哲学：世纪末的回顾与前瞻

H.约纳斯(Hans Jonas,1903-1993)是当代著名的生态哲学家和责任伦理学家.上世纪20年代,他曾是胡塞尔和海德格尔的学生,因此他的思想的现象学背景也较为明显.本文是他于1992年5月25日在德国慕尼黑摄政王剧院所做的一个报告,该报告属于"世纪之末"的报告系列.这篇报告充满了这位世纪哲学老人的经历与感想、明察与希望、警示与告诫,而且基本上是在与现象学家的对话中完成的.约纳斯于一年之后辞世.这个报告可能是他生前的最后一次讲演.     

The ‘why’ and ‘why not’ of job search behaviour: their relation to searching,unemployment experience,and well‐being

Two studies (n = 273 and 254) used self‐determination theory (SDT) to examine unemployed people's motivation both to search and not to search for a job. The self‐regulation questionnaire format (Ryan & Connell, 1989) was used to assess participants' autonomous and controlled job‐search motivation (the ‘why’ of job search) as well as their amotivation for searching. Additionally, both autonomous and controlled motivation for not searching (the ‘why not’ of job search) was assessed. Results provide validity for these five motivational constructs and indicate, in line with SDT, that the constructs predicted reports of search behaviour, affective experiences, and well‐being. The addition of autonomous and controlled motivation for not searching contributed additional predictive power beyond the motivational constructs that focused only on searching. Copyright © 2004 John Wiley & Sons, Ltd.     

Process arrangements for variety,retention, and selection

This article argues that process management aimed at introducing variety, retention, and selection into complex decision-making processes can make a substantial contribution to improving them. It also describes process arrangements for variety, retention, and selection. He received his Ph. D. in public administration at Erasmus University, Rotterdam. He is also program director at the Netherlands School of Public Administration and director of the TUD research program on multi actor systems. His research concerns networks and network-organizations, with a strong focus on governance and management issues in networks. He is the author on a number of internationally recognized books on these issues. His conceptual approach of these issues has been applied in research on the open source movement, frequency allocation, the design of policy instruments and mediation (e.g. interconnection disputes). He is program leader of the Bsik research program Next Generation Infrastructures. He holds the post of chair research within the faculty.     

Einfluss des Behandlungssettings auf den Gesundungsverlauf

Even though managed care systems research emerged as an important field in psychotherapy research in the last years, studies examining the effects of its psychotherapeutic measures on outcome are still rare, especially in Germany. Little is known about the effectiveness of psychotherapy in different treatment settings, i. e. whether and how patients in outpatient psychotherapy differ from inpatients in respect to initial impairment status and pace of improvement. Two longitudinal data sets—inpatient (N=759) and outpatient (N=521)—were used to scrutinize these questions. Results yielded no differences between treatment settings as to patients’ initial impairment. A linear model adequately represented the mean course of improvement in inpatient psychotherapy. For outpatient psychotherapy, a bipartite linear model for treatment and for the follow-up period proved more appropriate. During 1 year, patients in both settings attained a similar amount of improvement. However, pace of in-treatment improvement was 10 times faster in the inpatient setting. Initial impairment substantially predicted the course of psychological improvement in both treatment settings.     

Internetbasierte Vorbereitung auf eine station?re psychosomatisch-psychotherapeutische Behandlung

Background

Encouraged by promising results of online aftercare programs, this study adapted the concept of internet-based minimal interventions in order to use the time between referral and actual admission to inpatient treatment. The online intervention includes information about the hospital and the treatment and sections which aim to enhance motivation, provide support and allow contact.

Methods

A comprehensive cohort study was conducted with 379 participants in the randomized subcohort. Primary endpoint was the speed of change of the physical, mental and social impairment and of the psychological well-being in the first 2 weeks of inpatient treatment as well as the rates of reliable change 2 weeks after admission.

Results

Both the control and intervention group of the randomized subcohort showed statistically significant improvements in health status. No significant difference in the rate of change was found. The degree of achieved improvement in the physical impairment was equal to the expected intervention effect. A difference in the rates of change was found for the psychological well-being: the intervention group showed 19% more reliable improvements.

Conclusions

The study design and the contents of the intervention were accepted by the patients. The internet-based intervention can help to prepare for treatment and to shorten the settling-in period.     

Zur Beziehung zwischen Schizophrenie und gewaltt?tigem Verhalten

The relationship between schizophrenia and violence with its substantial implications for the care of the severely mentally ill is one major reason for the special position of psychiatry. Due to the unique complexity of the human brain psychiatry was able to catch up with all other medical disciplines as late as the second half of the twentieth century only by means of the progress in biological brain research and psychopharmacology. At the same time the position of psychopathology has substantially changed. Being one of the core research issues until the introduction of antipsychotic drugs, it is nowadays primarily understood as a mere auxiliary tool for communication, for the collection of administrative data and for the recruitment of patients for various research projects. After a short overview of the current knowledge concerning the association between schizophrenia and violence the authors demonstrate by means of two psychopathological models, the differentiated classification according to Leonhard and the concept of structural dynamics by Janzarik, that many of the findings of current brain research are compatible with these models, exclusively based on detailed psychopathological observations. Differentiated psychopathology plays an indispensable mediator role between biological brain research methods and the complex reality of human behaviour, which is of major importance especially in forensic psychiatric issues. By neglecting this fact psychiatry is in danger of abandoning the possibility to generate relevant questions and hypotheses for future research.     

Residual attentional capacity amongst young and elderly during dual and triple task walking

Walking is considered an automatic function which demands little attentional resources. Thus a residual attentional capacity is available for a concurrent task (dual task). Minor age-related deficits in postural control may minimize the residual attentional capacity, however this may not be detected by a simple examination of the individuals gait performance. This study investigated the use of challenging dual task combinations to detect age related changes in gait performance. Eleven community-dwelling elderly (mean age 76 years) and 13 young subjects (mean age 26 years) participated in the study. The participants walked along a figure-of-eight track at a self-selected speed. The effect of introducing a concurrent cognitive task and a concurrent functional motor task was evaluated. Stride-to-stride variability was measured by heel contacts and by trunk accelerometry. In response to the cognitive task the elderly increased their temporal stride-to-stride variability by 39% in the walking task and by 57% in the combined motor task. These increases were significantly larger than observed for the young. Equivalent decreases in trunk acceleration autocorrelation coefficients and gait speed were found. A combination of sufficiently challenging motor tasks and concurrent cognitive tasks can reveal signs of limited residual attentional capacity during walking amongst the elderly.     

Emotional competence in children with autism: Diagnostic criteria and empirical evidence

The diagnostic criteria of autism spectrum disorders (ASD) include emotional impairments. However, scientific evidence for these impairments is varied and subtle. In this contribution, recent empirical studies that examined the emotional competence in children and adolescents with ASD are reviewed. Four aspects of emotional competence that are important to children’s daily social functioning (expression, perception, responding, and understanding) are discussed, differentiating between mentally retarded and normally intelligent children and adolescents with and without ASD in natural and structured contexts. On various accounts, the emotional impairments of children with ASD that are found in scientific studies provide a more differentiated view on the impairments suggested by the diagnostic literature. Consistent empirical findings and gaps in the field are discussed. Theoretical and clinical recommendations for assessment procedures are suggested.