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141.
Patients as "subjects" or "objects" in residency education?   总被引:1,自引:0,他引:1  
  相似文献   
142.
In this commentary, we argue that a generally sound therapeutic technique—Socratic questioning—is ill-suited to address a common variant of combat-related emotional and psychological distress. Specifically, moral injury is a term used to describe a syndrome of shame, self-handicapping, anger, and demoralization that occurs when deeply held beliefs and expectations about moral and ethical conduct are transgressed. Importantly, moral injury can and often does result from instances of intentional perpetration. We contend that challenging the accuracy of self-blame in such cases is conceptually problematic and potentially harmful. Such an approach is based on a questionable premise—i.e., that self-blame and resulting guilt are inherently illogical or inaccurate. Though this is often the case, it is not invariably so. We briefly describe an alternate approach—Adaptive Disclosure—that allows for accurate and legitimate self-blame when warranted but also promotes the possibilities of self-forgiveness, compassion, and moral reparation.  相似文献   
143.
In two experiments, we investigated the possibility that individual differences in working memory capacity (WMC) would provide resistance to belief bias in syllogistic reasoning. In Experiment 1 (N?=?157), participants showed a belief bias effect in that they had longer response times and decreased accuracy on syllogisms with conflict between the validity and believability of the conclusion than on syllogisms with no such conflict. However, this effect did not differ as a function of individual differences in WMC. Experiment 2 (N?=?122) replicated this effect with the addition of decontextualized (i.e., nonsense) syllogisms as a different means of measuring the magnitude of the belief bias effect. Although individual differences in WMC and fluid intelligence were related to better reasoning overall, the magnitude of the belief bias effect was not smaller for participants with greater WMC. The present study offers two novel findings: (a) The belief bias effect is independent of individual differences in WMC and fluid intelligence, and (b) resolving conflict in verbal reasoning is not a type of conflict resolution that correlates with individual differences in WMC, further establishing boundary conditions for the role of WMC in human cognitive processes.  相似文献   
144.
The pupillary light reflex (PLR) was used to track covert shifts of attention to items maintained in visual working memory (VWM). In three experiments, participants performed a change detection task in which rectangles appeared on either side of fixation and at test participants indicated if the cued rectangle changed its orientation. Prior to presentation or during the delay, participants were cued to the light or dark side of the screen. When cued to the light side, the pupil constricted, and when cued to the dark side, the pupil dilated, suggesting that the PLR tracked covert shifts of attention. Similar covert shifts of attention were seen when the target stimuli remained onscreen and during a blank delay period, suggesting similar effects for attention to perceptual stimuli and attention to stimuli maintained in VWM. Furthermore, similar effects were demonstrated when participants were pre-cued or retro-cued to the prioritized location, suggesting that shifts of covert attention can occur both before and after target presentation. These results are consistent with prior research, suggesting an important role of covert shifts of attention during VWM maintenance and that the PLR can be used to track these covert shifts of attention.  相似文献   
145.
In Experiment 1a, participants were exposed, over a series of trials, to separate presentations of 2 similar checkerboard stimuli, AX and BX (where X represents a common background). In one group, AX and BX were presented on alternating trials (intermixed), in another, they were presented in separate blocks of trials (blocked). The intermixed group performed to a higher standard than the blocked group on a same-different test. A superiority of intermixed over blocked exposure was also evident in a within-subject design (Experiment 1b) and when the test required discrimination between a preexposed stimulus and the background (e.g., AX vs. X), even if the background changed between preexposure and test (AY vs. Y) (Experiment 2). In Experiment 3, the intermixed/blocked effect was observed when, in preexposure, stimulus presentations were alternated with the background alone (e.g., AX/X). This suggests that the perceptual learning effect is not the consequence of inhibitory associations between unique features but to increased salience of those features. Experiment 4 confirmed this finding and also ruled out an account of the effect in terms of trial spacing.  相似文献   
146.
Three experiments examined the nature of individual differences in switching the focus of attention in working memory. Participants performed 3 versions of a continuous counting task that required successive updating and switching between counts. Across all 3 experiments, individual differences in working memory span and fluid intelligence were related to the accuracy of the counts, but not to the time cost associated with switching between counts. The authors suggest that working memory span and fluid intelligence measures partially index the ability to accurately switch information in and out of the focus of attention, but this variation is not related to the speed of switching.  相似文献   
147.
A robust finding in humans and animals is that intermixed exposure to 2 similar stimuli (AX/BX) results in better discriminability of those stimuli on test than does exposure to 2 equally similar stimuli in 2 separate blocks (CX_DX)--the intermixed-blocked effect. This intermixed-blocked effect may be an example of the superiority of spaced over massed practice; in the intermixed, but not the blocked exposure regime, each presentation of a given stimulus (e.g., AX) is separated from the next by the presentation of its partner (BX). Two experiments with human participants replicated the intermixed-blocked effect and showed that the effect was not due to the spacing of exposure trials. A mechanism for the intermixed-blocked effect is proposed, which combines theories from associative learning and memory.  相似文献   
148.
Speech perception deficits are commonly reported in dyslexia but longitudinal evidence that poor speech perception compromises learning to read is scant. We assessed the hypothesis that phonological skills, specifically phoneme awareness and RAN, mediate the relationship between speech perception and reading. We assessed longitudinal predictive relationships between categorical speech perception, phoneme awareness, RAN, language, attention and reading at ages 5½ and 6½ years in 237 children many of whom were at high risk of reading difficulties. Speech perception at 5½ years correlated with language, attention, phoneme awareness and RAN concurrently and was a predictor of reading at 6½ years. There was no significant indirect effect of speech perception on reading via phoneme awareness, suggesting that its effects are separable from those of phoneme awareness. Children classified with dyslexia at 8 years had poorer speech perception than age‐controls at 5½ years and children with language disorders (with or without dyslexia) had more severe difficulties with both speech perception and attention control. Categorical speech perception tasks tap factors extraneous to perception, including decision‐making skills. Further longitudinal studies are needed to unravel the complex relationships between categorical speech perception tasks and measures of reading and language and attention.  相似文献   
149.
In two experiments, the role of working memory capacity (WMC) in the controlled search of long-term memory was examined. Participants performed a prolonged category fluency task that required them to retrieve as many animals as possible in 5 min. The results suggested that WMC differences arose in the numbers of animals retrieved, the numbers of clusters retrieved, and the rates of the retrieval (Exp. 1). However, no differences were found in terms of how participants initiated retrieval or in the nature of the clusters generated. Furthermore, an examination of differences in retrieval strategies suggested that high-WMC individuals were more strategic than low-WMC individuals and that these differences in retrieval strategies accounted for the overall differences in the numbers of animals retrieved. Additionally, presenting participants with retrieval cues eliminated WMC differences in the numbers of animals retrieved (Exp. 2). These results suggest that low-WMC individuals are less able than high-WMC individuals to select and utilize appropriate retrieval strategies to self-generate cues to access information in long-term memory. Collectively, the results are consistent with research suggesting that WMC is important for controlled search from long-term memory.  相似文献   
150.
Through narrative, the authors explore the faith‐based challenges of a physically and emotionally abused Conservative Christian wife to illustrate her ideological assessment of agency in a violent marriage and her concerns about the religious consequences of escape. To offset religious teachings that obstruct the safety and self‐assertion of abused Conservative Christian wives, the authors offer practitioners practical, idiomatic recommendations through which clients can reassess the limitations of common religious schemas, including conceptions of wifely submission, marital permanence, infinite forgiveness, and pious suffering. The religious community's responses to abused wives, particularly those of the clergy, are also discussed.  相似文献   
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