临床医学家的特点及其创造性研究

医学科学家尤其是临床医学科学家在创造性活动中,有着与其它学科的学者既相同又不尽相同的行为和思维特点,依据301医院百名医学家亲自撰写的巨著《名医手记》和关于创造性的理论,试图从能力、个性心理、思维三个方面对临床医学家的创造性特点做一点初浅的概括。     

Is the future always brighter than the past? Anticipation of changes in the personal future after recall of past experiences

People tend to hold an optimistic view of their futures. Using a novel paradigm to examine the anticipated change from the personal past to the personal future, we found that the future was not always perceived as brighter than the past. College students (N = 156) recalled positive and negative personal events of various situations. Following each recall, they imagined a future personal event involving the same situation. Participants expected over half of the events to change in either upward or downward directions, depending on the valence of the past events. In addition, participants anticipated greater changes in domains of less stability, and Asians anticipated greater changes than European Americans. Anticipated future changes were further associated with psychological well-being. The findings shed new light on future event simulation.     

运动预防骨质疏松症的哲学思考

从运动角度对骨质疏松的防治进行哲学思考,指出在临床实践指导中,医务工作者要做到运动与骨质疏松者的有机结合,应从以下几个方面进行着手;（1）运动预防骨质疏松具有普遍性;（2）运动是预防骨质疏松的关键;（3）为骨质疏松患者,制定个体化运动方案。     

应用批判性思维法探讨内分泌学临床思维的建立

应用内分泌学中常见的肾上腺皮质腺瘤所致原发性醛固酮增多症,甲状腺功能减退所致垂体腺瘤样增生等。典型病例探讨批判性思维法做为一种重要的思维方式,在内分泌学复杂的临床诊疗过程中的应用,力争做到思维与客观实际相一致,逐渐培养科学的内分泌学临床思维模式。     

‘Protective donation’: When refusing a request for a donation increases the sense of vulnerability

May refusing a request for a donation be conceived as ‘tempting fate’? Do people feel more vulnerable when they do not comply with such a request? In this paper we examine the link between subjective perceptions of vulnerability and people's willingness to help address a threatening cause. Results of five studies, examining a real life situation, hypothetical scenarios and a controlled lab game with actual monetary costs and rewards, show first, that deliberately helping is positively correlated with the perceived likelihood of becoming a victim of the same misfortune. Second, we show that refusing to donate to a threatening misfortune increases sense of vulnerability. Both phenomena occur especially for people with strong belief in a just world, who believe in a causal relationship between people's behavior and their fortune (rewards and punishments).     

The paradox of moral focus

When we evaluate moral agents, we consider many factors, including whether the agent acted freely, or under duress or coercion. In turn, moral evaluations have been shown to influence our (non-moral) evaluations of these same factors. For example, when we judge an agent to have acted immorally, we are subsequently more likely to judge the agent to have acted freely, not under force. Here, we investigate the cognitive signatures of this effect in interpersonal situations, in which one agent (“forcer”) forces another agent (“forcee”) to act either immorally or morally. The structure of this relationship allowed us to ask questions about both the “forcer” and the “forcee.” Paradoxically, participants judged that the “forcer” forced the “forcee” to act immorally (i.e. X forced Y), but that the “forcee” was not forced to act immorally (i.e. Y was not forced by X). This pattern obtained only for human agents who acted intentionally. Directly changing participants’ focus from one agent to another (forcer versus forcee) also changed the target of moral evaluation and therefore force attributions. The full pattern of judgments may provide a window into motivated moral reasoning and focusing bias more generally; participants may have been motivated to attribute greater force to the immoral forcer and greater freedom to the immoral forcee.     

Counterfactual thinking and false belief: the role of executive function

The purpose of the current study was to examine further the relationship between counterfactual thinking and false belief (FB) as examined by Guajardo and Turley-Ames (Cognitive Development, 19 (2004) 53-80). More specifically, the current research examined the importance of working memory and inhibitory control in understanding the relationship between counterfactual thinking and FB. Participants were 3-, 4-, and 5-year-olds (N = 76). Counterfactual thinking statements generated accounted for significant variance in FB performance beyond age and language. Working memory and inhibitory control each partially mediated the relationship between counterfactual thinking and FB performance. The maturation of executive functioning skills is important in children’s developing understanding of counterfactual reasoning and FB.     

Allusive thinking (cognitive looseness) and the propensity to perceive “meaningful” coincidences

This study aimed at evaluating relations between the disposition to make “meaningful” associations between random events and potentially predisposing factors related to a more “loose” cognitive control, that is, loose associative processing (allusive thinking) and poorer inhibition of irrelevant memory content. As the findings of this study suggest, individuals with a higher disposition to perceive coincidences produced a higher rate of unusual associations in the Bridge-the-Associative-Gap test than low scorers, and showed poorer inhibition of no longer relevant memory content in the Recent Probes Task. These relationships were independent from individual differences in paranormal belief. Performance in a random generation task (Mittenecker Pointing Test) yielded no support for an important role of a biased concept of randomness in the perception of coincidences. The findings suggest that common mechanisms may underlie the propensity to perceive meaningful coincidences, cognitive looseness, and positive schizotypy.     

对几种临床定势思维的思考

思维定势有权威定势、从众定势、经验定势、唯书本定势、情感定势。思维定势制约我们创新思想的发展,要更好实践临床工作,必须客观评价各种思维定势,主动进行创新思维训练。本文分别对各种思维定势在临床工作中的体现、优劣进行表述,并举例说明。     

Nothing But Stereotypes? Negligible Sex Differences Across Creativity Measures in Science,Arts, and Sports Adolescent High Achievers

Previous research has focused on understanding when, why, and how sex differences in creativity occur, as results vary across samples, measures, and methodologies. In the current study we investigated sex differences in creativity among 984 high achieving adolescents in three expertise areas: Sciences, Arts, and Sports. Eight creativity indicators were analyzed: Alternative uses task (AUT) fluency; creative self-efficacy (CSE); intraindividual strengths (difference between CSE and AUT Fluency); five self-reported creativity scales: Self/everyday, scholarly, performance, mechanical/scientific, artistic. The results showed negligible sex differences ( $n_{\mathrm{p}}^2$ = .01), with females performing better in AUT Fluency and males self-rating their CSE higher. No sex differences were found in self/everyday, scholarly and performance creativity. Males self-rated their mechanical/scientific creativity ( $n_{\mathrm{p}}^2$ = .06) higher than females; while females self-rated their artistic creativity ( $n_{\mathrm{p}}^2$ = .02) higher in comparison to males. Our results extend the existing literature by finding negligible sex differences in adolescent expert groups. However, some stereotypical differences emerged, for example, females with Sciences expertise rated their mechanical/scientific creativity lower than males with and even without Sciences expertise. Results call for further investigation into the links between sex differences, expertise, and specific creativity domains.