医患关系内涵及模式:基于社会交换理论的研究

梳理了国外医患关系的相关文献,基于社会交换理论视角探析医患关系的内涵,深入剖析了医疗质量和患者信任是构成医患关系的两个重要因子,并进一步构建了简约化的四类医患关系模式,即和谐医患关系模式、改善医患关系模式、不善医患关系模式和紧张医患关系模式。认为医患关系的建立是一个动态的过程,在诊疗过程中医患关系模式之间是可以相互转换的,患者信任是构建和谐医患关系的基础,为我国和谐医患关系的建立进行了理论上的探索。     

EEG correlates of cognitive time scales in the Necker-Zeno model for bistable perception

The Necker-Zeno model of bistable perception provides a formal relation between the average duration of meta-stable percepts (dwell times T) of ambiguous figures and two other basic time scales (t₀, ΔT) underlying cognitive processing. The model predicts that dwell times T covary with t₀, ΔT or both. We tested this prediction by exploiting that observers, in particular experienced meditators, can volitionally control dwell times T.Meditators and non-meditators observed bistable Necker cubes either passively or tried to hold their current percept. The latencies of a centro-parietal event-related potential (CPP) were recorded as a physiological correlate of t₀.Dwell times T and the CPP latencies, correlated with t₀, differed between conditions and observer groups, while ΔT remained constant in the range predicted by the model. The covariation of CPP latencies and dwell times, as well as their quadratic functional dependence extends previous psychophysical confirmation of the Necker-Zeno model to psychophysiological measures.     

Feeling New York: Classless urban geographies and affective capitalist reconciliation in Horatio Alger's Ragged Dick

Acknowledging the productive impulses of the affective turn, this paper examines the affective impacts of urban architecture conveyed by Horatio Alger in his novel Ragged Dick. Without any strict adherence to a particular school of thought, I draw instead on those concepts and theories that promise enriching for an analysis of a nineteenth-century Bildungsroman and its socio-spatial representation of New York's architecture, for instance Central Park and Wall Street. The results underline the flexibility of the affective nexus used in literary geographies, finding the metropolis not as a passive dramaturgical backdrop but as an active agent, whose structural composition works towards the integration of its literary subjects into the affective discourses of its historical period and literary genre. Horatio Alger's Ragged Dick directs this very agency towards the protagonist's integration into the hegemonic structures of sentimentality. In the story, this becomes visible in the mythical abilities of empathy to transcend class divisions and the reconciliatory appeal of the capitalist ideology. Ultimately, affect and emotionality are used to maintain and perform the proper feelings for certain architectural structures, manifesting themselves as a sentimental performance of systemic allegiance.     

认知诊断缺失数据处理方法的比较：零替换、多重插补与极大似然估计法

数据缺失在测验中经常发生, 认知诊断评估也不例外, 数据缺失会导致诊断结果的偏差。首先, 通过模拟研究在多种实验条件下比较了常用的缺失数据处理方法。结果表明：(1)缺失数据导致估计精确性下降, 随着人数与题目数量减少、缺失率增大、题目质量降低, 所有方法的PCCR均下降, Bias绝对值和RMSE均上升。(2)估计题目参数时, EM法表现最好, 其次是MI, FIML和ZR法表现不稳定。(3)估计被试知识状态时, EM和FIML表现最好, MI和ZR表现不稳定。其次, 在PISA2015实证数据中进一步探索了不同方法的表现。综合模拟和实证研究结果, 推荐选用EM或FIML法进行缺失数据处理。     

融合反应时的多级评分IRT模型开发及其应用研究

当前大多数融合反应时的IRT模型仅适用于0-1评分数据资料,极大的限制了IRT反应时模型在实际中的应用。本文在传统的二级计分反应时IRT模型基础上,拟开发一种多级评分反应时模型。在层次建模框架下,分别采用拓广分部评分模型(GPCM)和对数正态模型构建融合反应时的多级评分IRT模型(本文记为JRT-GPCM),并采用全息贝叶斯MCMC算法实现新模型的参数估计。为验证新开发的JRT-GPCM模型的可行性及其在实践中的应用,本文开展了两项研究:研究1为模拟实验研究,研究2为新模型在大五人格-神经质分量表中的应用。研究1结果表明,JRT-GPCM模型的估计精度较高,且具有较好的稳健性。研究2表明,被试的潜在特质与作答速度具有一定的正相关,且本研究结果支持Ferrando和Lorenzo-Seva(2007)提出的“距离-困难度假设”,即当被试的潜在特质与项目的难度阈限距离越远,那么被试会花费更多的时间对项目进行作答。总之,本研究为拓展反应时信息在心理测量及教育中的应用提供新的方法支持。     

