2002年:中国医疗纠纷处理的重大转折

2002年4月1日开始实施的《最高人民法院关于民事诉讼证据的若干规定》,要求医院对医疗行为与损害的因果关系和不存在医疗过错承担举证责任,一时间,医院对此忿忿不平,百姓对此拍手叫好,4月15日,期待已久的《国务院医疗事故处理条例》缍正式颁布,与1987年颁布的《医疗事故处理办法》相比有了重大改变,中国医疗纠纷的处理在2002年发生了重大转折,对此进行了详细分析,与大多数人的观点不同,认为前者恰恰对医院有利,而后者对医院更为严格。     

临床医学与人文素质

遗传研究已经测定出人类基因序列,人的克降技术如此完备,克隆人呼之欲出。但是,人类并没有因为高科技而摆脱身心的负担,反而更为焦虑。人类受自身生物结构的限制,对世界的了解借科学的发展而发展,因而对世界的认识既受限制,又无止境,临床医学更加需要人文主义精神,要求医生把病人更多地看作是社会的人,有着非常复杂的心理需要,而不仅仅是生物学意义上的人。临床医生的人文素质培养和要求是当务之急。     

“道德”探幽

道德既是人之为人的内在规定性,亦是人的自由存在方式,既是人对存在的反思性把握,亦是人的反思性存在方式。     

幼儿在集合比较中运用数数的实验研究

本研究中运用了两个实验探讨数数干预和测查条件对儿童在集合比较中运用数数的影响。干预对3岁儿童(M=3：9)没有影响。在平均年龄为4岁4个月时．干预组儿童比控制组儿童更倾向于用数数比较集合．自然组儿童也比传统组更倾向于用数数。许多4岁儿童在无干预时不用数数可能是因为,1)不知数数比视觉性比较更有效,或2)他们在集合比较中的数数极易受测查情景因素的影响。儿童在集合比较中的数数运用与他们的数数水平密切关联。     

问题解决中策略的变化：一项微观发生研究

以30名小学三年级儿童为被试,以一种特殊的方程问题为材料,采用微观发生法,先后进行了5次测查,收集了解题后的口语报告资料,从策略变化的路线、速率、广度、来源以及变化模式的多样性等方面详细探讨了问题解决策略的变化过程。结果发现,在面临新的问题时,被试缺乏相应知识和专门的解题策略,这时以使用多种常规策略以及错误策略为主;此后,当被试建构起对问题的正确表征时,就以使用正确策略为主,甚至发现了非常有技巧性和领域专门性的快捷策略,这时策略的数量明显减少;在面临难度较大的迁移题目时,快捷策略的使用率又降低,而更多借助于常规策略。可见,策略的获得是一个由错误到正确、由多种尝试到选择其一、由一般到专门的演化过程,这主要是一个学生自主建构的过程,当然也受到正式和非正式教育提供的知识的影响。值得说明的是,快捷策略的获得受到问题呈现模式的影响。总是呈现相同题目的单一模式有助于快捷策略的发现,而在混合训练中,插入不同性质的题目会干扰快捷策略的发现;但是,当面临迁移问题时,单一训练相比于混合训练的优势会消失。此外,正确使用常规策略是发现快捷策略的前提。     

中国特色社会心理服务体系建设的路径分析

社会心理服务体系作为培育良好社会心态的公共服务体系，有着公共服务体系具有的基本特征：普惠性、公平性和动态性。同时，作为社会治理体系的有机组成部分，这个体系的功能是促进社会治理现代化和科学化，营造和谐的社会心态。中国特色社会心理服务体系建设需要立足我国国情，注重以下方面：党政集中统一领导、针对性的心理服务内容、多元化的心理服务载体、专兼职互补的心理服务队伍、循序渐进的建设重点。     

The influence of satisfaction and promotability on the relation between career adaptability and turnover intentions

This study examined the relation between career adaptability (CA), promotability, and career satisfaction (CS), and their impacts on turnover intentions (TI). Eight hypotheses were proposed. Based on data collected from a sample of 431 employees in Macau, career adaptability was significantly and positively related to both promotability and CS after controlling for the influences of demographic variables including age, gender, education and tenure. CA, promotability and CS were also significantly and negatively linked to TI. The results further revealed that promotability and CS mediated the effect of CA on TI. The study contributed new insights that may inform career development and retention of employees. Practical implications on how to retain employees were discussed.     

Conflict Minerals in Electronic Systems: An Overview and Critique of Legal Initiatives

The Democratic Republic of Congo has vast natural resources, many of which are regularly exploited by the electronics industry. Unfortunately, in addition to these resources, there are widespread human rights abuses committed by armed groups entrenched in the eastern part of the Democratic Republic of Congo. These armed groups are using profits from these minerals as a source of funding. Their human rights abuses have led to a growing humanitarian interest in the region and prompted the international community to action. This paper explores the conflicts in the Democratic Republic of Congo, provides an understanding of the link between human rights abuses and conflict minerals, and interprets and critiques the legal actions of the international community.     

The Underlying Role of Negative Affect in the Association between PTSD,Major Depressive Disorder,and Generalized Anxiety Disorder

Clinicians and researchers have found differential diagnosis to be difficult, particularly for conceptually similar disorders. One category of particular interest has been distress or internalizing disorders, theorized to be related via an underlying construct of generalized distress or negative affect. The present study attempted to address the comorbidity of three distress disorders - posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD) - using latent analyses by controlling for the variance attributable to negative affect. The sample consisted of 265 trauma-exposed individuals who completed self-report measures of PTSD, MDD, GAD, and negative affect. Confirmatory factor analysis was used to test initial model fit. Next, the model was re-computed, controlling for negative affect by regressing negative affectivity at the item-level. Results indicated that a significant amount of variance within and between these diagnostic categories is attributable to negative affect at both the item- and factor-level. The hypothesis that MDD’s non-somatic/affective factor and the GAD factor would have the highest attenuations in factor loadings after controlling for negative affect was supported. Therefore, negative affect significantly influences the co-occurrence of PTSD, MDD, and GAD clinically, emphasizing the need for transdiagnostic interventions for trauma victims.