美方专家观点:未来的挑战——信任是临床试验的核心

信任是医患关系的一个基本特征,是社会和医生之间的隐性合同的一部分。合同要求双方的期望值。病人会告诉医生他们内心深处的个人隐私,信任医生会为他们保守秘密,允许医生在他们生病和悲伤时进入家里和医院。但是,要做到这些,医生必须维持包括关爱、保密和承诺的伦理标准。因为信任就像个很小但却很珍贵的宝石－很难得到,又很容易失去,失去之后想要在找回来极为困难。     

Background beliefs in Bayesian inference

We report five experiments in which the role of background beliefs in social judgments of posterior probability was investigated. From a Bayesian perspective, people should combine prior probabilities (or base rates) and diagnostic evidence with equal weighting, although previous research shows that base rates are often underweighted. These experiments were designed so that either piece of information was supplied either by personal beliefs or by presented statistics, and regression analyses were performed on individual participants to assess the relative influence of information. We found that both prior probabilities and diagnostic information significantly influenced judgments, whether supplied by beliefs or by statistical information, but that belief-based information tended to dominate the judgments made.     

Lapses of intention and performance variability reveal age-related increases in fluctuations of executive control

We examine the hypothesis that the efficiency of executive control processes is less stable over time in older than younger adults. An age-related decrease in the efficiency of executive control should result in an increase in performance variability in task conditions requiring the recruitment of executive control processes and not in task conditions requiring minimal involvement of executive control. Performance variability was similar for younger and older adults in task conditions requiring minimal executive control and greater for older than younger adults in task conditions requiring executive control. These and other data are consistent with the proposal that aging is associated with a decrease in the stability of executive control over time.     

Psychoanalysis in later life

After decades of heeding Freud's admonition against taking patients older than fifty years of age into psychoanalytic treatment, psychoanalysts began to treat them and to report encouraging experiences. This essay is another in a series of case reports that confirms and extends the nature of changes possible in the analytic treatment of elderly patients. In order to demonstrate both specific changes and the possibility of satisfactory terminations with patients of advanced age, the author describes his analytic work with a woman who first consulted him when she was sixty-eight years old.     

Unrealistic optimism and perceived control: role of personal competence

This work analyzed the effects of unrealistic optimism in the interaction between the emotional valence of future events, the perception of control over these events, and the person with whom one compares oneself. It was hypothesized that, if the person of comparison is judged as very competent, a pessimistic bias should be produced. Likelihood of four different types of events (positive and controllable, positive and uncontrollable, negative and controllable, and negative and uncontrollable) were rated by 133 university students (22 men and 111 women) for themselves, for an average student, for their best friend, and for a bright friend. A pessimistic bias was observed on the relative likelihood of the events when the comparison was made between oneself and a competent and bright friend, when events were perceived as controllable, especially positive ones. Not enough is known, however, to provide meaningful interpretation at present; that must await further data and theoretical development.     

Regularities of source recognition: ROC analysis

Source memory has become the focus of a growing number of investigations in a variety of fields. An appropriate model for source memory is, therefore, of increasing importance. A simple 2-dimensional signal-detection model of source recognition is presented. The receiver operating characteristics (ROCs) obtained from 3 experiments are then used to test the model. The data demonstrate 3 regularities: convex ROCs, z-ROCs with linear slopes of 1.00, and slightly concave z-ROCs. Two of these regularities support the model. The 3rd requires a revision of the model. This revised model is fitted to the data. The implications of these regularities for other theories are also discussed.     

Chinese adolescents' explanations of poverty: the Perceived Causes of Poverty Scale

The Chinese Perceived Causes of Poverty Scale (CPCPS), constructed to assess how Chinese people explain poverty, covers four categories of explanations: personal problems of poor people, lack of opportunities to escape from the poverty cycle, exploitation of poor people, and bad fate. Chinese secondary school students (N = 1,519) were administered the CPCPS. Four factors were abstracted from their responses (Personal Problems, Lack of Opportunity, Exploitation, and Fate) and these factors (i.e., subscales) could reliably be reproduced in different subsamples. The four subscales were also found to be internally consistent and there was some support for their construct validity.     

Refusing intergroup help from the morally superior: How one group's moral superiority leads to another group's reluctance to seek their help

We examine how group members paradoxically refuse intergroup help where they might need it most: in the moral status domain. Based on the Sacred Value Protection Model (Tetlock, 2002), we predicted and found that group members felt stronger group-based anger and a stronger motivation to reaffirm their group's moral status when an outgroup was morally superior to them. Despite this moral motivation, however, we also predicted and found that group members more strongly refused intergroup help to improve their moral status vis-à-vis the morally superior outgroup (compared to an uninvolved outgroup). Consistent with the Social Identity model of Deindividuation Effects (Reicher, Spears, & Postmes, 1995), group members thus strategically refused intergroup help to defend their group identity. Supporting this interpretation, particularly highly identified group members were most likely to refuse intergroup help when they needed it most. We discuss theoretical and practical implications of our findings.     

Borrowing from Sleep to Pay Work and Family: Expanding Time‐Based Conflict to the Broader Nonwork Domain

We extend cross‐domain research by examining sleep, a domain within the larger nonwork domain that competes for time with work and family domains. We draw from scarcity theory and research on slack resources to contend that, because people cannot increase the amount of time they have, they borrow time from sleep in order to spend more time working and with family. Utilizing a Bureau of Labor Statistics survey of 10,741 participants, we find nonlinear and interactive effects of time spent working and time spent with family on sleep time, suggesting that the negative effects of work and family on sleep time are especially strong when demands for work and family are high. In an experience sampling field study of 122 working adults, we similarly find a nonlinear effect of work time on sleep time as well as an interaction between work time and family time in predicting time spent sleeping. Both studies indicate that as slack time resources become increasingly scarce, time spent working and time spent with family have increasingly powerful negative effects on time spent sleeping. Contrary to our expectations, we found no support for gender as a moderator of these effects.