论中国多元化医疗公正的选择

生命伦理学面对的最大的道德困惑是公正问题,其中最为尖锐的问题是生命权利与医疗公正。公正原则在实际医疗领域运用中存在着种种误区。公正观的多元化是现代社会包括现代医疗的必然结果,体现在医疗公正方面合理的伦理选择就在于在不同的医疗境遇中,使用不同的公正原则,从而选择现实的生命伦理学道路。     

城乡居民的就医选择差异研究

文章利用利用2008年中国居民医疗服务调查数据, 描述了居民的就医选择模式, 比较了城乡居民就医选择的差异。数据显示, 居民主要选择整体治疗水平高、口碑好, 方便且收费规范的医院和医德、医术兼顾的医生。在城乡差异方面, 城市居民主要选择那些有实力且环境舒适的医院, 村镇居民更希望医院有良好的服务和友好的态度。城市居民对医生的医德要求更高、更喜欢选专家看病, 但对专家有更多的质疑;而村镇居民则倾向于根据病情选医生, 也更为信任专家。     

Mental Health Conditions and Substance Use Among American Indians From Eastern Tribes

This study examined the differences in mental health and substance use by gender and across education levels of 634 American Indians from 4 eastern tribes. Multivariate analysis of variance indicated that men self‐rated significantly better mental health but binge drank and used illicit drugs more often compared with women. Participants with a post–high school degree had significantly better mental health than those without a high school diploma. As education increased, cigarette smoking significantly decreased. Implications for culturally appropriate interventions are discussed. Este estudio examinó las diferencias en salud mental y abuso de sustancias entre distintos sexos y niveles de educación de 634 indios americanos de 4 tribus del este. El análisis multivariante de la varianza indicó que los hombres autoevaluaron su salud mental como significativamente mejor, pero consumían alcohol en exceso y usaban drogas ilícitas con más frecuencia que las mujeres. Los participantes con un grado superior a la enseñanza secundaria tenían una salud mental significativamente mejor que aquellos que no terminaron la enseñanza secundaria. A niveles educativos mayores, la incidencia de fumadores disminuyó significativamente. Se discuten implicaciones para intervenciones culturalmente apropiadas.     

The Ability of Face Viewpoint Transformation Remains Immature at Age of 12: Evidence from Recognition of Faces with Different Familiarity in Children

Children are immature in face recognition, particularly in face configural decoding. This study examines the developmental difference of face recognition in another mechanism: viewpoint transformation processing. Adults and sixth‐grade children were instructed to match a series of one‐tone black face silhouettes to their corresponding front‐view faces. This task involves sophisticated calculation in pictorial information, precise viewpoint transformation, and most probably a 3‐D face representation. The results showed that although the performances were well above chance level in the recognition of familiar faces, for children, they were at chance level in the recognition of unfamiliar faces. The results indicate that children, at least to the age of about 12 years, are still immature in the processing of face viewpoint transformation compared to adults.     

How Do Romantic Relationship Satisfaction,Gender Stereotypes,and Gender Relate to Future Time Orientation in Romantic Relationships?

The present study is an investigation into how romantic relationship satisfaction and attitudes toward gender stereotypes about romantic relationship and gender are related to future time orientation in romantic relationships (FTORR). Four hundred and thirteen (208 men and 205 women) university students taking elective psychology courses at Middle East Technical University were given a scale including items about FTORR, romantic relationship satisfaction, and attitudes toward gender stereotypes about romantic relationships. All the participants were then involved in a heterosexual romantic relationship. Multiple regression results showed that for the women, attitudes toward men's assertiveness and men's dominance in relationships were more important predictors of FTORR than relationship satisfaction. For the men, attitudes toward men's assertiveness and romantic relationship satisfaction were important predictors of FTORR, but attitude toward men's dominance was not a predictor of FTORR. Women were more future oriented in their ongoing romantic relationships than were men. Finally, participants who were highly satisfied with their relationships scored higher on FTORR than those who were less satisfied.     

Emotional approach coping: Gender differences on psychological adjustment in young to middle-aged cancer survivors

Objective : The effect of emotional approach coping (EAC) varies by gender. However, this gender difference has not yet been investigated in cancer survivors. We investigated whether the effects of two kinds of EAC – emotional processing (EP) and emotional expression (EE) – vary by gender and whether EAC has effects above and beyond the effect of other coping strategies.

