疾病分类:中医学认识疾病的重要方法

分类在人类认识事物的过程中扮演着至关重要的角色。纵观古今中医界,疾病分类的思想广泛存在,表明古今医家能够在临床实践中发现疾病的规律。不同种类的疾病所需治疗方法存在着明显差别,医者在临床中若将不同的疾病相混淆极可能给患者的健康造成巨大的伤害。因此,古今医家都试图构建出完善的疾病分类框架。分类的思想亦有助于理解辨证论治概念的实质。中医界过往多从本质的角度解释辨证论治,然而中医学中不可检验的概念无法被认为是疾病本质的真实反映。中医学之辨证论治实际上是辨类论治。     

Dissociations between identity and location negative priming

Negative priming refers to the phenomenon of a slowed response time to a previously ignored distractor. Identity negative priming can be observed when the identity of a previous distractor is repeated as the target identity, and location negative priming can be observed when the spatial location of a previous distractor is repeated as the target location. This article reviewed and integrated previous findings and provided empirical evidence to show the dissociations between location and identity negative priming: (a) the removal of probe distractor impeded identity negative priming but not location negative priming; (b) identity negative priming was modulated by the distance between the target and distractor, while location negative priming was not; and (c) perceptual grouping of the target and distractor affected identity negative priming but not location negative priming.     

Using the visual world paradigm to study language processing: a review and critical evaluation

We describe the key features of the visual world paradigm and review the main research areas where it has been used. In our discussion we highlight that the paradigm provides information about the way language users integrate linguistic information with information derived from the visual environment. Therefore the paradigm is well suited to study one of the key issues of current cognitive psychology, namely the interplay between linguistic and visual information processing. However, conclusions about linguistic processing (e.g., about activation, competition, and timing of access of linguistic representations) in the absence of relevant visual information must be drawn with caution.     

Object-based auditory facilitation of visual search for pictures and words with frequent and rare targets

Auditory and visual processes demonstrably enhance each other based on spatial and temporal coincidence. Our recent results on visual search have shown that auditory signals also enhance visual salience of specific objects based on multimodal experience. For example, we tend to see an object (e.g., a cat) and simultaneously hear its characteristic sound (e.g., “meow”), to name an object when we see it, and to vocalize a word when we read it, but we do not tend to see a word (e.g., cat) and simultaneously hear the characteristic sound (e.g., “meow”) of the named object. If auditory–visual enhancements occur based on this pattern of experiential associations, playing a characteristic sound (e.g., “meow”) should facilitate visual search for the corresponding object (e.g., an image of a cat), hearing a name should facilitate visual search for both the corresponding object and corresponding word, but playing a characteristic sound should not facilitate visual search for the name of the corresponding object. Our present and prior results together confirmed these experiential association predictions. We also recently showed that the underlying object-based auditory–visual interactions occur rapidly (within 220 ms) and guide initial saccades towards target objects. If object-based auditory–visual enhancements are automatic and persistent, an interesting application would be to use characteristic sounds to facilitate visual search when targets are rare, such as during baggage screening. Our participants searched for a gun among other objects when a gun was presented on only 10% of the trials. The search time was speeded when a gun sound was played on every trial (primarily on gun-absent trials); importantly, playing gun sounds facilitated both gun-present and gun-absent responses, suggesting that object-based auditory–visual enhancements persistently increase the detectability of guns rather than simply biasing gun-present responses. Thus, object-based auditory–visual interactions that derive from experiential associations rapidly and persistently increase visual salience of corresponding objects.     

Postural and focal inhibition of voluntary movements prepared under various temporal constraints

Large disturbances arising from the moving segments (focal movement) are commonly counteracted by anticipatory postural adjustments (APAs). The aim of this study was to investigate how APAs – focal movement coordination changes under temporal constraint. Ten subjects were instructed to perform an arm raising movement in the reactive (simple reaction time) and predictive (anticipation–coincidence) tasks. A stop paradigm was applied to reveal the coordination. On some unexpected trials, a stop signal indicated to inhibit the movement; it occurred randomly at different delays (SOA) relative to the go signal in the reactive task, and at different delays prior to the focal response initiation in the predictive task. Focal movement was measured using contact switch, accelerometer and EMG from the anterior deltoid. APAs were quantified using centre of pressure displacement and EMG from three postural muscles. The inhibition rates as a function of the SOA produce psychometric functions where the bi-serial points allow the moment of the motor "command release" to be estimated. Repeated measures ANOVAs showed that APAs and focal movement were closely timed in the reactive task but distinct in a predictive task. Data were discussed according to two different models of coordination: (1) hierarchical model where APAs and focal movement are the results of a single motor command; (2) parallel model implying two independent motor commands. The data clearly favor the parallel model when the temporal constraint is low. The stop paradigm appears as a promising technique to explore APAs – focal movement coordination.     

