What makes a meaningful life? Examining the effects of interpersonal harmony,dialectical coping,and nonattachment

Past cross‐cultural research on well‐being has tended to base Eastern construction of well‐being on the interdependent self‐construal, mainly as an offshoot of Confucius relationalism. However, other influential philosophical traditions in East Asian societies (i.e., Taoism and Buddhism) that portray a different picture of well‐being have received scant scholarly attention. We aim to foreground the distinctiveness of three well‐being constructs salient to Chinese culture, namely, interpersonal harmony, dialectical coping, and nonattachment, by providing experimental evidence on their differential effects on perceived meaning in life. Participants were 173 Taiwanese college students. Using priming procedures, participants primed with interpersonal harmony and dialectical coping reported higher levels of meaning in life as compared to those in the nonattachment and neutral control conditions. In addition, comparisons among the three well‐being constructs revealed that although the effects of interpersonal harmony and dialectical coping on meaning in life were similar in strength, they were both significantly stronger than that of nonattachment. The findings attest to the importance of recognizing within‐culture differences when conducting research on well‐being. Results were considered in terms of their methodological and theoretical implications.     

肿瘤内科治疗的疗效评价

肿瘤内科治疗是肿瘤综合治疗三大手段之一,在肿瘤治疗中占有举足轻重的地位。肿瘤内科治疗的疗效评价也逐步发展和完善。新的疗效评价指标逐渐被接受,延长生存期和提高肿瘤病人的生存质量已成为肿瘤内科治疗疗效评价的原则,临床肿瘤学工作者应转变观念,以利于更好地开展临床工作。     

Ronald Dworkin on Abortion and Assisted Suicide

In the first part of this article, I raisequestions about Dworkin's theory of theintrinsic value of life and about the adequacyof his proposal to understand abortion in termsof different ways of valuing life. In thesecond part of the article, I consider hisargument in ``The Philosophers' Brief on AssistedSuicide', which claims that the distinctionbetween killing and letting die is morallyirrelevant, the distinction between intendingand foreseeing death can be morally relevantbut is not always so. I argue that thekilling/letting die distinction can be relevantin the context of assisted suicide, but alsoshow when it is not. Then I consider why theintention/foresight distinction can be morallyirrelevant and conclude by presenting analternative argument for physician-assistedsuicide.     

网络社交媒体使用对青少年生活满意度的影响：自我同一性状态的中介作用

为考察网络社交媒体使用对青少年生活满意度的影响及其内在心理机制—自我同一性状态的中介作用,采用问卷法对2634名青少年进行调查。结果表明：（1）网络社交媒体使用无法直接预测青少年生活满意度,但可以通过自我同一性状态这一中介变量产生间接影响;（2）网络社交媒体使用对青少年心理发展呈现双重作用,既能通过加强成就型自我同一性状态提高生活满意度,也可以通过增强弥散型自我同一性状态进而削弱青少年生活满意度。     

生命意义的缺失与追寻

生命意义(Meaning in life)指人们对自己生命中的目的、目标的认识和追求,主要包括意义存在(Presence of Meaning)和意义追求(Search for Meaning)两个维度。生命意义缺失(Absence of Meaning)指个体缺乏生活的目标、对自身存在价值和意义感的感知。意义缺失的体验一方面会带来焦虑、抑郁等消极影响,另一方面将激发起个体强烈的重构意义的动机,引导人们进行意义追求。未来研究应增加对生命意义的获取和提升、意义缺失的原因、含义与结构、意义追求的动机和效果的研究。     

Still Doing Fine? The Interplay of Negative Life Events and Self‐Esteem During Young Adulthood

This longitudinal study investigated the bidirectional relationship between negative life events and self‐esteem during the transition from adolescence to young adulthood (N = 2272). Drawing on theories of human development over the lifespan and just‐world theory, we analyzed age‐graded changes in self‐esteem and their interplay with negative life events at three measurement points over a 12‐year period. We addressed both the short‐term and the longer term effects of single as well as multiple negative life events on changes in self‐esteem (socialization effects). We further investigated whether the pre‐event level of self‐esteem affected the likelihood of negative life events occurring (selection effects) and, finally, whether it had protective effects in terms of helping people adjust to negative events. Latent change models yielded four main findings: (i) self‐esteem increased during young adulthood; (ii) socialization effects were observed over shorter and longer timespans, but (iii) selection effects were only found for multiple negative life events, with low self‐esteem predicting a high number of negative life events; (iv) high pre‐event self‐esteem acted as a protective factor, attenuating declines in self‐esteem after experience of multiple negative life events. Copyright © 2016 European Association of Personality Psychology     

Sense of Divine Involvement and Sense of Meaning in Life: Religious Tradition as a Contingency

This study examines the association between sense of divine involvement and sense of meaning in life. Then it proceeds to assess how this association varies by religious tradition. Using a random and national sample from the 2007 Baylor Religion Survey, this study finds that sense of divine involvement is associated with greater odds of having a sense of meaning in life. In addition, religious affiliation modifies this association. Specifically, the positive association between sense of divine involvement and the odds of having a sense of meaning in life is observed only among evangelical Protestants, mainline Protestants, and Catholics, but not among other religionists and religious nones. I discuss how the results make contributions to knowledge about the link between religious beliefs, religious tradition, and mental health.     

新农合制度调整前后豫北地区腹膜透析患者透析质量的比较

腹膜透析是终末期肾脏病的有效替代治疗方法之一。2012年4月,河南省对包括慢性肾衰竭在内的六种疾病的新农合报销比例做出重大调整,腹透患者主要经济花费的透析液报销比例由原来的40％提高至80％。通过研究新农合制度调整前后豫北地区腹膜透析患者的临床资料,报告了制度调整后的患者透析充分性提高,贫血、营养状况较前好转,心血管疾病发生率下降,生存质量改善的现况,论证了老龄、糖尿病、营养不良、心血管疾病、透析不充分、较低的医疗保险支付比例是影响腹膜透析患者预后的重要因素,为腹膜透析患者的预后分析提供了理论依据。     

对个人生命权的辩护——从自由意志出发

现代医学面临的问题,诸如安乐死、生前预嘱、器官捐献等都可以归结为对生命权的支配问题,而生命权的支配又面临着个人的自由意志与伦理价值的双重考量。但二者并不是不可通约的,个人作为生命个体,自由意志是规定自身、以区别于动物的本质要素,是个人人格和尊严的体现;但人并不仅作为一个个体存在,还要通过否定自身而进入一个伦理实体,受伦理实体的制约。伦理实体并不是对自由意志的简单否定,两者是既对立又统一的关系。     

生命科学发展前沿对医学教育的影响

21世纪生命科学和生物高新技术迅猛发展,基因组学、系统生物学、组织工程与干细胞技术等生命科学发展前沿的研究成果越来越快地应用于临床,正在使人类疾病的预防、诊断、治疗手段和方式发生革命性的变化。这必将对高等医学教育产生深刻影响,这种影响主要体现在人才培养目标的设定、课程体系与教学内容的更新、生源优选与师资提升、教育资源配置等方面。生命科学的发展将促使课程体系更加开放,基础医学教学内容更前沿,临床医学教学突破传统技术纳入更多新技术,计算机等工具学科的教学更强化,并对教师素质和教学资源提出更高要求。