华西圣教书会的文字事工及其影响(1899-1919)

华西圣教书会于1899年初成立于重庆,存续40余年,于1941年关闭,是基督教在华西地区最重要的文字机构之一①.本文以清末民初为时限,考察华西圣教书会成立过程及其出版、发行状况,并分析基督教文字事业对华西社会变迁所起到的重大作用.     

The child in time: The influence of parent–child discussion about a future experience on how it is remembered

We investigated the influence of preparation provided by parents on preschoolers’ recall. One day before children participated in a staged novel event, parents discussed the event with their child either with (verbal+photos) or without (verbal) photographs. Parents and children in a control condition read an unrelated story. Then 8–10 days later the children were interviewed about the event. Children in the verbal+photos condition recalled significantly more than those in the control condition. Parental preparation style (e.g., evaluations, hypothetical language) was associated with the child's contributions to the preparatory discussion, but no aspect of parent or child style or content was associated with children's verbal recall. Similarly, there were no significant associations between children's performance on a task of episodic future thinking, and their preparatory discussion or recall, although episodic future thinking was strongly associated with language ability. The potential underlying mechanisms and theoretical implications are discussed.     

关注肿瘤患者避免过度诊疗——解析ASCO大会关于肿瘤诊疗的5项建议

现代肿瘤的诊疗水平已经有了长足的进步,先进的诊断技术使得很多肿瘤得以早期发现并积极治疗,很多晚期患者也不再面临无药可用的境地,但由于临床医生的认识存在偏差,存在过度诊断和过度治疗的问题,进而给患者带来不必要的负担和痛苦。美国临床肿瘤学会（ASC0）年会上发布了一篇名为“ASCO为改善肿瘤治疗质量及医疗花费的5项建议”的文章,特别提出要重视五项临床广泛应用、花费较大,但缺乏高级临床证据的肿瘤治疗或干预措施,也提示我们需要充分评估,综合思考,为合适的患者提供正确的诊治方案,才能给患者带来更大的获益。     

Tales of Plagues and Carnivals: Samuel R. Delany, AIDS, and the Grammar of Dissent

While even today lesbian, gay, bisexual and transgender people might have cause to distrust the healthcare establishment, how much more fragile was the relationship between sexual minorities and health professionals in the first decade of the AIDS epidemic. Dissent from consensus healthcare and health research then was a question of survival in the face of political and medical intransigence. This article focuses on one version of AIDS dissent: The narrative representations of AIDS in fiction by the gay African-American fantasy writer Samuel R. Delany, which rejected the rigid binarism of “safe” and “unsafe” sex practices, Delany’s evidence-based dissent. He also engaged in a related form of cultural dissent: speaking the unspeakably obscene, at a time when Silence?=?Death. Delany called into question both the inferential leaps based on limited epidemiological research that were represented in safer sex guidelines and the widespread public reticence about sexual behavior.     

Bidirectional Mediating Role of Loneliness in the Association Between Shyness and Generalized Pathological Internet Use in Chinese University Students: A Longitudinal Cross-Lagged Analysis

Abstract

This 1-year longitudinal study examined the bidirectional mediating role of loneliness in the association between shyness and generalized pathological Internet use (GPIU) in a sample of 291 Chinese university students (143 men, mean age =?19.07?years). A fully cross-lagged panel design was used in which shyness, loneliness, and GPIU were assessed at 3 time points separated by 6-month intervals (named T1, T2, and T3). The results indicated that relationships among shyness, loneliness, and GPIU were dynamic and bidirectional. Specifically, T1 shyness positively predicted increased T2 loneliness, T2 shyness positively predicted increased T3 loneliness, and T2 loneliness positively predicted increased T3 shyness. Additionally, T1 GPIU positively predicted increased T2 loneliness, T2 GPIU positively predicted increased T3 loneliness, and T2 loneliness positively predicted increased T3 GPIU. Loneliness was found to play a bidirectional mediating role in the association between shyness and GPIU. Specifically, T1 shyness and T3 GPIU were mediated through increased loneliness at T2, and T1 GPIU and T3 shyness were mediated through increased loneliness at T2. Furthermore, relationships among shyness, loneliness, and GPIU were the same across the 2 groups, with the strength of relationships being stronger for men.     

Influence of Levels of Abstractness on Reasoning Ability

Judgment by students of faculty effectiveness have relied, for the most part, on subjectively expressed responses to a series of “effectiveness traits” (cues). Simple averaging schemes have summarized the aggregate judgments, often resulting in (a) treating all cues as if they were of equal importance, and (b) inattention to the effects or measurement of individual differences of judges.

