Clinical Exchange: The Architectural Failure

The Clinical Exchange invites eminent clinicians of diverse persuasions to share, in ordinary language, their clinical formulations and treatment plans of the same psychotherapy patient—one not selected or nominated by those therapists—and then to discuss points of convergence and contention in their recommendations. This Exchange concerns a Mr. L, a 47-year-old, married man presenting for outpatient individual psychotherapy with chief complaints of depression, anxiety, and a lengthy history of vocational underachievement. Drs. Herbert Fensterheim, Leslie Greenberg, and Leigh McCullough, who anchor their practices in the cognitive-behavioral, experiential, and psychodynamic orientations, respectively, are the featured commentators. Finally, Dr. Jerold Gold, the case contributor and Mr. L's psychotherapist, provides a few closing comments.     

An integrative framework for psychopathology and psychotherapy

This article presents an integrative framework for psychopathology and psychotherapy. The framework differs in kind from previous ones in that it is entirely pre-empirical (specifically, conceptual and logical) in character and does not represent an attempt to create a new empirical theory (cf. Newton's pre-empirical creation of a new conceptual system, which creation proved a necessary precondition for his subsequent empirical contentions). The present integration is accomplished in three parts. In the first of these, a definition of pathology as behavioral disability or functional impairment is presented and defended. In the second, this definition is used as a centerpiece to achieve a logical unification of many prominent explanations of psychopathology that are at present widely considered to be theoretically divergent and incompatible. In part three, established forms of intervention from our most influential schools of psychotherapy are shown to be both conceptually coherent and compatible in practice within the present overarching framework.     

Modelling audiovisual integration of affect from videos and music

Two experiments examined how affective values from visual and auditory modalities are integrated. Experiment 1 paired music and videos drawn from three levels of valence while holding arousal constant. Experiment 2 included a parallel combination of three levels of arousal while holding valence constant. In each experiment, participants rated their affective states after unimodal and multimodal presentations. Experiment 1 revealed a congruency effect in which stimulus combinations of the same extreme valence resulted in more extreme state ratings than component stimuli presented in isolation. An interaction between music and video valence reflected the greater influence of negative affect. Video valence was found to have a significantly greater effect on combined ratings than music valence. The pattern of data was explained by a five parameter differential weight averaging model that attributed greater weight to the visual modality and increased weight with decreasing values of valence. Experiment 2 revealed a congruency effect only for high arousal combinations and no interaction effects. This pattern was explained by a three parameter constant weight averaging model with greater weight for the auditory modality and a very low arousal value for the initial state. These results demonstrate key differences in audiovisual integration between valence and arousal.     

认知过程中的捆绑问题--认知神经科学的研究

捆绑问题是当前脑科学研究中的主要问题之一,近来已成为意识争论的焦点。该文结合国外对捆绑问题研究的最新成果,在概括介绍关于捆绑机制的主要理论的基础上,综述了捆绑问题与主要认知功能关系的研究,并指出不同认知过程中捆绑脑机制的精细化研究和一般性捆绑脑机制的系统化研究可能是今后这方面研究的重点。     

An Integrative Model for Ethnocultural Counseling and Psychotherapy of Victims of Organized Violence

The author researched sociocultural factors related to psychotherapy with victims of organized violence from different perspectives: a refugee counseling center in a metropolis (Frankfurt, 1991–95) and refugee camps in neighboring countries (Uganda, 1994–96). At first the psychopathology of victims of organized violence is described. Then a review of treatment approaches follows and a conceptual model for integrative psychotherapy is developed. On the basis of qualitative analysis of client–therapist interactions, case discussions, supervision, evaluation of treatment, and literature review, an eclectic model for ethnocultural counseling and psychotherapy was developed. This eclectic model can be divided into (1) therapeutic relationship and transference, (2) modeling techniques, (3) extrapsychic techniques, (4) somatic techniques,(5) working through traumatic/grief/repressive experiences, and (6) reeducative and supportive techniques.     

南北朝象数易学发展特点述略

南朝郑、王易学并立,北朝象数易学占主导,但后期也呈现儒玄并融的趋势．《易传《》和汉代易学创造出来的象数成果得到南北朝易学家的继承,南朝易学家对象数易学中的形式主义学风给予了批判,并呈现出本体论思维与易学象数相结合的思想萌芽．象数易学受到佛教缘起性空理论的批判,但南北朝佛教仍利用易学象数来说明现象世界．在南北朝道教养生理论中,象数易学得到了丰富和发展．在南北朝的宗教风气下,象数易学占验派沦为方伎．     

Holistic Information Integration in Child Decision Making

Weighted‐additive (WADD) strategies require decision makers to integrate multiple values weighted by their relevance. From what age can children make choices in line with such a WADD‐strategy? We compare multi‐attribute decisions of children (6–7; 8–10; 11–12‐year‐olds) with adults in an open information‐board environment without pre‐decisional information search. In two experiments, we classify decision strategies based on individual choice patterns and find that in all age groups the majority of participants are users of a WADD‐strategy. Simple decision heuristics such as lexicographic strategies were applied rarely by children and not at all by adults. In two additional follow‐up studies, we further investigate the underlying process of WADD‐application by analysing decision latencies in combination with a retrospective think‐aloud study. Results suggest that children did not apply WADD‐strategies in a deliberate fashion in our experiments. Overall, our findings demonstrate that the ability to make good and quick decisions by holistically integrating information is already present in young children. Copyright © 2017 John Wiley & Sons, Ltd.     

加法运算中数学知识和语义知识的整合

采用语义启动数字匹配任务及其变式, 探讨在中文背景下“和效应”和语义系统的类比一致性及其产生机制。结果发现, 中国学生对“和”目标数字的反应时显著长于对中性目标数字, 表明“和效应”是人类的一种强烈的认知倾向; 人类通过类比映射方式整合数学知识和语义知识; 影响语义加工的因素同样影响数学认知。研究还发现, 被试对中性目标数字的抑制难度受语义匹配任务性质的影响, 在完成类别不一致的探测词匹配任务时, 拒绝中性目标数字的反应时显著长, “和效应”消失, 表明“和效应”不仅源自于对“和”目标数字的激活, 也源自于对中性目标数字的抑制。     

生物-心理-社会医学模式的实践与医学整合

影响生物-心理-社会医学模式实践的原因是多方面的。推进临床学科间的整合,实现医院与基层医疗的结合,大力发展临床流行病学和社会医学,是落实生物-心理-社会医学模式的基本条件。     

无望与希望：从认知方式看无望抑郁的风险和恢复

由于视角和侧重点的差异, 无望抑郁认知研究基本上可以分为两大取向。一是以认知易感-压力模型为核心, 围绕“无望”展开的病因学研究, 关注认知危险因素、消极生活事件与无望以及抑郁风险之间的关系。二是以恢复模型为核心, 围绕重获“希望”展开的无望抑郁恢复研究, 关注认知保护因素、积极生活事件与重获希望以及抑郁缓解之间的关系。厘清一些相关问题、整合两个研究取向有利于准确评估个体无望抑郁的风险和弹性恢复。