口腔颌面部鳞状细胞癌的综合序列治疗

口腔颌面部鳞状细胞癌(鳞癌)在头颈部肿瘤的发病和治疗中占有重要地位,综合序列治疗的概念和理论逐渐成为口腔颌面部鳞癌治疗的指导原则。本文对口腔颌面部鳞癌综合序列治疗所包含的手术治疗、放射治疗、化学治疗及生物治疗从临床治疗策略上进行分析、讨论,以期促进口腔颌面部鳞癌综合序列治疗原则在临床获得更好地应用。     

神经科学决定论与自由意志——兼论自由意志与自我是否可能?

神经科学的最新研究成果为决定论提供了科学依据,由此推断没有自由意志和恒定不变的自我.而传统生命伦理学中我们对其它生命体的伦理义务乃是基于这个生命体具备自由意志,即有自我的精神生活.神经科学技术对自由意志和自我的挑战不会对我们的伦理实践产生重要影响.只有在实践生活中人们采用了科学研究结论,从神经科学的发现到影响我们伦理实践的范式转换才会发生.从相容性与非相容性、物理系统自身的识别、神经科学的其它证据等方面探讨了怀疑的内在原因,认为不会因为神经科学家的新发现而否认自由意志和恒定自我.     

神经科学实验研究进展综述——决定论的视角

神经科学已成为最前沿的科学研究领域,科学家从不同角度、不同层次开展对脑认知的研究,用现代实验技术的方法探究原来只属于哲学思辨范围内的"意识"问题.特别是近些年来的研究成果为"自由意志"与"决定论"之间的论战提供了更多的实验证据.     

医务人员言语偏误的伦理评介

通过具体临床言语资料的分析,发现医惠交际中存在着言语信息失量、言语态度失衡、言语策略失慎和言伴信息失却等问题.医务人员对患者缺乏必要的人文关怀和伦理照应是问题产生的关键.加强医务人员的言语伦理修养,是对传统医学伦理的尊重,也是新形势下促进医惠关系和谐发展的一项重要举措.     

对哮喘患者进行教育管理的内容和方法

目前尚不能根治哮喘,然而长期管理有助于达到哮喘控制,哮喘教育是其重要组成部分。哮喘教育内容应包括哮喘的诊断、预防及治疗相关的知识、技能。应当采取个体化、循序渐进的教育方式,集体教育是个体化教育重要的补充。     

调节匹配对期望与绩效关系的影响

以往研究发现了调节定向、调节期望与绩效的关系。本研究基于调节匹配理论,以149名大学生为被试、通过与个体长期调节定向相一致或不一致的任务框架(收获/无收获vs无损失/损失)操作调节匹配性,进一步研究了调节匹配对期望与绩效关系的影响。结果显示,调节匹配会进一步加强以往研究中发现的调节定向对期望和绩效关系的调节模式,不匹配会起到削弱作用。当促进定向占主导的个体完成强调有无收获的任务时,高期望对绩效的促进作用显著高于完成强调有无损失的任务;而当预防定向占主导的个体完成强调有无损失的任务时,低期望对绩效的促进作用显著高于完成强调有无收益的任务。     

Pathways Between Marriage and Parenting for Wives and Husbands: The Role of Coparenting

As family systems research has expanded, so have investigations into how marital partners coparent together. Although coparenting research has increasingly found support for the influential role of coparenting on both marital relationships and parenting practices, coparenting has traditionally been investigated as part of an indirect system which begins with marital health, is mediated by coparenting processes, and then culminates in each partner's parenting. The field has not tested how this traditional model compares with the equally plausible alternative model, in which coparenting simultaneously predicts both marital relationships and parenting practices. Furthermore, statistical and practical limitations have typically resulted in only one parent being analyzed in these models. This study used model-fitting analyses to include both wives and husbands in a test of these two alternative models of the role of coparenting in the family system. Our data suggested that both the traditional indirect model (marital health to coparenting to parenting practices), and the alternative predictor model where coparenting alliance directly and simultaneously predicts marital health and parenting practices, fit for both spouses. This suggests that dynamic and multiple roles may be played by coparenting in the overall family system, and raises important practical implications for family clinicians.     

Octogenarian Reports of Lifetime Spiritual Experiences: Types of Experience and Early Life Predictors

This study assessed lifetime histories of discrete spiritual experiences recalled by 144 octogenarian men studied since adolescence and 80 spouses. Women were more likely to report discrete spiritual experiences, as were those from higher socioeconomic backgrounds and those judged more open to experience as young adults. Factor analysis revealed four types of experiences related to beauty/nature, negative life events, protection by a sacred other, and traditional religious settings. Men from better childhood environments more commonly reported spiritual experiences concerning negative life events. Those with serious childhood illnesses were less likely to report experiences of feeling protected by a sacred other.     

父亲、母亲抚养压力在母亲抑郁和学龄前儿童内外部问题行为间的链式中介作用

研究旨在探讨父亲和母亲的抚养压力在母亲抑郁与学龄前儿童内、外部问题行为间的作用。以北京市某区75所幼儿园的2222名3~5岁在园幼儿及其父母为被试,采用《流调中心抑郁量表》、《抚养压力量表》、《学龄前儿童问题行为问卷》分别对母亲抑郁、父母抚养压力及儿童问题行为进行测查,结果发现：（1）母亲抑郁可以正向预测儿童的内、外部问题行为;（2）母亲抑郁对儿童内部问题行为的作用被"母亲抚养压力"、"母亲抚养压力-父亲抚养压力"两条路径部分中介;（3）母亲抑郁对儿童外部问题行为的作用被"母亲抚养压力"、"母亲抚养压力-父亲抚养压力"两条路径完全中介。综上,研究揭示了母亲抚养压力、父亲抚养压力在母亲抑郁和学龄前儿童内、外部问题行为间的链式中介作用。     

‘You be the big sister’: Maternal‐preschooler internal state discourse,perspective‐taking,and sibling caretaking

Maternal–preschooler internal state discourse, preschooler perspective‐taking, and sibling caretaking for 32 dyads (preschooler M age=46.4 months, toddlers=14 months) was examined across three contexts varying in emotional demands: (a) naturalistic home observations, (b) mother–preschooler book reading (Parent–Child Affect Communication Task; Zahn‐Waxler, Ridgeway, Denham, Usher and Cole, 1993), and (c) a laboratory maternal separation session. Preschooler perspective‐taking was positively associated with emotional understanding during book reading. However, mothers did not adjust their internal state discourse in any of the three contexts to reflect preschoolers' perspective‐taking skills. Both preschooler internal state language during sibling conflict and maternal leave‐taking discourse were associated with sibling caretaking. Findings are discussed in light of the role of family discourse and dynamics in the development of children's social understanding. Copyright © 2004 John Wiley & Sons, Ltd.