论现代临床护理决策的“非语言性”道德语境

现代临床护理决策的“非语言性”道德语境包括道德多元化、患者中心化和责任独立化三个主要方面.对“非语言性”道德语境的忽视导致了护理决策缺乏公信力.临床护理决策伦理模式的建构能使护理决策主体充分考虑“非语言性”道德语境,有利于道德争议的有效解决.     

Prolonged development of auditory skills: A role for perceptual anchoring?

Many auditory skills continue to develop beyond infancy and even into adolescence, but the factors underlying this prolonged development remain poorly understood. Of interest here is the contribution of on-line statistical learning of stimulus repetitions (anchoring) to the development of auditory spectral and temporal discrimination, as well as the potential contributions of auditory attention and working memory. Children, aged 6–13 years, as well as adults (age range: 21–33 years) were tested on auditory frequency and duration discrimination. Each type of discrimination was measured in two conditions (XAB and XXXAB) designed to afford different levels of anchoring by varying the number of repetitions of a standard stimulus (X) prior to the presentation of the test tone (A or B) in each trial. Auditory attention and working memory were also assessed. Whereas duration and frequency discrimination in either condition did not reach adult level prior to 11 years of age, the magnitude of the anchoring effect was similar across ages. These data suggest that perceptual anchoring matures prior to the attainment of adult-like discrimination thresholds. Likewise, neither attention nor working memory could account for the observed developmental trajectories. That auditory discrimination and anchoring follow dissociable developmental trajectories suggests that different factors might contribute to the development of each. We therefore conclude that although anchoring might be necessary for attaining good auditory discrimination, it does not account for the prolonged development of auditory frequency and duration discrimination in school-aged children.     

The effects of schema on recognition memories and subjective experiences for actions and objects

We examined how the schema affects recognition memories and subjective experiences for actions and objects. First, participants watched consecutive slides that described a man in the kitchen. In the slides, the man performed schema‐consistent actions and schema‐inconsistent actions, and schema‐consistent objects and schema‐inconsistent objects were left in the kitchen space. After watching the slides, participants completed a recognition test, a remember/know test, and a Perception/Thought/Emotion/Context questionnaire. For objects, the discrimination between targets and distracters was more accurate for schema‐inconsistent items than for schema‐consistent items, owing to perceptual, thought, and emotional recollections for schema‐inconsistent object targets. For actions, schema‐consistent targets were more frequently recognized than schema‐inconsistent targets, with more remember judgments based on perceptual and contextual recollections. While item‐specific information of schema‐inconsistent targets could be elaborated for objects, the perceptual details and the contextual relationship of schema‐consistent targets could be elaborated for actions. We also found less false recognitions for schema‐consistent action distracters than for schema‐consistent object distracters. The retrieval of the perceptual details of schema‐consistent action targets could prevent false recognitions for schema‐consistent action distracters.     

Perceptual load does not modulate auditory distractor processing

In vision, it is well established that the perceptual load of a relevant task determines the extent to which irrelevant distractors are processed. Much less research has addressed the effects of perceptual load within hearing. Here, we provide an extensive test using two different perceptual load manipulations, measuring distractor processing through response competition and awareness report. Across four experiments, we consistently failed to find support for the role of perceptual load in auditory selective attention. We therefore propose that the auditory system – although able to selectively focus processing on a relevant stream of sounds – is likely to have surplus capacity to process auditory information from other streams, regardless of the perceptual load in the attended stream. This accords well with the notion of the auditory modality acting as an ‘early-warning’ system as detection of changes in the auditory scene is crucial even when the perceptual demands of the relevant task are high.     

Binding “what” and “where” in auditory working memory: An asymmetrical association between sound identity and sound location

Contrasting results in visual and auditory working memory studies suggest that the mechanisms of association between location and identity of stimuli depend on the sensory modality of the input. In this auditory study, we tested whether the association of two features both encoded in the “what” stream is different from the association between a “what” and a “where” feature. In an old–new recognition task, blindfolded participants were presented with sequences of sounds varying in timbre, pitch and location. They were required to judge if either the timbre, pitch or location of a single-probe stimulus was identical or different to the timbre, pitch or location of one of the sounds of the previous sequence. Only variations in one of the three features were relevant for the task, whereas the other two features could vary, with task-irrelevant changes. Results showed that task-irrelevant variations in the “what” features (either timbre or pitch) caused an impaired recognition of sound location and in the other task-relevant “what” feature, whereas changes in sound location did not affect the recognition of either one of the “what” features. We conclude that the identity of sounds is incidentally processed even when not required by the task, whereas sound location is not maintained when task irrelevant.     

