三种决策的概念辨析对我国医疗决策实践的启示

在医疗决策领域,相对于共享决策,还有代理决策、支持决策两个SDM概念。系统回顾与比较了三种SDM决策类型的概念起源、定义特征及应用领域,同时梳理了三种概念之间的层次关系及内涵异同。三种SDM都是在“以患者为中心”文化驱动下的医疗决策类型,但其适用人群不同,且存在一定的隶属关系。基于中西方文化背景差异,进一步探讨了三种SDM概念对我国医疗决策实践的启示与建议,旨在为我国医疗决策工作的完善与提高提供更多依据。

     

Conditional same/different concept learning in the short‐beaked echidna (Tachyglossus aculeatus)

Echidnas have evolved separately from other mammalian groups for around 200 million years and incorporate a mixture of reptilian and mammalian features. Because of these attributes, they have historically been considered “primitive” animals. However, they have successfully adapted to a wide variety of ecological niches and their neurophysiology demonstrates a number of unusual and apparently sophisticated characteristics, including a relatively large brain and cerebral cortex and a comparatively massive frontal cortex. Studies of learning in the echidna have thus far been limited to only a handful of experiments which demonstrated relatively basic abilities such as forming a position habit in a T‐maze, successive habit‐reversal learning, and simple visual and instrumental discrimination. This study aimed to expand on these results and test the “primitive” echidna on what are generally considered more advanced cognitive tasks—same/different and conditional same/different concept learning. The results demonstrated that echidnas are able to discriminate on the basis of a relational same/different concept, using simultaneously presented multi‐element stimuli, and transfer that discrimination to novel stimuli. After further training, they were then able to repeat the performance when the correct choice was conditional on the background color of the stimulus panels.     

Red catechisms: socialist educational literature and the demarcation of religion and politics in the early 19th century

The catechetical genre not only has a long history in religious but also in political discourse. During the 18th century, catechisms were produced on a vast number of diverse subjects, ranging from secular ethics to sheep breeding. The catechism persisted throughout the 19th century and almost gave shape to the Manifesto of the Communist Party. By this time, however, some socialists were also sceptical of the genre; it was perceived as ambiguous. Catechisms are thus a focal point for changing understandings of politics and religion in 19th-century discourse. This article discusses the production and reception of early 19th-century ‘red’ or socialist catechisms to reveal how the ambiguity of the concept religion was negotiated in the context of the catechetical genre. By locating the debate on catechisms in the discourse on ideology, I show that this genre was a focal point for structural change in the semantic field of religion in modernity.     

共产主义信念对道德认知的影响及认知机制

基于五个实验研究联合使用单类内隐联想范式与概念启动范式,探讨了共产主义信念与道德认知的关系及其认知机制。结果显示:(1)共产主义信念与道德在概念层面具有相容性;(2)在阈上、阈下水平启动共产主义信念均能够显著促进道德概念判断;(3)共产主义信念促进道德判断的启动效应呈现累积趋势,符合证据累积模型,而在词汇决定任务下未出现概念的扩散激活效应,不符合扩散激活模型。系列研究表明,新时代中国特色社会主义背景下,共产主义信念与道德认知产生了显著地关联,共产主义信念启动能够促进道德判断,且共产主义信念促进道德判断的启动效应并不是发生在语义层面,而是知觉层面。     

Some reflections on writing the history of the IFPS

Abstract

A knowledge of the history of psychoanalysis strengthens our understanding of its concepts. A specific characteristic of psychoanalysis is that its creative development unfolds in confidential processes. One way to remedy this ‘basic fault’ is extensive and intensive interviews with analysts. In earlier times, collections of correspondence between analysts provided such information. There is very little material on the International Federation of Psychoanalytic Societies (IFPS) and its importance in the development of psychoanalysis. The first forums of the IFPS were published in Fortschritter der Psychoanalyse, whereas from 1992 onwards, significant papers have been published in the International Forum of Psychoanalysis. Although not bound to any specific school of psychoanalysis, the journal has been especially open to developments with roots in the so-called Budapest school.     

