文本表述结构对空间维度非线索更新的影响

采用实时窗口阅读技术,探讨阅读中文本表述结构在情境模型空间维度非线索更新中的作用。实验一结果表明,阅读中,如果文本叙述中采用以人为参照的描述方式,那么可以促进相应空间设置内物体的实时更新。实验二考察了空间设置不同程度的描述对空间信息加工中的影响,结果发现,相对于对空间设置的简单描述,在文本中对空间设置进行精细阐述更有利于情境模型空间维度非线索更新的达成。     

Living with Contradictions: The Taken-for-Granted in Israeli Political Discourse

Two apparently contradictory ideas are closely linked in Israeli political discourse: Israel is powerful and independent and Israel is vulnerable and dependent. This study used content analysis and focus groups, as well as existing survey data analyzed by others, to explore how this paradox has been reflected in newspapers and conversations during six different time periods from 1948 to 1996. The goal was not to explain the paradox but to examine its consequences for Israeli perceptions of U.S. policy in the Middle East—and, in the process, to explore Israeli self-images. The nature of U.S. strategic interests was originally treated as problematic and in need of political discussion, but in the past 25 years these interests have become taken for granted. Surprisingly, even after the end of the Cold War, a critical discourse moment in which a reexamination of U.S. interests in the Middle East would seem inevitable, the U.S. role remains taken for granted and largely unexamined. The strong/vulnerable paradox explains this absence of discussion: Examining U.S. interests too closely upsets the delicate balance that keeps the sense of vulnerability in check.     

职业兴趣的结构：理论与研究

有着近70年历史的职业兴趣结构的研究丰富与发展了其理论,这些理论主要包括：Roe的圆形模型、Holland的六边形模型、Prediger的维度模型、Gati的层级模型以及Tracey-Rounds的球形模型。总结比较这些不同的职业兴趣结构的研究发现,Holland的六边形模型更适合于美国样本(非种族样本)群体,而其他的模型则有待于进一步的考察。研究还表明没有广泛适用的职业兴趣模型,因此,职业兴趣的跨化研究应深入探讨与验证。     

叙事隐喻的作用机制及其在绘本中的应用

叙事隐喻不仅仅是一种修辞手法或语言中暗含的言外之意,更是一种理解、看待问题的哲学方式,构成了叙事疗法的要素核心。通过文献梳理与分析,对叙事隐喻作用机制进行探讨,揭示了其在第三叙事视角转换、长时记忆、具身认知体验三个方面的特异性作用。并结合绘本阅读,阐明以绘本为载体的叙事隐喻在青少年与成人心理治疗中的表现形式、共通性作用机制和不同的临床实践运用,期望为“绘本阅读+叙事疗法”的联合治疗提供可能性和有效性参考。

     

The Embodied and Contingent Self in Later Life: A Narrative Understanding

This article examines a narrative understanding of identity and discusses its relevance within the sociocultural contingencies of the postmodern age. Providing an historical overview of understandings of the self, Meador traces the lineage of the self from Augustine through contemporary theories of identity. He focuses on the narrative concept of identity, acknowledging the existence of multiple narratives—those that individuals tell about themselves and those told by others. Finally, he explores the transformative potential available within this context for those in their later years.     

叙事医学中时间性的意义和临床价值

人类通过叙事展现自我,建构历史,叙事寓于时间之中,人的存在也与时间休戚相关。时间、叙事和医学,三者之间有着密切的联系,时间性是医学的五大叙事特征之一。在叙事和诊疗的过程中,叙事者和医生都需要厘清特定事件的逻辑,在时间序列中解释因果关系,寻求解决方案,文学和医学由此有了极强的共通性。叙事医学提醒医务人员关注时间性,并提供了许多具体的方法和案例,来提升医务人员对诊疗时机的把握能力,学会理解患者在医院时空中时间之流的体验,据此培养他们的共情能力,提高诊疗水平,并在积极的反思中,完成自我的成长和救赎。

     

