临床经验对诊断的双重作用及改造

文中用辩证唯物主义的观点,阐述了临床经验的定义、来源及指导实践过程中的意义,指出其具有促进诊断和引起误诊的双重作用,并用临床病历例子详细说明其双重作用的形式、导致结果及产生的原因。指出临床经验的双重作用在临床工作中的重要性及局限性,提出对经验的改造完善途径,以能充分表现出其促进诊断的作用,而最大限度降低其导致误诊的程度,发挥在临床工作中的良性作用。     

5-11岁儿童元知觉发展的实验研究

本项研究旨在探索 5 -1 1岁儿童元认知发展的规律 ,2 80名昆明市及路南县汉、撒尼族儿童参与了三项知觉实验 ,实验结果表明 :1儿童随年龄的增长 ,有关知觉组织策略的知识及自我监察的能力也逐渐发展 ,表现为系统观察、选取有效策略及计划性的增强。 2儿童对信息的加工不断深入 ,从表浅的加工过渡到详尽的加工 ,不仅要求补充必要的信息 ,而且主动搜索隐蔽的线索以促进识辨。3儿童自我评价从笼统、含糊逐渐向客观、全面发展。4路南儿童元知觉的发展晚于昆明儿童两年 ,但在路南的汉族儿童和撒尼族儿童之间不存在显著差异 ,说明文化教育对儿童元知觉发展的重要影响。     

Predictive testing and oncogenes

Case vignette: sharing unanticipated genetic information. The Questor family has experienced an unusual number of malignancies in the past two generations and has been advised by an oncologist that the p53 oncogene known as Li-Fraumeni Syndrome may be present in the family genome. The option of predictive genetic testing has been raised and several branches of the family have chosen to undergo screening to determine whether they are at risk for cancer because of the gene. Roger and Liz Questor have arranged for screening of themselves and their three children, ages 12, 10, and 7. The couple has, by all appearances, been happily married for 14 years. None of the family members are found to carry the oncogene; however, the geneticist conducting the analyses has made an interesting incidental discovery. The 10-year-old child is not the biological progeny of Roger Questor. Although the 12- and 7-year-olds are clearly the biological children of the couple, it is evident that the 10-year-old born to Liz Questor was fathered by a person other than Roger. What are the ethical obligations of the geneticist with respect to any sharing or disclosure of the information that has been discovered incidentally? What course of action, if any, do you recommend?     

合作学习对小学生同伴关系、成就动机和成就影响的研究

旨在探讨在我国开展合作学习教学的可行性,以及合作学习对小学生同伴关系、成就动机和成就水平的影响,运用自然实验和测量相结合的方法,选择了北京师范大学实验小学三年级两个班进行实验研究,其中一个班为实验班（ｎ＝３５）,另一个班为控制班（ｎ＝３７）．实验为期三个月。结果表明：合作学习在小学教学中不但是可行的,而且效果较为显著;合作学习对同伴关系的改善有着积极的影响,学生间的接纳度和被接纳度都有普遍的提高;合作学习在较大程度上激发了学生的成就动机水平,学生对合作学习的课程兴趣明显提高．成绩较差的学生表现得更为明显;合作学习对提高学生的学习成绩有一定的促进作用。     

Differences in influence between pitched-from-vertical lines and slanted-from-frontal horizontal lines on egocentric localization

The visual field exerts powerful effects on egocentric spatial localization along both horizontal and vertical dimensions. Thus, (1) prism-produced visual pitch and visual slant generate similar mislocalizations of visually perceived eye level (VPEL) and visually perceived straight ahead (VPSA) and (2) in darkness curare-produced extraocular muscle paresis under eccentric gaze generates similar mislocalizations in VPEL and VPSA that are essentially eliminated by introducing a normal visual field. In the present experiments, however, a search for influences of real visual slant on VPSA to correspond to the influences of visual pitch on VPEL failed to find one. Although the elevation corresponding to VPEL changes linearly with the pitch of a visual field consisting of two isolated 66.5°-long pitched-from-vertical lines, the corresponding manipulation of change in the slant of either a horizontal two-line or a horizontal four-line visual field on VPSA did not occur. The average slope of the VPEL-versus-pitch function across 5 subjects was +0.40 over a ±30° pitch range, but was indistinguishable from 0.00 for the VPSA-versus-slant function over a ±30° slant range. Possible contributions to the difference between susceptibility of VPEL and VPSA to visual influence from extraretinal eye position information, gravity, and several retinal gradients are discussed.     

