麻醉科医患沟通现状及认知分析一一我国45家医院联合调查报告——

2017年8月1日~9月30日,在全国45家医院进行了电子问卷调查,旨在从医方角度调研麻醉科医患关系的现状。结果显示在导致医患沟通不畅的原因中除客观因素(病情复杂及疗效不确定)之外,麻醉科医务人员对患者防备心理过重位列首位(37.8%),其次为沟通时间不够(33.4%)、沟通意识缺乏(29.2%)以及沟通能力不足(28.3%),由此可见如今麻醉科医患沟通问题比较突出。建议麻醉科医生通过转变医疗观念,强化沟通意识;掌握语言工具,提高沟通技能;积极向患者科普麻醉学科的进展和局限等综合措施,逐渐改善麻醉科医患沟通现状。

     

A framework for the multimodal joint work of turn construction in face-to-face interaction

We propose a framework for understanding the multimodal joint work of turn construction in face-to-face interaction. Using concepts from conversation analysis, nonverbal communication, and gesture studies, in a qualitative analysis of face-to-face interaction, we observe that, collaboratively and in a joint work, participants produce moves, within the current-speaker’s turn, that allow them to deal with possible moves that could compromise the projectable trajectory of the interaction in progress. Working at the micro level of interaction, we propose a framework that will allows a better understanding of how a turn can be collaboratively produced and how other levels of sequence organization can be produced in order to achieve the desired social-agreement outcome.     

The role of teammate relationships,communication and self-efficacy in predicting athlete flow experience

This study aimed at testing a structural model of athlete flow in a sample of South African students. A quantitative, cross-sectional research design was implemented. Participants completed self-report measures at pre-arranged times that were in close proximity to the completion of athletic activity. Student athletes (n = 235) participating in South Africa's two major sports, football and rugby, were surveyed. The instruments utilised in this study included the Short Flow State Scale-2, the Questionnaire on Experience and Assessment of Work, and the Generalised Self-Efficacy Scale. The results indicated positive relationships between the variables and established predictor paths. Teammate relationships and self-efficacy were established to as the best predictors of flow experiences of athletes.     

空间交互研究新视角：多重社会因素的影响

空间交互是人类生存和社交的重要内容, 主要包括语言交流和视角采择两大范畴。对空间交互策略和效率的影响因素的研究, 传统上集中于空间因素, 近年来逐渐开始关注各种社会因素, 包括个体自身的社会认知特质、交互对象的社会属性和空间环境中的社会线索, 并从不同角度提出了理论解释。未来研究应关注社会认知与空间认知的跨领域融合, 考察更加多元的空间交互对象, 最终建立一个整合空间和社会因素的空间交互理论框架。     

Verbal irony processing: How do contrast and humour correlate?

Verbal irony relies on contrast, that is, incongruity between the situational context and the ironic assertion. But is the degree of contrast related to the perceived humorousness of ironic comments? We answered this question by conducting two experiments. In the first experiment, participants were asked to read a list of sentence pairs (ironic or control) and judge the extent to which the meaning of the first sentence contrasted with that of the second. In the second experiment, participants were invited to rate the humorousness of ironic comments compared with their literal counterparts. Results showed that ironic remarks were rated as more contrasting and more humorous than their literal counterparts, but that humour only emerged from a moderate contrast.     

Development of a Communication Aid to Facilitate Risk Communication in Consultations with Unaffected Women from High Risk Breast Cancer Families: A Pilot Study

The literature on risk perception in women from high-risk breast cancer families reveals persistent over-estimation of risk, even after counseling. In this study, a communication aid was designed to facilitate discussion of risk between clinical geneticists and genetic counselors and women from this high-risk population. Method: Stage 1. The aid was developed by an expert panel of clinical geneticists, genetic counselors, psychologists, an epidemiologist, an oncologist, linguists and a consumer. It was guided by the international literature on risk communication and a large multi-centre Australian study of risk communication. The 13 page full-color communication aid used varying formats of words, numbers, graphs and pie-charts to address (a) the woman’s subjective risk; (b) the population risk of breast cancer; c) the risk of inherited breast cancer; (d) the cumulative risk for women with BRCA1 and BRCA2 mutations; (e) family risk factors; (f) the woman’s suitability for genetic testing; (h) screening and management recommendations, and (i) a re-assessment of the woman’s subjective risk. Stage 2: A before–after pilot study of 38 women who were unaffected with breast cancer and were attending four Australian familial cancer clinics was undertaken. Baseline and follow-up questionnaires were completed by 27 women. Outcomes were compared to those observed in 107 similar women undergoing genetic counseling without the communication aid in 2001. Results: The risk communication aid appears to be beneficial; breast cancer genetics knowledge improved in some areas and importantly, risk perceptions improved in the cohort receiving the communication aid. Psychological measures showed no difference in anxiety or depression between the group receiving the communication aid and the comparison cohort. Women and clinicians were very positive about the usefulness of the communication aid as an adjunct to the genetic counseling consultation.     

Further examination of discriminated functional communication

One child with developmental disabilities was taught to mand for attention by saying "excuse me." Treatment effects were extended to multiple training contexts by teaching the participant to attend to naturally occurring discriminative stimuli through differential reinforcement of communication during periods of the experimenter's nonbusy activities (e.g., reading a magazine). Results are discussed in terms of future research on the generalization and maintenance of functional communication in the natural environment.     

Just the thought of it!: Effects of anticipating computer-mediated communication on gender stereotyping

A study investigated how anticipated communication mode affects the use of stereotypes in forming impressions and making task assignments. Participants rated male or female targets with whom they envisioned working on a business project using computer-mediated or face-to-face modes of communication. Results indicated that both men and women were characterized more stereotypically when participants anticipated working with them electronically than when they anticipated working with them face-to-face. Furthermore, task assignments were more often gender stereotype consistent when the communication mode was computer-mediated than when it was face-to-face. These findings suggest that the mere anticipation of computer-mediated communication, without the actual the experience of it, is enough to promote stereotypes and biased decision-making.     

Distributed recognition of natural songs by European starlings

Individual vocal recognition behaviors in songbirds provide an excellent framework for the investigation of comparative psychological and neurobiological mechanisms that support the perception and cognition of complex acoustic communication signals. To this end, the complex songs of European starlings have been studied extensively. Yet, several basic parameters of starling individual vocal recognition have not been assessed. Here we investigate the temporal extent of song information acquired by starlings during vocal recognition learning. We trained two groups of starlings using standard operant conditioning techniques to recognize several songs from two conspecific male singers. In the first experiment we tested their ability to maintain accurate recognition when presented with (1) random sequences of 1–12 motifs (stereotyped song components) drawn from the training songs, and (2) 0.1–12-s excerpts of continuous song drawn from the training songs. We found that song recognition improved monotonically as more vocal material is provided. In the second experiment, we systematically substituted continuous, varying length regions of white noise for portions of the training songs and again examined recognition accuracy. Recognition remained above chance levels for all noise substitutions tested (up to 91% of the training stimulus) although all but the smallest substitutions led to some decrement in song recognition. Overall, above chance recognition could be obtained with surprisingly few motifs, short excerpts of song, and in the absence of large portions of the training songs. These results suggest that starlings acquire a representation of song during individual vocal recognition learning that is robust to perturbations and distributed broadly over large portions of these complex acoustic sequences.