医院积极处理医疗投诉的意义与实施方法

医疗投诉往往是医疗纠纷的雏形,消极处理可能使矛盾激化,让医院和患者成为对立的双方,由此增加了问题解决的难度和成本。医院积极对待处理医疗投诉具有积极意义,在降低投诉处理难度和成本的同时,也很好的塑造了医院的社会形象。同时阐述了其积极应对的措施。     

Signs and the process of interpretation: sign as an object and as a process

Historically the words representation and symbol have had overlapping meanings, meanings that usually disregard the role played by the interpreter. Peirce’s theory of signs accounts for these meanings and also for the role of the interpreter. His theory draws attention to the static and dynamic nature of signs. Sign interpretation can be viewed as a continuous dynamic and evolving process. The static and dynamic nature of signs helps us understand the teaching–learning activity as a process of interpretation on the part of teacher and students. The paper attempts to explain the classroom interpretation process on the part of the actors involved using the Peircean theory of signs.     

Integrating Psychotherapeutic Processes with Cognitive Behavioral Procedures

There has been a recent focus on the processes that underlie intervention delivery for children and adolescents throughout the Cognitive-Behavioral Therapy (CBT) literature. Certain process variables have been associated with treatment outcome among youth receiving CBT. Data for these process variables including: the therapeutic alliance or therapeutic relationship, child and parent involvement, other child and therapist variables, and issues of diversity, are reviewed. Based on this data, specific clinical recommendations are made. The treatment relationship as a very important process (VIP), and the facilitation of CBT so that it is real and relevant to youth are emphatically discussed. Process issues in modular CBT are identified. Ultimately, genuine collaborative empiricism and guided discovery preserve the therapeutic relationship as a VIP, and foster the customization of therapeutic tools and the treatment trajectory.     

Team allegiance can lead to both optimistic and pessimistic predictions

Although team allegiance is usually associated with optimistic predictions about team performance, the authors hypothesized that preferences for one’s group can also lead to pessimistic predictions. Upon arrival to the laboratory, groups of four participants were split into teams of two based on bogus criteria. Participants were informed that their teammate would compete against a member of the other team in a trivia game consisting of both easy (e.g., “pop culture”) and hard (e.g., “50’s movies”) categories. They provided likelihood estimates regarding outcomes for each category. As predicted, team allegiance inflated participants’ optimism about their teammate winning the easy categories, but deflated optimism about their teammate winning the hard categories. Path analyses supported the proposed account indicating that preferences for a teammate to win led to an enhanced focus on the teammate’s strengths and weaknesses (and neglect of the strengths and weaknesses of the other competitor).     

Interactional justice and the fair process effect: The role of outcome uncertainty

This paper reconciles the inconsistent findings on the interactive effect of interactional justice and social comparison information on outcome evaluation. We distinguish two different effects of interactional justice and examine outcome uncertainty as a qualifying factor. Three hundred and fifty-seven undergraduates participated in a scenario experiment. It is found that, due to the functional quality effect, interactional justice significantly influences outcome evaluation, regardless of the social comparison information that is available, in situations of low outcome uncertainty. However, due to the fair process effect, interactional justice, as with procedural justice, interacts with social comparison information to influence outcome evaluation in situations of high outcome uncertainty. Implications for comparison referents and social comparison motives in social justice research are discussed.     

Effects of perceived criticism on anxiety and depression during behavioral treatment of anxiety disorders

The present study explored the effect of perceived criticism (PC) on levels of anxiety and depression during behavioral treatment among patients diagnosed with obsessive-compulsive disorder (OCD) or panic disorder with agoraphobia (PDA). We posited that patients' perceptions of relatives' criticism and the degree to which they were upset by the criticism (UC) would be related to negative affect and discomfort during exposure. The sample included 75 patients with a primary diagnosis of OCD (n=43) or PDA (n=32) and their participating relatives. Measures of patients' weekly ratings of PC and upset about the criticism, anxious and depressed mood, and subjective discomfort during exposure treatment were analyzed using a mixed model regression approach (SAS Proc Mixed). Patients' anxious and depressed mood predicted greater discomfort during exposure. Patients who were more UC also had higher weekly ratings of anxiety and depression, and more discomfort during exposure sessions. Findings suggest that treatment outcome may be improved by attention to patients' reactions to their interpersonal environment.     

