临床经验对诊断的双重作用及改造

文中用辩证唯物主义的观点,阐述了临床经验的定义、来源及指导实践过程中的意义,指出其具有促进诊断和引起误诊的双重作用,并用临床病历例子详细说明其双重作用的形式、导致结果及产生的原因。指出临床经验的双重作用在临床工作中的重要性及局限性,提出对经验的改造完善途径,以能充分表现出其促进诊断的作用,而最大限度降低其导致误诊的程度,发挥在临床工作中的良性作用。     

Predictive testing and oncogenes

Case vignette: sharing unanticipated genetic information. The Questor family has experienced an unusual number of malignancies in the past two generations and has been advised by an oncologist that the p53 oncogene known as Li-Fraumeni Syndrome may be present in the family genome. The option of predictive genetic testing has been raised and several branches of the family have chosen to undergo screening to determine whether they are at risk for cancer because of the gene. Roger and Liz Questor have arranged for screening of themselves and their three children, ages 12, 10, and 7. The couple has, by all appearances, been happily married for 14 years. None of the family members are found to carry the oncogene; however, the geneticist conducting the analyses has made an interesting incidental discovery. The 10-year-old child is not the biological progeny of Roger Questor. Although the 12- and 7-year-olds are clearly the biological children of the couple, it is evident that the 10-year-old born to Liz Questor was fathered by a person other than Roger. What are the ethical obligations of the geneticist with respect to any sharing or disclosure of the information that has been discovered incidentally? What course of action, if any, do you recommend?     

小学儿童对虚假话语间接意义的理解

探讨了小学儿童对隐含在虚假话语中间接意义的理解特点。结果发现：（１）一年级儿童不能理解虚假话语的非字面意义,三年级儿童才基本上能够理解。（２）小学低年级儿童不能理解虚假话语的间接意义的主要原因是他们不能根据话语与事实不符和说话者知道事实真相来判断说话者说虚假话语的有意性和推论隐含的意义。部分原因可能在于他们没有意识到说话者了解事实真相,因而不知道说话者是故意使用虚假话语的。     

合作学习对小学生同伴关系、成就动机和成就影响的研究

旨在探讨在我国开展合作学习教学的可行性,以及合作学习对小学生同伴关系、成就动机和成就水平的影响,运用自然实验和测量相结合的方法,选择了北京师范大学实验小学三年级两个班进行实验研究,其中一个班为实验班（ｎ＝３５）,另一个班为控制班（ｎ＝３７）．实验为期三个月。结果表明：合作学习在小学教学中不但是可行的,而且效果较为显著;合作学习对同伴关系的改善有着积极的影响,学生间的接纳度和被接纳度都有普遍的提高;合作学习在较大程度上激发了学生的成就动机水平,学生对合作学习的课程兴趣明显提高．成绩较差的学生表现得更为明显;合作学习对提高学生的学习成绩有一定的促进作用。     

Differences in influence between pitched-from-vertical lines and slanted-from-frontal horizontal lines on egocentric localization

The visual field exerts powerful effects on egocentric spatial localization along both horizontal and vertical dimensions. Thus, (1) prism-produced visual pitch and visual slant generate similar mislocalizations of visually perceived eye level (VPEL) and visually perceived straight ahead (VPSA) and (2) in darkness curare-produced extraocular muscle paresis under eccentric gaze generates similar mislocalizations in VPEL and VPSA that are essentially eliminated by introducing a normal visual field. In the present experiments, however, a search for influences of real visual slant on VPSA to correspond to the influences of visual pitch on VPEL failed to find one. Although the elevation corresponding to VPEL changes linearly with the pitch of a visual field consisting of two isolated 66.5°-long pitched-from-vertical lines, the corresponding manipulation of change in the slant of either a horizontal two-line or a horizontal four-line visual field on VPSA did not occur. The average slope of the VPEL-versus-pitch function across 5 subjects was +0.40 over a ±30° pitch range, but was indistinguishable from 0.00 for the VPSA-versus-slant function over a ±30° slant range. Possible contributions to the difference between susceptibility of VPEL and VPSA to visual influence from extraretinal eye position information, gravity, and several retinal gradients are discussed.     

动词语义和句子语法对代词加工的影响

考察了动词语义和句子语法对代词加工的影响．结果表明,动词语义是影响代词理解的一个因素;相同语法功能假设尚需进一步验证,研究者还提出代词理解受社会文化因素影响的假设。     

与年龄相关的认知速度减慢及学习改善过程

该工作应用人机对话方式完成心算、符号数字、数字鉴别和计数四项作业认知速度年老减慢及学习改善过程的研究,被试３５０人,４６—７５岁。研究结果表明：四项认知作业速度随年老进行性减慢;然而,老年人经学习训练认知作业速度可明显改善。上述变化程度与作业所需时间有密切关系,提示年老过程中枢信息加工过程速度的减慢快于外周感觉─运动过程速度的减慢,学习改善作用也可能主要是中枢过程速度的提高。     

非词语性认知作业速度年老衰减规律的数学描述

应用两维年龄多作业回归分析方法,研究了四项非词语性认知作业速度年老衰减规律的数学描述形式。被试共７３４名,４６─７５岁。结果表明：五个年老组与４６─５０岁组作业时间之间呈线性函数关系,其线性方程的斜率值随年老组的增龄而增大。     

5──8岁儿童对几种偏正复句的理解

本研究用三种方式测试８０名５—８岁儿童对因果、条件和让步三种复句的理解。结果表明,他们对这三种复句的理解逐年提高,６岁和７岁之间的变化尤为明显。６岁儿童基本能理解因果复句和条件复句,７岁儿童基本能理解让步复句。他们在三种作业中表现出不同的理解水平,判断句子正误的成绩差于完成句子和指认代词所指的成绩。     

关联性记忆错觉的产生与保持

两项实验对关联性记忆错觉的产生与保持进行了考察。实验结果表明,关联性记忆错觉接近学过词的回忆水平,但它的产生不随年龄的变化而变化;时间变量对关联性记忆错觉的影响不显著。此外,关联性记忆错觉不同于学过的词,在延迟加快时没有系列位置效应的产生。