试论“肝病传脾”的诊断及治疗思路

《金匮要略》中“肝病传脾”的思想,广泛应用于临床诊断与治疗,本文以脏腑经络辨证论治思想为依据,探讨中医诊断肝痛的思路：根据症状判断病位深浅,肝病见四肢疲乏为病轻、肝病见食不消化甚至不思饮食为病重。由此判断病情轻重,为临床提供治疗依据。     

癌症患者家属选择是否告知患者真实病情的质性研究

在东方或发展中国家,家庭成员得了癌症后,家属通常反对告知患者真实病情。本研究运用质性研究方法对15例癌症患者家属进行深入访谈,探讨癌症患者家属选择是否告知患者真实病情的原因,以其为临床医护人员正确处理癌症病情告知问题提供指导。     

Moral development, executive functioning, peak experiences and brain patterns in professional and amateur classical musicians: interpreted in light of a Unified Theory of Performance

This study compared professional and amateur classical musicians matched for age, gender, and education on reaction times during the Stroop color-word test, brainwaves during an auditory ERP task and during paired reaction-time tasks, responses on the Gibbs Sociomoral Reflection questionnaire, and self-reported frequencies of peak experiences. Professional musicians were characterized by: (1) lower color-word interference effects (Stroop task), (2) faster categorization of rare expected stimuli (P3b), and a trend for faster processing of rare unexpected stimuli (P3a), (3) higher scores on the Sociomoral Reflection questionnaire, and (4) more frequent peak experiences during rest, tasks, and sleep. Both groups had high values on the Brain Integration Scale. These findings are interpreted in light of a Unified Theory of Performance, which posits that effectiveness in any area is influenced by one’s level of mind-brain development—emotional, cognitive, moral, ego and cortical development—with higher mind-brain development supporting greater effectiveness in any domain.     

论张积中的三教观

自魏晋以来,儒释道三家思想并存发展成为了中国文化的显著特征之一。清末太谷学派作为流传于民间的一个学术派别,其三教观一直存在诸多争议。学派北宗传人张积中在山东肥城黄崖山聚徒讲学近十年,门人弟子遍及山左,现存遗著十九种,为太谷二传弟子中著述最多者。从张积中的三教观来看,他并非倡导三教合一,其三教观的核心是以弘扬儒家文化为基本理念,同时汲取佛道思想来完善其理论体系的太谷圣功之学,当属宋明"新儒家"思想在民间进行儒学传播的新尝试。     

Community psychology in Europe: More needed,less wanted?

In this paper, we first contend that community psychology in Europe is facing a particularly challenging situation: On the one hand we witness an increase in complex social problems, which would require a community approach in order to be tackled; on the other hand socio‐economic and cultural changes in the era of globalization diminish the demand and the sources of public funding needed to promote and implement community intervention programs. We then outline the main achievements of community psychology in Europe, and discuss future challenges. Copyright © 2010 John Wiley & Sons, Ltd.     

大学生网络成瘾：背景性渴求与同伴网络过度使用行为及态度的交互作用

基于整体-交互作用模型,选取北京市某高校所有大一学生2511名为被试开展问卷调查,考察了大学生网络使用背景性渴求的特点及其与网络成瘾之间的关系,并就网络使用背景性渴求与同伴网络过度使用行为与态度对网络成瘾的交互作用进行了检验。结果发现:(1)与非网络成瘾大学生相比,网络成瘾大学生的网络使用背景性渴求更高,所感知到的同伴网络过度使用行为更多,同伴对网络过度使用的态度更积极;(2)网络使用背景性渴求各维度、感知到的同伴网络过度使用行为可正向预测大学生的网络成瘾;(3)背景性渴求中的积极结果预期与同伴对网络过度使用的态度对网络成瘾存在显著的交互效应:在低积极结果预期条件下,同伴对网络过度使用的态度可以负向预测网络成瘾程度,而在高积极结果预期条件下,同伴态度对网络成瘾的预测作用不显著。结论:外因在内因比较微弱的条件下发挥更为明显的作用。     

