Anxiety and immunologic disorder: phobia, generalized anxiety syndrome and panic attacks from the psychoimmunologic viewpoint with the intention of generating hypotheses]

From a behaviour therapist's viewpoint anxiety is perceived in a framework expanded to the psycho-neuro-immunological dimension. After describing phobic anxieties, cognitive mechanisms, and allergic-immunological disturbances, clinical experience won from 34 phobic patients treated with behavior therapy is demonstrated. 31 of these proved to be poly-allergic. A comparison of both physiological fear and allergic symptoms lets a relationship seem obvious between anaphylactic or collapse inclination and psychological fear reaction. Mediated by cognitive variables persons with emphatic perception may develop an association between anxiety and allergic processes with high probability, the reciprocal influence of which can increase with vehemence. Comprehensive psychologic-medical diagnostic and therapeutic measures could improve the effectivity of therapy as well as anxious patients' "compliance" and "coping skills".     

Unity and diversity of the medical action: A review of its components and their interconnections

In this paper, the main components of the medical action are divided into three types: cognitive operations, value judgments and instrumental reasoning. The study aims at fraiming some specific methodological problems in order to encourage further research on the theory of planning and effectivity of the medical action.     

Possibilities and limits of rehabilitation in a young girl with total (global) aphasia

In the case discussed, the faculties retained and lost are described, and the aims and tasks of rehabilitation set out. The mode of procedure is elucidated by means of examples, the results achieved given, and the possible basis for the effectivity of the rehabilitation measures discussed.     

严重脓毒症——评价指标带给我们的启示

目前,严重脓毒症的诊断指标已对脓毒症导致的临床情况作出较好的诠释,进一步寻找相关的指标将更有助于临床判断。我们评价了血流动力学和组织灌注参数,免疫紊乱、凝血障碍的相关参数以及前降钙素等指标在临床上的价值。目前所采用的一些指标确实有助于严重脓毒症的诊断,但是,我们需要更特异的指标来指导临床工作。     

The effect of auditory feedback on the perception of verbal behavior in dynamic group psychotherapy

A controlled experiment under genuine therapy conditions demonstrates that auditive group feedback once a week had the effect of improving the effectivity of the therapy. The individual's experience of his own speech behavior was dependent on the phase of therapy. In general, members of the group adopted a more critical attitude to themselves after listening to the recording. The possibility of generalizing from these results is considered.     

冠心病的介入治疗——药物洗脱支架还是裸支架？

冠心病的治疗包括多种方式,在强化内科保守治疗的基础上,采用经皮冠状动脉介入治疗既可以改善患者的生活质量又能降低病死率。介入治疗中最重要的方式是支架植入。但应用药物洗脱支架,还是普通金属裸支架一直是近两年来的争论焦点。BASKET-LATE研究的发布,更给药物洗脱支架的应用蒙上了可怕的阴影。就我们现阶段的实际临床应用而言,只要服用足够长的至少双联抗小血板药物治疗,药物洗脱支架的应用还是安全的,而且临床主要心血管事件较裸支架明显降低。     

血压的生物节律与高血压的时间治疗学

人体血压的昼夜节律现象具有重要临床意义,高血压病更尤为如此。不同降压药物或不同时间用药对血压的昼夜节律产生不同的影响。高血压时间治疗学是根据疾病发生或发作的昼夜节律特征,通过调整投药时间及/或剂量、或应用特殊制剂,调整血液或组织中的药物浓度,从而增加疗效并减少或避免不良反应的发生。时间治疗学方法有助于以最小的医疗经济学及毒副反应代价获取最佳的治疗效果。     

A critical assessment of pedestrian behaviour models

This paper concerns a review and critical assessment of the existing research on pedestrian behaviour in urban areas, focusing on two separate yet complementary aspects: route choice and crossing behaviour. First, an exhaustive review of the existing route choice models for pedestrians is presented. It is shown that the existing models are mainly more stochastic and more macroscopic than required and seldom incorporate the interactions between pedestrians and traffic. Second, the existing models on pedestrians crossing behaviour are presented and assessed. It is shown that, although their approach is usually detailed, deterministic and traffic-oriented, they are mainly devoted to a local level behaviour and focus on only one type of all the potential determinants. Most importantly, these two complementary and possibly interdependent aspects of pedestrian behaviour are always examined separately. The results of this review reveal a lack of an overall and detailed consideration of pedestrian behaviour along an entire trip in urban areas. Moreover, the need for an integrated approach based on flexibility, disaggregation and more determinism is identified. Accordingly, a set of modelling techniques are discussed as a general framework for further research in the field.     

