医疗活动中言语行为特征解析

随着医学模式的变化,医疗的人文关怀的提出,医疗活动中的言语行为也出现了新的特征.从现代医学的发展为医疗言语行为提供了大的语用背景、患者群体的特殊性及其演变延伸了言语行为的情感功能、语用环境的复合性凸现了言语行为的道德水准、医疗活动的风险特质决定了医疗言语行为的规范准确性等四个方面对这种特征加以解析.     

北京微创医院建设的初步实践--从微创医学理论到具体实践

创建微创医院是发展我国微创医学的首要和必需条件.微创医院是一类以微创理念为指导、以微创医学体系为主导、以整合的微创技术为特色、以"医疗中心"为基本临床结构系统的现代化、数字化的综合性医院.建设微创医院的目的在于验证微创医学理论体系,探索新的医学智慧.     

A Contextual Approach to Political Theory

This article explores the advantages of using a range of actual cases in doing political theory. This sort of approach clarifies what is at stake in alternative theoretical formulations, draws attention to the wisdom that may be embedded in existing practices, and encourages theorists to confront challenges they might otherwise overlook and to think through the implications of their accounts more fully.     

Improving mother–child interaction in low‐income Turkish–Dutch families: A study of mechanisms mediating improvements resulting from participating in a home‐based preschool intervention program

This study examined whether the effects on cognitive and language outcomes of a recently developed home‐based educational intervention program, Opstap Opnieuw, for 4–6‐years‐old disadvantaged children could be explained by improved mother–child interaction. The present sample (n=30) was drawn from a larger sample of Turkish–Dutch families (n=181) for which in a previous study significant effects of Opstap Opnieuw were found on children's (first) language and cognitive pre‐math skill, 5 months after the program ended. The present study focused on two facets of interaction quality as possible mediators of these program effects: the mean cognitive distancing level of mothers' communication and instruction behaviour as an indicator of the cognitive and verbal stimulation provided, and the degree of cooperation as an indicator of mothers' social‐emotional support to their children. Both measures were based on systematic observation of mother–child interaction during sorting tasks. Participation in the program appeared to improve mothers' social‐emotional support behaviour substantially, but not their cognitive distancing behaviour. For Turkish (first language) vocabulary, about half of the program effect appeared to be mediated by the improved social‐emotional support. For cognitive pre‐mathematical skills, two‐thirds of the program effect appeared to be mediated by improved social‐emotional support. Mothers' cognitive distancing was moderately‐strongly related to children's vocabulary development, but did not mediate program effects. Some implications of the results are discussed. Copyright © 2004 John Wiley & Sons, Ltd.     

Psychotherapy and Movies: On Using Films in Clinical Practice

The purpose of this paper is to discuss the practice of recommending movies for clients to watch to assist them with their presenting complaints. Movies may be an efficient means of working with some clients who are difficult to reach emotionally through other methods. They also provide a powerful means of observational learning with opportunities to choose among different attitudes and behaviors. The pros and cons of this intervention are discussed, as well as initial suggestions on incorporating films into clinical practice. A cautious approach is recommended, as a systematic series of empirical investigations should be undertaken to more effectively inform clinical practice. Examples of areas to target for future research are provided.     

Does retrieval practice depend on semantic cues? Assessing the fuzzy trace account of the testing effect

Retrieval practice enhances long-term retention more than restudying; a phenomenon called the testing effect. The fuzzy trace explanation predicts that a testing effect will already emerge after a short interval when participants are solely provided with semantic cues in the final test. In the present study, we assessed this explanation by gradually reducing the surface features overlap between cues in the learning phase and the final recognition test. In all five experiments, participants in the control/word condition received as final test cues the same words as in the learning phase. The experimental final test cues consisted of scrambled words, words in a new context, scrambled words in a new context (Experiment 1), synonyms (Experiment 2), or images (Experiments 3, 4a, 4b). A short-term testing effect was only observed for the image final test cues. These results do not provide strong support for the fuzzy trace explanation of the testing effect.     

抑郁症的计算机化认知行为治疗

计算机化认知行为治疗(computerized cognitive-behavioral therapy, CCBT), 即指通过电脑交互界面, 以清晰的操作步骤, 高度结构化的多种媒介互动方式(如网页、漫画、动画、视频、声音等)来表现认知行为治疗基本原则和方法的治疗方式。抑郁症的CCBT近年来在西方崭露头角, 目前Beating The Blues、MoodGYM、E-Couch和Good Days Ahead等抑郁症CCBT程序在西方使用较为广泛。从可行性分析上发现, 该疗法较受病人接纳、具有较高的成本效用和易用性; 现有实验研究证明了抑郁症采用CCBT是有效的, 但其有效性仍取决于诸多因素。以往研究存在着较少关注治疗有效性的内在机制、治疗效果差异较大、风险评估简化和被试选择偏向等问题, 建议未来研究应加强：(1)中介效应及机制研究; (2)以人为本的个性化服务研究; (3)风险评估与隐私保护研究; (4)在“弱势群体”中的研究与运用。最后, 对其在中国发展的必要性与可行性进行了展望。     

实践的逻辑与哲学终结论的困境

以实践是一种具体、历史的现实生活为基础,把马克思意义上的哲学终结论解释为以具体、历史的分析取代抽象、超历史的形而上分析这种愈来愈被认可的说法,由于马克思仍然把需要、经济、理性、发展视为一般性、永恒性的东西,而需要重思。实际上,马克思在反旧形而上学之路上前进的距离不能过高估计。对实践的自悖性估计过低是马克思未能继续前进的根源。同时,在马克思主义理论中反对过分的专门化富有意义,但把哲学终结于社会批判理论中的马尔库塞式见解也会造成某种漠视。