Social control by adult preference in operant conditioning with children

During daily sessions four institutionalized retardates and four normal, first-grade children each played a two-choice marble dropping game while an adult experimenter sat beside and watched. When one of two colored lights was presented, two tokens were dispensed as soon as the subject dropped a marble, and when the other light was on, one token was dispensed. During choice trials that were interspersed among single-colored trials the subject was required to choose one of the two different colored holes. After the subject developed a preference for the color that earned two tokens, the experimenter stated a preference for the response that earned only one token (i.e., “I like it better when you put it into the —colored hole.”) Six of the eight subjects immediately switched to the response that earned low magnitude reinforcement when the experimenter stated his preference. Only two subjects switched back to the response that earned high magnitude reinforcement when the experimenter left the room. Subjects complied with the experimenter's preference statement regardless of whether or not it also included a negative component (i.e., what the experimenter did not like). There were no systematic differences between mentally retarded and normal subjects.     

Children's interpretation of adult nonreaction: A trial-by-trial self-report assessment and evidence for contrast effects in an observational context

The study investigated children's interpretation of blank reaction (nonreaction) from one adult to another as a function of its pairing with positive or negative overt feedback. Each child watched through a one-way mirror as an evaluating adult provided feedback to a second adult who was performing on a two-choice discrimination task. After six initial blank reaction trials, children observed one of four types of feedback combinations over 60 experimental trials: (a) right feedback on some trials and blank reactions on others, (b) wrong feedback on some trials and blank reactions on others, (c) right, wrong, and nonreaction on different trials, or (d) nonreaction on all trials. There was little evidence that children consistently interpreted blank reaction as meaning right independent of feedback combination. In contrast, in the Right-Blank and Wrong-Blank feedback combinations, children interpreted blank as meaning the opposite of the overt feedback it was paired with on over two-thirds of the trials, with no sex differences or test anxiety effects.     

Selective imitation of the passive construction through modeling

Six 4- to 5-yr-old subjects were exposed to five sessions in which an adult model used passive sentences to describe a set of modeling stimuli. Probe stimuli, which the subjects were asked to describe without benefit of modeling and without selective reinforcement were interspersed among modeling stimuli. A matched group of control subjects received probletrials but no modeling trials. Both groups of subjects were subsequently tested on their ability to comprehend active and passive sentence forms. Every subject in the experimental group produced passive sentences on probe trials even though there was considerable variability in the number of passives produced. No control subject produced passives. The modeling procedure increased the comprehension scores of the experimental group above those of the control group though the scores of both groups were above chance. The results were contrasted with earlier studies in which modeling was ineffective in producing passive usage and in which comprehension of the passive was not demonstrated by even older children.     

透视医疗纠纷——辨析医患双方的权利和义务

发生医疗纠纷的一个重要原因是医患双方各自站在自己的立场上,维护自己的权利而产生的争端。由于我国卫生法制的滞后,患者被作为消费者伸张权利逐步成为趋势。但我国的医疗卫生事业的性质决定患者不能与消费者等同。医患双方应在更好的游戏规则下协调关系,减少纠纷。     

Hemiplegic writing in severe aphasia

Three patients with severe aphasia and right hemiplegia are described who could write to dictation with the right arm using a limb prosthesis though agraphic with the "intact" left hand. The phenomenon of "hemiplegic writing" is explained as an access to submerged or preprocessing levels in language and action structure, through the use of older proximal motor systems. This interpretation has implications for our understanding of language and brain function, as well as for approaches to the treatment of patients with severe language disorders.     

