问诊的诊断价值及其方法学探讨

问诊作为临床诊断的开始和方法,具有促进医患良性沟通、明确诊断、减少医疗纠纷和贯彻新医学模式的重要价值。问诊过程中,医生除了注重其技术性和程序性内容以外,更要坚持哲学的普遍联系、辨证发展、病人个体差异和巧用过渡性语言等思维方法。     

临床方法依然是神经内科医师最重要的诊断法宝

通过7例疑难、危重患者的诊治过程说明临床方法的重要性,在神经科疾病研究中尤为突出。忽视细致的病史采集和体查,常导致了诊疗的失误;面对种目繁多的检查,更需要以临床方法选择之;临床逻辑思维能力非常重要,正确的临床思维出新知。在实验室检查方法越来越多的今天,临床方法是神经内科医师最重要、方便、快捷、有效的诊断法宝,具有不可替代性。     

肺癌早期综合诊疗思考

通过分析目前肺癌患者5年生存率徘徊在10%,这一现实问题,可以得到一些重要启示和思考。今后肺癌治疗发展方向将是完善个体化、多学科早期综合治疗模式;利用基因芯片技术开展肺癌早期诊断,对肺癌高危人群开展大规模普查;开展靶向性、高效低毒、抗耐药性的肺癌治疗药物研究,进行肺癌逆转的分子干预治疗和分子阻断治疗,要用早期综合地手段诊疗肺癌。     

EDUCATION SECTION: Infant observation in Britain:The Tavistock approach

The author draws attention to something distinctive in the psychoanalytic 'air' from the early 1960s onwards: the strong emphasis upon the very early psychological, emotional and cognitive view of infants and young children. She focuses on the work of two analysts in particular, Esther Bick and Wilfred Bion, and the comparable, though differently expressed, centrality of the observational method in their work. Each explored not only the pathological picture but also the nature and integrative function of psychic containment in earliest mental life. Each also shared a preoccupation with what constituted a psychoanalytic attitude and with the process of becoming a psychoanalyst and, in Bick's case, a child analyst or psychotherapist. The author provides an historical background to the idea of observation, followed by an account, with detailed examples, of the nature of infant observation and the observational method as taught and practised at the Tavistock Clinic, London since the late 1940s, and subsequently in many other training institutions. Here the themes of Bick and Bion are constantly interrelated such that the prototype or model for the creation of emotional meaning and thought can be appreciated and learning from experience can take place.     

4岁幼儿线条偏好实验研究

本研究采用对偶比较法,对4岁幼儿进行6类常见线条的偏好调查研究,得出以下结果:4岁幼儿线条偏好的顺序依次是:漩涡线、曲线、弧形线、波浪线、折线、直线;男生和女生对线条的偏好没有明显差异;4岁幼儿对不同方向的漩涡线的偏好有明显差异,对不同方向的直线、波浪线、折线、曲线和弧形线的偏好没有明显差异。     

大中小学生内隐序列学习的发展性研究

采用序列学习的研究范式,对大中小学生的序列反应时和序列生成成绩进行测量,结果表明:(1)大中小学生均能在序列学习中获得序列规则。(2)采用比例测量方法,大中小学生的序列反应时无显著差异。(3)大中小学生的序列生成成绩是不同的,包含成绩随着年级升高而上升,排除成绩则不随年级变化;小学生包含和排除成绩无显著差异,而中学生和大学生的差异逐渐加大。说明序列学习的意识成分随年级的升高而增加。     

Van Inwagen and the Quine-Putnam indispensability argument

In this paper I do two things: (1) I support the claim that there is still some confusion about just what the Quine-Putnam indispensability argument is and the way it employs Quinean meta-ontology and (2) I try to dispel some of this confusion by presenting the argument in a way which reveals its important meta-ontological features, and include these features explicitly as premises. As a means to these ends, I compare Peter van Inwagen’s argument for the existence of properties with Putnam’s presentation of the indispensability argument. Van Inwagen’s argument is a classic exercise in Quinean meta-ontology and yet he claims – despite his argument’s conspicuous similarities to the Quine-Putnam argument – that his own has a substantially different form. I argue, however, that there is no such difference between these two arguments even at a very high level of specificity; I show that there is a detailed generic indispensability argument that captures the single form of both. The arguments are identical in every way except for the kind of objects they argue for – an irrelevant difference for my purposes. Furthermore, Putnam’s and van Inwagen’s presentations make an assumption that is often mistakenly taken to be an important feature of the Quine-Putnam argument. Yet this assumption is only the implicit backdrop against which the argument is typically presented. This last point is brought into sharper relief by the fact that van Inwagen’s list of the four nominalistic responses to his argument is too short. His list is missing an important – and historically popular – fifth option.

Husserl’s Way to Authentic Being

In a journal entry from 1906, Husserl complains of lacking “internal stability” and of his desire to “achieve” it. My claim in this paper is that the “phenomenological method,” which he made public in his 1907 lectures Die Idee der Phänomenologie was, and is, a means to achieve the inner harmony that Husserl longed for. I do not provide an analysis of why Husserl might have felt the way he did; my aim is to show what internal stability might be and how one might achieve it. I conclude that the phenomenological method is the means, the “how,” to internal stability, which I characterize as “clarity” and “harmony” regarding our beliefs and, and ultimately, our authentic comportment.     

Word of God or Dialog with Science? Overcoming a False Dilemma Through Missional Encounter

Abstract : Why would a theology grounded in God's word engage with the sciences? After laying out two alternative approaches to revelation—constructive theology (general revelation) and Logos theology (special revelation)—I advocate an evangel theology grounded in mission, worship and the gospel of Jesus Christ. This approach engages both culture (including science and technology) and God's word from a critical missional basis. An evangel theology engages the sciences through apologetics, cultural critique, hermeneutics, and the cooperative task of developing a Christian worldview.