论医学人文观的历史变迁及其现代特征

医学人文观是关于医学人文的基本认识和根本看法。医学具有科学与人文双重属性。医学人文观反映和概括医学的人文属性。医学人文观在医学发展的不同阶段具有不同的历史形态,医学人文观的历史变迁折射医学发展的脉络和走向,现代医学人文观的形成有其特定的社会、科学和历史背景。现代医学人文观的主要特征：以“人性”为支点统一事实与价值;以科学与人文双重属性规定现代医学的性质;以自身的整体性和系统性介入现代医学体系;以增强现代医疗公平性为价值指向;以维护和促进现代医学的进步为己任。

     

罗杰斯与老子的人性观比较研究

西方人本主义理论的代表人物罗杰斯与道家的创始人老子的理论对人性的观点有很多相似之处,这种相似的人性观主要表现在他们对人的基本动机的理解之上,这两个基本动机分别为实现倾向性和复归倾向性。该文通过比较这两种基本动机,探讨罗杰斯与老子的人性观的相似点与不同点。     

文化与心理治疗

关于文化与心理治疗的关系,主要有文化相对论与文化中立论两种观点。它们各有一定的积极之处和局限性。其实,心理治疗具有普遍性与特殊性两种属性。因此,应注意对心理与行为异常及其治疗的文化分析;积极挖掘整理本文化心理治疗的理论与方法,实现心理治疗的本土化或文化化;加强心理治疗理论与方法的文化整合。     

错误归因的叠加效应：发生于情感还是语义过程？

错误归因是指将某个效应的来源错认为是其它来源。研究采用修改的、双启动词的情感错误归因程序（AMP）范式,考察了错误归因的叠加效应以及该效应发生于情感还是语义过程。结果表明：(1)经典的AMP范式下,不论是情感启动词还是语义启动词都可以引发错误归因反应。(2)双启动词AMP范式下,先后出现的情感启动词产生了错误归因的叠加效应。（3）双语义启动词AMP范式下,没有发现错误归因的叠加效应。说明双启动词AMP范式下错误归因的叠加效应只发生于情感过程。     

目标焦点监控下目标信息的建构与整合

探讨文本阅读过程目标焦点监控下读者对目标信息的建构与整合。采用移动窗口技术,要求被试阅读24篇含有主人公目标的记叙文,设计了子目标未实现、子目标曲折实现或子目标直接实现三种条件,对不同条件下目标启动句阅读时间进行分析。实验1对子目标曲折实现与子目标未实现两种条件下目标启动句阅读时间进行比较,结果表明,曲折实现条件下目标启动句阅读时间长于未实现条件下目标启动句的阅读时间,说明在没有共振的情况下,目标启动句也可以激活先前的目标信息引发目标整合。实验2比较在子目标曲折实现与子目标直接实现条件对目标启动句阅读时间,以探讨在目标焦点条件下是否对相关信息进行追随性建构,结果表明,曲折实现条件下目标启动句阅读时间与直接实现条件下目标启动句的阅读时间差异不显著,说明在目标焦点监控下可以发生阅读信息的追随性建构。本实验结果初步证明,阅读不同文本信息可能会引发不同的信息加工活动,建构主义理论与记忆基础文本加工理论都只是说明了文本阅读信息加工的一个侧面。     

The integration of habits maintained by food and water reinforcement through stimulus compounding.

In Experiment 1, a light and a tone were correlated independently with water reinforcement of bar pressing by rats. With different naive subjects in Experiment 2, one of these stimuli was correlated with food and the other with water reinforcement (counterbalanced). In both experiments the absence of tone and light signaled extinction. Tests of stimulus-reinforcer independence in Experiment 2 indicated that tone and light controlled behavior whose rate was specifically affected by deprivation state. In the stimulus-compounding tests of both experiments, response rates were higher to tone-plus-light than to tone or light presented alone (additive summation). This is the first report of additive summation produced through compounding stimuli paired with different reinforcers. The results are discussed in the context of the effects of incentive motivation on operant performance.     

Global Progress II: Evolutionary Mechanisms and their Side-effects

This paper attempts to update the 18th century concept of progress by an evolutionary theoretical framework, while replying to some of the contemporary critiques. Progress, understood as increase in fitness (or its proxy, quality of life) necessarily accompanies evolution by natural selection. In socio-cultural evolution, this mechanism is reinforced by growth of knowledge and virtuous cycles, but can be accompanied by negative side-effects such as overshooting and parasitism. The most pressing of the contemporary side-effects, such as pollution and the increased pace of life, are discussed, but it is concluded that they can be tackled without really endangering global progress. The anxiety that they engender is unfortunately amplified by a bad news bias in the media, leading to an inappropriately pessimistic view of the situation by the public.     

Points of view analysis revisited: Fitting multidimensional structures to optimal distance components with cluster restrictions on the variables

Points of view analysis (PVA), proposed by Tucker and Messick in 1963, was one of the first methods to deal explicitly with individual differences in multidimensional scaling, but at some point was apparently superceded by the weighted Euclidean model, well-known as the Carroll and Chang INDSCAL model. This paper argues that the idea behind points of view analysis deserves new attention, especially as a technique to analyze group differences. A procedure is proposed that can be viewed as a streamlined, integrated version of the Tucker and Messick Process, which consisted of a number of separate steps. At the same time, our procedure can be regarded as a particularly constrained weighted Euclidean model. While fitting the model, two types of nonlinear data transformations are feasible, either for given dissimilarities, or for variables from which the dissimilarities are derived. Various applications are discussed, where the two types of transformation can be mixed in the same analysis; a quadratic assignment framework is used to evaluate the results.The research of the first author was supported by the Royal Netherlands Academy of Arts and Sciences (KNAW); the research of the second author by the Netherlands Organization for Scientific Research (NWO Grant 560-267-029). An earlier version of this paper was presented at the European Meeting of the Psychometric Society, Leuven, 1989. We wish to thank Willem J. Heiser for his stimulating comments to earlier versions of this paper, and we are grateful to the Editor and anonymous referees for their helpful suggestions.     

More transparency of world view assumptions: Commentary on “Psychiatry and religion: Consensus reached!” (Verhagen, 2017)

ABSTRACT

The commentary compares the WPA position statement with a similar paper published recently by the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN; Deutsche Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde). These papers should be a starting point to foster R/S studies within the bio-psycho-social-spiritual framework, a thoughtful discernment of the psycho-spiritual mixture and more training opportunities for therapists to better integrate the spiritual dimension into treatment.