医学与文学的传统及创新

论述医学与文学关系的文章习惯以阿波罗开头。文学与医学直到最近才成为医学人文学里的一个新的学术分支 ,但文学与医学的关系至少可追溯到古希腊。本文中 ,我将讨论如何看待医学与文学关系的四种传统方式 :其一 ,疾病的形象 (ｉｍａｇｅｓ) ,即文学中患病、苦难和死亡的主题 ;其二 ,治疗者的形象 ;其三 ,医生—诗人或医生—作家类型 ;其四 ,文学作为一种治疗方法。然后 ,我将简要讨论文学在今日医学教育中的作用并提供一个思辨性的结论。1　传统1 1　患病、苦难和死亡的主题与医学一样 ,文学关涉患病、苦难和死亡这些与人类同样古老的主题…     

The validity of the successive intervals method of psychometric scaling

The degree to which scale values computed by the method of successive intervals diverge from theoretically true values is seen to be due to three types of error: error due to inequalities in variances of the distributions from which the scale values are computed, error due to non-normality of the distributions, and sampling error. The contribution of each type of error to the total error is evaluated; the latter is seen to be surprisingly small under appropriate conditions. Certain aspects of the formal methodology underlying scaling procedures are also briefly considered.This paper reports research undertaken in cooperation with the Quartermaster Food and Container Institute for the Armed Forces, and has been assigned number 475 in the series of papers approved for publication. The views or conclusions contained in this report are those of the authors. They are not to be construed as necessarily reflecting the views or indorsement of the Department of Defense.     

Sleep-related attentional bias in good, moderate, and poor (primary insomnia) sleepers

Evidence was sought of an attentional bias toward a highly representative object of the bedroom environment in good, moderate, and poor (primary insomnia) sleepers. Using a flicker paradigm for inducing change blindness, the authors briefly presented a single scene comprising a group of bedroom environment and neutral objects to participants and then briefly replaced this scene with an identical scene containing a change made to either a bedroom environment or a neutral object. In a 3 x 2 entirely between-participants design, change-detection latencies revealed a sleep-related attentional bias in poor sleepers but not in good sleepers. A possible bias in moderate sleepers was also revealed. It is suggested that attentional bias has a role in the perpetuation and possibly precipitation of primary insomnia.     

The effects of overhearing peers discuss an authority's fairness reputation on reactions to subsequent treatment

Fairness heuristic theory was used to examine how information from one's peers affects an individual's interpretation of, and reactions to, an authority's subsequent behavior. Participants (N=105) overheard their peers discuss an experimenter's reputation (fair, unfair, or absent) before interacting with the experimenter who behaved more versus less fairly. Results showed that the social cues biased participants' subsequent information processing: controlling for the experimenter's behavior, interactional justice mediated the effect of social cues on retaliation. Social cues and the authority's behavior also interacted to predict retaliation. Participants who were treated less fairly retaliated more after being led to expect fair treatment than did participants who heard no prior information about the experimenter.     

Personality correlates of heroic rescue during the holocaust

This study investigated the extent to which personality variables can be used to discriminate non-Jewish heroes of the Holocaust from bystanders and from a comparison group of prewar European immigrants who left their countries of origin prior to World War II. Eighty verified rescuers, 73 bystanders, and 43 immigrants were administered measures of locus of control, autonomy, risk taking, social responsibility, tolerance/authoritarianism, empathy, and altruistic moral reasoning. A three-group discriminant function analysis was able to correctly classify 80.2% of the sample by a combination of personality and demographic variables. When the bystanders and immigrants, who differed very little from each other, were grouped together and compared to the rescuers, the personality variables alone correctly classified 93.1% of the sample. Implications regarding the relationship between personality and altruistic behavior, as well as suggestions for future research are discussed.     

Time judgments in global temporal contexts

With three experiments, we examined the effects of global temporal context on time judgments as gauged by constant errors (CEs) and estimates of a preferred period (P). In Experiment 1, participants in seven different conditions listened to sequences of a given rate (with interonset intervals ranging from 200 to 800 msec) and judged the relative duration of a final (comparison) time interval. No P emerged. In Experiments 2 and 3, we embedded the same rates in different global (session) contexts that varied according to (1) mean session rate, (2) standard deviation, (3) range, and (4) number of different rates in a session. Evidence from CEs indicated that P varied primarily as a function of mean session rate and range of tempi. The best predictor of errors involved a measure termed relative range (RR = range/mean session rate). A general algorithm incorporating RR successfully predicts P, and the implications of this algorithm are discussed.     

Boundary extension: the role of magnification, object size, context, and binocular information

Boundary extension is a tendency to remember close-up scenes as if they extended beyond the occluding boundaries. The authors explored the contributing factors using brief retention intervals and computer-generated images. Boundary extension turns out to be more complex than previously thought and is not linked to the effects of image magnification and field-of-view changes. Although this is consistent with the idea that boundary extension is the product of the activation of a mental schema that provides information of what is likely to exist outside the picture boundaries, the authors also found that properties of the object at the center of the picture can affect boundary extension independently of the information at the boundaries. In a test of boundary extension using stereograms, the effect does not seem to depend on amount of perceived depth, suggesting a weaker link to perception of space than previously hypothesized.     

Study repetition and the rejection of conjunction lures

Four experiments were conducted to provide further support for a dual-process approach to conjunction errors in recognition memory over a single-process approach. In Experiments 1, 2a, and 2b study words were repeated once (2 presentations) or several times (8 or 16 presentations), and a response signal delay (RSD) was manipulated (short vs long). Short RSD groups produced lower hit rates but higher conjunction error rates compared to long RSD groups. Repetition effects on conjunction errors occurred for short RSD but not long RSD groups. In Experiment 3, additional judgements on new items were solicited to show that the "null" effects for long RSD groups in the earlier experiments were, in fact, illusory. Together, the experiments provide evidence for recollection-based rejections of conjunction lures and support a dual-process theory of recognition memory over a single-process model.     

An examination of three sets of MMPI-2 personality disorder scales

Three sets of personality disorder scales (PD scales) can be scored for the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989). Two sets (Levitt & Gotts, 1995; Morey, Waugh, & Blashfield, 1985) are derived from the MMPI (Hathaway & McKinley, 1983), and a third set (Somwaru & Ben-Porath, 1995) is based on the MMPI-2. There is no validity research for the Levitt and Gotts scale, and limited validity research is available for the Somwaru and Ben-Porath scales. There is a large body of research suggesting that the Morey et al. scales have good to excellent convergent validity when compared to a variety of other measures of personality disorders. Since the Morey et al. scales have established validity, there is a question if additional sets of PD scales are needed. The primary purpose of this research was to determine if the PD scales developed by Levitt and Gotts and those developed by Somwaru and Ben-Porath contribute incrementally to the scales developed by Morey et al. in predicting corresponding scales on the MCMI-II (Millon, 1987). In a sample of 494 individuals evaluated at an Army medical center, a hierarchical regression analysis demonstrated that the Somwaru and Ben-Porath Borderline, Antisocial, and Schizoid PD scales and the Levitt and Gotts Narcissistic and Histrionic scales contributed significantly and meaningfully to the Morey et al. scales in predicting the corresponding MCMI-II (Millon, 1987) scale. However, only the Somwaru and Ben-Porath scales demonstrated acceptable internal consistency and convergent validity.