社会创造性的微观变化：基于虚拟仿真技术的研究

本研究将微观发生法设计和虚拟仿真技术相结合,考察了不同特质社会创造性大学生跨情境、跨时间的状态社会创造性的变化特点。结果表明：（1）在四种具体社会问题情境中,个体策略新颖性的变化表现出了跨情境的多样性特点,而策略实用性的变化则主要表现出了跨情境的一致性特点;（2）个体特质社会创造性对其状态社会创造性的表现的影响主要体现在策略的实用性上。     

视觉形状知觉在近似数量系统和计算流畅性关系中的作用

已有大量研究揭示了近似数量系统与计算流畅性的相关关系, 但缺少对二者关系原因的系统检验与论证。视觉形状知觉假设有别于传统的数量领域特异性解释, 认为对形状的快速知觉是近似数量系统与计算流畅性的共同认知机制, 即视觉形状的快速知觉能力可以解释二者之间的相关关系。近似数量系统和计算流畅性在加工过程中依赖对形状的快速知觉, 二者在加工过程中都涉及了复杂视觉刺激的快速处理。视觉形状知觉假设得到了一系列研究结果的支持, 但局限在视觉形状知觉与二者关系的探讨上, 视觉形状知觉在二者关系中作用的加工机制仍不清楚。未来研究需要结合多种研究方法和技术, 多角度深入探讨视觉形状知觉在二者关系中作用的认知与脑机制, 并将研究结果应用于数学课堂教学和计算困难的干预中。     

Metacognitive monitoring during criterion learning: When and why are judgments accurate?

Research on metacognitive judgment accuracy during retrieval practice has increased in recent years. However, prior work had not systematically evaluated item-level judgment accuracy and the underlying bases of judgment accuracy in a criterion-learning paradigm (in which items are practiced until correctly recalled during encoding). Understanding these relationships during criterion learning has important theoretical implications for self-regulated learning frameworks, and also has applied implications for student learning: If the factors that influence metacognitive judgments are not predictive of subsequent test performance, students may make poor decisions during self-regulated learning. In the present experiments, participants engaged in test–restudy practice until items were recalled correctly. Once a given item reached criterion, participants made an immediate or delayed judgment of learning (JOL) for the item. A final cued-recall test occurred 30 min later. We examined judgment accuracy (the relationship between JOLs and test performance) and the underlying bases of judgment accuracy by evaluating cue utilization (the relationship between cues and JOLs) and cue diagnosticity (the relationship between cues and test performance). Immediate JOLs were only modestly related to subsequent test performance, and further analyses revealed that the cues related to JOLs were only weakly predictive of test accuracy. However, delaying JOLs improved both the accuracy of the JOLs and the diagnosticity of the cues that influenced judgments.     

Does mediator use contribute to the spacing effect for cued recall? Critical tests of the mediator hypothesis

When study is spaced across sessions (versus massed within a single session), final performance is greater after spacing. This spacing effect may have multiple causes, and according to the mediator hypothesis, part of the effect can be explained by the use of mediator-based strategies. This hypothesis proposes that when study is spaced across sessions, rather than massed within a session, more mediators will be generated that are longer lasting and hence more mediators will be available to support criterion recall. In two experiments, participants were randomly assigned to study paired associates using either a spaced or massed schedule. They reported strategy use for each item during study trials and during the final test. Consistent with the mediator hypothesis, participants who had spaced (as compared to massed) practice reported using more mediators on the final test. This use of effective mediators also statistically accounted for some – but not all of – the spacing effect on final performance.     

卜弥格《医学的钥匙》探微

波兰籍传教士卜弥格（Michel Boym）是17世纪中医西传过程中的重要人物之一,其作品《医学的钥匙》引发了国内外学者的关注。旨在对这部著作的文章架构与基本内容作出分析并从中管窥卜弥格对中国医学身体知识的认识。其中,卜弥格个人的欧洲古典医学和哲学背景对中医知识的阐释发挥了相当大的作用。他对于中医知识体系内身体知识的解读可归结为三种类型：一是左右二分的身体;二是以圆为图式的身体;三是不断变化的身体。实际上,卜弥格的这三种身体观念是一套兼具中欧两种医学的特点,却又与二者都有差别的一种知识体系。

     

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。     

新型冠状病毒肺炎定点医院医护人员心理状况调查分析

为了解定点收治新型冠状病毒肺炎患者的医院中医护人员心理状况,从而针对性地进行心理护理,采用便利抽样法,应用《医护人员心理健康调查表》对3所定点收治新型冠状病毒肺炎患者的医院中1 266名医护人员进行问卷调查。结果显示,定点医院医护人员中,27.5%存在抑郁,26.3%存在焦虑,26.0%存在孤独。女性、已婚、传染科、发热门诊、监护室相比男性、未婚、普通门诊更容易抑郁;传染科、监护室相比普通门诊更容易焦虑。因此,医院应加强对这类群体的心理疏导和人文关怀,以减轻心理压力,提高工作效率。     

医学伦理学与生命伦理学关系类型辨析——基于国内外文献的考察

医学伦理学与生命伦理学的关系在逻辑上有包容论、互异论和交叉论（延续论）三种可能的类型。包容论认为,后者关注范围更广,前者作为一个部分包括在生命伦理学当中。互异论主张,两个概念在跨学科特点方面不同,生命伦理学必须通过跨学科协作,以公共性为导向,而医学伦理学较为单一,以职业性为目标。交叉论（延续论）强调,医学伦理学经历了古代医德学,近现代医学伦理学和生命伦理学。包容论与互异论过于强调二者的相同或区别,割裂了二者内在联系,片面性显而易见。交叉论（延续论）看到了二者内在逻辑,反映了本体属性,是更为合理的评价。     

直觉思维在麻醉临床决策中的应用

围手术期麻醉医师面临问题的复杂性、动态性和模糊性,要求其在具备良好逻辑思维能力的同时,还要学会应用直觉思维来进行麻醉危机管理。通过决策判断的双加工理论模型探讨说明直觉思维在临床麻醉决策中的可应用性,并给出麻醉医师直觉思维的培养途径,提高麻醉医师的思考能力,增加应急处理课程和临床训练,重视临床经验的学习,营造良好的教学氛围。为了在围手术期更好地保证患者的安全,麻醉医师应重视直觉思维在临床麻醉决策中的应用。     

患者和家属参与患者安全的概念演变及临床意义

运用Rodgers演化概念分析法对患者和家属参与患者安全概念的演化、替代术语和相关术语、前因变量、结果、概念属性、定义、典型案例进行分析。概念属性包含过程、行为及环境3个领域,4个重要特征分别为个性化、获取、投入及治疗联盟,其前因变量为患者的疾病、健康信息或护理协调的混乱、新政策号召的尝试。结果包括保障患者安全、减少医疗费用和确定最佳做法。澄清患者和家属参与患者安全的概念有助于提高医护人员对其的重视与了解,为临床的实践和研究提供参考和理论依据。