中美教学医院门诊病历管理对比研究

通过文献检索、走访调研并结合笔者对美国教学医院门诊病历管理的实地考察,本文对中美两国教学医院人员对门诊病历管理的认识理念、门诊病历管理的方式、病历的规范设计以及门诊病历的质量控制等方面进行了对比研究。显示我国教学医院在门诊病历管理方面与发达国家存在着差距。从提高临床医疗和医学教学质量、有利于患者疾病的诊治和培养当代优秀...     

Age Differences in the Variance of Personality Characteristics

In contrast to mean‐level comparisons, age group differences in personality trait variance have received only passing research interest. This may seem surprising because individual differences in personality characteristics are exactly what most of personality psychology is about. Because different proposed mechanisms of personality development may entail either increases or decreases in variance over time, the current study is exploratory in nature. Age differences in variance were tested by comparing the standard deviations of the five‐factor model domain and facet scales across two age groups (20 to 30 years old versus 50 to 60 years old). Samples from three cultures (Estonia, the Czech Republic and Russia) were employed, and two methods (self‐reports and informant‐reports) were used. The results showed modest convergence across samples and methods. Age group differences were significant for 11 of 150 facet‐level comparisons but never consistently for the same facets. No significant age group differences were observed for the five‐factor model domain variance. Therefore, there is little evidence for individual differences in personality characteristics being systematically smaller or larger in older as opposed to younger people. We discuss the implications of these findings for understanding personality development. Copyright © 2015 European Association of Personality Psychology     

Multiproblem Families Referred to Youth Mental Health: What's in a Name?

The purpose of this study was threefold, namely (1) to differentiate between multiproblem families and control families on characteristics and processes within the family based on a theoretical framework, (2) to identify multiproblem families by establishing cut‐off scores on various questionnaires, and (3) to categorize multiproblem families into subtypes by cluster analyses. Various questionnaires were administered to multiproblem families (n = 85) and control families (n = 150). Results showed that what we propose to refer to as multiproblem families present a broad range of problems on seven domains: (1) child factors, (2) parental factors, (3) childrearing problems (inadequate or inconsistent parenting), (4) family functioning problems, (5) contextual problems, (6) social network problems, and (7) mental health care problems. Further, reliable cut‐off scores were established for various questionnaires. Finally, three types of families were found: (1) community‐problem families, (2) multiproblem families, and (3) child‐focused mild‐problem families. This paper looks to advance an evidence‐based definition and assessment of “multiproblem families” suggesting the possible value of defining and assessing multiproblem families in relation to these seven dimensions. Moreover, the classification of multiproblem families stresses the importance of providing tailored treatments.     

Resilience matters: Explaining the association between personality and psychological functioning during the COVID-19 pandemic

Background/ObjectiveThe objective of the study was to elucidate the underlying mechanism through which basic personality dimensions predict indicators of psychological functioning during the COVID-19 pandemic, including subjective well-being and perceived stress. As a personality characteristic highly contextualized in stressful circumstances, resilience was expected to have a mediating role in this relationship. Method: A sample of 2,722 Slovene adults, aged from 18 to 82 years filled in the Big Five Inventory, the Connor-Davidson Resilience Scale, the Perceived Stress Scale, and the Mental Health Continuum. A path analysis with the Bootstrap estimation procedure was performed to evaluate the mediating effect of resilience in the relationship between personality and psychological functioning. Results: Resilience fully or partially mediated the relationships between all the Big Five but extraversion with subjective well-being and stress experienced at the beginning of the COVID-19 outburst. Neuroticism was the strongest predictor of less adaptive psychological functioning both directly and through diminished resilience. Conclusions: Resilience may be a major protective factor required for an adaptive response of an individual in stressful situations such as pandemic and the associated lockdown.     

The construct of psychophysiological reactivity: Statistical and psychometric issues

The purpose of this paper is to review major statistical and psychometric issues impacting the study of psychophysiological reactivity and discuss their implications for applied developmental researchers. We first cover traditional approaches such as the observed difference score (DS) and the observed residual score (RS), including a review of classic and recent research on their reliability and validity from two related bodies of work: the measurement of change and the Law of Initial Values. Second, we review several types of latent variable modeling in this context: latent difference score (LDS) models, latent residual score (LRS) models, latent state-trait (LST) models, and latent growth curve (LGC) models. Finally, we provide broad guidelines for applied researchers broken down by key stages of a psychophysiological project: study planning, data analysis, and reporting of results. Our recommendations highlight the need for (1) increased attention to the ubiquitous nature of measurement error in observed variables and the importance of employing latent variable models when possible, and (2) increased specification of theories relating to the construct of reactivity, especially in regards to the distinction between baseline arousal and change over time in broader systems of variables.     