与年龄相关的认知速度减慢及学习改善过程

该工作应用人机对话方式完成心算、符号数字、数字鉴别和计数四项作业认知速度年老减慢及学习改善过程的研究,被试３５０人,４６—７５岁。研究结果表明：四项认知作业速度随年老进行性减慢;然而,老年人经学习训练认知作业速度可明显改善。上述变化程度与作业所需时间有密切关系,提示年老过程中枢信息加工过程速度的减慢快于外周感觉─运动过程速度的减慢,学习改善作用也可能主要是中枢过程速度的提高。     

成人脑涨落图年龄变化特点的研究

该工作研究了１２０名２０－７９岁正常成人脑涨落图的年龄变化特点。结果表明：（１）从２０岁到５０岁,Ｓ系谱线活动向低频方向集中,６０岁后谱线又向高频方向有所移动;（２）部分谐振系的随龄变化表现明显,其中以Ｓ１７系变化最为敏感;（３）脑区间相干活动和各脑区的连频活动随年龄增强,脑能量分布的有序性逐渐破坏;（４）增龄性变化主要反映在优势脑区（左前脑）和优势脑轴（左前／右后脑）上,与脑高级机能活动密切相关的左前脑的退行性变化最为明显。上述结果反映了脑功能的减退是一个非线性的多层次的复杂过程。     

时序信息提取机制的探索

对时序信息加工的经典研究是采用新近性判断范型,结果发现其提取机制是以新近性为基础的逆向串行搜索过程。本研究采用新近性判断范型和早远性判断范型对时序信息的提取机制进行了深入的考察,结果表明：（ｌ）提取时序信息既存在逆向串行搜索,又存在顺向串行搜索;（２）早远性判断和新近性判断任务对不同部分时序信息恢复的效应不同,其中早远性判断易化早远部分,新近性判断易化新近部分──表现为对相应部分辨别力的提高和正确反应潜伏期的缩短;（３）在不同的时序信息提取任务中,被试会根据具体条件进行反转反应。     

The temporal structure of spoken sentence comprehension in Chinese

Three experiments with 60 native Chinese speakers were conducted to examine the temporal structure of spoken sentence comprehension in Chinese. In the two sentence-gating experiments, listeners heard sentence fragments of various sizes, either successively or individually, and decided on the agent role of the sentence. In the agent-naming experiment, listeners repeated aloud the sentence agent upon hearing the sentence. Converging evidence was derived from these experiments indicating the usefulness of sentence gating in tapping into the temporal structure of comprehension and in evaluating listeners’ comprehension on the basis of partial information. Results from these experiments show that partial sentence information plays a very important role in Chinese sentence comprehension, and that Chinese listeners integrate incomplete and ungrammatical sentence fragments by reference to complete and grammatical models in the language. It is argued that these processing characteristics reflect properties of the Chinese language in which few morphological, grammatical, and syntactic constraints are placed on the relationships between sentence constituents.     

父母低头行为对儿童青少年心理发展的影响

父母低头行为是指父母照顾或与孩子交流时,过分关注与使用手机而忽视孩子的行为。梳理相关研究发现,父母低头行为会对孩子产生多种不良影响,如,降低亲子关系交流质量、增加意外伤害风险、损伤人际交往能力、导致问题行为增多。现有研究采用取代假说、多任务操作理论以及依恋理论对影响过程进行解释。未来研究的关键在于邻近概念的区分、测量方式和研究方法的改进、探讨儿童对父母手机使用行为的看法以及移动设备对亲子互动可能的积极影响。