苏辙“示疾而病”的禅学思想

＂多病则与学道者宜,多难则与学禅者宜＂,苏辙却因有＂喜汝因病悟,或免终身著＂的示疾而病的禅学思想。＂示疾而病＂的苏辙以维摩自喻,在深层意义上,是他借维摩诘而表现其忧以天下、以乐天下的人格理想。     

Malingering in toxic exposure: classification accuracy of reliable digit span and WAIS-III Digit Span scaled scores

This study examined the sensitivity and false-positive error rate of reliable digit span (RDS) and the WAIS-III Digit Span (DS) scaled score in persons alleging toxic exposure and determined whether error rates differed from published rates in traumatic brain injury (TBI) and chronic pain (CP). Data were obtained from the files of 123 persons referred for neuropsychological evaluation related to alleged exposure to environmental and industrial substances. Malingering status was determined using the criteria of Slick, Sherman, and Iverson (1999). The sensitivity and specificity of RDS and DS in toxic exposure are consistent with those observed in TBI and CP. These findings support the use of these malingering indicators in cases of alleged toxic exposure and suggest that the classification accuracy data of indicators derived from studies of TBI patients may also be validly applied to cases of alleged toxic exposure.     

试论卫生与法律的关系

卫生是人类重要的社会实践活动。卫生也是保护人体健康的重要社会事业,需要法律的保护和导向。卫生法为卫生发展提供了良好的社会环境,并控制医药卫生无序、失控及异化带来的社会危害性,造福人类,促进经济发展和社会进步。     

Spouse-aided versus individual therapy in persisting psychiatric disorders: a systematic comparison

Fifty-three married patients with a wide range of severe, persisting psychiatric disorders were randomly allocated to a form of couples therapy (spouse-aided therapy) or to individual therapy. Both were outpatient, goal-oriented therapies, with an overall mean duration of 9.5 hours. Before, during, immediately after, and three months after therapy, patients and spouses completed ratings of target and personal problems, sexual activity and attitudes, psychological symptoms, and marital satisfaction. Ratings were also conducted by independent assessors. Spouse-aided therapy proved superior to individual therapy at a statistically significant level on most outcome measures, with clinically worthwhile improvements in symptoms, problems, and marital satisfaction in both partners. Individual therapy was followed by improvement in some symptoms, but marital dissatisfaction increased and both partners were more depressed at three months follow-up than before treatment.     

Temporal integration in vision: Masking can aid detection

Temporal form-part integration is the process whereby two discrete sets of stimuli, presented at different times, are perceived by the visual system as a single integrated percept. Dixon and Di Lollo (Cognitive Psychology 26(1):33-63, 1994) proposed a temporal correlation model that was able to quantitatively account for a number of findings related to both form-part integration tasks and partial report. The present study demonstrates a novel approach to form-part integration—the addition of a whole-field mask stimulus at the termination of the second set of stimuli. According to an extension of the correlation model, the mask stimulus should reduce the visual system’s response to the trailing display, thus increasing the relative overlap of the two displays, fostering integration. Experiment 1 supported this hypothesis, showing a maximum benefit when the mask followed the trailing display immediately, as opposed to after a delay of 60 ms. Experiment 2 showed that this same mask actually did yield worse performance when presented immediately after a single set of stimuli. The third experiment collected detailed data for a few observers over a larger number of mask delays. Taken together, these experiments provide a rare example of masking degrading a target stimulus, and yet aiding perception.     

Naltrexone's effects on reactivity to alcohol cues among alcoholic men

The mechanisms of naltrexone's effects on urges to drink during abstinence are unclear. Naltrexone may suppress either urges to drink specifically or appetitive responses in general. The effects of naltrexone on cue reactivity to alcoholic and sweet nonalcoholic beverages were investigated. Alcohol-dependent men (N = 53) in treatment received naltrexone (50 mg) or placebo. Four hours later, they received baseline assessment, exposure to fruit juice, and exposure to their usual alcoholic beverage in 3-min trials. Naltrexone reduced urge to drink and self-reported attention to the alcohol cues, not at the initial exposure but after repeated exposures to alcohol cues. Naltrexone reduced negative affect across baseline and alcohol trials. No effects of naltrexone on responses to the nonalcoholic appetitive beverage cues were found, suggesting that general appetite suppression does not mediate the effects of naltrexone on urges.     

Coping Self-Efficacy as a Mediator of Distress Following a Natural Disaster

Social-cognitive theory and conservation-of-resources theory were utilized to understand individual differences in psychological response to natural disaster. Coping self-efficacy, lost resources, social support, and optimism were assessed along with demographic variables in predicting distress following Hurricane Opal. Participants included 67 residents of Okaloosa County, Florida. Multiple regression analyses indicated that coping self-efficacy was the strongest predictor of general distress and trauma-related distress. Loss of resources and gender were also important predictors of general distress. Path analyses demonstrated that lost resources directly influenced general distress, social support, optimism, and coping self-efficacy. These analyses also indicated that coping self-efficacy perceptions mediated the relationships between loss of resources and trauma-related distress, social support and both trauma and general distress, and optimism and both types of distress. Theoretical implications are discussed.