绘画的医学功能与价值：历史叙事与哲学逻辑

绘画与医学的关系源远流长,绘画的医学功能与价值是一种历史赋予和医学文化的积淀,医学发展史是一部医学与绘画的关系史,从认知模式演变的角度看,图像与医学的关系大有覆盖绘画与医学关系的演化趋势。从柏拉图到笛卡尔,身心二元论从思想萌发到“我思故我在”第一哲学原则的确立,构成近现代医学中人的身心分离的形而上学根源。现象学、诠释学等重新定义了“我们与抽象的科学”之间的关系,力求建立一个新的超越身心二元论的理论框架。医学叙事是借助现象学对具身性主体的哲学解释及由此形成的主体间性理论,有效延展医学叙事的历史。

     

赋权、共情与主体性：作为微型民族志的叙事医学

基于对生物医学的批判,疾病叙事转向抓住第一人称的痛苦体验,是为病人赋权的主体性回归过程,成为一种批判性与补充性研究方法。叙事医学促使医务人员达成共情,深入理解病人的生理与社会苦痛,创造医患对话空间。然而,这些叙事局限于医患之间普适性单向互动表达。微型民族志作为叙事医学新范式,是资料收集、赋权、共情、治疗为一体的研究范式,将阿尔茨海默病老人的主体性互动研究作为微型民族志的典型案例,为完善中国叙事医学理论与方法带来更多启示。

     

The Sense of Agency and the Search for a Narrative in Acute Psychosis

The search for a narrative in acute psychosis exists but the result of this search can be insufficient because the stories available do not sufficiently capture the pre-narrative quality of personal experience, and hence the sense of agency may be diminished. The context of reflexivity is lost when a subjugating story blocks an individual off from making a choice from among a multiplicity of stories. Psychosis can also be an escape in order to maintain a sense of agency. When the patient has trouble in creating meaning through narrative action, the aim of therapy and treatment is to open a channel through which the pre-narrative quality of life can become narrated, to create a multiplicity of stories, and so offer the possibility of choice in the construction of a narrative identity.     

Predicting Substance Abuse Relapse: The Role of Social Interest and Social Bonding

Substance abuse relapse has been linked to a number of internal and external vulnerability factors. The authors explored the internal construct of Adlerian social interest (Adler, 1956 ) and the external construct of Hirschi's ( 1969 ) social bonding to provide a holistic risk profile of relapse.     

美国医生对于医疗坏消息告知的程序及具体方法

坏消息的告知是临床医生遇到的较为困难的情况之一。从交谈的环境、告知的开始、继续交谈、对病人情感反应的评价及处理、病人的遗愿5个方面详细介绍了美国医生对于医疗坏消息告知的程序及具体方法,从而为我国医生提供参考。     

Biotechnology in the Japanese media: Comparative analysis of newspaper articles on genetic engineering in Japan and Europe

The present study examined how the representations of biotechnology using genetic engineering have been developed in Japan relying on media analysis. Specifically, using the online database of the Asahi Shimbun , one of the major opinion-forming newspapers in Japan, the annual numbers of articles concerning biotechnology were tallied from 1985 to 2000, and an analysis was conducted of the content of 850 articles from 10 particular years. Specifically, a framework in which a biotechnological issue was presented was focused on; the changes of dominant frames and the relationships between frames and specific biotechnological applications (e.g. medicine, agrifood and cloning) were investigated. The results showed that: (i) the number of articles increased sharply in particular since 1996–1997; (ii) although general attitudes toward biotechnology were persistently positive, a frame of biotechnological article became more diverse (i.e. the prospect frames were considerably dominant in the earlier phases, but the concern frames also became prominent in the later phases); and (iii) several articles were found which reported cloned animals in a frame of emotional attachment, a frame unique to Japan. These results were compared with those of European countries and discussed from a perspective of the theory of collective symbolic coping.     

情绪在危机新闻框架和团体危机回应中的作用

采用2(新闻框架类型:诱发气愤情绪或诱发悲伤情绪)×2(危机事件团体回应类型:惩罚型或补偿型)×2(团体回应中情绪感染力的呈现情况:呈现或缺乏)的被试间实验设计,探讨不同版本的危机事件新闻报道诱发出的不同情绪如何影响个体的信息加工,以及情绪反应怎样影响个体对组织随后回应策略的偏好。结果发现:气愤情绪促使公众采用启发性加工方式,悲伤情绪促使公众采用系统性加工方式;相比于悲伤情绪,气愤情绪会导致公众对公司更加负面的态度;惩罚型回应信息的可信性更高;惩罚型和补偿型回应信息使公众对企业的态度从比较消极转变为偏向积极;具有强烈情绪感染力的回应信息更容易降低气愤组对企业的责任归因程度,并进而促进公众对企业态度的改变;公众的气愤和悲伤情绪水平在接受企业回应后明显减弱,但没有达到基线水平。结果表明,在面对危机事件时,新闻框架的类型、企业对危机事件的回应方式以及回应中的情绪感染力,会结合在一起,制约公众对危机事件的知觉以及对企业的判断。     

