加强麻醉科本科实习生对手术患者围术期心理支持疗法的培养

麻醉科本科实习生在实习期间必然面对众多的手术患者,我院欲将这些学生培养成合格的、德才兼备的医生,除了在实习期间指导他们掌握专业理论和实践技能外,更要加强他们对临床手术患者人文关怀意识的培养.手术患者的焦虑情绪往往影响麻醉管理质量,甚至预后;加强实习生对手术患者围术期心理支持疗法的培养意义深远.     

宗教与全球发展:一种对话路径

宗教与全球发展成为当代社会的一个重要议题,一个标志在于联合国千禧年发展目标的提出及世界宗教和精神领袖千禧年和平高峰会议。其中,由前世界银行行长及当时的坎特伯雷大主教联合发起的世界信仰发展对话,即为推动类似目标的一个重要机构。发展的目的在于人。贫困不仅包括物质的层面,也包括精神的层面。全球经济的发展需要一种伦理和价值的支撑。文化应该作为一种创新机制,参与并影响全球发展的过程。在中国,宗教是建设社会主义和谐社会的重要因素。中共十七大明确指出,要发挥宗教在社会经济发展中的重要作用。十七届六中全会则明确提出文化体制改革的目标。随着中国改革开放的进一步深入,中国对世界的影响日益加强,文化和精神的维度在社会发展和国家建设方面将扮演更重要的作用。中国模式也将对世界论坛的讨论产生一定影响。     

Spatial orienting in the visual field: a unified perceptual space?

Visual attention can be oriented toward a spatial location in the visual field exogenously by an abrupt onset of a peripheral cue. In a series of behavioral studies on exogenous orienting of attention with a double-cue paradigm, we demonstrated a functional subdivision of perceptual space in the visual field. Specifically, inhibition of return (IOR) is much stronger at periphery relative to perifoveal visual field up to approximately 15° eccentricity, suggesting two dissociable functional areas in the visual field. To further investigate the generality of this functional subdivision of the visual field, we measured IOR effects with another single-cue paradigm and applied a very short cue-target interval that was typically anticipated not to observe any inhibitory effect at all. Consistent with this expectation, no IOR effects at the eccentricities up to 15° were observed. However, significant IOR effects beyond 15° eccentricities were consistently demonstrated. These results not only revealed an early onset of IOR for more peripheral stimuli, but also confirmed that the perceptual space in the visual field is not homogeneous but underlies a functional subdivision with a border of ca. 15° eccentricity.     

Brueckner and Fischer on the Evil of Death

A primary argument against the badness of death (known as the Symmetry Argument) appeals to an alleged symmetry between prenatal and posthumous nonexistence. The Symmetry Argument has posed a serious threat to those who hold that death is bad because it deprives us of life’s goods that would have been available had we died later. Anthony Brueckner and John Martin Fischer develop an influential strategy to cope with the Symmetry Argument. In their attempt to break the symmetry, they claim that due to our preference of future experiential goods over past ones, posthumous nonexistence is bad for us, whereas prenatal nonexistence is not. Granting their presumption about our preference, however, it is questionable that prenatal nonexistence is not bad. This consideration does not necessarily indicate their defeat against the Symmetry Argument. I present a better response to the Symmetry Argument: the symmetry is broken, not because posthumous nonexistence is bad while prenatal nonexistence is not, but because (regardless as to whether prenatal nonexistence is bad) posthumous nonexistence is even worse.     

Negative effects of item repetition on source memory

In the present study, we explored how item repetition affects source memory for new item-feature associations (picture-location or picture-color). We presented line drawings varying numbers of times in Phase 1. In Phase 2, each drawing was presented once with a critical new feature. In Phase 3, we tested memory for the new source feature of each item from Phase 2. Experiments 1 and 2 demonstrated and replicated the negative effects of item repetition on incidental source memory. Prior item repetition also had a negative effect on source memory when different source dimensions were used in Phases 1 and 2 (Experiment 3) and when participants were explicitly instructed to learn source information in Phase 2 (Experiments 4 and 5). Importantly, when the order between Phases 1 and 2 was reversed, such that item repetition occurred after the encoding of critical item-source combinations, item repetition no longer affected source memory (Experiment 6). Overall, our findings did not support predictions based on item predifferentiation, within-dimension source interference, or general interference from multiple traces of an item. Rather, the findings were consistent with the idea that prior item repetition reduces attention to subsequent presentations of the item, decreasing the likelihood that critical item-source associations will be encoded.     

