国际合作中知情同意面临的难题及思考

目前在医学研究的国际合作中,知情同意原则在实施中出现了许多争议和难题.结合一些典型案例,对知情同意的跨文化研究、知情同意表格的误解以及保护受试者与自由研究之间的权衡等问题进行了深入地分析.指出:加强交流、相互尊重、求同存异是解决跨文化研究的必由之路;严格审查、加强监管是避免知情同意流于形式的重要手段;鼓励与防范并举才能达到双赢的局面.     

人格类型对应激反应影响的实验研究(实验室应激源部分)

本研究以EPQ为依据选择高神经质和低神经质2组共24名被试,以有时间压力的心算和复杂辨别反应操作为紧张性刺激,在进行作业的同时记录被试的呼吸频率、呼吸流量、脉率、指端血管容积和皮肤电反应等五项生理指标,并检测尿内儿茶酚胺分泌量。通过对人格类型、作业成绩、作业难度主观评价、紧张性情绪体验,以及对尿内儿茶酚胺分泌量和五项生理指标的综合分析,以研究人格类型对应激反应影响的程度和途径。结果表明,在两组被试作业成绩无显著差异的情况下,在对作业难度主观评价和情绪体验的程度上,高神经质组高于低神经质组。在平静状态下,高神经质组去甲肾上腺素分泌量高于低神经质组;应激状态下,高神经质组的儿茶酚胺反应强度和变化幅度均明显高于低神经质组。高神经质组的五项生理指标均比低神经质组有较大的变化幅度。儿茶酚胺分泌量与脉率有明显的正相关。另外,通过与自然应激源部分的实验结果比较,发现实验室与现场应激的效果基本一致。     

视觉诱发电位(VEP)对不同频率条纹的反差敏感性

本实验利用条纹发生器产生正弦调制的条纹作视觉刺激,用NICOLETCA—1000平均仪,从枕骨隆起上方沿中线5cm处记录瞬态视觉诱发电位。实验用四种不同反差,十种空间频率,四名被试。结果表明瞬态视觉诱发电位(C_1—C_2)的峰值随反差的增加而变化,其在空间频率上有一定的分布,最敏感处落在3—5C/deg。在阈上刺激时,被试个体有差异,但分布趋势相似,最敏感处也为3—5C/deg,这和心理物理实验获得的调制传递函数(MTF)结果很吻合。从实验结果可以看到(C_1—C_2)值对反差变化是敏感的,它反映了人视觉系统对不同空间频率上的反差敏感性,可以把它与MTF相类比。     

Editor's Note: Societal changes and expression of concern about Rekers and Lovaas' (1974) Behavioral Treatment of Deviant Sex-Role Behaviors in a Male Child

In an early study in the Journal of Applied Behavior Analysis, Rekers and Lovaas (1974) evaluated the Behavioral Treatment of Deviant Sex-role Behaviors in a Male Child. They investigated the use of reinforcement and punishment to target non-gender-conforming behaviors of a 5-year-old male child. This study was considered by some to be controversial and concerning, even near the time of publication (Nordyke et al. 1977; Winkler, 1977). The concerns focused on the ethicality of selecting non-gender-conforming behavior as a target response and the use of punishment for this type of response, particularly at the behest of parents when the young child was not seemingly distressed. The study has subsequently been used as empirical support for conversion therapy creating concerns about misinterpretation of the original article and harm to the LGBTQ+ community. This editorial reviews the concerns originally presented by Nordyke et al. (1977) and Winkler (1977) and issues an official Expression of Concern about the various harms that have been associated with this paper.     

Effect of Body Image on Tunisian Women’s Sexual Functioning

The objective of this study was to identify the perception of body image by Tunisian women and their spouses and to examine its impact on female sexuality. Our study involved 300 Tunisian women who had been married for at least 1 year and consulted in primary care medicine during the months of June and July 2016. Each participant completed a questionnaire covering four areas: women’s perception of their body, the perception of the spouses of the latter as it was reported by the participants, sexual activity, and the impact of body perception on sexual activity. The participants were satisfied with their bodies in 51% of cases. This satisfaction was associated with perceiving the body as physically attractive (p?=?0.007), young (p?=?0.047) and as a source of confidence (p?<?0.001). Compared to women dissatisfied with their bodies, those satisfied declared satisfaction of sexual desire (p?=?0.005), reaching orgasm (p?=?0.001), taking the initiative in sexual activity (p?=?0.003) and preparation for sex (p?=?0.006). Perceived satisfaction of the partner with the female body was related to a more positive sexuality in women, specifically to women’s sexual satisfaction (p?=?0.018), women taking sexual initiative (p?=?0.014) and preparation for sex (p?=?0.001). Our study indicates the important impact of a positive perception of the body image of Tunisian women by themselves and by their spouses on their sexuality. It would be interesting to consider these aspects in the management of female sexual disorders.     

Counseling in Iran: History,Current Status,and Future Trends

As a growing profession, counseling in Iran was first established within the Iranian educational system. Counselors in Iran have provided mental health services during natural disasters and war. The counseling profession in Iran currently faces challenges in addressing the needs of women; ethnic minorities; and lesbian, gay, bisexual, transgender, and queer individuals. In this article, the authors focus on the historical background, current trends, and future challenges of the counseling profession in Iran.