Empirical underidentification in estimating random utility models: The role of choice sets and standardizations

A standard approach to distinguishing people’s risk preferences is to estimate a random utility model using a power utility function to characterize the preferences and a logit function to capture choice consistency. We demonstrate that with often-used choice situations, this model suffers from empirical underidentification, meaning that parameters cannot be estimated precisely. With simulations of estimation accuracy and Kullback–Leibler divergence measures we examined factors that potentially mitigate this problem. First, using a choice set that guarantees a switch in the utility order between two risky gambles in the range of plausible values leads to higher estimation accuracy than randomly created choice sets or the purpose-built choice sets common in the literature. Second, parameter estimates are regularly correlated, which contributes to empirical underidentification. Examining standardizations of the utility scale, we show that they mitigate this correlation and additionally improve the estimation accuracy for choice consistency. Yet, they can have detrimental effects on the estimation accuracy of risk preference. Finally, we also show how repeated versus distinct choice sets and an increase in observations affect estimation accuracy. Together, these results should help researchers make informed design choices to estimate parameters in the random utility model more precisely.     

辱虐管理的应对：基于人际拒绝的多动力模型分析

随着辱虐管理产生破坏性影响的作用机制不断得到丰富和完善, 受辱虐下属选择特定应对方式的原因以及有效性成为未来辱虐管理的研究方向。基于人际拒绝的多动力模型, 梳理了在不同质量LMX的关系情境中受辱虐下属的应对方式, 并提出特定应对方式可能引起辱虐管理的恶性循环的假设模型。建议未来研究通过丰富下属的应对行为变量、增加人格和环境的调节机制以完善受辱虐下属的应对模型, 并以此为基础探究辱虐管理的消极互动机制, 为打破辱虐管理恶性循环提供理论支持。     

Every Finitely Reducible Logic has the Finite Model Property with Respect to the Class of ♦-Formulae

In this paper a unified framework for dealing with a broad family of propositional multimodal logics is developed. The key tools for presentation of the logics are the notions of closure relation operation and monotonous relation operation. The two classes of logics: FiRe-logics (finitely reducible logics) and LaFiRe-logics (FiRe-logics with local agreement of accessibility relations) are introduced within the proposed framework. Further classes of logics can be handled indirectly by means of suitable translations. It is shown that the logics from these classes have the finite model property with respect to the class of -formulae, i.e. each -formula has a -model iff it has a finite -model. Roughly speaking, a -formula is logically equivalent to a formula in negative normal form without occurrences of modal operators with necessity force. In the proof we introduce a substantial modification of Claudio Cerrato's filtration technique that has been originally designed for graded modal logics. The main core of the proof consists in building adequate restrictions of models while preserving the semantics of the operators used to build terms indexing the modal operators.     

Fragile self-esteem and affective instability in posttraumatic stress disorder

Temporal fluctuations in self-esteem and affect are prominent features of several clinical conditions (e.g., depression), but there is an absence of empirical work examining their role in posttraumatic stress disorder (PTSD). Individuals who experience large fluctuations in self-evaluations and affect are considered more vulnerable to psychopathology than individuals able to adequately modulate their self-image and emotional responses. We examined the relevance of self-esteem and affective instability to PTSD. Veterans with and without PTSD completed 14 daily ratings of self-esteem, positive affect, negative affect, and gratitude. Compared to veterans without PTSD, veterans with PTSD exhibited more temporal fluctuations in self-esteem, negative affect, and gratitude, with a smaller effect for positive affect. For all veterans, self-esteem and negative affective instability was associated with diminished well-being. Except for self-esteem instability, most findings were substantially reduced after accounting for variance attributable to PTSD diagnoses and mean intensity levels over the 14-day monitoring period. These data suggest self-esteem instability is important in understanding the lives of veterans with and without PTSD.