消极偏差还是积极缺乏:抑郁的积极心理学解释

抑郁的认知理论被认为是当代最具影响的抑郁理论之一,其中贝克抑郁理论与无望抑郁理论是两大主要的认知理论。认知理论主张消极认知偏差是导致抑郁的易感因素。然而,"抑郁现实主义"及"积极错觉"等研究却证实抑郁个体并不存在消极认知偏差。以往研究的矛盾实际上反映了当代心理学过分关注消极的病理化倾向。新兴的积极心理学则试图从全新视角解释抑郁,导致抑郁的原因不是个体身上积极因素的缺位,而是积极力量未被充分发挥。     

论社会主义道德价值观的一元指导

社会主义荣辱观是社会主义道德价值观的核心组成部分。本文对社会主义道德价值观进行了详细阐释,回顾了中国现代道德价值观的形成过程,分析了当代社会主义道德价值观面临的挑战,通过对社会主义道德价值观在我国发展历史的回顾和对西方的价值观的客观分析,从理论上论证了社会主义道德价值观的一元指导是我国社会的必然选择。     

Mediators of Change in Cognitive Behavior Therapy for Clinical Burnout

Evidence supporting the effectiveness of cognitive behavior therapy (CBT) for stress-related illness is growing, but little is known about its mechanisms of change. The aim of this study was to investigate potential mediators of CBT for severe stress in form of clinical burnout, using an active psychological treatment as comparator. We used linear mixed models to analyze data from patients (N = 82) with clinical burnout who received either CBT or another psychological treatment in a randomized controlled trial. Potential mediators (i.e., sleep quality, behavioral activation, perceived competence, and therapeutic alliance) and outcome (i.e., symptoms of burnout) were assessed weekly during treatment. The results showed that the positive treatment effects on symptoms of burnout favoring CBT (estimated between-group d = 0.93) were mediated by improvements in sleep quality, ab = -0.017, 95% CI_asymmetric [-0.037, -0.002], and increase in perceived competence, ab = -0.037, 95% CI_asymmetric [-0.070, -0.010]. Behavioral activation, ab = -0.004 [-0.016, 0.007], and therapeutic alliance, ab = 0.002 [-0.006, 0.011], did not significantly mediate the difference in effects between the treatments. Improving sleep quality and increasing perceived competence may thus constitute important process goals in order to attain symptom reduction in CBT for clinical burnout.     

共情的神经生物基础

共情指个体感知或想象他人的情感, 并部分体验到他人感受的心理过程。共情包括情感共情和认知共情两个独立成分。情感共情的神经网络包括前脑岛(AI)、前扣带回(ACC)以及镜像神经系统(MNS), 认知共情的核心脑区是腹内侧前额叶(vmPFC)。共情的神经网络在个体发展中逐渐成熟并受到认知评价的调节。另外, 催产素和催产素受体基因多态性与共情密切联系。未来应该深入研究躯体感觉皮质在疼痛共情中的作用, 共情和亲身情感体验的神经网络的区别, 开展催产素改善共情缺陷个体的干预研究, 采用脑成像基因技术研究基因多态性与共情神经网络的关系以及提高共情研究范式的生态效度。     

Inventing the wheel once more or learning from the history of psychotherapy research methodology: Reply to Gaudiano's comments on review

Gaudiano's criticism of one part of my review of ACT outcome research (Öst, 2008) is refuted on all issues but one. It is clear that the average amount of grant support for the ACT-studies was smaller than that of CBT-studies, even if the proportion of studies having grant support was not lower. However, that fact should only influence 25% (2 out of 8) of the methodology variables on which ACT-studies had lower mean scores than CBT-studies. It is not acceptable that a relatively new treatment, such as ACT, should be evaluated by more lenient criteria than already established therapies like CBT. If proponents of a new treatment wish to claim that their therapy is empirically supported then they have to accept to be evaluated by the APA Task Force criteria. It is time that ACT researchers start using the current psychotherapy research methodology.     

