试论医生医疗工作归因

借鉴目前归因理论研究的成果,重点探讨了医生医疗工作归因的含义、结构、作用及方法,提出医生应学会对自己医疗工作中的成败进行合理的归因,自觉地总结经验、汲取教训,不断取得医学事业上的成功.     

我国中小学生学习适应性研究述评

本文在综观同内研究资料的基础上,主要围绕学习适应性的慨念与功能展开理论探讨．同时对我国中小学生学习适应性的发展现状及其培养研究成果进行了概括。     

小学生学习适应问题的整合性教育干预实验研究

运用专题辅导、个别咨询辅导和家庭间接辅导相结合的整合性教育干预模式提高小学生学习适应能力。实验结果表明：(1)整合性教育干预能有效提高小学生的学习适应性整体水平;(2)干预措施对学习适应低水平组学生的促进效果较为显着。     

Treating the Child or Syndrome: Does Context Matter for Treatment Decisions for Antisocially Behaving Youth?

Using a between-subject 3 × 3 design of an experimentally manipulated realistic case vignette of Black, White, and Hispanic youth in a survey mailed to 1540 experienced psychologists, psychiatrists, and social workers, the authors examined if clinicians alter their judgments about treatment for antisocially behaving youth based on the symptom’s social context (e.g., life circumstances) and the youth’s race or ethnicity, even among youth who are otherwise identical in terms of behavioral symptoms. Vignettes describe behaviors meeting DSM-IV criteria for conduct disorder, but contain contextual information suggesting either internal dysfunction (ID) or a normal response to a difficult environment [i.e., environmental-reaction (ER)]. Comparison was symptom-only (SO). Judgments of effectiveness of 14 treatments for youth exhibiting antisocial behavior were examined. Frequencies and median scores of perceived effectiveness level (1–9, Likert) were compared in bivariate analyses, stratifying context and youth’s race or ethnicity. The context of the behavior was associated significantly with differences in effectiveness judgments in 13 of 14 treatments. Within ID and ER contexts, clinicians judged three different treatments as effective (median ≥ 7 of 9). In the SO condition, clinicians were less selective, judging six as effective. In the ID context, psychiatric medications, systems oriented family therapy, and residential care were judged more effective for White than for Black or Hispanic youth. Evidence-based practice research may be hampered by inattention to the social context of behavioral symptoms. Context may activate implicit racial assumptions about treatment effectiveness. Implications are for clinical training to improve service delivery, and future clinical research.     

Effect of 45‐Day −6° Head‐Down Bed Rest on Cooperation and Aggression

High levels of cooperation and low aggression seem obviously vital to the successful implementation of space missions. To elucidate the effect of microgravity on these behaviors, we investigated whether cooperative and aggressive behaviors would be affected in 16 male volunteers during 45‐day ?6° head‐down bed rest, which is a reliable simulation model for most physiological effects of spaceflight. We used an ultimatum game task to evaluate the cooperative behavior and a revised competitive reaction time test to evaluate the aggressive behavior simultaneously. We found that (1) the participants became less cooperative in the post‐bed rest phase in comparison with the pre‐bed rest phase and (2) the participants became more aggressive in the in‐bed rest phase in comparison with the pre‐bed rest phase. These findings provide evidence that head‐down bed rest may affect both cooperative and aggressive behaviors in males, suggesting an important perspective for future studies in space psychology.Copyright © 2017 John Wiley & Sons, Ltd.     

阅读水平不同的儿童解决比较型算术题研究

以不同阅读水平的30名小学三年级儿童为被试,以比较型算术应用题为材料,对解决算术应用题的能力进行研究,结果如下：1)在总得分上,阅读能力优秀组的得分显著高于阅读能力不良组,其它各组之间差异不显著。在解决问题的总时间上,阅读理解主效应显著,各组之间差异均显著,阅读能力越好,解题时间越少。2)题目类型主效应显著,一致型题得分显著高于不一致型题。在解题时间上,题目类型主效应不显著。     

Combined effect of early life stress and acute stress on colonic sensory and motor responses through serotonin pathways: differences between proximal and distal colon in rats

Clinically, adults who have experienced stresses in childhood present with episodes of serious symptoms of irritable bowel syndrome that are associated with acute stress, but the mechanism is not well understood. This study aimed to investigate the colonic sensory/motor responses to acute water avoidance stress (WAS) in male adult rats subjected to neonatal maternal separation (NMS), and the underlying mechanism of sensory/motor responses. Effects of the combined acute and early life stress on visceral sensation, colonic motility, and the tissue and luminal content of serotonin (5-hydroxytryptamine, 5-HT) in the proximal and distal colon were evaluated using the abdominal withdrawal reflex test, faecal pellet output measurement and capillary electrophoresis analysis, respectively. Results showed that WAS significantly increased not only visceral sensitivity but also colonic motility in NMS rats compared to the normal rats. These alterations were accompanied by significant increase in 5-HT content in the proximal but not the distal colonic tissues; these alterations were also associated with increased density of enterochromaffin (EC) cells in the proximal segment. In contrast, the faecal content of 5-HT increased similarly in both segments. Consecutive administration of parachlorophenylalanine to NMS rats was more potent at 500 mg kg?1 day?1 than at 150 mg kg?1 day?1 in suppressing colonic sensory/motor responses to WAS, corresponding to the greater reduction of the tissue and faecal content of 5-HT and of EC cell density in the colon. These data indicate that combined early life stress and acute stress effectively induce visceral hyperalgesia and motility disorder through 5-HT pathways in the colon of rats, and the proximal and distal colon have different responses towards the combined stressors.     

A study of experiential technology and scientific technology, exemplified by Chinese and western medicine

Experience and science, being the two sources of technology, have different focuses. In experiential technology, techniques and skills are emphasized while in scientific technology tool or equipment. Experiential technology is generally regarded as local knowledge, and scientific technology universal. Traditional Chinese medicine is an experiential technology. In contrast, Western medicine is set up as a scientific technology with great efforts. Through the comparison of these two medicines, this paper attempts to illustrate the difference between the two technologies and in turn, the difference between these two medicines by defining these two technologies. Finally, this paper further investigates the special values of Chinese medicine. Making use of the SSK theory, this paper deconstructs the idea of universality of science, and argues that, the universality is the feature that science pursues, but not what it already has. With more historical evidence, experiential technology is more stable, while scientific technology is less stable because it updates quickly, and often changes reversely.     

特需医疗服务供方意向调查分析

剖析目前特需医疗服务供方所存在的主要问题,初步探讨在我国发展特需医疗服务适宜的承担主体。采用个别访谈和问卷调查的方法对来自不同性质的医院的医护人员和医院管理人员进行了意向调查。结果显示,医院发展特需医疗服务并不是解决医务人员收入问题的有效手段;公立医院发展特需医疗服务势必会对其普通医疗服务带来负面影响。建议在确保大部分公立医院只提供普通医疗服务的基础上,由私立医院和一部分公立医院作为特需医疗服务的承担机构。     

ProjectA对我军士兵心理选拔研究的启示

美国军队选拔与分类项目（The Army’s Selection And Classification Project,Project A）是美军20世纪80年代为改进军队人员的选拔、分类和使用,加强军队质量建设而进行的一项大规模的研究工作,其目的是建立一套完整、科学、符合军队建设需要的军队人员选拔与分类方法,形成一整套用于军队人员军队人员选拔与分类的预测工具。本文简要介绍了Project A产生的背景、研究目的、基本实验设计、绩效评价系统建立、预测工具以及预测效度,并对我军开展士兵心理选拔分类以及安置的必要性和可行性做了简要分析,提出了基本构想