实现医学整合,满足门诊患者新需求——“一站式”多学科综合门诊

为了在门诊落实"一切以病人为中心"的服务理念,通过调查、了解病人的需求,改变传统的就医模式,将多学科整合,推出创新的"一站式"多学科综合门诊。改善了就诊流程,简化了就诊手续,对疑难杂症提供全方位、多学科综合诊疗,同时缩短患者就诊等候时间和多次往返各门诊的不便,减少就诊环节,实现医学整合,满足患者需求。     

On the role of attention in generating explicit awareness of contingent relations: evidence from spatial priming

In a series of four experiments, we examine the hypothesis that selective attention is crucial for the generation of conscious knowledge of contingency information. We investigated this question using a spatial priming task in which participants were required to localize a target letter in a probe display. In Experiment 1, participants kept track of the frequency with which the predictive letter in the prime appeared in various locations. This manipulation had a negligible impact on contingency awareness. Subsequent experiments requiring participants to attend to features (color, location) of the predictive letter increased contingency awareness somewhat, but there remained a large proportion of individuals who remained unaware of the strong contingency. Together the results of our experiments suggest that the construct of attention does not fully capture the processes that lead to contingency awareness, and suggest a critical role for bottom-up feature integration in explicit contingency learning.     

Hierarchy and scope of planning in subject–verb agreement production

Two subject–verb agreement error elicitation studies tested the hierarchical feature-passing account of agreement computation in production and three timing-based alternatives: linear distance to the head noun, semantic integration, and a combined effect of both (a scope of planning account). In Experiment 1, participants completed subject noun phrase (NP) stimuli consisting of a head NP followed by two prepositional phrase (PP) modifiers, where the first PP modified the first NP, and the second PP modified one of the two preceding NPs. Semantic integration between the head noun and the local noun within each PP was held constant across structures. The mismatch error pattern showed an effect of linear distance to the head noun and no influence of hierarchical distance. In Experiment 2, participants completed NP PP PP stimuli in which both PPs modified the head noun, and both the order of the two PPs and the local nouns’ degree of semantic integration with the head noun were varied. The pattern of mismatch errors reflected a combination of semantic integration and linear distance to the head noun. These studies indicate that agreement processes are strongly constrained by grammatical-level scope of planning, with local nouns planned closer to the head having a greater chance of interfering with agreement computation.     

Researching psychotherapy integration: A heuristic approach

Moustakas argues that questions and methodology in heuristic research flow out of inner awareness, meaning and inspiration. The approach might arguably embrace a combination of qualitative research methods, and constitute a kind of bricolage. This paper describes a heuristic enquiry into psychotherapy integration that used such a combination of methods – an interpretative phenomenological approach, case studies, reflexive action, and writing. It demonstrates how each of these methods contributed to the six phases of heuristic enquiry, from the initial engagement with psychotherapy as a trainee to the creative synthesis of published works and a PhD thesis, together with some reflection on the enquiry's limitations and rigour. Published texts, training, clinical practice and reflexivity constituted the material from which a new organizing framework for understanding psychotherapy integration was formulated. The author reflects on how the research design allowed deep engagement with this material, and changed his perspective of psychotherapy integration. In conclusion, this paper suggests that both psychotherapy integration and heuristic enquiry can only be conducted on an individual and personal basis, and that it is the quality of the relationship, with the client, or the research material, that produces results.     

Influence of vowel context on the audio‐visual speech perception of voiced stop consonants

The work reported here investigated whether the extent of McGurk effect differs according to the vowel context, and differs when cross‐modal vowels are matched or mismatched in Japanese. Two audio‐visual experiments were conducted to examine the process of audio‐visual phonetic‐feature extraction and integration. The first experiment was designed to compare the extent of the McGurk effect in Japanese in three different vowel contexts. The results indicated that the effect was largest in the /i/ context, moderate in the /a/ context, and almost nonexistent in the /u/ context. This suggests that the occurrence of McGurk effect depends on the characteristics of vowels and the visual cues from their articulation. The second experiment measured the McGurk effect in Japanese with cross‐modal matched and mismatched vowels, and showed that, except with the /u/ sound, the effect was larger when the vowels were matched than when they were mismatched. These results showed, again, that the extent of McGurk effect depends on vowel context and that auditory information processing before phonetic judgment plays an important role in cross‐modal feature integration.     