Books received: volume 11, issue 2

According to Bolzano, an object has necessary being if, and only if, there is a conceptual truth that ascribes being to it. I (Textor, 1996, chapter 5) proposed that the notion of conceptual truth bears the explanatory weight in Bolzano's theory of necessity because, ultimately, the truth of such a proposition depends only on the nature of the concepts it contains. Rusnock (2012) argues against this interpretation and proposes, in turn, that for Bolzano necessity and contingency are tied to free choice. In this article I will provide conceptual and historical background for Bolzano's view of necessity and use it to motivate my interpretation as well as to rebut Rusnock's criticism.     

Constructs to describe individual knowledge / Constructos para describir el conocimiento individual

Abstract

The basic unit of any cognitive model that attempts to describe individual knowledge and its manifestations must be chosen carefully, as the resulting position on learning, teaching and, in general, of the psychological research subject depends largely on this choice. The objective is to assess and contrast two constructs of enormous significance in cognitive psychology that have been used as cognitive units under different theoretical contexts: the concept in its classical sense, and the scheme in its organismic version. Arguments are presented to show that the latter is more consistent with constructivist assumptions and is more respectful of psychological data such as the Gestalt and prototype effects or the existence of procedural and implicit knowledge.     

Teacher Racism,Academic Self‐Concept,and Multiculturation: Investigating Adaptive and Maladaptive Relations With Academic Disengagement and Self‐Sabotage for Indigenous and Non‐Indigenous Australian Students

The issue of patterns of educational disengagement for Indigenous Australian students has long been of considerable concern within Indigenous education research. Although there is an expanding research base identifying factors that may increase (or decrease) the risk of disengagement for Indigenous students, little acknowledgement has been given to international research highlighting how stigma and discrimination may be associated with student disengagement and the resiliency factors that may nullify these associations. Utilising a sample of 1,376 (305 Indigenous; 1,071 non‐Indigenous) students from five New South Wales high schools in Australia, this study sought to examine the influence of academic self‐concept and two culturally sensitive constructs—specifically, perceived multiculturation (perceived cultural respect) and racial discrimination—on two disengagement‐orientated outcomes: affective disengagement and self‐sabotaging behaviour (behavioural disengagement) for both Indigenous and non‐Indigenous students. The findings showed relatively consistent direct and positive effects of academic self‐concept and direct negative effect of teacher racism for both groups of students. An interaction effect (discrimination × multiculturation) for the Indigenous students only was also identified, which suggested that the negative effects of racial discrimination on self‐sabotaging behaviour are exacerbated when the Indigenous students perceived higher levels of cultural respect from others. Overall, while these findings suggest that promoting higher levels of inter‐cultural respect may be beneficial for Indigenous and non‐Indigenous alike (e.g., culturally inclusive programmes), such positive perceptions may put Indigenous students at greater risk if the impact of racism is not also addressed. The implications of these findings suggest that cultural safety must be framed both in promoting the positive (cultural respect) and in eliminating the negative (racism).     

Metaphysics of quantity and the limit of phenomenal concepts

Quantities like mass and temperature are properties that come in degrees. And those degrees (e.g. 5 kg) are properties that are called the magnitudes of the quantities. Some philosophers talk about magnitudes of phenomenal qualities as if some of our phenomenal qualities are quantities. The goal of this essay is to explore the anti-physicalist implication of this apparently innocent way of conceptualizing phenomenal quantities. I will first argue for a metaphysical thesis about the nature of magnitudes based on Yablo’s proportionality requirement of causation. Then, I will show that, if some phenomenal qualities are indeed quantities, there can be no demonstrative concepts about some of our phenomenal feelings. That presents a significant restriction on the way physicalists can account for the epistemic gap between the phenomenal and the physical. I’ll illustrate the restriction by showing how that rules out a popular physicalist response to the Knowledge Argument.