Prevalence of auditory hallucinations in Norwegian adolescents: Results from a population‐based study

Knowing the prevalence and characteristics of auditory verbal hallucinations (AVH) in adolescents is important for estimations of need for mental health care and assessment of psychosis risk. In this report we assess the prevalence of AVH in a population‐based sample of 16–19 years old Norwegian adolescents (n = 9,646, 46.4% male) using two items assessing AVH (from the extended Launay‐Slade Hallucination Scale). The prevalence of hearing a voice speaking thoughts aloud was 10.6%. The prevalence of being troubled by voices was 5.3%, showing that negative emotionality about AVH is less frequent than the experience of hearing voices. Female respondents had slightly increased risk for being troubled by voices than males (odds ratio = 1.3), while age did not modulate prevalence. This AVH prevalence is in line with earlier reports in smaller samples of adolescents and indicates that AVH are not uncommon in this period of life. Further longitudinal studies are needed to investigate the value of AVH in predicting psychiatric disorder.     

When collective memories of victimhood fade: Generational evolution of intergroup attitudes and political aspirations in Belgium

Collective memory theories propose that groups' remembrances of their past depend upon their current social situation. In Belgium, a significant proportion of Dutch speakers share a collective memory of past victimisation by French speakers and fight for an ever‐larger autonomy of their region. Yet, as the respective economic, political and social situations of the linguistic regions of Belgium recently evolved with a reversal of fortunes, the current experience of younger Dutch speakers does not fit the traditional memory anymore. We thus predicted that the collective memories of victimhood would decline amongst them, thus bringing changes in intergroup attitudes and political aspirations. Three generations were compared in a survey of 1226 French‐speaking and 1457 Dutch‐speaking individuals. For both groups, younger generations evidenced less regionalist and more integrative positions than older ones. However, these effects were stronger for Dutch‐speaking respondents, and for them, collective memory of victimhood mediated the relation linking age and identification with Belgium, intergroup attitudes and political aspirations. We concluded that the current social context has decisive consequences for collective remembrances, which, in turn, impact intergroup relations and political attitudes and choices.     

Teaching Introductory Upper‐Level Religion and Theology Classes

The undergraduate study of religion is predominantly undertaken by non‐majors who are meeting a general education requirement. This means that, while curricular discussions make important distinctions between the work of lower‐ and upper‐division courses, many religion and theology faculty are teaching hybrid courses that we call “introductory upper‐level courses.” These play an introductory role in general education while also serving the study of religion in a more advanced way. Attention to how these courses fit into multiple curricular goals will be important for the scholarship of teaching and learning in religious studies and theology. This essay draws on scholarship about introductory teaching and a survey of faculty about introductory upper‐level courses to argue that the content of such courses should be understood as serving the study of religion at an advanced level, the context should be understood as introducing general education goals, and the goals for intellectual growth must strike a challenging balance between the two.     

Inverting the Object of Study: Recalibrating the Frame of Reference in Study Abroad Experiences

This essay is concerned with study abroad experiences as opportunities for student cognitive development, using the interpretive lens of educational psychologist William G. Perry. A standard and often valuable assignment in courses on world religions is a site visit to a religious institution in one's local area. This may concretize otherwise abstract materials and help students reflect on ways in which the lived experience of religion differs from its presentation in course texts and other academic materials. Increasingly, study abroad trips are being offered as extended and more intensive ways of bringing this material to life, offering students opportunity to see lived religion within another cultural framework. At the heart of this paper is the contention that such study abroad experiences function not simply as longer, more intense versions of site visits but, rather, as experiences that invert the subject and object of study. The worldview of the student becomes a primary object of study, which is examined, as it were, by the particulars of the religion(s) under investigation and the cultures of which said religion(s) are a part. Where site visits offer students an opportunity to visit the strange amidst the familiar, study abroad trips provide opportunities for students to become the strange within a recalibrated familiar. The subject becomes the object and is interrogated by the context of study. While local, stateside site visits can offer a degree of such dislocation, their brevity, together with some degree of assimilation to the larger culture flows on the part of the local religious institution being visited, most often mitigates any significant inversion. Students generally see such institutions as either mildly or wildly exotic, but always within their frame of reference, which constitutes the norm. When abroad, the normative experience of students is often subverted in ways that lay bare the assumptions behind such views and makes possible another world in which to live. Simply put, the subject and object of study change places. If this inversion is carefully attended to, it can provide rich insight into not only the topics nominally being studied but also occasion opportunity for real cognitive development on the part of the student. This essay is published alongside of six other essays, including a response from John Barbour, comprising a special section of the journal (see Teaching Theology and Religion 18:1, January 2015).     

Denominational Variations Across American Jewish Communities

This article explores the Jewish identity of different Jewish denominational identification groups using the Decade 2000 Data Set with its 19,800 interviews of Jewish households in 22 American Jewish communities. We relate the Jewish identity of individuals in each denominational group (Orthodox, Conservative, Reform/Reconstructionist) to the denominational composition of the community. Communities are clustered via k‐means cluster analysis based on their denominational profiles. We examine the extent to which individual Jewish identification varies by the denominational composition of the community in which an individual resides, finding that considerable variation exists in Jewish identity measures depending on the type of denominational profile that exists in the individual's community. That is, Orthodox Jews, for example, behave differently in a community with a significant Orthodox population than in a community with few Orthodox, but many Reform Jews. Implications for Jewish communities, as well as for the broader interreligious community, are considered.