远程心理健康服务：应用、优势及挑战

远程心理服务(Telepsychology)是利用远程通讯技术提供心理服务的新兴心理服务方式,虽然在COVID-19疫情期间得到了广泛应用,但仍缺乏相关行业应用规范及专业培训体系。现有的远程心理服务三维模型以应用环境、应用领域、应用方式为服务框架,结合九个应用领域开展远程心理服务。我们根据已有研究提出了以咨询师、治疗方法、远程技术手段为主要因素、以来访者为中心的远程心理服务应用模型。人工智能在远程心理服务领域的应用主要包括三个方面:机器学习与人工神经网络、自然语言处理与情感分析、虚拟现实与增强现实。目前,远程心理服务正以蓬勃的态势极速发展:其在提高心理服务督导效率、减少服务成本等方面有着显著优势,同时在心理服务从业人员对远程心理服务的接受度、来访者的适应性、重视程度方面也面临着挑战。未来远程心理服务可以在监管体系、从业者培训、远程应用技术三个方面进行深入探索。     

基于驱动与控制相互作用的成瘾冲动性结构与机制

物质成瘾者具有明显的冲动性特征, 表现为难以戒断的成瘾物质使用。这种行为的产生除了抑制控制的问题外, 源于多个维度的驱动力也是重要的原因。低弱的抑制力无法抵挡驱力的作用, 出现不平衡状态, 形成难以控制的渴求下的强迫性用药或习惯性用药行为倾向。驱动力来源于多方面, 奖赏效应, 通过条件作用形成的S-R式相关线索反应以及感觉寻求等人格特质; 控制成分则包括了反应抑制与无法延迟满足的执行控制功能。     

8~15岁儿童贫富观的发展特点及其与成人的比较

儿童贫富观是其价值观的重要体现,贫富观形成是儿童社会化进程中的重要方面,然而目前国内尚缺乏中国儿童贫富观的系统研究。本研究以8~9岁、11~12岁、14~15岁以及成人(主要为大学生,年龄为20.7±1.32岁)为研究对象(N=186),结合开放性问题和结构化问卷,考察他们对于贫富的感知、公平判断、归因以及对于缓解贫困对策的认识。结果发现:控制社会经济地位之后,(1)8~9岁儿童对贫富的认识局限于表面特征,11~12岁更关注心理特征,而成人提及系统特征的比例更高;(2)8~9岁儿童较其他年龄组更倾向于对贫富做不公平的判断;(3)在贫富的归因和缓解贫困的对策上,儿童和成人都认可个人因素的重要性,但成人更多关注国家政策和社会的影响,并且认为消除贫困是不可能的。中国儿童贫富观的发展与西方已有研究相比,既有共性也有文化特异性。     

海马NMDA受体经SP-NK1受体通路参与慢性应激诱发的抑郁样行为

为探讨海马N-甲基-D-天冬氨酸(N-methyl-D-aspartic acid, NMDA)受体与P物质(Substance P, SP)及其神经激肽1 (neurokinin1, NK1)受体在慢性不可预见性温和应激(chronic unpredictable mild stress, CUMS) 中的作用及其关系, 通过建立CUMS动物模型, 大鼠海马微量注射给药, 测量大鼠体重, 并采用糖水偏爱测试、旷场实验和悬尾实验等方法对大鼠进行行为学检测, 运用高效液相色谱(HPLC)法分析大鼠海马组织中SP和谷氨酸(glutamate, Glu)的含量变化。结果显示, CUMS诱发大鼠表现出明显的抑郁样行为, 海马组织中SP和Glu水平显著增加; 海马注射NMDA, 大鼠表现出与CUMS/SAL组相似的抑郁样行为, 且海马组织中SP的含量比正常对照组显著增加; 微量注射NK1受体阻断剂CP-96345和/或NMDA受体阻断剂MK-801后, 大鼠抑郁样行为明显改善, 且MK-801使CUMS导致的大鼠海马P物质水平升高得到明显控制, 而CP-96345没有明显改变CUMS引起的海马Glu水平升高; CP-96345使NMDA引起的抑郁样行为得到极显著改善。以上结果表明, 慢性应激引起大鼠海马Glu过量释放, 通过激活NMDA受体, 促进P物质合成释放增加, 激活NK1受体, 是导致抑郁样行为发生的重要途径之一。     