惊反射在创伤后应激障碍研究中的应用:高唤醒与恐惧抑制

创伤后应激障碍(PTSD)是唯一在诊断标准中包含惊反射改变的精神疾病.相比自我报告法,对惊反射的实验室测量与总体症状关联更紧密,并已积累了较多神经机制研究成果,可作为连接前临床与临床研究的桥梁.在惊反射应用于PTSD研究的初期,它主要作为PTSD患者高唤醒症状的客观指标,但是尚未发现惊反射强度的变化与总体症状的明确关系.近年来,惊反射与情境性焦虑、恐惧抑制等新范式结合,发现特定情境下惊反射改变是PTSD患者特有的表现.惊反射在创伤应激障碍研究中所取得的新进展对PTSD病理机制的探索和临床诊断都有所启发和推进.     

Against Psychological Sequentialism

Psychological Sequentialism holds that no causal constraint is necessary for the preservation of what matters in survival; rather, it is sufficient for preservation if two groups of mental states are similar enough and temporally close enough. Suppose that one’s body is instantaneously dematerialized and subsequently, by an amazing coincidence, a collection of molecules is configured to form a qualitatively identical human body. According to Psychological Sequentialism, these events preserve what matters in survival. In this article, I examine some of the main arguments for the view and argue that they fail to establish that no causal constraint is necessary. I also argue that Psychological Sequentialism yields implausible consequences that render it hard to accept the view.     

Age-related differences in working memory: ERPs reveal age-related delays in selection- and inhibition-related processes

Faulty inhibition is implicated in age-related working memory decline. ERP signs of selection and inhibition of items in working memory (WM) are, respectively, a cue-locked parietal positivity (～350 ms) and a probe-locked frontal negativity (～520 ms). To determine when in the older age range differences in selective and inhibitory processes might occur, ERPs were recorded in a WM task from 20 young (20–28), 20 young–old (60–70), and 20 old–old (71–82) adults. A 4-digit display was followed by a cue indicating which 2 of 4 digits were relevant. Proactive interference (PI), the reaction time difference between a matching and non-matching to-be-ignored digit was larger, relative to the young, in both older groups. Compared to the young, both the cue- and probe-locked activities were prolonged in the older groups. Although there were no topographic differences among the age groups, the prolonged PI and associated ERPs suggest a relative age-related deficit in inhibition.     

Manipulation of walnuts to facilitate opening by the great spotted woodpecker (Picoides major): is it tool use?

True tool use has been documented in some bird species, but to our knowledge, it has not been shown in woodpeckers. Here, we investigated the ability of Picoides major to open nuts of Juglans mandshurica by consistently inserting walnuts between tree branches in a specific position that facilitated nut opening. As seen in these birds, we showed that woodpeckers removed 96 % of the nuts of J. mandshurica from experimental seed trays and inserted each nut in a precise position that specifically allowed nut cracking. When we inserted nuts in an alternative position, woodpeckers manipulated and repositioned nuts to allow nut opening. In contrast, when we inserted the nuts in positions preferred for nut opening, woodpeckers did not alter their position and instead opened the nuts. We suggest that the origin of this behavior, as in other forms of tool use, likely requires a higher cognitive ability in these birds.     

The contribution of self-compassion in the relationship between social support and posttraumatic growth

IntroductionDespite well-established evidence on the relationship between social support and posttraumatic growth (PTG), there remains a paucity of evidence regarding the mechanism that underlie this relationship.ObjectiveThis study examined the relationship between social support and PTG, while exploring self-compassion as an intermediatory factor in this association.MethodA cross-sectional study with 447 college students was conducted in Trabzon, Turkey. The data were analyzed using Structural Equation Modelling (SEM).ResultsResults indicated that perceived social support and self-compassion were associated with PTG. Furthermore, a significant indirect effect between social support and PTG via self-compassion emerged.ConclusionBased on the study findings, tailored intervention programs targeting self-compassion and perceived social support in trauma-exposed young adults may be useful for promoting posttraumatic growth.