I see what you're saying: the integration of complex speech and scenes during language comprehension

The effect of language-driven eye movements in a visual scene with concurrent speech was examined using complex linguistic stimuli and complex scenes. The processing demands were manipulated using speech rate and the temporal distance between mentioned objects. This experiment differs from previous research by using complex photographic scenes, three-sentence utterances and mentioning four target objects. The main finding was that objects that are more slowly mentioned, more evenly placed and isolated in the speech stream are more likely to be fixated after having been mentioned and are fixated faster. Surprisingly, even objects mentioned in the most demanding conditions still show an effect of language-driven eye-movements. This supports research using concurrent speech and visual scenes, and shows that the behavior of matching visual and linguistic information is likely to generalize to language situations of high information load.     

Postural configuration affects the perception of earth-based space during pitch tilt

This study investigates the relative contribution of body parts in the elaboration of a whole-body egocentric attraction phenomenon previously observed during earth-based judgments. This was addressed through a particular earth-based task requiring estimating the possibility of passing under a projected line, imagining a forward horizontal displacement. Different postural configurations were tested, involving whole-body tilt, trunk tilt alone or head tilt alone. Two legs positions relative to the trunk were manipulated. Results showed systematic deviations of the subjective “passability” toward the tilt, linearly related to the tilt magnitude. For each postural configuration, the egocentric influence appeared to be highly dependent on the position of trunk and head axes, whereas the legs position appeared not relevant. When compared to the whole-body tilt condition, tilting the trunk alone consistently reduced the amount of the deviation toward the tilt, whereas tilting the head alone consistently increased it. Our results suggest that several specific effects from multiple body parts can account for the global deviation of the estimates observed during whole-body tilt. Most importantly, we support that the relative contribution of the body segments could mainly depend on a reweighting process, probably based on the reliability of sensory information available for a particular postural set.     

The learning of 90° continuous relative phase with and without Lissajous feedback: external and internally generated bimanual coordination

Results from recent experiments (e.g., Kovacs, Buchanan, & Shea, 2009a–b, 2010a,b) suggest that when salient visual information is presented using Lissajous plots bimanual coordination patterns typically thought to be very difficult to perform without extensive practice can be performed with remarkably low relative phase error and variability with 5 min or less of practice. However, when this feedback is removed, performance deteriorates. The purpose of the present experiment was to determine if reducing the frequency of feedback presentation will decrease the participant's reliance on the feedback and will facilitate the development of an internal representation capable of sustaining performance when the Lissajous feedback is withdrawn. The results demonstrated that reduced frequency Lissajous feedback results in very effective bimanual coordination performance on tests with Lissajous feedback available and when feedback is withdrawn. Taken together the present experiments add to the growing literature that supports the notion that salient perceptual information can override some aspects of the system's intrinsic dynamics typically linked to motor output control. Additionally, the present results suggest that the learning of both externally and internally driven bimanual coordination is facilitated by providing reduced frequency Lissajous feedback.     

Modulating Fitts's Law: perceiving targets at the last placeholder

Fitts's Law predicts increasing movement times (MTs) with increasing movement amplitudes; however, when targets are placed in a structured perceptual array containing placeholders, MTs to targets in the last position are shorter than predicted. We conducted three experiments to determine if this modulation has a perceptual cause. Experiment 1, which used extremely diminished (three pixel) placeholders, showed that the modulation is not due to perceptual interference from neighboring placeholders. Experiment 2, which measured reaction times using a target detection task, showed that the modulation does not result from speeded perceptual processing at the last position of the array. Experiment 3, which measured accuracy using a masked letter-discrimination task, showed that the modulation does not result from the increased quality of perceptual representation at the last position of the array. Overall, these findings suggest that the changes in effectiveness of visual processing (less interference, speeded processing, and increased quality) at the last position in the perceptual array do not drive the modulation. Thus, while the locus of the Fitts's Law modulation appears to be in the movement planning stage, it is likely not due to perceptual mechanisms.