Pathologisch autodestruktives Verhalten und Verhaltenstherapie

The literature on pathological self-destructive behaviour (apart from psychotic, substance-induced or brain disorders) and behaviour therapy is reviewed. An introduction on definition, classification, current typological approaches, occurrence, pathogenesis, and psychopathology is given. From a behavioural theoretic perspective, functional aspects of self-destructive behaviour are emphasised. Basic treatment problems are outlined. They particularly concern covert self-destructive behaviour (artificial disease, Munchhausen-syndrome) that is typically met in a medical hospital setting. Recommendations from the literature are resumed. Most of the relevant publications are psychoanalytically based. Case reports on self-destructive patients predominate even in behaviour therapy publications. These are briefly reviewed. So far, the most elaborate approach is considered to be M. Linehan's Dialectic-Behavioral-Therapy which has been developed for the treatment of borderline personality disorders. A considerable overlap between overtly self-destructive patients and borderline patients underlines the usefulness of this approach. Nonetheless, a further development of behavioural therapeutic methods with regard to different types of self-destructive behaviour is considered to be indicated.     

Assessment of male and female behaviour in the employment interview

Personality assessment has a great impact on the outcomes of the selection interview. Women are perceived to have personality characteristics which are different from men. It is doubtful whether these sex stereotyped personality characteristics are based on real differences in verbal and nonverbal behaviour between men and women. Previous studies have shown the influence of sex stereotypes on interview-outcomes. In this study, the relationship between verbal and nonverbal behaviour of male and female applicants and their personality assessment has been investigated. Results show that males and females are assessed stereotypically based on their sex, but also based on their behaviour. For females, a feminine or masculine assessment is of special importance for her chance of selection. The less feminine is a woman's assessment the more likely she is to be accepted as an eligible candidate by the selection board. These accepted women show ‘female’ behaviour as well as ‘male’ behaviour.     

Comparing Semantics of Logics for Multi-Agent Systems

We draw parallels between several closely related logics that combine — in different proportions — elements of game theory, computation tree logics, and epistemic logics to reason about agents and their abilities. These are: the coalition game logics CL and ECL introduced by Pauly 2000, the alternating-time temporal logic ATL developed by Alur, Henzinger and Kupferman between 1997 and 2002, and the alternating-time temporal epistemic logic ATEL by van der Hoek and Wooldridge (2002). In particular, we establish some subsumption and equivalence results for their semantics, as well as interpretation of the alternating-time temporal epistemic logic into ATL. The focus in this paper is on models: alternating transition systems, multi-player game models (alias concurrent game structures) and coalition effectivity models turn out to be intimately related, while alternating epistemic transition systems share much of their philosophical and formal apparatus. Our approach is constructive: we present ways to transform between different types of models and languages.     

Job security and work performance in Chinese employees: The mediating role of organisational identification

This research focuses on investigating whether organisational identification mediates the effects of job security on in‐role behaviour and extra‐role behaviour and how these mediation mechanisms differ according to gender. Through analysing 212 supervisor‐subordinate dyads from a Chinese air transportation group, the research indicated that organisational identification partially mediated the effect of job security on in‐role behaviour and fully mediated the effect of job security on extra‐role behaviour. A multi‐group analysis also showed that there were significant differences between male and female employees in these relationships. In addition, moderated mediation analyses showed that gender moderated the indirect effects of job security on in‐role behaviour and extra‐role behaviour through organisational identification. Limitations and implications of these findings are discussed.     

The level of effort required for behaviour as a moderator of the attitude–behaviour relation

It was hypothesized that the manner in which attitudes influence behaviour is moderated by the level of effort required to perform a behaviour. The effort needed was manipulated in a field experiment by varying the difficulty of getting access to the attitude object. When the behaviour required substantial effort, the mediating role of intentions was strong, and attitudes had only indirect effects on behaviour, consistent with the theory of reasoned action. When the behaviour required little effort, however, attitudes had a significant direct effect on behaviour, and the mediating role of intentions was reduced. The theoretical and practical implications of these findings are discussed.     

How self‐relevant imagination affects memory for behaviour

Research has demonstrated that imagination can be used to affect behaviour and also to distort memory, yet few studies have examined whether the effects of imagination on behavioural estimates and memory are related. In two experiments, the effects of imagination on self‐reported behaviour and subsequent memory for that behaviour were investigated. A comparison of behavioural estimates collected before and after imagination demonstrated that reported estimates of behaviour changed after imagination. In addition, memory for the original estimates of behaviour was also affected, suggesting that imagination may impair one's ability to remember originally reported behaviour. Experiment 2 demonstrated that the observed changes in reported behaviour were accompanied by the largest errors in memory for originally reported behaviour when participants generate images based on self‐relevant scenarios. On the other hand, memory distortion was minimized when participants read but did not imagine self‐relevant scenarios. These results have direct application to clinicians and researchers who employ imagination techniques as behavioural modifiers, and suggest that techniques that are self‐relevant but do not include imagery may be a useful alternative to imagination. Copyright © 2006 John Wiley & Sons, Ltd.     

Personal Standards in Professional Relationships: Limiting Interpersonal Harassment

An attempt is made to define abusive actions by offering criteria against which the behaviour of individuals can be considered. These criteria are based on whether the behaviour is avoidable, the appraisal of an objective observer and the impact of the behaviour on the ‘psychological contract’ between employer and employee. Particular abusive actions, identified by these criteria, are described and are contrasted with what are termed ‘reasonable expectations’ of one person's behaviour towards another. It is argued that only by translating these expectations into personal commitments, against which one's own behaviour can be compared, will interpersonal harassment be limited. It is also proposed that the size of consensus about what constitutes abusive actions measures the integrity of an organization's culture. © 1997 John Wiley & Sons, Ltd.     