Design : EAC and other coping strategies were assessed at baseline in a sample of 248 young to middle-aged adult (between the age of 22 and 55) cancer survivors. One hundred and sixty-six survivors responded to psychological adjustment one year later.

Results : EAC had different relationships with Time 2 adjustment in men and women. Hierarchical regression analyses showed that for men, EE predicted lower intrusive thoughts and, for women, EP was associated with higher positive affect when other coping strategies and EE were controlled.

Conclusion : Gender differences held true in cancer survivors, and EAC was effective when other coping strategies were controlled. Further, EE was effective in reducing negative adjustment in men while EP was helpful in promoting positive adjustment in women.     

A cross-cultural study of hindsight bias and conditional probabilistic reasoning

Hindsight bias is a mistaken belief that one could have predicted a given outcome once the outcome is known. Choi and Nisbett (2000 Choi, I. and Nisbett, R. E. 2000. Cultural psychology of surprise: Holistic theories and recognition of contradiction. Journal of Personality and Social Psychology, 79: 890–905. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) reported that Koreans showed stronger hindsight bias than Americans, and explained the results using the distinction between analytic cognition (Westerners) and holistic cognition (Easterners). The purpose of the present study was to see whether hindsight bias is stronger among Easterners than among Westerners using a probability judgement task, and to test an “explicit–implicit” hypothesis and a “rule-dialectics” hypothesis. We predicted that the implicit process is more active among Easterners to generate hindsight bias, and that Easterners are more dialectical thinkers, whereas Westerners are more rule-based thinkers. French, British, Japanese, and Korean participants were asked to make probabilistic judgements in a Good Samaritan scenario (Experiment 1) and in a scenario including conditional probabilistic judgement (Experiment 2). In both Experiments, we presume that the implicit revision of causal models is made just by being given unexpected outcome information, and that explicit revision is made by being asked to point out possible factors for an unexpected outcome. In the results Easterners showed greater hindsight bias generally and it was greater in the Good Samaritan scenario. We conclude that the reason why hindsight bias was lower among Westerners is primarily that they tried to follow a rule to suppress the bias.     

Gender and age differences in spiritual development among early adolescents

ABSTRACT

The current study examined age and gender effects on spiritual development among early adolescents. A total sample of 416 Czech adolescents, age ranged from 11 to 15 years, was analysed for the study. Data was collected employing a non-experimental survey design by utilizing a self-administered questionnaire. A series of independent t-tests were performed to determine whether there were significant age and gender differences across the spirituality indicators: spiritual well-being, spiritual belief, and experiential spirituality. Results indicated that 11-year-old adolescents were more likely to demonstrate a higher level of spiritual well-being and spiritual belief compared with those 15-year-old; while 15-year-old adolescents were more likely to score high in experiential spirituality than their younger counterparts. Regarding gender, girls were more likely than boys to demonstrate a higher level of spirituality score. Practitioners in education and psychology should be mindful of the use of spirituality interventions applying the respective forms and practices according to age and gender to better promote positive youth development.     

Measuring moral reasoning using moral dilemmas: evaluating reliability,validity, and differential item functioning of the behavioural defining issues test (bDIT)

ABSTRACT

We evaluated the reliability, validity, and differential item functioning (DIF) of a shorter version of the Defining Issues Test-1 (DIT-1), the behavioural DIT (bDIT), measuring the development of moral reasoning. About 353 college students (81 males, 271 females, 1 not reported; age M = 18.64 years, SD = 1.20 years) who were taking introductory psychology classes at a public University in a suburb area in the Southern United States participated in the present study. First, we examined the reliability of the bDIT using Cronbach’s α and its concurrent validity with the original DIT-1 using disattenuated correlation. Second, we compared the test duration between the two measures. Third, we tested the DIF of each question between males and females. Findings reported that first, the bDIT showed acceptable reliability and good concurrent validity. Second, the test duration could be significantly shortened by employing the bDIT. Third, DIF results indicated that the bDIT items did not favour any gender. Practical implications of the present study based on the reported findings are discussed.