19世纪西方医学对精神疾病诊治的影响

精神疾病是现代困扰人类的主要疾病之一。通过总结19世纪西方医学对精神疾病的认识及主要治疗方法,拟展现这个世纪中治疗方法随观念变化和实践深入而发展的轨迹,旨在说明19世纪是西医精神病学发展史上的重要时期,并揭示其与现代精神疾病治疗的历史传承性。     

医学模式的转变与胃食管反流病的思考

胃食管反流病（GERD）是消化科门诊最常见的疾病之一,具有慢性复发性倾向,严重影响人们的生活质量。目前认为本病是一种多因素的心身疾病,随着传统生物医学模式向生物-心理-社会医学模式的转变,要求我们要自觉地运用辩证唯物主义观点,从系统论出发,应用发展的观点,注重医学模式的转变,审慎制定治疗方案。     

汉词和图画再认的ERP效应及脑机制

目的：比较汉词与图画材料再认过程中的事件相关电位（ERP）表现并探讨其脑机制。方法：使用经典“学习一再认”实验模式对21名大学生进行测验,同时记录EEG,离线处理后对汉词及图画再认诱发的ERP波形主要成分及新旧效应进行比较。结果：两种材料的再认均诱发出了明显的新旧效应。顶区新旧效应头皮分布基本一致,但图画再认该效应波幅大于汉词再认;两种材料诱发的额区新旧效应有所不同,图画再认该效应为正走向,而汉词再认此效应表现为负走向趋势。结论：汉词与图画再认既存在某种共同的神经加工机制,叉分别涉及一些特异性的神经活动模式。     

西方形而上学视域内的马克思哲学

本文在探讨了西方形而上学的由来之后,分析了西方形而上学的主要特征;以此为历史和逻辑的衔接,阐述了作为西方形而上学继承和超越的马克思哲学的要义.     

技能性知识与体知合一的认识论

近年来,现象学、科学知识社会学以及关于人工智能的哲学研究对传统科学认识论提出了挑战。这些研究成果虽然主旨各不相同,但都不约而同地涉及到关于技能性知识(skillful knowledge)的讨     

Chinese characters elicit face-like N170 inversion effects

Recognition of both faces and Chinese characters is commonly believed to rely on configural information. While faces typically exhibit behavioral and N170 inversion effects that differ from non-face stimuli (Rossion, Joyce, Cottrell, & Tarr, 2003), the current study examined whether a similar reliance on configural processing may result in similar inversion effects for faces and Chinese characters. Participants were engaged in an orientation judgment task (Experiment 1) and a one-back identity matching task (Experiment 2). Across two experiments, the N170 was delayed and enhanced in magnitude for upside-down faces and compound Chinese characters, compared to upright stimuli. The inversion effects for these two stimulus categories were bilateral for latency and right-lateralized for amplitudes. For simple Chinese characters, only the latency inversion effects were significant. Moreover, the size of the right-hemisphere inversion effects in N170 amplitude was larger for faces than Chinese characters. These findings show the N170 inversion effects from non-face stimuli closely parallel effects seen with faces. Face-like N170 inversion effects elicited by Chinese compound characters were attributed to the difficulty of part-whole integration as well as the disrupted regularity in relational information due to inversion. Hemispheric difference in Chinese character processing is also discussed.     

Parental stress, coping styles, and social supports in chinese families with hepatitis-b-carrying children

The purpose of the study was to examine the hypothesis that parents’ psychological well-being can be affected by a child’s illness and their social situations. In this study, we discuss the roles of coping, social support and situational context related to stress. These factors cannot only affect stress levels but can also influence whether the individual adopts a certain type of coping style for stressful events. Parental stress, coping styles and social support were compared between groups of parents of Hepatitis B virus (HBV) carrier children or healthy children. Results showed that parents of affected children were significantly more stressed and psychologically at risk, and tended to mobilize personal resources and to rely more on themselves to solve stressful life events. They also sought help from social resources more often than did parents of healthy children. Parents of healthy children had a higher number of close friends and relatives available to them. Ninety Chinese parents and their HBV or healthy children participated in this study. These families were all living in the city of Guangzhou, China.     

Mental Health, Social Environment and Sexual Risk Behaviors of Adolescent Service Users: A Gender Comparison

We examined individual mental health problems (depression, conduct disorder, and substance abuse) and social environment (family, peer, and neighborhood) factors associated with the sexual risk behaviors of male and female adolescents. Interviews with 778 adolescents, aged 14 to 18, showed that both mental health problems and social environment were related to adolescents' involvement in sexual risk behaviors. Conduct disorder symptoms, substance abuse or dependence symptoms, and the interaction between peer misbehavior and neighborhood problems were significantly associated with risky sexual behaviors. Peer misbehavior was a particularly strong factor related to sexual risk behaviors for youths who lived in neighborhoods with multiple problems. The only gender differences were found in age, with older males more likely to report engaging in high risk sexual behaviors. This study suggests the utility of multidimensional intervention strategies to deal with various adolescent problem behaviors, including risky sexual behaviors, within the context of their social environment.     

Promoting “Healthy Futures” to Reduce Risk Behaviors in Urban Youth: A Randomized Controlled Trial

There is increasing evidence of the interconnection between educational and health outcomes. Unfortunately wide disparities exist by both socioeconomic status and race/ethnicity in educational and vocational success. This study sought to promote urban youths’ career readiness as a way to reduce involvement in risk behaviors. Two hundred primarily African‐American youth (ages 14–21) were recruited from a pediatric primary care clinic. Youth randomized to the intervention received three motivational interviewing sessions focused around expectations and planning for the future. Baseline and 6‐month follow‐up assessments included measures of career readiness and risk behavior involvement (i.e., physical fighting, alcohol and marijuana use). At 6‐months, youth randomized to the intervention condition showed increased confidence in their ability to perform the behaviors needed to reach their college/career goals. Additionally, youth randomized to the intervention arm showed decreased fighting behavior (adjusted rate ratio: .27) and marijuana use (adjusted rate ratio: .61). Assisting urban youth in thinking and planning about their future holds promise as a way to reduce their involvement in risk behaviors. This study also demonstrated that motivational interviewing could be used to promote positive behaviors (i.e., career readiness).     

增龄性记忆改变规律及影响因素的研究

本研究用多维记忆量表对280名50～91岁的老年人做了测查,同时收集了一般资料,以探讨增龄性记忆改变的规律和年龄、教育和职业等因素对增龄性记忆改变的影响。结果表明：随年龄增长,各记忆组合分和分测验成绩均呈下降趋势,外显记忆成绩在70岁后呈快速下降,内隐记忆和日常生活记忆在75岁后才有明显下降;记忆总分、外显记忆和日常生活记忆均受年龄和教育的影响,内隐记忆不受教育的影响。结果提示老年人记忆随年龄增长呈渐渐下降,不同记忆功能开始下降的年龄和下降速率不同,教育对增龄性记忆改变有保护作用。