High involvement HR systems and innovative work behaviour: the mediating role of psychological empowerment,and the moderating roles of manager and co-worker support

Employees’ innovative work behaviour can help firms’ competitiveness. Existing research focuses on several factors, including HR policies, psychological empowerment as well as manager and co-worker support, to explain innovative work behaviour. However, much of this literature analyses just one of these, neglecting how they interact and limiting our understanding of the causes of innovative work behaviour. Synthesizing this work, we develop a novel and holistic framework that examines 1) how high-involvement HR systems are linked via the mediating role of psychological empowerment to innovative work behaviour and 2) how both manager and co-worker support moderate this relationship. Analysing software companies in Pakistan, we use hierarchical linear modelling to assess this framework. We draw on a unique dataset that captures HR policies at the organizational level as well as management and co-worker support, and supervisors’ assessments of individuals’ innovative work behaviour at the individual level. We analyse specific groups of HR practices. Psychological empowerment mediates the relationship between high-involvement HR systems and employees’ innovative work behaviour. Manager and co-worker support moderate the relationship between psychological empowerment and innovative work behaviour. Motivation-enhancing HR practices have a direct effect on innovative work behaviour, whereas ability- and opportunity-enhancing ones are mediated by psychological empowerment.     

Donor and recipient: Social development,social interaction,and evolutionary processes

This review examines recent books on altruism and prosocial behaviour. Psychological approaches, biological approaches, and economic approaches are covered. The list of variables known to influence prosocial behaviour includes situational determinants, motivational orientations, and personality variables. Psychological theories emphasizing norms, cost-benefit calculations, and developmental factors have been used successfully to explain prosocial behaviour. Attention is given to models of helping and social and therapeutic treatment programmes. Genetic variables in prosocial behaviour are also reviewed.     

Pedestrian behaviour of 6th grade Estonian students: Implications of social factors and accident-prevention education at school

Children as pedestrians are one of the most vulnerable groups of road users. Therefore factors associated with risky pedestrian behaviour should be carefully studied. The aim of this article is to clarify how the traffic behaviour of 6th grade students as pedestrians is associated with the behaviour of their traffic companions and prevention activities at school, also taking gender into consideration. The research was conducted based on a randomly-selected sample of 1033 6th-grade students with the mean age of 12.77 ± 0.38 (SD) years. The results showed that compared to girls boys take significantly more risks as pedestrians: they rarely use reflectors during periods of darkness and often cross the road against the red light. The most important role models for adolescents in traffic behaviour are their parents. The role model behaviour with the strongest effect on adolescent high-risk behaviour in traffic is the role model not using crosswalks to cross the street. The results also showed that higher-risk traffic behaviour by adolescent pedestrians is predicted by higher-risk behaviour on the part of their companions (parents, teachers), walking alone on the street, as well as by an adolescent’s lower involvement in the less active prevention activities in the classroom. To improve adolescent pedestrians’ traffic behaviour social environment and school-based factors should be considered more thoroughly in prevention work at school.     

The role of variety in the evolution of information society

Information is power. There are several theoretical considerations which guide the basic research on information society and its evolution. Some of them, worked out in this paper, deal with the role of social variety in the process of post‐industrial evolution. Exploring similarities in bio‐genetic information, the process of social transformation is approached by using social system theory.

With certain analogies to biological transformations—mutations—important elements for the transformation of information‐guided behaviour systems (cultures) may be observed. They create a variety of elements (sub‐systems), which respond for changes in the social layout of all kinds of organisations like states, partys, groups, insofar as these changes aim the optimation of functional effectivity in dependence of the variety and its use by a social system's elements (events, acts).

By information processing, collectivities are able to explote even subtile fluctuations in socio‐cultural information variety to “cause” changes. Collectivities are able to instruct and functionalise emerging information through feedback in such a way, that they get better chances to reach certain local values of selection. They are fitter in the sense of better instructed. This process is self‐organised, based on the principle of selection, so that the system chooses out of a complex landscape of values trough communication of measuring parameters like “good” and “bad”. The value‐system is learned through socialisation and changed by social experience.

If social change and variety are optimised, the replication of the system works close to a “treshold of error”, that means that transformation processes are driven to a dynamic equilibrium between stabiliy and creativity. A variety of new transformation operators emerges. Operators of the former dominant information code are still reproducted, but a lot of other alternatives, stabilised by mutual separation are also represented in a survivable concentration and quantity. The competition between these new operators can be transformed in cooperation by their cyclic boundage in networks.

Concluding the paper argues that social systems which intend an optimation of their power management functions by integration of information variety, take advantage in their development in comparison to those who neglect this aspect. They are prepared to develop in a changing environment. Their optimation is a result of feedback within a variety of leadership‐systems, which may also be seen as competitive lifestyles. At a certain critic point there occurs a break in the symmetry of the dominant organisation: a multipole political leadership system emerges, behaviours are derepressed and activated. Uniformity in social time is broken and with it the linear thinking.