The (Gendered) Construction of Diagnosis Interpretation of Medical Signs in Women Patients

Medicine maintains a distinction between the medical symptom -- the patient'ssubjective experience and expression, and the privileged medical sign -- the objective findings observable by the doctor. Although the distinction is not consistently applied, it becomes clearly visible in the undefined, medically unexplained disorders of women patients. Potential impacts of genderized interaction on the interpretation of medical signs are addressed by re-reading the diagnostic process as a matter of social construction, where diagnosis results from human interpretation within a sociopolitical context. The discussion is illustrated by a case story and empirical evidence of the gendering in the doctor-patient relationship. The theoretical analysis is supported by semiotic perspectives of bodily signs, feminist theory on experience, and Foucault'sideas about medical perception and gaze, and concludes that a medical diagnosis is seldom a biological fact, but the outcome of a process where biological, cultural and social elements are interwoven. Further deconstruction of the chain of signs from a feminist perspective, assigning validity to the voice of the woman patient, might broaden the understanding of women'shealth, illness and disease.     

眼睛注视：独特的还是不独特的？

眼睛注视作为面孔信息的一个重要成分,越来越多的研究表明其具有特殊的心理学性质。文章从眼睛注视的特殊性出发,综述了眼睛的特殊形态、心理学功能与面孔识别在机制上的独立性,并重点阐述了其在反射性注意中的行为、电生理和脑成像研究,最后探讨了眼睛注视在心理理论、情绪及自我方面的研究。     

眼睛注视线索提示效应: 内源性注意还是外源性注意?

采用改进的Posner视-空间线索提示范式, 对眼睛注视线索提示效应(eyes gaze cueing effect)的加工机制进行了探讨。实验一考察注视提示线索对空间Stroop效应的影响; 实验二考察注视提示线索对特征抽取和特征整合的影响。实验结果显示: 注视线索提示有效时的空间Stroop效应显著大于提示无效的情景; 在单一特征搜索与特征联合搜索任务中, 注视线索提示效应无差别。这说明, 注视线索通过在头脑里形成空间方位表征诱导注意转移; 注视线索通过影响特征抽取、而非特征整合阶段, 对客体加工产生易化。本研究支持注视线索提示效应属于内源性注意的观点。     

光标显示模式对视线交互绩效与用户体验的影响研究

显示与反馈方式是人机交互的重要设计要素。在视线交互这种自然人机交互技术中,视线光标的呈现方式一直是研究的焦点。本研究选取基于凝视点击范式的文本输入任务,设计了2（有无视点锁定功能）×2（有无实时注视点）被试内实验,探讨光标显示模式对视线交互绩效与用户体验的影响。结果：视点锁定功能可以提升交互绩效和用户体验,有无实时注视点对交互绩效无显著影响;输入速度的提升主要在于视点锁定功能能够让被试的视线更快地转移到下一个目标上。研究结果可为视线光标的设计与应用提供借鉴。     

视觉搜索任务中直视探测优势的眼动研究

已有研究发现在视觉搜索任务中对直视的探测比斜视更快且更准确, 该现象被命名为“人群中的凝视效应”。大多数研究者将该效应的产生归因于直视会捕获更多的注意。然而, 直视条件下对搜索项的匹配加工更容易也有可能导致对直视的探测比斜视快。此外,已有研究还发现头的朝向会影响对注视方向的探测, 但对于其产生原因缺乏实验验证。本研究采用视觉搜索范式, 运用眼动技术, 把注视探测的视觉搜索过程分为准备阶段、搜索阶段和反应阶段, 对这两个问题进行了探讨。结果显示：对直视的探测优势主要表现在搜索阶段和反应阶段; 在搜索阶段直视的探测优势获益于搜索路径的变短和分心项数量的变少以及分心项平均注视时间的变短; 头的朝向仅在搜索阶段对注视探测产生影响。该结果表明, 在直视探测中对搜索项的匹配加工比在斜视探测中更容易也是导致“人群中的凝视效应”的原因之一; 头的朝向仅仅影响了对注视方向的搜索并没有影响对其的确认加工。     

头部朝向在社会性注意转移中的作用

注视指向是非常重要的社会性注意线索,但是在日常情境中,注视指向往往伴随着头部朝向信息,而且两者都包含空间指向信息.已有研究发现头部朝向会影响注视指向知觉的速度和准确性,为注视指向提供参照系,进而会影响注视指向诱发的社会性注意.头部朝向和注视指向加工的神经机制也存在着广泛的重合.因此,除眼睛注视以外,头部朝向也是建构和完善基于心理模型的社会性注意机制的一个关键因素.未来的研究应关注头部朝向与眼睛注视指向共同影响注意转移的作用机制,并且从功能整合的角度开展神经机制研究.     

Relationality in Kohut's psychology of the self

In this essay, I will posit that Kohut's psychology of the self portrays relationality and that its relationality can be categorized into the explicit aspects. I will also put forth the six aspects of relationality contained in Kohut's psychology of the self as relational, dynamic, wholistic, unilateral, mutual, and doxological and they can be summarized as following: (1) Relational: Narcissism is not self-love but is a particular kind of object relationship; (2) Dynamic: The most central self is dynamic or agentic and not defined in substantival attributes; (3) Wholistic: The whole of the self is important; (4) Unilateral: In order for one's self to develop, one is in need of and at the receptive end of another's empathy; (5) Mutual: Others’ empathy is needed in maintaining the health of the developed selves; and (6) Doxological: Joy and thanksgiving are natural expression of developed selves.     

Seeing and being seen in the experience of the client and the therapist

There is more to non-verbal communication than observing the client, although intense observation of the client has taken second place to listening to their words. After reflecting on the history of the use of sight in medicine and psychoanalysis, the author examines the significance for Freud and others of the ‘senses at a distance' (hearing and sight), and issues such as voyeurism and exhibitionism in the therapeutic relationship. The phenomenon of seeing and being seen is related through case examples to issues about distance and space, paranoid anxiety and communication disorders. Attention is also paid to illusion as a way of seeing, and its relevance in the counter-transference. The article concludes by looking at the way clients see therapists, tracing briefly the progression from self-pre-occupation to seeing the therapist as a separate other.     

Observation of another's action but not eye gaze triggers allocentric visual perspective

In the present paper, we investigated whether observation of bodily cues—that is, hand action and eye gaze—can modulate the onlooker's visual perspective taking. Participants were presented with scenes of an actor gazing at an object (or straight ahead) and grasping an object (or not) in a 2?×?2 factorial design and a control condition with no actor in the scene. In Experiment 1, two groups of subjects were explicitly required to judge the left/right location of the target from their own (egocentric group) or the actor's (allocentric group) point of view, whereas in Experiment 2 participants did not receive any instruction on the point of view to assume. In both experiments, allocentric coding (i.e., the actor's point of view) was triggered when the actor grasped the target, but not when he gazed towards it, or when he adopted a neutral posture. In Experiment 3, we demonstrate that the actor's gaze but not action affected participants' attention orienting. The different effects of others' grasping and eye gaze on observers' behaviour demonstrated that specific bodily cues convey distinctive information about other people's intentions.