妇产科医患话语权力的情境化博弈——基于医疗纪录片《生门》的案例分析

通过对医疗纪录片《生门》的案例分析,并借助福柯的话语权力关系理论,对妇产科中的医患话语权力关系进行研究发现：当医患结构性冲突被还原为微观情境下动态的话语权力博弈,医患权力关系可以借由不同的资源和话语在具体情境中发生转移和流动;话语权力在充当冲突的隐性动力的同时,又提供了博弈行为中的工具和手段;资源和话语力量此消彼长的博弈会在医疗情境中形成一种动态平衡,对平衡状态的有效调适为减少医患冲突提供了可能途径。

     

民国时期广西霍乱与近代防疫卫生体系

民国时期霍乱在广西社会流行,呈现出前期低、中后期高、夏季高发、以区域经济中心向周边扩散的特点。政府组织了隔离消毒、报告疫情、检疫、疫苗接种、防疫宣传和清洁卫生、生产管理药品、出台法律法规、考核医务工作者等近代防疫手段,这在一定程度上保障了民生,遏制了疫情。然而,民众不配合防疫,政府处罚以示惩儆效果欠佳,也未形成有力的疫苗防疫屏障,环境卫生发展不平衡、甚至出现倒退现象,这表明政府应对霍乱存在局限性。在这个过程中,建立并逐渐完善了近代广西防疫卫生体系。

     

Subjective power and emotions in everyday interpersonal interactions: Counterparts' constrictive posture as moderator

Power is one of the vital components embedded within interpersonal interactions, but few studies have studied it in everyday life context. This experience sampling study examined the associations of subjective power with emotional well-being and investigated the moderating effects of counterpart' postures in the associations. Our results demonstrated that individuals reported higher positive emotions and lower negative emotions when they perceived higher subjective power. Their positive emotions were positively correlated with counterparts' expansive postures while negative emotions were positively correlated with counterparts' constrictive postures. The subjective power-negative emotion associations were stronger when counterparts displayed higher level of constrictive posture. Our findings provide an evidence base for a comprehensive understanding on the role of subjective power and perception of counterparts' power-related posture in dyadic communications in emotional well-being.     

生命伦理学:权力与不公正--在第六届国际生命伦理学大会的致辞

在现代生命伦理学的讨论中,主要关注的是改造医患关系中的权力关系。通过强调人权和对个人尊严的尊重,对脆弱人群授予权利已经达到。然而,在卫生保健中,权力的不平衡依然普遍存在。这在相当程度上与对社会不公正的关注不够有关。那种权力的不平衡加之新的权力形式的发展,例如,通过新的遗传生物技术,产生了对日益增长的社会不公的恐惧与忧虑。由此,扩展与公共卫生有关的伦理学讨论将受到关注。政治哲学研究也需要变为改造国际权力关系和改善人口健康。     

Self-Perceptions of Comparative Power and Worth in Three Generational Families

This study focused on the extent to which self-perceptions of power and worth differed across members of three-generational families as they compared themselves with other family members. It was hypothesized that self evaluations of worth would show more stability than self evaluations of power in such comparisons. There was support for this hypothesis. Differences regarding self evaluations of power according to gender and generation were also examined. The rank order, from lowest to highest, of perceived comparative power was: female adolescent grandchildren, grandmothers, mothers, male adolescent grandchildren, grandfathers, and fathers. Implications of findings for family therapists are described.     

Healthy high-hostiles evidence low-alpha power (7.5-9.5Hz) changes during negative affective learning

The present experiment was designed to better understand the impact of positive and negative emotional processing among low- and high-hostile individuals. Based on previous research which found increased sympathovagal balance among low-hostiles to the negative version of the Affective Auditory Verbal Learning Test (AAVL), it was hypothesized that low-hostiles would experience increased cortical arousal to this stimulus whereas their high-hostile counterparts would not. As expected, low-hostiles experienced significantly reduced low-alpha power (7.5-9.5Hz) relative to high-hostiles during the presentation of the negative AAVL. In a replication of prior research, significant primacy and recency effects were noted for the negative and positive word lists, respectively. Results are discussed in terms of cerebral activation theory and the potential impact of emotional processing among high-hostile individuals and their likelihood to develop coronary heart disease.     

Cognitive therapy and social power

This paper addresses the capacity of cognitive therapy to engage with issues of social power. Some indicators of ‘power‐sensitised counselling’ are proposed and these are discussed with reference to cognitive therapy. ‘Power‐sensitised counselling’ for the purposes of this paper is described as counselling that takes account of power differentials, both across society and within the counselling room. The paper opens a discussion about the potential developments of cognitive therapy that could facilitate an engagement with issues of social power. The significance of these issues for research into cognitive therapy is discussed.     

身体姿势启动的内隐权力感对公平决策的影响

已有研究表明, 扩张身体姿势可启动个体的权力感。基于具身认知的视角, 实验1考察身体姿势对免惩罚游戏的提议者进行金钱分配时的影响, 实验2和实验3分别考察最后通牒游戏、免惩罚游戏的回应者在蜷缩和扩张姿势下对各种分配类型方案的拒绝率。结果表明, 与蜷缩姿势相比, 扩张姿势使个体更倾向于在免惩罚游戏提议者角色时做出更多的利己不公平分配, 同时使个体更倾向于拒绝最后通牒游戏和免惩罚游戏中的不公平分配。本研究证明了扩张姿势启动的权力感可影响个体的公平决策。     

建构主义教学与元思维的关系:认知压力的解释

本研究采用建构主义教学评估问卷、认知压力问卷、一般元思维量表与情境元思维量表对381名学生进行测量,考察了建构主义教学与元思维之间的关系,以及一级、二级认知压力在其中的中介或解释作用。研究采用结构方程模型分析,结果显示:(1)仅考虑一级认知压力时,建构主义教学能正向预测两种元思维,一级认知压力在建构主义教学与两种元思维间皆起部分中介作用;(2)仅考虑二级认知压力时,其在建构主义教学与两种元思维间皆起完全中介作用;(3)同时加入两种认知压力时,仅二级认知压力的中介作用显著。