Investigating the relationship of working memory tasks and fluid intelligence tests by means of the fixed-links model in considering the impurity problem

The impurity of measures is considered as cause of erroneous interpretations of observed relationships. This paper concentrates on impurity with respect to the relationship between working memory and fluid intelligence. The means for the identification of impurity was the fixed-links model, which enabled the decomposition of variance into experimental and non-experimental parts. A substantial non-experimental part could be expected to signify impurity. In a sample of 345 participants error scores and reaction times, which were obtained by the Exchange Test, represented working memory, and Advanced Progressive Matrices served as measure of fluid intelligence. The four independent latent variables of the model associated with error scores and reaction times led to a multiple correlation .67 with the latent variable of fluid intelligence. However, there was impurity since the decomposition by means of the fixed-links model showed that only 45% of the common variance was due to working memory.     

心理治疗效果评定量表(简式)在中、德应用的心理测量学研究(英文)

419名中国和德国被试参加了本研究,并回答了若干简式心理健康量表。所选的这套量表能对心理治疗不同阶段的效果(Howard’s阶段模型:重新认识期-转变期-康复期)进行测查。本研究目的在于考察这些简式量表能否用于认知-行为治疗跨文化培训项目中的质量管理。结果显示,这些量表在中德两种文化背景下都有很高的信度和效度(聚合效度和敏感性)。尽管项目间的高相关似乎提示心理健康模型只有一个维度,但探索性因素和理论分析则更支持心理健康是一个分为8个亚维度的模型,其中每个亚维度或者与基础情绪、或者与社会性情感相连关联。本文最后就研究结果及其对心理治疗质量控制的意义进行了详细讨论。     

Option fixation: A cognitive contributor to overconfidence

The ASC model of choice and confidence in general knowledge proposes that respondents first Assess the familiarity of presented options, and then use the high-familiarity option as a retrieval cue to Search memory for the purposes of Constructing an explanation about why that high-familiarity option is true. The ASC process implies that overconfidence results in part from a tendency to fixate on the high-familiarity option, to the neglect of the other option. If this implication is true, then judgment tasks requiring respondents to evaluate each option independently should result in reduced overconfidence as compared with standard judgment tasks. Two experiments tested this implication, and found that confidence and overconfidence were reduced when respondents evaluated options independently. The findings support the proposal that option fixation contributes to overconfidence, and also clarify the limitations of random error explanations of overconfidence.     

试论《周易》中的生命哲学

《周易》在中国哲学中具有重要的地位,对中国传统文化产生了深远的影响。不管是儒家思想还是道家思想,皆与《周易》有千丝万缕的联系。而《易传》对《周易》古经的系统化解读,则从根本上将本为卜筮之书的《周易》提升为哲学与人生智慧之书。《易传》哲学的核心则是其所阐释的天人合一的生命哲学。受《易传》的影响,中国传统文化也以关注个体生命形下存在与形上存在的合一,乃至整个宇宙生命的有机运行为核心。《周易》将整个宇宙视为一个有机的生命体,在阴阳交互作用中这一生命体一直处于“生生不息”的状态中。这一宇宙生成论将分别表征天地的乾坤两卦作为创生世界万物的基元,而人则是天地人三才中的重要一员。《易传》的这一思想突出了人的主体性地位。而人若要充分发挥其主体性地位,则需要以“诚”为媒介,通过“进德修业”、“继善成性”来实现人与天的德性的合一,同时又要“与时偕行”,实现人与天的自然的合一。前者被后世的儒家所继承与发扬,而后者则为后世道教、中医学等所借鉴。《周易》所宣扬的天人合一的思想与西方占主导地位的主客二分的思想迥异,而与在西方被边缘化的历程哲学有内在的相通之处。基于西方主客二分观念的科学思想虽极大地促进了生产力的发展,但由此而导致的人的身心的分裂及环境污染等问题亦不容忽视。《周易》中的天人合一思想与历程哲学在弥补西方科学思想的不足方面可以发挥重要的作用。