Early life origins of psychological development and mental health

According to the Developmental Origins of Health and Disease (DOHaD)‐hypothesis, conditions early in life may have life‐long consequences. In a series of epidemiological birth cohort and clinical studies and natural experiments, we have had the chance to test the extent to which this hypothesis is useful in understanding individual differences in psychological development and mental health. Our findings have provided evidence that individual differences in cognitive, social and emotional development and in mental health may lie in early life circumstances, and add significantly to the literature by pointing out which periods of early growth are the most critical. These findings are also important in translating pre‐clinical evidence to humans. What remains less clear, however, is what the mechanisms of programming are. Thus, further research is needed to elucidate these mechanisms before information on the early life origins of health and disease can be used in designing prevention and intervention programs.     

The AMQ: A Four‐Factor Inventory of Absentmindedness and Memory

The Absentmindedness and Memory Questionnaire (AMQ) is a new self‐rating scale designed to evaluate everyday memory problems related to absentmindedness. It includes 24 items and is based on studies of different samples (N= 623). Its test‐retest reliability is high and it has consistently shown similar factor structure. The AMQ thus measures four weakly correlated factors: Absentmindedness, Persons, Locations and Codes/Addresses. Factor analysis further indicates that Absentmindedness may include two subfactors: momentary attention deficit and prospective forgetfulness or impaired agenda memory. Gender differences were found in Persons (Female+) and Locations (Male+) but not in Absentmindedness or Codes/Addresses. The current version of AMQ has seven interindividually comparable response alternatives for each item in the questionnaire. This makes it useful as a measure of subjective absentmindedness or forgetfulness as well as a complementary measure of subjective memory for persons, locations, and codes/addresses/stories, especially at follow‐up examinations.     

Physiological responses in blood phobics

Eighteen patients with blood phobia were shown a film of thoracic operations containing large amounts of blood. Their heart rate (HR) and blood pressure (BP) were measured continuously before, during and after the watching of the film. The group data showed a diphasic response; an increase in HR and BP from baseline to the beginning of the film, and then a sharp drop in these parameters with the lowest values 4 min after the film was turned off. Individual data from 5 patients who fainted or were on the edge of doing so, showed massive bradycardia or drop in BP or both. In all of these patients at least one (range 1–33) 5-sec period of asystole was recorded. Possible theoretical explanations for this characteristic response pattern are discussed.     

Recognition failure of recallable words: Exception due to poor integration

The phenomenon of recognition failure of recallable words shows a remarkable regularity across a wide variety of experimental conditions. A quadratric function, referred to as the Tulving-Wiseman function, summarizes this regularity. A few cases of deviation from this function have been identified and classified into two categories of exceptions to this function. An experiment was designed to deal with one of these categories, namely the exception that occurs because of poor integration between cue and target information of studied word pairs. An index based on confidence ratings of recall responses was developed to assess variability in integration. Poor integration was demonstrated especially for one presentation of low associative word pairs, and significant deviations from the function was obtained for this condition. Hintzman's (1991, 1992) hypothesis about mathematical constraints of the Tulving-Wiseman function was discussed and refuted. Finally, an interpretation of negative deviations from the Tulving-Wiseman function was proposed.     

Individual response patterns and the effects of different behavioral methods in the treatment of social phobia

The importance of individual response patterns in the treatment of phobic patients was examined in the present study. Forty psychiatric outpatients with social phobia were assessed with a social interaction test which was videotaped. Heart rate was continuously monitored during the test. On the basis of their reactions in the test situation, the patients were divided into two groups showing different response patterns; behavioral and physiological reactors. Within each group half of the patients were randomly assigned to a behaviorally focused method (social skills training) while the other half received a physiologically focused method (applied relaxation). The patients were treated individually in 10 sessions. The within-group comparisons showed that both treatments yielded significant improvements on most measures. The between-group comparisons showed that for the behavioral reactors, social skills training was significantly better than applied relaxation on six out of ten measures, and for the physiological reactors applied relaxation was significantly better than social skills training on three of the measures. The results support the hypothesis that greater effects are achieved when the method used fits the patient's response pattern.