ruminative Response Scale (RRS; Nolen-Hoeksema, S., and Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121) were significant after controlling for current depressive symptoms. A subsample of participants (n= 130) was administered a structured interview to determine current and past depression diagnostic status. Recovered depressed individuals scored more highly on the LEIDS-R Total and LEIDS-R Rumination subscale; however, the groups did not differ on the remaining subscales. Regression analyses indicated that (across all participants) LEIDS-R Total made a unique contribution to the prediction of depression over and above trait level of depressive rumination. Overall, the LEIDS-R is a time-efficient self-report index of cognitive reactivity that demonstrates promise in distinguishing recovered and never-depressed individuals.     

An analysis of the word-superiority effect

It is easier to decide which of two letters was presented tachistoscopically if the critical letter was in a word rather than in a scrambled word. We showed that this word-superiority effect holds just as strongly for pronounceable nonwords as for words, even when the critical letters are constant over all trials. This finding rules out word meaning and familiarity as variables accounting for the effect. In addition, it was found that the superiority of pronounceable stimuli holds for two-letter stimuli as well as four, and it is therefore concluded that the effect is not due to a memory limitation. An explanation of the effect in terms of the use of additional acoustic information is ruled out by showing that the effect was not diminished when the two possible words sounded exactly alike. An experiment using correctly and incorrectly spelled chemical formulas suggested that spelling regularities, regardless of pronounceability per se, account for the superiority effect. Finally, when decisions about two critical letters must be made on each trial, the correlation between being correct on one and on the other is higher for pronounceable stimuli under some conditions.     

An examination of the relationship between visual capture and prism adaptation

The phenomena of prismatically induced “visual capture” and adaptation of the hand were compared. In Experiment 1, it was demonstrated that when the subject’s hand was transported for him by the experimenter (passive movement) immediately preceding the measure of visual capture, the magnitude of the immediate shift in felt limb position (visual capture) was enhanced relative to when the subject moved the hand himself (active movement). In Experiment 2, where the dependent measure was adaptation of the prism-exposed hand, the opposite effect was produced by the active/passive manipulation. It appears, then, that different processes operate to produce visual capture and adaptation. It was speculated that visual capture represents an immediate weighting of visual over proprioceptive input as a result of the greater precision of vision and/or the subject’s tendency to direct his attention more heavily to this modality. In contrast, prism adaptation is probably a recalibration of felt limb position in the direction of vision, induced by the presence of a registered discordance between visual and proprioceptive inputs.