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医疗过程不应被看作是单一的技术过程,需要关注医学技术以外的诸多因素,医患沟通就是其中一个很重要的方面.讨论了培养医患沟通技能的意义在于增加病人满意度、提高依从性、提高临床疗效与工作效率、减少纠纷等,并介绍了医患沟通过程中的主要技巧,以期对临床医患沟通教育起到积极作用. 相似文献
214.
Eye movements reveal the time-course of anticipating behaviour based on complex, conflicting desires
The time-course of representing others’ perspectives is inconclusive across the currently available models of ToM processing. We report two visual-world studies investigating how knowledge about a character’s basic preferences (e.g. Tom’s favourite colour is pink) and higher-order desires (his wish to keep this preference secret) compete to influence online expectations about subsequent behaviour. Participants’ eye movements around a visual scene were tracked while they listened to auditory narratives. While clear differences in anticipatory visual biases emerged between conditions in Experiment 1, post-hoc analyses testing the strength of the relevant biases suggested a discrepancy in the time-course of predicting appropriate referents within the different contexts. Specifically, predictions to the target emerged very early when there was no conflict between the character’s basic preferences and higher-order desires, but appeared to be relatively delayed when comprehenders were provided with conflicting information about that character’s desire to keep a secret. However, a second experiment demonstrated that this apparent ‘cognitive cost’ in inferring behaviour based on higher-order desires was in fact driven by low-level features between the context sentence and visual scene. Taken together, these results suggest that healthy adults are able to make complex higher-order ToM inferences without the need to call on costly cognitive processes. Results are discussed relative to previous accounts of ToM and language processing. 相似文献
215.
Heterogeneity in contribution levels within public goods games (PGGs) is indicative of individual self- or other-regarding preferences. Reward and punishment mechanisms have been demonstrated to affect contributions in the PGGs. This paper examines whether dispositional sensitivities to rewards and punishments (BIS and BAS) explain some behavioural heterogeneity in PGGs. Seventy-two participants took part in a sequential PGG, in which, prior to making a decision about contributing, participants received information about how much their co-players had donated, which was manipulated either as high or low. They also completed the Carver and White BIS/BAS scales. Participants contributed more when other members of their group contributed a high proportion of the initial endowment and less when others gave a low amount. When participants knew that their group members had contributed a high amount, BAS Reward Responsiveness was significantly negatively correlated with the contribution levels, while BIS-anxiety was positively related to a lower proportion of zero contributions. The findings are interpreted in relation to strategic responding in the PGGs. Motivational traits, such as those conceptualized in Reinforcement Sensitivity Theory, are proposed to underlie pro-social behavioural preferences. 相似文献
216.
There is scant evidence that incidental cues in the environment significantly alter people's political judgments and behavior in a durable way. We report that a brief exposure to the American flag led to a shift toward Republican beliefs, attitudes, and voting behavior among both Republican and Democratic participants, despite their overwhelming belief that exposure to the flag would not influence their behavior. In Experiment 1, which was conducted online during the 2008 U.S. presidential election, a single exposure to an American flag resulted in a significant increase in participants' Republican voting intentions, voting behavior, political beliefs, and implicit and explicit attitudes, with some effects lasting 8 months after the exposure to the prime. In Experiment 2, we replicated the findings more than a year into the current Democratic presidential term. These results constitute the first evidence that nonconscious priming effects from exposure to a national flag can bias the citizenry toward one political party and can have considerable durability. 相似文献
217.
基因治疗在给患者带来生命希望的同时,也带来了诸如潜在的风险、技术的滥用、责任的漠视、公平的忽略、生命的亵渎等前所未有的伦理问题.有必要从构建基因治疗的伦理原则、健全基因治疗的法律规范、建立基因干预的准入与审批机制、提高从业人员的道德意识等方面对基因治疗进行规范,使基因治疗这一新兴技术向着为人类造福的方向持续健康发展. 相似文献
218.
The issue of publication bias in psychological science is one that has remained difficult to address despite decades of discussion and debate. The current article examines a sample of 91 recent meta-analyses published in American Psychological Association and Association for Psychological Science journals and the methods used in these analyses to identify and control for publication bias. Of the 91 studies analyzed, 64 (70%) made some effort to analyze publication bias, and 26 (41%) reported finding evidence of bias. Approaches to controlling publication bias were heterogeneous among studies. Of these studies, 57 (63%) attempted to find unpublished studies to control for publication bias. Nonetheless, those studies that included unpublished studies were just as likely to find evidence for publication bias as those that did not. Furthermore, authors of meta-analyses themselves were overrepresented in unpublished studies acquired, as compared with published studies, suggesting that searches for unpublished studies may increase rather than decrease some sources of bias. A subset of 48 meta-analyses for which study sample sizes and effect sizes were available was further analyzed with a conservative and newly developed tandem procedure of assessing publication bias. Results indicated that publication bias was worrisome in about 25% of meta-analyses. Meta-analyses that included unpublished studies were more likely to show bias than those that did not, likely due to selection bias in unpublished literature searches. Sources of publication bias and implications for the use of meta-analysis are discussed. 相似文献
219.
Benjamin Ferguson 《Res Publica》2012,18(4):303-319
Barbara Herman offers an interpretation of Kant??s Groundwork on which an action has moral worth if the primary motive for the action is the motive of duty. She offers this approach in place of Richard Henson??s sufficiency-based interpretation, according to which an action has moral worth when the motive of duty is sufficient by itself to generate the action. Noa Latham criticizes Herman??s account and argues that we cannot make sense of the position that an agent can hold multiple motives for action and yet be motivated by only one of them, concluding that we must accept a face-value interpretation of the Groundwork where morally worthy actions obtain only when the agent??s sole motive is the motive of duty. This paper has two goals, one broad and one more constrained. The broader objective is to argue that interpretations of moral worth, as it is presented in the Groundwork, depend on interpretations of Kant??s theory of freedom. I show that whether we can make sense of the inclusion of nonmoral motives in morally worthy actions depends on whether the ??always causal framework?? is consistent with Kant??s theory of freedom. The narrow goal is to show that if we adopt an ??always causal?? framework for moral motivation, then Herman??s position and her critique of the sufficiency-based approach fail. Furthermore, within this framework I will specify a criterion for judging whether an action is determined by the motive of duty, even in the presence of nonmoral motives. Thus, I argue Latham??s conclusion that we must accept a face-value interpretation is incorrect. 相似文献
220.
As Kuhn (1970) has noted, most scientific fields go through processes of paradigm change, painful periods in which old theories no longer fit available data and are placed by new theories. Such periods typically create strife and debate as ideological differences emerged between proponents of old and new theoretical approaches. In the current paper, we argue that such a period has been reached within the field of aggression research. Over the past half-century, social cognitive and social learning paradigms of aggression, exemplified in the General Aggression Model (GAM) have retained dominance, particularly in areas such as media violence. We contend that data to support the GAM and social cognitive approaches to aggression have never been conclusive, and newer evidence increasingly suggests that the GAM and social cognitive theories of aggression more generally are not adequate to explain aggressive phenomena. We discuss weaknesses and problematic, sometimes hidden assumptions of the GAM and how these reduce the utility of this paradigm. Current evidence suggests that the GAM and the social cognitive paradigm of aggression should be retired, and approaches which focus on diathesis-stress hold greater promise. 相似文献