Pain language of bone marrow transplantation patients.

Previous studies have shown that hypnosis may be effective in reducing intensity of pain among bone marrow transplantation patients whereas cognitive behavioral intervention without imagery was not effective for this group of patients. Since hypnosis alters patients' perception of pain and cognitive behavioral intervention changes patients' beliefs and improves their coping with pain, we hypothesized that sensory pain is more important than affective pain in understanding the pain experience of patients undergoing bone marrow transplantation. To test this hypothesis we administered the McGill Pain Questionnaire longitudinally to 50 consecutive eligible recipients of bone marrow transplantation during hospitalization to assess the different dimensions of pain they experienced. Consistent with our hypothesis, sensory pain fluctuated with treatment stages, and the pattern was consistent with previous findings. Patients reported significantly higher sensory pain than affective pain at all assessment points. In contrast, affective pain remained low and stable throughout the treatment. Our results contribute to the understanding of the nature of pain in bone marrow transplantation and suggest pain management strategies that focus on sensory pain as in hypnosis are more useful for such patients.     

Mastery or mystery? Therapeutic writing: A review of the literature

Recent developments in online support and counselling suggest that the users of chat rooms, for example, or the Samaritans' e-mail 'listening' service, have already discovered the power of writing as a self-help vehicle. Developments in computer-mediated counselling and therapy are essentially text-based and client-driven. The therapeutic use of expressive and reflective writing is not widely recognised in British counselling and therapy circles. The empirical foundations for the therapeutic uses of the literary arts are, however, well established. This review aims to map the use of 'writing therapy' by drawing together cross-disciplinary research and practitioner reports which might support the place of writing as a creative therapy in its own right, whether as an adjunct to face-to-face counselling or as a self-help tool.     

Listening back in time: Does attention to memory facilitate word-in-noise identification?

The ephemeral nature of spoken words creates a challenge for oral communications where incoming speech sounds must be processed in relation to representations of just-perceived sounds stored in short-term memory. This can be particularly taxing in noisy environments where perception of speech is often impaired or initially incorrect. Usage of prior contextual information (e.g., a semantically related word) has been shown to improve speech in noise identification. In three experiments, we demonstrate a comparable effect of a semantically related cue word placed after an energetically masked target word in improving accuracy of target-word identification. This effect persisted irrespective of cue modality (visual or auditory cue word) and, in the case of cues after the target, lasted even when the cue word was presented up to 4 seconds after the target. The results are framed in the context of an attention to memory model that seeks to explain the cognitive and neural mechanisms behind processing of items in auditory memory.     

耳畸形及缺损修复发展的历史回顾

耳整形是耳鼻喉手术中最具挑战的技术之一。本文从耳廓畸形及缺损修复材料,修复技术两方面综述了耳整形修复的发展。其中快速原形及组织工程技术应用于耳廓畸形及缺损修复是机械学、材料学与生物医学相互交叉互相渗透,共同发展的结果。这两种技术为耳廓修复整形提供了光明的前景,也是目前此领域科学研究的热点。但是新的理论和技术应用于临床还需要经历缓慢的实践与发展过程。     

变性术后患者心理状况的影响因素分析及对策

变性术后的患者是个特殊的弱势群体,心理问题非常突出,它是生理、个人、家庭、社会等多种因素交互影响的结果;因此,通过社会、家庭及个体的共同努力,帮助其建立良好的个体心理模式,稳定其心理状态,可促进其心理的健康发展,这对于变性手术的成功和帮助变性后患者重新走向社会有重要意义。     

The effects of frontal lobe functioning and age on veridical and false recall

Washington University, St. Louis, Missouri Older adults’ heightened susceptibility to false memories has been linked to compromised frontal lobe functioning as estimated by Glisky and colleagues’ (Glisky, Polster, & Routhieaux, 1995) neuropsychological battery (e.g., Butler, McDaniel, Dornburg, Price, & Roediger, 2004). This conclusion, however, rests on the untested assumption that young adults have uniformly high frontal functioning. We tested this assumption, and we correlated younger and older adults’ frontal scores with veridical and false recall probabilities with prose materials. Substantial variability in scores on the Glisky battery occurred for younger (and older) adults. However, frontal scores and age were independent contributors to recall probabilities. Frontal functioning is not the sole cause of older adults’ heightened susceptibility to false memories.     

Alpha3-integrins are required for hippocampal long-term potentiation and working memory

Integrins comprise a large family of heterodimeric, transmembrane cell adhesion receptors that mediate diverse neuronal functions in the developing and adult CNS. Recent pharmacological and genetic studies have suggested that beta1-integrins are critical in synaptic plasticity and memory formation. To further define the role of integrins in these processes, we generated a postnatal forebrain and excitatory neuron-specific knockout of alpha3-integrin, one of several binding partners for beta1 subunit. At hippocampal Schaffer collateral-CA1 synapses, deletion of alpha3-integrin resulted in impaired long-term potentiation (LTP). Basal synaptic transmission and paired-pulse facilitation were normal in the absence of alpha3-integrin. Behavioral studies demonstrated that the mutant mice were selectively defective in a hippocampus-dependent, nonmatch-to-place working memory task, but were normal in other hippocampus-dependent spatial tasks. The impairment in LTP and working memory is similar to that observed in beta1-integrin conditional knockout mice, suggesting that alpha3-integrin is the functional binding partner for beta1 for these processes in the forebrain.     

注意捕获的另一扇窗户——无意视盲

观察者集中注意于某个物体或事件的时候,他们经常不能觉察到显著的、与众不同的物体,这种现象被称为“无意视盲”（Inattentional Blindness）。在无意视盲研究中,存在两类实验范式——静态无意视盲和动态无意视盲研究范式。首先,从刺激的感觉显著性、认知显著性、心理工作负荷、定势和期望以及加工能力等方面分析了影响无意视盲的因素;其次,对无意视盲和无意遗忘的争议以及无意视盲是“全或无”还是连续谱的争议也进行了总结;最后,从无意视盲角度出发探讨了内隐注意捕获和外显注意捕获之间的关系     

Unique pathways to resilience across cultures

An international mixed methods study of resilience of 14 sites in eleven countries identified seven tensions that youth resolve in culturally specific ways. Resolution of these tensions is foundational to experiences of resilience. This paper reports on the qualitative findings from interviews with 89 youth. Results support a culturally embedded understanding of positive youth development that better accounts for young people's resilience in western and non-western countries. Specifically, the seven tensions identified include: access to material resources, relationships, identity, cohesion, power and control, social justice, and cultural adherence. Findings show that no one pattern in the resolution of these tensions predicts resilience better than another. A case study of a Palestinian boy demonstrates the intersection of the seven tensions and the uniqueness of their resolution. The implications of this work for interventions is discussed.