Multiple regression was used in this study to derive (empirically) individual cue utilization patterns (i.e., weights) for 10 effectiveness traits. Ss were compared to their subjectively expressed judgment scheme. Results indicate that Ss were moderately successful in expressing their actual cue utilization patterns; however, different judgment schemes were clearly observed.     

The effects of relationship context and modality on ratings of funniness

There is evidence to suggest that humour is an important part of mate choice and that humour may serve as an indicator of genetic quality. The current study investigated how rated funniness from a video clip was related to an individual’s attractiveness as a short-term or long-term partner. We additionally tested for the presence of an attractiveness halo effect on humour ratings by comparing ratings of funniness from video clips, audio-only presentations, and photographs. We found that funniness was most strongly correlated with attractiveness for short-term relationships, especially in videos of males. We also found that attractiveness was related to funniness ratings differently across video, audio-only clips, and photographs. Relative to their rated funniness in the audio-only condition, with no appearance cues, attractive individuals were rated as funnier in video clips than less attractive individuals. An additional study demonstrated that ratings of flirtatiousness and funniness were strongly correlated. Perceived similarity between producing humour and flirting may explain why humour is more preferable in a short-term partner as flirting may be seen to signal proceptivity. The effects of attractiveness on humour judgement may also be explained by an association with flirtation as flirting may be most enjoyable when directed by attractive individuals.     

Evolution and human choices

The postmodern world seems to have conclusively lost faith in the heady promises of human emancipation through rational understanding that have pervaded the Western world since the time of the Enlightenment. As the end of the millennium approaches and the evidence of man‐made environmental degradation accumulates nihilism and malaise color the future. This article argues that a clear understanding of both evolutionary forces and human consciousness permits to formulate a guardedly optimistic alternative view. It is advanced that the very sense of despair current circumstances have created may trigger a move toward a new form of psycho‐functional adaptation, simultaneously constituting a first instance of “conscious evolution” and fulfilling the progressive promise intrinsic in the full use of our rational faculties.     

Understanding,respecting and integrating difference in therapeutic practice

The purpose of this paper is to promote thought and discussion around how and why we treat patients in chosen ways. In the present climate practitioners are required to treat patients following NICE guidelines in which cognitive behavioural therapy (CBT) is the treatment of choice in the majority of diagnoses. This paper raises concerns that this may lead to an homogenization of treatment, loss of invaluable skills and understanding from other treatment approaches, and loss to the patient who may be best cared for by a combination of treatments and approaches, most notably patients presenting with complex pathology. This paper aims to present this as a general principle, and by way of example, will focus on coupling two specific treatment orientations, cognitive behavioural therapy with psychodynamic psychotherapy, with the specific diagnosis of obsessive compulsive disorder (OCD).

Methods: Clinical material is drawn from case studies from practice in secondary adult mental health care services within the NHS. All patients were referred to the psychological services for treatment for OCD and provided with 1:1 therapy with UKCP‐registered therapists. Details have been anonymized by describing fictitious cases re‐constructed from clinical material. A theoretical understanding is included which provides both an overview for integrating treatment for the specific example of OCD and is intended by extension to other diagnoses.

Results: Working with the commonalities of therapeutic approaches, and integrating specific skills of CBT and psychodynamic psychotherapy, appears to offer a viable mode of treatment for cases resistant to single‐orientation therapies.

Conclusions: Coupling the skills of different therapies can be effective in treating complex patients that are referred to the secondary mental health services. Conversely, restricting practice to single orientation therapies can lead to an impoverished care for patients and diminution of invaluable therapeutic skills which may become underused, undervalued and lost in the practice of mental health care within the NHS. Acknowledgement of the skills of others, valuing these and learning from each other can help to avoid the defensive reactions of practitioners, where each may defensively retreat to their corners of specialism. Respecting and sharing skills from different orientations, and acknowledging this in the NICE guidelines, is good for both mental health services and patient care and addresses the concerns raised by practitioners exemplified by Bateman (2000 Bateman, A. 2000. Integration in psychotherapy: An evolving reality in personality disorder.. British Journal of Psychotherapy, 17(2): 147–156.  [Google Scholar], p. 147) that ‘psychotherapy continues to be bedeviled by ideological schisms with practitioners apparently ignoring alternative conceptualizations and potentially superior interventions’.