试析社区护士角色道德

角色道德是由角色产生、发展而形成的一种心理结构。社区护士的角色道德问题表现为角色不清、缺乏角色转换的心理准备,原因在于社区护士的形象模糊、制度建设不完善以及缺乏提升自我素质和境界的环境。建议以道德文化为切入点推进角色道德建设,以角色道德价值观教育为核心,构建适合社区护士的角色道德规范。     

制度伦理视阈中的护士职业倦怠问题

文献研究表明,国内护士职业倦怠现象相当普遍,其重要症结是制度非正义.这种制度非正义表现在三个方面,即护士的社会地位低;护士的劳动报酬低;护士的个人发展空间受限.因此,预防和消除护士职业倦怠现象应该从以下三个方面入手:尊重护士,提高其社会地位;提高劳动报酬,让护士生活得有尊严;拓展护士个人发展空间.     

A socioeconomic dimension of the therapeutic relationship the analyst's perspective

Abstract

Gojman de Millan S. A Socioeconomic Dimension Of Therapeutic Relationship. The Analyst's Perspective. Int Forum Psychoanal 1997;6:241—249. Stockholm. ISSN 0808-706X.

Two clinical vignettes are described. I wish to show how much an open recognition of the social conditions of both participants in a treatment process may enrich the analyst's understanding of the transference-countertransference dynamics. I claim that although analysts intuitively integrate this aspect of the therapeutic relationship they commonly do it without a specific formulation.

In an explicit and systematic manner, Fromm emphasized the social dimensions of human experience. His background knowledge of the social sciences framed his therapeutic practice. The clinical implications which derive from this perspective will be illustrated.

The clinical material which I present shows how today's psychoanalytic attention to the dynamic interaction between analyst and patient while it enables us to deal with the complexity and different layers of the treatment process can also include the social dimension. The benefits and difficulties of developing our consciousness about our own social roles and our involvement in the social milieu deserve our careful and critical attention.     

Where did you park your car? Analysis of a naturalistic long-term recency effect

Abstract

Three experiments studied the long-term retention of parking locations. In Experiment 1, members of the Applied Psychology Unit (MU) attempted to recall where they had parked during the morning and afternoon of each of the previous 12 working days. A marked recency effect was observed. In Experiment 2, members of the APU Subject Panel were invited for a single test session, and asked where they had parked after a delay of 2 hours, 1 week or 1 month. Recall was excellent and did not differ as a function of delay, allowing a simple trace decay interpretation to be ruled out. A third experiment invited subjects to attend on two occasions separated by a 2-week interval. The subjects were then required to recall their parking locations some 4 weeks after either their first visit or their second visit. Performance in both groups was inferior to that observed in Experiment 2, and declined over time. A temporal discrimination model, based on laboratory studies of both long-term and short-term recency in free recall, offers a plausible explanation of our results.     

When actions speak volumes: The role of inferences about moral character in outrage over racial bigotry

Inferences about moral character may often drive outrage over symbolic acts of racial bigotry. Study 1 demonstrates a theoretically predicted dissociation between moral evaluations of an act and the person who carries out the act. Although Americans regarded the private use of a racial slur as a less blameworthy act than physical assault, use of a slur was perceived as a clearer indicator of poor moral character. Study 2 highlights the dynamic interplay between moral judgments of acts and persons, demonstrating that first making person judgments can bias subsequent act judgments. Privately defacing a picture of Martin Luther King, Jr. led to greater moral condemnation of the agent than of the act itself only when the behavior was evaluated first. When Americans first made character judgments, symbolically defacing a picture of the civil rights leader was significantly more likely to be perceived as an immoral act. These studies support a person‐centered account of outrage over bigotry and demonstrate that moral evaluations of acts and persons converge and diverge under theoretically meaningful circumstances. Copyright © 2013 John Wiley & Sons, Ltd.     

