防御性医疗动因及干预策略

本文重点阐述了防御性医疗的概念及特点,分析了防御性医疗之动因,最后提出防御性医疗的干预策略,包括加强医务人员职业道德教育,提高人文服务水平;加强社会宣传,提升医务人员形象;加强沟通,重建医惠信任关系;强化内部管理,建立风险应对机制;完善医疗法律法规,积极构建法制环境下的现代医学模式.     

新中国六十年民族伦理学研究纵论

民族伦理学日益成为民族学和伦理学研究中的一个重要分支领域。对新中国成立后民族伦理学研究的发展历程、民族伦理学研究成果、民族伦理学研究的现状与特点等进行概述,既是对我国民族伦理学研究状况60年来的回顾和总结,又对这一领域的进一步深入研究提出了合理化建议。当前,加强对民族伦理学的研究,相信对我国作为一个统一的多民族国家,特别是对我国少数民族和民族地区的精神文明建设必将起到积极的推动作用。     

An experiential avoidance conceptualization of depressive rumination: Three tests of the model

This study examined an experiential avoidance conceptualization of depressive rumination in 3 ways: 1) associations among questionnaire measures of rumination, experiential avoidance, and fear of emotions; 2) performance on a dichotic listening task that highlights preferences for non-depressive material; and 3) psychophysiological reactivity in an avoidance paradigm modeled after the one used by Borkovec, Lyonfields, Wiser, and Deihl (1993) in their examination of worry. One hundred and thirty-eight undergraduates completed questionnaire measures and participated in a clinical interview to diagnose current and past episodes of depression. Of those, 100 were randomly assigned to a rumination or relaxation induction condition and participated in a dichotic listening task, rumination/relaxation induction, and depression induction. Questionnaire measures confirmed a relationship between rumination status and avoidance; however, no significant effects were found in the dichotic listening task. Psychophysiological measures indicated no difference in physiological response to a depression induction among high ruminators (HR). However, low ruminators (LR) in the relaxation condition exhibited a larger IBI response than LR in the rumination condition. Overall, these results provide partial support for an avoidance conceptualization of depressive rumination. Implications of these findings are discussed.     

The Relationship Between Dropout and Outcome in Naturalistic Cognitive Behavior Therapy

Dropout from psychotherapy is frequent and limits the benefits patients can receive from treatment. The study of factors associated with dropout has the potential to yield strategies to reduce it. This study analyzed data from a large sample of adults (N = 1,092) receiving naturalistic cognitive behavioral therapy (CBT) to test the hypotheses that dropouts, as compared to completers, had (1) higher symptom severity at treatment termination, (2) a slower rate of symptom change during treatment, and (3) a higher odds that the therapist rated treatment as ending for reasons related to poor outcome. Results showed that although dropouts ended treatment with higher symptom severity than completers, dropouts and completers did not differ in their rate of symptom change during treatment, suggesting that dropouts had higher symptom severity at termination because they received fewer sessions of treatment, not because their symptoms changed at a slower rate. Dropout was also associated with a higher odds of having a therapist-rated termination reason indicating a poor outcome, suggesting that dropout is more likely if patients are dissatisfied with some aspect of the therapy outcome or process. These findings suggest that strategies for monitoring and enhancing patient satisfaction with the process and outcome of treatment may help patients stay in treatment longer and end treatment with fewer symptoms than if they had dropped out.     

Who Will Volunteer? Religiosity, Everyday Racism, and Social Participation Among African American Men

This study explores the relative importance of everyday racism, empathic concern, communalism, and religiosity as predictors of pro-social involvement (i.e., volunteerism and membership in political/social justice organizations) among a sample of African American men (N = 151). Church involvement emerged as a positive predictor of the likelihood that these men were involved in volunteer work as well as the number of hours that men dedicated to volunteer work. Communalism positively predicted the amount of time (in hours per year) that men were involved in volunteer work. Subjective religiosity and the stress of everyday racism were associated with a greater likelihood of being a member of a political–social justice organization. Implications of these findings are discussed.     

