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961.
962.
Simon Shaw 《Psychoanalytic Psychotherapy》2013,27(4):379-396
Prof. Richard Layard's influential advocacy for greater provision of ‘evidence-based’ psychological therapies, based in part on an economic rationale, has lead to greatly increased provision of cognitive behavioural therapy (CBT) and short-term therapies for depression, through the Increasing Access to Psychological Therapies (IAPT) initiative, whilst longer-term psychodynamic treatments are under threat, criticised as lacking an evidence base. This paper argues for the continuing provision of intensive thrice-weekly psychoanalytic psychotherapy treatments, time-limited to two years. It does so by describing such a treatment within an NHS psychotherapy department with a patient with a long history of severe personality pathology, including significant levels of perversity. The paper describes the patient's difficulties and his movement through the treatment, focussing on his difficulties making genuine emotional contact, his destructiveness of such contact, his acting out in the treatment, his perversity and the vital working through of the ending. The shifts the patient made are described, and follow-up information on the patient is given. The paper discusses the unique benefits of time-limited treatment and intensive psychoanalytic treatments for this ‘hard-to-help’ group of patients, and the economic rationale that can be made for such treatments. 相似文献
963.
Simon RI 《Suicide & life-threatening behavior》2007,37(5):518-526
Guns in the home are associated with a five-fold increase in suicide. All patients at risk for suicide must be asked if guns are available at home or easily accessible elsewhere, or if they have intent to buy or purchase a gun. Gun safety management requires a collaborative team approach including the clinician, patient, and designated person responsible for removing guns from the home. A call-back to the clinician from the designated person is required confirming that guns have been removed and secured according to plan. The principle of gun safety management applies to outpatients, inpatients, and emergency patients, although its implementation varies according to the clinical setting. 相似文献
964.
Hans Krebs' discovery, in 1932, of the urea cycle was a major event in biochemistry. This article describes a program, KEKADA, which models the heuristics Hans Krebs used in this discovery. KEKADA reacts to surprises, formulates explanations, and carries out experiments in the same manner as the evidence in the form of laboratory notebooks and interviews indicates Hans Krebs did. Furthermore, we answer a number of questions about the nature of the heuristics used by Krebs, in particular: How domain-specific are the heuristics? To what extent are they idiosyncratic to Krebs? To what extent do they represent general strategies of problem-solving search?The relative generality of KEKADA allows us to view the control structure of KEKADA and its domain-independent heuristics as a model of scientific experimentation that should apply over a broad domain. 相似文献
965.
We present the case that language comprehension involves making simultaneous predictions at different linguistic levels and that these predictions are generated by the language production system. Recent research suggests that ease of comprehending predictable elements is due to prediction rather than facilitated integration, and that comprehension is accompanied by covert imitation. We argue that comprehenders use prediction and imitation to construct an \"emulator\", using the production system, and combine predictions with the input dynamically. Such a process helps to explain the rapidity of comprehension and the robust interpretation of ambiguous or noisy input. This framework is in line with a general trend in cognitive science to incorporate action systems into perceptual systems and has broad implications for understanding the links between language production and comprehension. 相似文献
966.
It has been suggested that iconic graphical signs evolve into symbolic graphical signs through repeated usage. This article reports a series of interactive graphical communication experiments using a 'pictionary' task to establish the conditions under which the evolution might occur. Experiment 1 rules out a simple repetition based account in favor of an account that requires feedback and interaction between communicators. Experiment 2 shows how the degree of interaction affects the evolution of signs according to a process of grounding. Experiment 3 confirms the prediction that those not involved directly in the interaction have trouble interpreting the graphical signs produced in Experiment 1. On the basis of these results, this article argues that icons evolve into symbols as a consequence of the systematic shift in the locus of information from the sign to the users' memory of the sign's usage supported by an interactive grounding process. 相似文献
967.
Recent analyses of serial correlations in cognitive tasks have provided preliminary evidence of the presence of a particular form of long-range serial dependence known as 1/fnoise. It has been argued that long-range dependence has been largely ignored in mainstream cognitive psychology even though it accounts for a substantial proportion of variability in behavior (see, e.g., Gilden, 1997, 2001). In this article, we discuss the defining characteristics of long-range dependence and argue that claims about its presence need to be evaluated by testing against the alternative hypothesis of short-range dependence. For the data from three experiments, we accomplish such tests with autoregressive fractionally integrated moving-average time series modeling. We find that long-range serial dependence in these experiments can be explained by any of several mechanisms, including mixtures of a small number of short-range processes. 相似文献
968.
Visual object perception is usually studied by presenting one object at a time at the fovea. However, the world around us is composed of multiple objects. The way our visual system deals with this complexity has remained controversial in the literature. Some models claim that the ventral pathway, a set of visual cortical areas responsible for object recognition, can process only one or very few objects at a time without ambiguity. Other models argue in favor of a massively parallel processing of objects in a scene. Recent experiments in monkeys have provided important data about this issue. The ventral pathway seems to be able to perform complex analyses on several objects simultaneously, but only during a short time period. Subsequently only one or very few objects are explicitly selected and consciously perceived. Here, we survey the implications of these new findings for our understanding of object processing. 相似文献
969.
We distinguish diagrammatic from sentential paper-and-pencil representations of information by developing alternative models of information-processing systems that are informationally equivalent and that can be characterized as sentential or diagrammatic. Sentential representations are sequential, like the propositions in a text. Diagrammatic representations are indexed by location in a plane. Diagrammatic representations also typically display information that is only implicit in sentential representations and that therefore has to be computed, sometimes at great cost, to make it explicit for use. We then contrast the computational efficiency of these representations for solving several illustrative problems in mathematics and physics. When two representations are informationally equivalent, their computational efficiency depends on the information-processing operators that act on them. Two sets of operators may differ in their capabilities for recognizing patterns, in the inferences they can carry out directly, and in their control strategies (in particular, the control of search). Diagrammatic and sentential representations support operators that differ in all of these respects. Operators working on one representation may recognize features readily or make inferences directly that are difficult to realize in the other representation. Most important, however, are differences in the efficiency of search for information and in the explicitness of information. In the representations we call diagrammatic, information is organized by location, and often much of the information needed to make an inference is present and explicit at a single location. In addition, cues to the next logical step in the problem may be present at an adjacent location. Therefore problem solving can proceed through a smooth traversal of the diagram, and may require very little search or computation of elements that had been implicit. 相似文献
970.
We describe a way of modeling high-dimensional data vectors by using an unsupervised, nonlinear, multilayer neural network in which the activity of each neuron-like unit makes an additive contribution to a global energy score that indicates how surprised the network is by the data vector. The connection weights that determine how the activity of each unit depends on the activities in earlier layers are learned by minimizing the energy assigned to data vectors that are actually observed and maximizing the energy assigned to \"confabulations\" that are generated by perturbing an observed data vector in a direction that decreases its energy under the current model. 相似文献