儿童青少年协作促进的发展

旨在考察不同年龄的个体, 在不同回忆序列和学习材料上协作促进的发展情况。采用3(回忆序列:协作—个人—个人〔CII〕、个人—协作—个人〔ICI〕、个人—个人—个人〔III〕)× 5(年龄:9、11、14、17、20)× 2(材料:图片、文字)的被试间设计。结果发现:(1)各年龄个体在CII和ICI两种回忆序列上均出现了协作促进, 且两种序列条件下被试的最终个人回忆成绩无差异;(2)另外, 17岁个体的协作促进量显著高于9岁、11岁、14岁和20岁, 其他各年龄之间无差异;(3)图片和文字的协作促进量无差异。这说明小组协作回忆的顺序对协作促进没有太大影响, 17岁个体协作促进的效果最好。     

Can psychiatry residents be attracted to analytic training? A survey of five residency programs

In the face of fewer psychiatrist applicants for psychoanalytic training, determining the interest of current psychiatric residents in psychoanalysis and psychodynamic psychiatry is a pressing concern. To gauge this interest, an anonymous online survey was sent to residents from five psychiatry residency programs in the Midwest and South. Seventy-five residents responded, for a return rate of 42%. The data suggest that residents value psychoanalytic concepts and most plan to incorporate the practice of psychodynamic psychotherapy into their careers after graduation; however, residents have little confidence in their level of skill and the adequacy of their training. While 46% express interest in further psychodynamic psychotherapy training, only 22% express interest in psychoanalytic training. Most cite the cost and time involved as reasons they would not pursue further training. This study demonstrates that psychiatric residents have strong interest in and respect for psychodynamic psychotherapy and psychoanalysis. The data suggest that psychiatric residents are a viable pool of applicants for psychoanalytic training, especially if barriers to training can be reduced and creative ways for psychoanalysts to engage residents can be fostered.     

All gifts large and small: toward an understanding of the ethics of pharmaceutical industry gift-giving

Much attention has been focused in recent years on the ethical acceptability of physicians receiving gifts from drug companies. Professional guidelines recognize industry gifts as a conflict of interest and establish thresholds prohibiting the exchange of large gifts while expressly allowing for the exchange of small gifts such as pens, note pads, and coffee. Considerable evidence from the social sciences suggests that gifts of negligible value can influence the behavior of the recipient in ways the recipient does not always realize. Policies and guidelines that rely on arbitrary value limits for gift-giving or receipt should be reevaluated.     

多维度审视和灵活运用教科书

以教科书为基础充实和完善教学内容的构建,包括纵向、横向、斜向的多维度审视教材;以实践的丰富性、学术期刊的新颖性和国外教材形式的多样性对教材内容与形式的充实与调整;以及共性教材的个性化的选择、客观知识的主观理解和认识、抽象的科学性知识具体活化的加工整理等,以实现全面提升教师的综合能力和教学水平.     

Racists or tolerant multiculturalists? How do they begin?

The author discusses how negative racial attitudes originate. First, she looks globally at how various theories have attempted to explain the origins of racism. Second, she reviews some research on this topic that she and her colleagues have completed with very young children. Both the theories and the studies have ramifications for how psychologists might reduce the possibility of children becoming racist.     

重症患者的镇痛镇静治疗——理想与现实的渐近

重症患者的镇痛镇静治疗逐渐为广大重症医学医护人员所重视,开展亦日渐普及.首先在实践中发现问题,思考学习产生认识;并借鉴历史经验,少走弯路提高起点;再到实践中验证认识,逐渐发现问题不断改善进步.这一历程印证了在哲学认识论领域常说的＆quot;实践-认识-再实践-再认识,循环往复,以至无穷＆quot;这一规律,临床镇痛镇静治疗的现实与重症医学治病救命的理想逐渐趋近.