言语指导对实验操作技能形成影响的初步研究

本研究以112名中师学生为被试,采用实验组控制组后测实验设汁,选择中和滴定作为实验操作任务,探讨了言语指导对实验操作技能形成的影响。结果表明．言语指导能明显地促进学生实验操作技能的形成,特别是在实验操作动作的自动化方面。     

How to get “kissably close”: Examining how advertisers appeal to consumers’ sexual needs and desires

This paper explores the nature of sexual appelas—sex-related promises or benefits—in mainstream advertising by describing types of sex appeals and findings from a sex-benefit content analysis. Overall, our findings reveal that sex is used to appeal to women and men, although a higher proportion of sexual ads appear in men’s (12%) compared to women’s magazines (6%). In addition, a variety of sex appeals are directed toward women (attractiveness, behavior, esteem), whereas most appeals directed toward men emphasize more and better sex. Last, male-only images are relatively absent in sexual ads compared to female-only (45%) and couples (47%) images. These findings, observations, and directions for future research are discussed.     

The effectiveness of function‐based interventions to treat sleep problems,including unwanted co‐sleeping,in children with autism

This study investigated the effectiveness of functional behavioral assessment (FBA)—informed interventions for sleep problems, particularly co‐sleeping, in children with autism spectrum disorder (ASD). Seven children, who exhibited multiple sleep problems including unwanted co‐sleeping, participated. FBA, based on information derived from interviews and parent‐recorded sleep diaries, was used to develop individualized case formulations upon which multicomponent, parent‐implemented interventions were based. These were evaluated using a single‐case, non‐concurrent multiple‐baseline‐across‐participants design. Improvements were observed across all sleep problems, including the elimination of co‐sleeping. Gains were maintained at follow‐up for five out of seven children, though two children did not complete intervention. Parents reported high levels of satisfaction with the program. FBA‐based interventions for sleep problems in children with ASD and their clinical implications are further discussed.     

“I Believe in Cusk”: The Effect of Explicit Belief Statements on Children’s Reality Status Judgments and Beliefs about Consensus

Children learn about the world through others’ testimony, and much of this knowledge likely comes from parents. Furthermore, parents may sometimes want children to share their beliefs about topics on which there is no universal consensus. In discussing such topics, parents may use explicit belief statements (e.g., “Evolution is real”) or implicit belief statements (e.g., “Evolution happened over millions of years”). But little research has investigated how such statements affect children’s beliefs. In the current study, 4- to 7-year-olds (N = 102) were shown videos of their parent providing either Explicit (“Cusk is real”) or Implicit (“I know about cusk”) belief testimony about novel entities. Then, children heard another speaker provide either Denial (“Cusk isn’t real”) or Neutral (“I’ve heard of cusk”) testimony. Children made reality status judgments and consensus judgments (i.e., whether people agree about the entity’s existence). Results showed that explicit and implicit belief statements differentially influenced children’s beliefs about societal consensus when followed by a denial: explicit belief statements prevented children from drawing the conclusion that there is societal consensus that the entity does not exist. This effect was not related to age, indicating that children as young as 4 use these cues to inform consensus judgments. On the reality status task, there was an interaction with age, showing that only 4-year-olds were more likely to believe in an entity after hearing explicit belief statements. These findings suggest that explicit belief statements may serve as important sources of both children’s beliefs about novel entities and societal consensus.     

条件性恐惧泛化的性别差异

恐惧的过度泛化是焦虑障碍的核心症状之一, 表现为患者对与原危险刺激极不相似的中性刺激也有着较高强度的恐惧反应。临床上, 女性比男性更有可能患焦虑障碍, 因而对恐惧泛化进行性别差异研究可以为解释女性有着更高焦虑障碍发病率提供新的角度, 同时为临床治疗提供参考。本研究采用辨别性条件恐惧范式, 以主观预期值和皮电反应值作为测量指标, 从行为和生理两个层面对条件性恐惧泛化程度和恐惧泛化消退的性别差异进行研究。结果发现, 在恐惧泛化程度上, 未出现显著性别差异。在恐惧泛化消退上, 在主观预期值和皮电反应值两个层面均有着显著性别差异, 具体表现为相较于男性, 女性恐惧泛化的消退更慢, 持续时间更长。研究结果表明, 女性焦虑障碍高发病率的潜在影响因素之一可能在于女性对于恐惧泛化刺激的难以消除。