Information Mismatch: Cancer Risk Counseling with Diverse Underserved Patients

As genetics and genomics become part of mainstream Medicine, these advances have the potential to reduce or exacerbate health disparities. Gaps in effective communication (where all parties share the same meaning) are widely recognized as a major contributor to health disparities. The purpose of this study was to examine GC-patient communication in real time, to assess its effectiveness from the patient perspective, and then to pilot intervention strategies to improve the communication. We observed 64 English-, 35 Spanish- and 25 Chinese-speaking (n = 124) public hospital patients and 10 GCs in 170 GC appointments, and interviewed 49 patients who were offered testing using the audio recordings to stimulate recall and probe specific aspects of the communication. Data analyses were conducted using grounded theory methods and revealed a fundamental mismatch between the information provided by GCs and the information desired and meaningful to patients. Several components of the communication that contributed to this mismatch and often resulted in ineffective communication included: (1) too much information; (2) complex terminology and conceptually difficult presentation of information; (3) information perceived as not relevant by the patient; (4) unintentional inhibition of patient engagement and question-asking; (5) vague discussions of screening and prevention recommendations. Our findings indicate a need to transform the standard model of genetic counseling communication using evidence-based principles and strategies from other fields of Medicine. The high rates of limited health literacy in the US, increasing access of diverse populations to genetic services, and growing complexity of genetic information have created a perfect storm. If not directly addressed, this convergence is likely to exacerbate health disparities in the genomic age.     

基于fNIRS的运动执行与运动想象脑激活模式比较

使用《运动想象问卷−修订版》筛选出的30名被试(男女各半), 采用功能性近红外光谱成像技术(fNIRS)监测被试在执行实际举哑铃(男生, 4磅和8磅; 女生, 2磅和4磅)任务和想象举同等重量哑铃任务时, 其大脑皮层氧合血红蛋白浓度的变化。结果发现：男女被试在运动执行与运动想象任务下都激活了主运动皮层; 且运动执行的大脑激活水平高于运动想象。在执行实际运动任务时, 运动强度显著影响大脑皮层血氧浓度的变化, 表现出左半球偏侧化优势; 在执行想象运动任务时, 运动强度没有影响大脑皮层血氧浓度的变化, 且无偏侧化现象。     

情绪概念加工与情绪面孔知觉的相互影响

通过3个实验探讨情绪概念加工与情绪面孔知觉是否存在相互影响, 以及加工深度对两者关系的影响。实验1采用情绪面孔启动范式, 探讨较深的情绪概念加工层面对情绪概念与情绪面孔的关系的影响。实验2更改概念任务, 探讨较浅的概念加工层面对两者关系的影响。实验3缩短启动面孔呈现时间, 探讨较浅的面孔知觉层面对两者关系的影响。通过研究主要得出以下结论：(1)情绪概念加工与情绪面孔知觉确实存在相互影响; (2)概念加工深度影响两者关系的方向性, 在较深的概念加工层面, 两者的关系是双向的, 在较浅的概念加工层面, 两者的关系是单向的; (3)知觉加工深度也影响两者关系的方向性, 在较深的知觉加工层面, 两者的关系是双向的, 在较浅的知觉加工层面, 没有发现两者的相互影响。本研究为抽象概念的具身表征提供了实证支持。     

初中生偶像崇拜及其与生活目标和主观幸福感的关系:性别的调节作用

本研究以3587名初中生为对象,采用问卷测量法,考察了初中生偶像崇拜在性别和年级上的差异,及其与生活目标和主观幸福感的关系,并探究了性别在其中的调节作用。研究发现：（1）女生的偶像崇拜水平显著高于男生的,且偶像崇拜高水平组中女生人数显著多于男生,偶像崇拜低水平组中则相反;初一与初二年级间偶像崇拜的水平及在不同水平上的人数分布均无显著差异。（2）外在生活目标能够正向预测初中生的偶像崇拜水平,其中性别起调节作用,外在生活目标对女生偶像崇拜水平的影响大于男生。（3）性别对偶像崇拜影响初中生主观幸福感上也具有调节作用,即偶像崇拜水平负向预测初中女生的主观幸福感,对男生的主观幸福感则影响不显著。     

中学生社会支持对数学学习坚持性的影响:数学自我效能感的中介作用

以北京市通州区一所普通中学的228名初一和初二学生为被试,采用领悟社会支持量表、数学自我效能感和数学学习坚持性问卷,考察在中学生数学学习中不同来源的社会支持对数学学习坚持性的影响,并检验数学自我效能感在其中的中介作用。结果发现:(1)社会支持中的教师支持和同伴支持能够显著正向预测数学学习坚持性水平,而父母支持的预测作用不显著;(2)数学自我效能感在同伴支持和数学学习坚持性之间起完全中介作用,在教师支持和数学学习坚持性之间起部分中介作用。     

不同依恋风格者情绪调节策略的认知神经特点

情绪调节是依恋研究的重要方面。本文依托Gross的情绪调节理论和相关认知神经证据,阐述了三种依恋风格者的情绪调节特点。焦虑型依恋调节负性情绪时存在注意分配的优势和表达抑制的不足;调节正性情绪时还采用了情景选择和情景修正策略。回避型依恋调节两种效价情绪均使用了表达抑制,调节正性情绪时还使用了认知重评。安全型依恋使用认知重评、注意分配和情景修正策略,效价差异不突出。探讨依恋与情绪调节的关系,有利于改善非安全型依恋的情绪调节能力。     

Women,Human Rights,and Counseling: Crossing International Boundaries

As the world becomes more globalized, psychological and counseling issues have become more pronounced. As social justice issues become illuminated on a global scale, there is increased attention to women as identified victims of social injustices and human rights violations. This article examines the role of professional counselors working with women from an international perspective with the intention to heighten awareness and understanding of the interrelationship of global women's issues and effective counseling interventions.     

道教音乐养生的机理研究

中国传统音乐蕴涵丰富的道文化.道教音乐的神是虚静柔和的韵,形是五音六律;神通于心,故韵可修心养性;形合于阴阳五行,故五音六律能调养五脏六腑而炼形养命.道教的性命双修,从传统医学而言是形神共养,从现代医学而言是心身并调.本文从道教的性命双修、传统医学的形神观及现代心身医学等多重角度探讨了道教音乐的养生作用.     

彝族祖先崇拜与习惯法

彝族习惯法源远流长,彝族的祖先崇拜根深蒂固.马都作为祖先崇拜的象征,体现了彝族习惯法对奸淫幼女行为的认定和处罚,包含祖先崇拜这一宗教因素.祖先崇拜对奸淫幼女行为的约制,反映了彝族宗教信仰对习惯法的影响.