医疗事故纠纷的本质及法律责任

医疗事故纠纷及处理的道德本质和司法原则在于对病人权利的维护。强化医务人员对病人生命与健康的医德责任感和病人权利意识,并使之成为自律、自觉的行为是预防和减少医疗事故纠纷发生的第一要素;而提高医务人员的法律意识,完善法律的制约机制,对医疗事故的防范是同样重要的。     

A Jungian contribution to a dynamic systems understanding of disorganized attachment

This panel emerged from shared clinical concerns when working with adult patients whose presentation style was reminiscent of a disorganized (Type D) infant attachment pattern. Psychotherapeutic work with such patients poses complicated transference and countertransference dilemmas which are addressed by all four panellists via theory and clinical vignettes. In common is an interest in contemporary attachment, neuroscience and trauma theories and their relationship to analytical psychology. Intergenerational trauma seems to be a salient factor in the evolution of fragmented and fragmenting interactions that lead to failures in self-coherence and healthy interpersonal relationships. Such early relational trauma is compounded by further episodes of abuse and neglect leading to failure in a core sense of self. These clinicians share how they have integrated theory and practice in order to help dissociated and disorganized patients to transform their dark and extraordinary suffering through implicit and explicit experiences with the analyst into new, life giving patterns of relationship with self and others. The alchemy of transformation, both positive and negative, is evident in the case material presented.     

Conceptual preference for thematic or taxonomic relations: A nonmonotonic age trend from preschool to old age

Two experiments examined the development of conceptual preference for either thematic (functional) or taxonomic relationships in a match-to sample task. In Experiment 1 twenty subjects from each of five age groups—preschool to old age—completed a method of triads preference test where they were forced to choose a thematic or taxonomic match. Young and old individuals preferred the thematic parings while school age and college adults preferred the taxonomic matches. Although the Age × Preference relation was pronounced, the majority of subjects at all ages could provide adequate justification of both the preferred and nonpreferred relationship. In addition, kindergarten subjects in Experiment 2 could readily be trained to respond on the basis of the nonpreferred mode. These data suggest that the pervasive shift in conceptual responding from syntagmatic to paradigmatic, thematic to taxonomic, etc., represents a change in preference rather than a shift to a fundamentally new way of organizing knowledge.     

新农合制度调整前后豫北地区腹膜透析患者透析质量的比较

腹膜透析是终末期肾脏病的有效替代治疗方法之一。2012年4月,河南省对包括慢性肾衰竭在内的六种疾病的新农合报销比例做出重大调整,腹透患者主要经济花费的透析液报销比例由原来的40％提高至80％。通过研究新农合制度调整前后豫北地区腹膜透析患者的临床资料,报告了制度调整后的患者透析充分性提高,贫血、营养状况较前好转,心血管疾病发生率下降,生存质量改善的现况,论证了老龄、糖尿病、营养不良、心血管疾病、透析不充分、较低的医疗保险支付比例是影响腹膜透析患者预后的重要因素,为腹膜透析患者的预后分析提供了理论依据。     

Plenary address – A year of living ‘dangerously’: Reflections on risk,trust, trauma and change

This paper examines the role of emotions in the construction and performance of mis/trustful relations; with medical professionals, their technologies, and ultimately, with oneself. Using personal experience of two common conditions as illustrative examples, it questions what it means and feels like to trust, and how, where and by whom such feelings can be enhanced or undermined. It explores some of the ways in which discourses of risk are mobilized and embodied to create a crisis of trust, asking; what kind of selves and emotionalities surface, and what are the health outcomes, when bodies are viewed as ‘at risk’? Visualizing technologies that probe the interior for data play an increasingly prominent role in healthcare, and are typically considered more trustworthy sources of knowledge about the body than anything that might be produced by the tech-free sensing self. However, not all (even ‘physical’) trauma can be seen or quantified, and not all information is equal. The paper reflects on the emotional dissonance that ensues when one's own perceptions and representations are at odds with those of medical experts for whom one is supposed to perform trust. It examines the feeling rules that are broken when we fail to appreciate our treatment at their hands, and asks: What happens when we resist expert author-ity by telling different stories about our embodied selves, ones that make space for emotions in contexts where they are rarely seen to count, and where only what can be measured matters?