病耻感对于精神病患者的影响以及文化对策

本文分析三种类型歧视所造成的患者及其家属的痛耻感,论述我们应当如何利用适当的文化应对策略来消除歧视、减少病耻感,从而有效地克服病耻感对于患者及其家属的负面影响。文化差异与病耻感的形成直接相关,文化作为一个重要变量,影响着精神卫生问题以及相应的服务政策,深入研究和认识儒家文化的核心价值有助于减少对于精神病患者的歧视,帮助他们克服病耻感。中国道家文化推崇道法自然,无为而治,可以发展出有效的心理疗法,对于精神疾病是一剂对症的良药。     

Responding to negative health events: A test of the Bad News Response Model

People can respond to bad news in a variety of ways. The Bad News Response Model suggests that three aspects of bad news (the controllability, likelihood, and severity of negative consequences) predict which response (Watchful Waiting, Active Change, or Acceptance) people are likely to choose. This article presents an initial test of the predictions of the Bad News Response Model. College students (N = 234) and older adults (N = 116) read a scenario about a person with a suspicious mole that varied in the controllability, likelihood, and severity of the outcomes. Consistent with our predictions, people prefer Watchful Waiting when controllability, likelihood, and severity are low, Active Change when controllability and likelihood are high, and Acceptance when controllability is low. These findings provide support for the Bad News Response Model and suggest that responses to bad news may be foreseeable based on the type of news people receive.     

Supporting children’s counterfactual thinking with alternative modes of responding

To speculate about counterfactual worlds, children need to ignore what they know to be true about the real world. Prior studies yielding individual differences data suggested that counterfactual thinking may be related to overcoming prepotent responses. In two experiments, we manipulated how 3- to 5-year-olds responded to counterfactual conditional and syllogism tasks. In Experiment 1 (N = 39), children’s performance improved on both conditional and syllogism tasks when they responded with an arrow rather than pointing with a finger. In Experiment 2 (N = 42), 3- and 4-year-olds benefited from both an arrow manipulation and, separately, the introduction of a delay before responding. We suggest that both manipulations help children to overcome an impulsive prepotent response to counterfactual questions arising from a default assumption that information about the past is true.     

Verbal mediating responses: effects on generalization of say-do correspondence and noncorrespondence

We analyzed the effects of verbal mediating responses on the acquisition and generalization of say-do correspondence and noncorrespondence. Participants were assigned to groups in which either reinforcers (feedback and tokens) were arranged for say-do correspondence and noncorrespondence, or no reinforcers were programmed. Participants in these groups were further subdivided into groups in which they were required to repeat what was said previously, were required to repeat random numbers, or no verbalizations were required. When correspondence was reinforced, repetition of what was said produced greater acquisition and generalization of correspondence. When noncorrespondence was reinforced, repetition of numbers facilitated acquisition and generalization of noncorrespondence. Verbal mediating responses interacted with contingencies of reinforcement in determining acquisition and generalization of correspondence and noncorrespondence.     

执行功能子成分与学业成就的关系

目的:探讨执行功能三个子成分(抑制功能、转换功能和信息刷新功能)与学业成就的关系。方法:采用认知任务对85名大学生的执行功能子成分进行测量,并进行执行功能子成分的Stroop效应、转换任务效应及信息刷新任务效应对学业成就的逐步回归分析。结果:抑制子功能的Stroop效应及信息刷新子功能的任务效应对学业成就具有负向预测作用,两者共同解释学业成就变异的15.1%。其中,抑制子功能的Stroop效应预测作用最大,可解释学业成就变异的8.5%。结论:执行功能抑制子功能的Stroop效应及信息刷新子功能的任务效应可作为学业成就的预测因子。     

The Effectiveness of Argumentative Strategies

In this article, I further analyze the notion of the effectiveness of argumentative strategies, introduced in Jovičić, 2001. The most relevant achievements of the theories of reasonable discussion and the theories of persuasion are called to mind with the aim of explaining the mechanism of the argumentative effectiveness. As a result, a procedure for evaluating the effectiveness of argumentative strategies is suggested.     

Intoxicated eyewitnesses: The effect of a fully balanced placebo design on event memory and metacognitive control

Few studies have examined the impact of alcohol on metacognition for witnessed events. We used a 2 × 2 balanced placebo design, where mock witnesses expected and drank alcohol, did not expect but drank alcohol, did not expect nor drank alcohol, or expected but did not drink alcohol. Participants watched a mock crime in a bar‐lab, followed by free recall and a cued‐recall test with or without the option to reply “don't know” (DK). Intoxicated mock witnesses' free recall was less complete but not less accurate. During cued‐recall, alcohol led to lower accuracy, and reverse placebo participants gave more erroneous and fewer correct responses. Permitting and clarifying DK responses was associated with fewer errors and more correct responses for sober individuals; and intoxicated witnesses were less likely to opt out of erroneous responding to unanswerable questions. Our findings highlight the practical and theoretical importance of examining pharmacological effects of alcohol and expectancies in real‐life settings.     

Evidence for retarded extinction of aversive learning in anxious children

The habituation to intense acoustic stimuli and the acquisition of differentially conditioned fear were assessed in 53 clinically anxious and 30 non-anxious control children and young adolescents. Anxious children tended to show larger electrodermal responses during habituation, but did not differ in blink startle latency or magnitude. After acquisition training, non-anxious children rated the CS+ as more fear provoking and arousing than the CS- whereas the ratings of anxious children did not differ. However, anxious children rated the CS+ as more fear provoking after extinction, a difference that was absent in non-anxious children. During extinction training, anxious children displayed larger blink magnitude facilitation during CS+ and a trend towards larger electrodermal responses, a tendency not seen in non-anxious children. These data suggest that extinction of fear learning is retarded in anxious children.     

Patterns of Coping Among Persons with HIV Infection: Configurations, Correlates, and Change

This study examines coping in response to HIV infection, using longitudinal data from a nationally representative sample (n = 2,864) of HIV-infected persons. We investigated configurations of coping responses, the correlates of configuration membership, the stability of coping configurations, and the relationship of coping to emotional well-being. Four coping configurations emerged from cluster analyses: relatively frequent use of blame-withdrawal coping, frequent use of distancing, frequent active-approach coping, and infrequent use of all three coping strategies (passive copers). Passive copers had few symptoms, high levels of physical functioning, and high emotional well-being; blame-withdrawal copers had the opposite pattern. Of those completing a second interview 1 year after baseline, 46% had the same coping configuration. Increases in the number of HIV-related symptoms raised the probability of blame-withdrawal coping at follow-up, whereas decreases raised the probability of passive coping. Infrequent use of coping responses at baseline was related to greater emotional well-being 1 year later. This result, in conjunction with the high levels of emotional well-being in the passive cluster, suggests that high levels of distress can induce blame-withdrawal coping whereas coping efforts are minimal when social support and emotional well-being are high. Results highlight issues in ascertaining the causal direction between coping and psychological outcomes, as well as in specifying the nature of stressful situations with which people are coping.