Functional measurement approach to self-estimation in multiattribute evaluation

Multiattribute analysis depends on measurement of values and weights. Unless these measures reflect the decision maker's true values and weights, the multiattribute formula may put a less-preferred alternative in first place. To avoid such disordinality requires stringent measurement conditions: First, the values and weights must be on linear (equal interval) or ratio (known zero) scales. Second, these scales must satisfy a condition of common unit across disparate attribute dimensions. Most methods of range adjustment beg both of these measurement questions. Functional measurement theory can solve both problems and so can be useful in multiattribute analysis. Past work has established the operation of a general cognitive algebra as an empirical reality. The averaging model, in particular, makes possible the definition and estimation of weights and values as distinct psychological parameters. It can also solve the problem of common unit. Cognitive algebra thus provides a grounded theoretical foundation on which to develop self-estimation methodology, in which decision makers provide direct estimates of their values and weights. The logic is straightforward. Functional measurement can analyze global judgments to obtain validated psychological scales. These scales may then be used as validational criteria for the self-estimates. Procedures to eliminate biases in the self-estimates can thus be tested and refined in well-learned multiattribute tasks, such as judgments of meals, in which global judgments are trustworthy. Once developed, such self-estimation procedures may be used with some confidence for general multiattribute analysis. A number of studies from 20-odd years of work on the theory of information integration are summarized to show good, although not unmixed promise for self-estimation.     

Learning new vocabulary during childhood: Effects of semantic training on lexical consolidation and integration

Research suggests that word learning is an extended process, with offline consolidation crucial for the strengthening of new lexical representations and their integration with existing lexical knowledge (as measured by engagement in lexical competition). This supports a dual memory systems account, in which new information is initially sparsely encoded separately from existing knowledge and integrated with long-term memory over time. However, previous studies of this type exploited unnatural learning contexts, involving fictitious words in the absence of word meaning. In this study, 5- to 9-year-old children learned real science words (e.g., hippocampus) with or without semantic information. Children in both groups were slower to detect pauses in familiar competitor words (e.g., hippopotamus) relative to control words 24 h after training but not immediately, confirming that offline consolidation is required before new words are integrated with the lexicon and engage in lexical competition. Children recalled more new words 24 h after training than immediately (with similar improvements shown for the recall and recognition of new word meanings); however, children who were exposed to the meanings during training showed further improvements in recall after 1 week and outperformed children who were not exposed to meanings. These findings support the dual memory systems account of vocabulary acquisition and suggest that the association of a new phonological form with semantic information is critical for the development of stable lexical representations.     

Know thy sound: Perceiving self and others in musical contexts

This review article provides a summary of the findings from empirical studies that investigated recognition of an action's agent by using music and/or other auditory information. Embodied cognition accounts ground higher cognitive functions in lower level sensorimotor functioning. Action simulation, the recruitment of an observer's motor system and its neural substrates when observing actions, has been proposed to be particularly potent for actions that are self-produced. This review examines evidence for such claims from the music domain. It covers studies in which trained or untrained individuals generated and/or perceived (musical) sounds, and were subsequently asked to identify who was the author of the sounds (e.g., the self or another individual) in immediate (online) or delayed (offline) research designs. The review is structured according to the complexity of auditory–motor information available and includes sections on: 1) simple auditory information (e.g., clapping, piano, drum sounds), 2) complex instrumental sound sequences (e.g., piano/organ performances), and 3) musical information embedded within audiovisual performance contexts, when action sequences are both viewed as movements and/or listened to in synchrony with sounds (e.g., conductors' gestures, dance). This work has proven to be informative in unraveling the links between perceptual–motor processes, supporting embodied accounts of human cognition that address action observation. The reported findings are examined in relation to cues that contribute to agency judgments, and their implications for research concerning action understanding and applied musical practice.     

Cultural chameleons and iconoclasts: Assimilation and reactance to cultural cues in biculturals’ expressed personalities as a function of identity conflict

Bicultural individuals vary in the degree to which their two cultural identities are integrated versus conflicting—Bicultural Identity Integration (BII). Past research on attribution biases finds that BII influences the way that biculturals shift in response to cultural primes: integrated biculturals shift assimilatively, whereas conflicted biculturals shift contrastively. Proposing that this reflects assimilation versus reactance responses, we tested whether it extends to shifts in self-perceived personality. In two experiments with Asian-American participants, we found that BII influences the direction of cultural priming effects (assimilation versus contrast) on the personality dimensions of need for uniqueness (Experiment 1) and extraversion (Experiment 2). As hypothesized, high BIIs shifted in a culturally assimilative direction, perceiving the self as more uniqueness-seeking and extraverted following American versus Asian priming, whereas low BIIs shifted in the reverse direction. Implications for research on bicultural identity, priming, personality, organizational and consumer behavior are discussed.     

进化心理学对心理素质结构研究的整合与重构——以学生心理素质结构研究为例

传统的心理素质结构研究模式不经济,研究结果出现纵向断裂横向分裂的趋势.从进化心理学的视角来看,心理素质结构的最终功能均指向个体的适应性,其形成是与周围环境不断排斥和融合的过程.建构的心理素质结构融合模型能在一定程度上解决传统研究模式的弊端,并建议今后的研究应以分析人为主导转而分析人及其所处的文化环境并重,进而引导人的心理素质结构的不断发展.