手术治疗在晚期乳腺癌中的应用价值

乳腺癌已经成为女性最常见的恶性肿瘤。虽然乳腺癌的早期诊断和治疗水平已经得到了很大水平的提高,但是仍有相当一部分患者在诊断时就已经存在远处转移,或者在术后出现局部复发以及远处转移。对于手术治疗在这些晚期乳腺癌患者中的作用,目前还存在很大的争议。本文对相关内容进行了探讨,认为晚期乳腺癌的治疗需要多学科协作的综合治疗,不应该忽视手术这个重要的治疗手段,从而使晚期的患者也能获得长期生存甚至治愈的机会。     

考虑题目选项信息的非参数认知诊断计算机自适应测验

选择题中的作答选项能提供额外诊断信息, 为充分利用选项信息, 研究提出认知诊断计算机自适应测验(CD-CAT)中两种处理选择题选项信息的非参数选题策略和变长终止规则。模拟研究的结果发现：(1)定长条件下两种非参数选题策略的分类准确性整体要高于参数选题策略; (2)两种非参数选题策略较参数选题策略具有更加均衡的题库使用情况; (3)非参数选题策略在两种新的变长终止规则下具有更高的分类准确率; (4)两种非参数选题策略均适用于选择题CD-CAT情境, 使用者可任选其一进行测验分析。     

PTSD易感性人格特质、工作记忆能力和创伤期间认知加工对模拟创伤闪回的影响

基于模拟创伤研究范式, 采用道路交通事故影片对159名健康大学生进行模拟创伤, 考察PTSD易感性人格特质(特质焦虑、特质分离和神经质)、工作记忆能力(注意控制和工作记忆容量)和创伤期间认知加工(数据驱动加工和概念加工)对模拟创伤后不同时段闪回的影响。运用结构方程模型分析数据, 结果发现：(1)数据驱动加工正向预测不同时段闪回(即时闪回、一周闪回和触发闪回)的数量、生动性、痛苦度以及一周侵入频率; (2)神经质正向预测触发闪回痛苦度, 注意控制和工作记忆容量负向预测一周侵入频率; (3)概念加工在注意控制与即时闪回痛苦度之间起中介作用。研究结果提示：数据驱动加工是创伤后不同时段闪回的主要影响因素; 概念加工主要作用于早期急性应激反应, 注意控制是其保护因素; 神经质和工作记忆能力对闪回具有较长期的影响, 且工作记忆能力具有一定的保护作用。     

感性还是理性?文化衍生的权力感对广告诉求偏好的影响

广告的有效性很大程度上取决于消费者个体特征与广告诉求之间的一致性。以往研究忽略了文化衍生的权力感作为关键心理特征与不同诉求广告之间的匹配性效应。本文探讨文化衍生的权力感(个人权力感vs.社会权力感)对广告诉求偏好的影响及其作用机理。研究结果表明, 启动个人(vs.社会)权力感的消费者更加偏好感性(vs.理性)诉求广告, 其中唤醒度发挥中介作用。当启动个人(vs.社会)权力感时, 个体更加强调满足自我需要和寻求挑战以不断提高地位与声望, 更容易激发兴奋等高(vs.低)唤醒度, 从而更加偏好感性(vs.理性)诉求广告。此外, 合理化需要在文化衍生的权力感通过唤醒度对广告诉求偏好的影响中起到调节作用。在不启动合理化需要时, 文化衍生的权力感通过唤醒度对广告诉求偏好发挥影响的中介效应显著; 而当启动合理化需要时, 上述中介效应不显著。本文基于文化取向的视角揭示了权力感影响广告诉求偏好的心理机制与边界条件, 为企业根据文化衍生的权力感差异制定广告营销策略等方面提供实践启示。     

语音加工的发展、老化及其神经机制

作为人类语言活动的重要组成成分,语音加工经历着“习得-发展-老化”的变化过程。本文首先综述了婴儿、儿童、成年人及老年人在语音意识、语音提取,语音工作记忆等方面的表现及相应加工机制。其次,分析了不同年龄段个体语音加工发展变化的神经基础。最后,通过比较不同时期个体语音加工发展进程,围绕语音加工发展过程、语音老化有无关键年龄以及如何干预等问题进行展望。