熟悉性与回想分离的新证据

人们常常发现自己对某一情景有些熟悉, 但又想不起以前有关的经历。对这种熟悉感的理论解释, 一种观点认为熟悉感来自一种较弱的记忆形式, 与有回忆情况下的再认属于同一加工过程(single-process models, SPM)。另一种观点则认为, 熟悉感来自一种基于熟悉性的再认, 与基于回想的再认相互独立(dual-process theories, DPT)。在实验室, 评估熟悉性与回想是否相互独立的基本方法是寻找两者分离的证据。本文尝试梳理无线索回忆再认(recognition without cued recall, RWCR)范式的研究, 结果显示：熟悉性对某种特殊的概念加工和整体特征的知觉加工要比回想更加敏感, 并没有支持SPM关于回想和熟悉性各自对意义加工和局部特征的知觉加工更加敏感的推断。而且RWCR研究还观测到熟悉性与回想在行为和神经成像方面的实验性分离, 支持了DPT关于熟悉性与回想相互独立的推断。最后, 本文从熟悉性的深层机制和中英文材料对RWCR的不同影响出发, 对未来研究提出展望。     

中国人的内隐辩证自我：基于内隐联想测验(IAT)的测量

作为一种文化构念, 朴素辩证从文化与认知的角度诠释了中国人基于民众理论的思维方式。本研究首次采用内隐联想测验（IAT）的方法测量内隐层面朴素辩证概念与自我以及自我相近概念在东方被试认知中的联结, 探讨东方人内隐层面的辩证自我。文章通过2个IAT实验发现, 中国人将“我”和辩证思维词汇归为一类, 将“非我”和线性思维归为一类时反应速度更快; 且他们将“朋友”和辩证思维词汇归为一类, 将“敌人”和线性思维词汇归为一类时反应速度更快。这表明在内隐层面上, 东方人确实将辩证概念与自我以及自我相近概念联系得更为紧密。     

不同认知结构被试的测验设计模式

正如不同的病症需要使用不同的医疗技术方法来诊断一样, 不同的认知结构也需要设计对应的测验模式来进行诊断, 从而保证测验具有高质量的诊断评估效果。但传统测验形式未考虑不同认知结构的针对性诊断测验需求, 导致“千人一卷”在测验效率上有所不足; 认知诊断计算机化自适应测验虽可针对不同认知结构的被试施测不同的项目, 然而支持自适应过程的题库却没有针对不同认知结构被试设计对应的项目, 导致题库使用效率较低。要解决上述问题的关键在于, 探索如何针对不同认知结构设计相对应的测验模式。本研究采用Monte Carlo模拟, 对六种属性层级关系下, 不同认知结构的测验设计模式进行探讨。实验结果表明(1)同一属性层级关系下, 不同认知结构的最佳测验设计模式不同; (2)依据不同认知结构的最佳测验设计模式构建的题库具有更高的使用效率。测验编制者可以根据实验结果针对不同认知结构优化对应的测验设计模式, 并用于指导题库建设。     

How does the strength of the relationships between cognitive abilities evolve over the life span for low-IQ vs high-IQ adults?

The present study was designed to examine how the correlations between cognitive abilities evolve during adulthood. Data from 1104 participants on the French version of the Wechsler Adult Intelligence Scale-Third Edition were analyzed. The entire sample was divided into four age groups (16–24 years; 25–44 years; 45–69 years and 70–89 years), which were themselves split into two IQ-levels using the mean standard score on Vocabulary and Block Design. For every age group, the mean correlation between subtest scores of low-IQ participants was higher than that of high-IQ participants. There was also no interaction between age and IQ for the strength of subtest relationships. Indeed, the effect sizes of correlation differences between low- and high-IQ participants appeared to be relatively constant across age. A general developmental schema of how the strength of correlations between cognitive abilities of low- and high-IQ individuals evolves during the entire life span is sketched in the discussion.