Intentions,Permissibility, and Choice

T. M. Scanlon has argued that the intentions with which one acts, or more specifically, one’s reasons for acting, are non-derivatively irrelevant to the moral permissibility of one’s actions. According to one of his arguments in favor of that thesis, it can be permissible to act for one reason rather than another only if one can choose to act for a reason but, since that choice is impossible since believing as will is impossible, one can be permitted to act but one cannot be permitted to act for a reason. This paper aims to show that that argument is unsound. It first argues that the assumption that choosing an action is necessary for it being an object of a moral duty or permission cannot be made consistent with Scanlon’s idea that the same does not hold for an action being an object of blame. It then argues that even if direct control over forming beliefs is impossible, it is not impossible to choose one’s reason for action and, therefore, to be permitted or forbidden to act for it.     

How do trainees choose their first psychotherapy training? The case of training in psychotherapy integration

Future trainees go through difficult decision-making processes when starting their first psychotherapy training. The choice of training in psychotherapy integration is a specific type of this process. In this study, qualitative data were obtained from the motivational letters, in-depth semi-structured interviews and e-mail questionnaires of 26 future trainees to answer the research question, ‘How do trainees choose their first psychotherapy training?’ We primarily employed the grounded theory approach as well as consensual qualitative research to shed light on the central category of Gaining Certainty to enter the training. This category was elaborated into a four-phase model, specifically comprised of the: (1) Critical Comparison, (2) Identification, (3) Self-Confirmation and (4) Waiting phases. The model was then discussed in connection with relevant concepts, such as the degree of complexity and flexibility within the epistemological development of trainees [Vasco, A. B., &; Dryden, W. (1994). The development of psychotherapists’ theoretical orientation and clinical practice. British Journal of Guidance &; Counselling, 22(3), 327–341].     

The semantic organization of the animal category: evidence from semantic verbal fluency and network theory

Semantic memory is the subsystem of human memory that stores knowledge of concepts or meanings, as opposed to life-specific experiences. How humans organize semantic information remains poorly understood. In an effort to better understand this issue, we conducted a verbal fluency experiment on 200 participants with the aim of inferring and representing the conceptual storage structure of the natural category of animals as a network. This was done by formulating a statistical framework for co-occurring concepts that aims to infer significant concept-concept associations and represent them as a graph. The resulting network was analyzed and enriched by means of a missing links recovery criterion based on modularity. Both network models were compared to a thresholded co-occurrence approach. They were evaluated using a random subset of verbal fluency tests and comparing the network outcomes (linked pairs are clustering transitions and disconnected pairs are switching transitions) to the outcomes of two expert human raters. Results show that the network models proposed in this study overcome a thresholded co-occurrence approach, and their outcomes are in high agreement with human evaluations. Finally, the interplay between conceptual structure and retrieval mechanisms is discussed.     

Understanding Prosodic Focus Marking in Mandarin Chinese: Data from Children and Adults

Journal of Psycholinguistic Research - This study investigated whether Mandarin speakers interpret prosodic information as focus markers in a sentence-picture verification task. Previous production...     

On Categorical Equivalences of Commutative BCK-algebras

A commutative BCK-algebra with the relative cancellation property is a commutative BCK-algebra (X;*,0) which satisfies the condition: if a ≤ x, a ≤ y and x * a = y * a, then x = y. Such BCK-algebras form a variety, and the category of these BCK-algebras is categorically equivalent to the category of Abelian ℓ-groups whose objects are pairs (G, G ₀), where G is an Abelian ℓ-group, G ₀ is a subset of the positive cone generating G ⁺ such that if u, v ∈ G ₀, then 0 ∨ (u - v) ∈ G ₀, and morphisms are ℓ-group homomorphisms h: (G, G ₀) → (G′,G′₀) with f(G ₀) ⫅ G′₀. Our methods in particular cases give known categorical equivalences of Cornish for conical BCK-algebras and of Mundici for bounded commutative BCK-algebras (= MV-algebras). This revised version was published online in June 2006 with corrections to the Cover Date.