临床试验中的利益冲突：伦理和政策问题

人们对于研究人员、赞助商和研究机构三者之间的经济利益关系给予越来越多的关注,人体试验研究中的经济利益与其他利益有所不同,这种经济利益会导致偏见或诱导不正当的行为,尤其是当有从研究中获益的机会存在时,将会影响到研究人员关于应该选择哪个受试者,应该提供给受试者什么样的医疗服务,甚至应该如何正确使用受试者保密的健康信息方面的判断,由经济利益引起的明显的风险同样也会威胁公众的学术机构研究使命的支持,从处理临床试验中利益冲突的准则,什么样的经济利益是研究中的重大经济利益。准则的实施等方面进行了详尽的叙述,最后指出没有潜在受试者和公众的信任,我们就不能有效地开展研究。     

Gender Differences in Interest and Knowledge Acquisition: The United States,Taiwan, and Japan

The relationship between interest and knowledge was investigated in a representative sample of 11th grade students from cultures that differ in the strength of their gender-role stereotypes and their endorsement of effort-based versus interest-based learning. Among 11th graders from the United States (N = 1052), Taiwan (N = 1475), and Japan (N = 1119), boys preferred science, math, and sports, whereas girls preferred language arts, music, and art. General information scores were comparable across the three locations; however, boys consistently outscored girls. Gender and interest in science independently predicted general information scores, whereas gender and interest in math independently predicted mathematics scores. Cultural variations in the strength of the relationship between gender, interest, and scores indicate that specific socialization practices can minimize or exaggerate these gender differences.     

困境与希望：新冠肺炎疫情下的医学叙事

数月以来,新冠肺炎疫情之下的中国医务人员及患者在这场抗疫之战中形成了许多独具特色的医学叙事,其中的文本意义既具有深刻的社会属性,亦具有极强的个人属性。采用参与式观察法,收集、记录自然条件下不同的患者在疫情期间前来医院就诊的疾病故事,共计29个案例,并根据患者就诊中的不同心态将这些案例分为恐慌、无奈和乐观三类,最后尝试以医者的视角,通过三个医务人员的平行病历对疫情之下这三类不同的患者心态进行解读,借此重新审视特殊时代背景之下医者的责任和医学的意义,旨在为后疫情时期的医患关系研究提供一些理论基础和思考空间。     

临床代理决策中的利益冲突及其消解

对于限制/无行为能力患者的医疗决策采取代理决策模式,该模式奠基于社会习俗与习惯法。通常情况下,亲属能够更加准确地评判患者的个人价值取向和医疗决定偏好。但是,基于利益判断的主观性,代理决策中的道德冲突难以避免,其合理性辩护基于代理身份的合法性、“善意”与“患者利益”的标签、制度缺失,对于其批评在于代理者德性基础上的一致性不足。按照解决问题的逻辑进程,规避代理决策中利益冲突的方式有寻求共识的可能、临床伦理咨询与司法介入,其中伦理咨询与司法介入需要依托国家制度设计。     

神经质人格与大学生网络小说成瘾关系:叙事传输和沉浸感的中介作用

本研究以502名大学生为被试,探讨神经质人格与网络小说成瘾的关系以及叙事传输和沉浸感在其中的序列中介作用。结果发现:(1)网络小说成瘾与神经质人格、叙事传输和沉浸感之间均呈显著正相关;(2)神经质人格不仅可以直接影响网络小说成瘾,还可以通过叙事传输和沉浸感的中介作用对其产生影响,且该中介作用包含了两条路径——沉浸感的单独中介作用以及叙事传输-沉浸感的序列中介作用。这一结论有助于引导大学生健康阅读网络小说,预防成瘾。