Thoughts and feelings and things: A new psychiatric epistemology

Epistemology — the study of knowledge — is a philosophical discipline with close ties to psychiatry. When epistemologists address specific questions about how knowledge is actually realized by human beings, their philosophy must be informed by empirical studies of the sort psychiatrists now take up in a variety of forms. As this paper describes, psychiatrists can likewise improve their understanding of human psychology through a deeper appreciation of philosophical analysis in epistemology.The aim of this article is to introduce a unifying framework within which the experience from different approaches to psychiatry — (1) the conceptual schemas of cognitive psychiatry, (2) the mental structures of psychoanalytic psychiatry, (3) the categorical forms of existential psychiatry, and (4) the neural pathways of biological psychiatry — can all be applied productively to the central question of epistemology. By establishing a broad understanding of the problem of knowledge, this new view of epistemology is developed within the idiom of each psychiatric approach. In addressing themselves to a unitary problem, these diverse psychiatric approaches are themselves revealed, not as competing points of view, but as complementary views of a single subject. The result is a new epistemology that can not only bring the insights of psychiatry to philosophy, but can also contribute to the care of patients when psychiatrists bring this broader view to their clinical work.     

The rapid-smoking technique: Subject characteristics and treatment outcome

There is a lack of consistency in findings regarding subject (S) characteristics and the effects of smoking-control programmes. Research workers appear to assume that abstinence and reduction in smoking rate are merely different points in the same continuum, and therefore seek to correlate S variables with percentage reductions in smoking rate. It is argued that abstinence and reduced smoking are more appropriately viewed as potentially discrete outcomes. Conceptualizing outcome in this manner, a discriminant function analysis was employed to determine whether it is possible to differentiate between Ss who do, or do not, abstain following participation in a treatment programme involving rapid-smoking. It was found that it is possible to discriminate between the two groups of Ss. Advantages deriving from this approach to the investigation of S characteristics and treatment outcome are discussed.     

Effects of live modeling, covert modeling and rehearsal on assertiveness in psychiatric patients.

The present study evaluated the effects of live modeling, covert modeling, and rehearsal in unassertive psychiatric patients. Psychiatric patients scoring 19 or below on the Wolpe-Lazarus Assertiveness Scale were assigned to one of five conditions, with 10 subjects in each group: (1) Test-retest (no treatment). (2) Live modeling plus rehearsal. (3) Live modeling without rehearsal. (4) Covert modeling plus rehearsal, and (5) Covert modeling without rehearsal. All subjects were videotaped (pre- and post-test) while responding to eight interpersonal situations (four training scenes; four generalization scenes) requiring assertive responses. Pre- and post-test responses for all subjects were rated independently by judges on several verbal and non-verbal components of assertiveness. The results indicated that live modeling and covert modeling effected improvements in the assertive behavior of the patients, but that the two treatments were not differentially effective. Generally, the addition of rehearsal to live or covert modeling failed to enhance treatment. But on two measures, the covert modeling plus rehearsal condition was superior to the other treatments. There was evidence for transfer of treatment effects from training to generalization scenes. No differences were found among the groups on the Wolpe-Lazarus Assertiveness Scale and the Eysenck Personality Questionnaire. The results were discussed in light of prior findings with live and covert modeling procedures.     

Effects of differential reinforcement and task difficulty on preschoolers' compliance with teacher instructions

Preschool children in day schools were given instructions to complete certain tasks. Four tasks were given of two types and two levels of difficulty. In each condition compliance with at most one instruction (one task) was reinforced. In two similar experiments, with six children, general results were: compliance with easy tasks was maintained without reinforcement when any task compliance was reinforced; compliance for hard tasks remained high only when that specific task was reinforced. Thus, generalization of compliance with instructions varied with task difficulty. The setting and procedure for both studies were designed to reduce possible coercive features of laboratory studies of generalized performance. Results show generalized performance can occur under naturalistic conditions. The effect of effort, as a response characteristic affecting generalized performance, is discussed.     

Numerical taxonomy of aphasia

Two hundred consecutively seen aphasics, 142 of them with infarcts, were examined by tests of fluency, comprehension, repetition, naming, and information content. The language scores were subjected to a minimum variance clustering algorithm separately for the total and for the infarct groups. The latter generated 10 clusters on a dendrogram. Attribute analysis of each cluster provided a clinically meaningful profile of language performance for these groups. The degree of correlation of most computer generated clusters with clinically recognized groups was high, and the homogeneity of some of the clusters is striking. An exception appears to be “conduction aphasia,” which is bimodally distributed. One of these clusters, with high fluency and low comprehension scores, was renamed “afferent conduction” aphasia, and the other, with lower fluency and higher comprehension, was renamed “efferent conduction” aphasia. The Principal Components Analysis was used to evaluate the discriminatory value of language characteristics, and the Nearest Neighbor Network Analysis was used to evaluate the significance of clustering. The dendrogram for all aphasics showed a less specific and less homogenous six clusters.     

A theory of intelligence: I. span and the complexity of stimulus control

A theory of intelligence is couched in stimulus-response terms, bridging the gap between S-R and cognitive psychology. The chief theoretical concepts are span ability (a capacity notion), response string (sequentially cued responses), and complexity of stimulus control (task complexity). Span is equated with the ability to respond appropriately when several cues are conjunctively relevant for correct performance (complex stimulus control). So defined, span is consistently and broadly related to many aspects of intelligent behavior.     

试论西方马克思主义心理学取向的特点及成就

当今西方心理学研究中盛行着形形色色的马克思主义流派, 除了传统的精神分析马克思主义、人本心理学马克思主义和辩证法心理学等思潮之外, 还涌现出了实证主义心理学的马克思主义、女权主义心理学的马克思主义、批判心理学的马克思主义和多元主义辩证法等新取向, 其中批判心理学已成为发展的主流。马克思主义是我们的立国之本, 随着世界范围内马克思主义研究运动的日益高涨, 如何认识西方马克思主义的心理学理论资源, 是我们中国心理学研究需要进一步探讨的一个重要理论和现实问题。     

从思辨理性局限性看待中西医之争

中西医之争自西医进入中国以来不曾停止,分析解决此争执须从哲学入手。康德哲学首创将知性与理性区分,提出思辨理性超越经验的界限将产生二律背反,这种超越在各种旷日持久的大争论中经常出现,中西医之争是典型代表,而实践理性可化解此矛盾。思辨理性的局限性还表现在中医内部,中医学和中药学发展过程中都曾受到超越经验界限的思辨的影响,其中阴阳家和儒家学说表现较为突出,一定程度上阻碍了中医学发展。中医学早期在实践当中形成,现在需要也正在以新的实践方式发展,而无意义的中西医思辨理性之争应当抛弃。