老年医学科叙事医学实践及思考

介绍老年医学科叙事医学理论学习和实践案例。应用关注、再现、反思、归属等叙事医学实践,关注老年患者主体性,发现疾病背后的故事,弥合医患视域差异,帮助老年患者及家属正视死亡教育。间接反思提升老年医学科医患沟通品质。直接反思助力医务人员发现工作中的短板,完善工作范式,提升工作品质。老年医学科叙事医学实践帮助医务人员从老年患者生命病痛的角度出发、理解和善待生命,帮助医护人员化解医患沟通困境,优化医患关系生态,全方位维护老年患者的生理、心理、情感、精神健康。

     

叙事医学反思性写作对共同决策价值探析

以叙事医学工具反思性写作为切入点,首先从医方、患方及外部环境三个角度分析了当前医患共同决策所面临的临床实践困境,其次在对反思性写作概念、实践特点概述的基础上,提出了叙事能力对临床工作的重要性、叙事医学伦理对决策困境的作用,最后从促使医方自我反思,避免引导式决策及权威主义;弥合医患视阈差异,达成决策共识;阐明并澄清患者偏好及价值观,促进个体化共同决策;提高患者参与决策意愿,调动参与决策积极性;缓和医患关系,实现医患共情,促进共同决策良性互动五个方面阐述了反思性写作对医患共同决策困境的助力作用。

     

The competitive reaction time task: The development and scientific utility of a flexible laboratory aggression paradigm

Laboratory measures play an important role in the study of aggression because they allow researchers to make causal inferences. However, these measures have also been criticized. In particular, the competitive reaction time task (CRTT) has been criticized for allowing aggression to be operationalized in multiple ways, leaving it susceptible to “p-hacking.” This article describes the development of the CRTT and the ways in which its paradigm flexibility and analytic flexibility allows it to test a wide range of hypotheses and research questions. This flexibility gives the CRTT significant scientific utility, but as with any research paradigm, comes with the obligation that it has to be used with integrity. Although safeguards exist and there is little evidence of misuse, study preregistration can increase confidence in CRTT findings. The importance of findings such as those of Hyatt et al. (in press), which provide further evidence for the validity of the CRTT, are also noted.     

Loving the World We Are: Anthropology and Relationality in Laudato si’

There is a tension between Laudato si's consistent emphasis on relationships and interconnectedness and its acceptance of anthropocentrism. While Laudato si’ does reject certain problematic forms of anthropocentrism, the encyclical does not assert an alternative to this traditional framework. This article contends that “relatiocentrism” provides the best avenue for developing the convictions expressed within Laudato si’ while moving beyond the limitations of the encyclical itself. In so doing, this essay explores the use of narrative as a means of shaping identity by mapping significant relationships and points of meaning. It examines the central anthropological claims of the encyclical and the tensions these create with anthropocentric narratives. And it examines relatiocentrism in light of the biblical creation accounts, the eschatological perspective of Laudato si’, and virtue ethics. The essay concludes by suggesting further theological and moral implications of this shift in perspective.     

Analytic practice: Convergences and divergences1

The author discusses current convergences and divergences concerning analytic practice. After presenting a clinical vignette that can be understood differently according to different theoretical approaches, he discusses Wallerstein’s proposal of a common ground in psychoanalysis and suggests that the present state of the art indicates that psychoanalysis is a pluralistic discipline, with different ways of training and practising it, and that the main challenge is to improve our ability to listen to and to learn from different approaches.     

Changes in Children's Episodic Narratives Through Long-Term Repeated Recall: Longitudinal Case Studies1

This study aimed to investigate whether a child's narrative of a particular past episode would change in repeated reporting over the long term, and if so, how it would change. To answer these questions, I conducted longitudinal case studies of episodic reports by children every 2–6 months, from their early childhood to the age of 10–15 years. Criteria for inclusion were set in advance; seven episodic narratives meeting these criteria were analyzed. Two types of changes in the narratives were observed, as expected: that of including other information, and that of an event suddenly being reported after no recall for several years. Information from the children's surroundings seemed to be substantially involved in these changes in their episodic narratives. The present results also indicate that mothers' episodic memories are not always reliable and that the schema children have can influence their episodic memories.     

Both sides of the story: Narratives of romantic infidelity

We applied a narrative identity approach to the study of romantic infidelity. In Study 1, participants provided narratives of the moment they discovered their partners' infidelity. In Study 2, participants were prompted for narratives of their unfaithful actions. In both studies, measures of personality traits, forgiveness, empathy, and self‐esteem were administered. Narratives were coded for themes of redemption (bad beginnings, positive endings) and exploration (engaging with the experience's emotional implications). After controlling for relevant covariates (e.g., story length), participants who formed redemptive stories of their partner's infidelity evinced higher levels of forgiveness and lower levels of empathy (Study 1), whereas participants who disclosed redemptive stories about their own infidelity demonstrated decreased forgiveness (Study 2). Across studies, exploratory narratives corresponded positively with conscientiousness.     

文学阅读如何影响读者的心理理论

文学阅读不但能提高读者的文学修养, 还能影响其心理状态。然而, 文学阅读经验是否一定能提高读者的心理理论仍然存有争议。近年来有关文学阅读与心理理论关系的实验性探讨不断增加。鉴于此, 作者从文本体裁、测量手段和个体差异角度分析了争议产生的原因。在此基础之上, 归纳了文学阅读影响心理理论的潜在机制, 即镜像神经系统和默认网络很可能是文学阅读促进心理理论提高的重要神经基础。     

A multiple-criteria decision-making approach for the evaluation of retail location

This study proposes an ANP-based evaluation of retail locations. Authors acted as decision analysts and interacted with professionals in Turkish apparel retailing sector for acquiring their knowledge and expertise. As a result, evaluation criteria of the study were identified. These criteria are clustered into five groups: store, other retailers, shopping centre/business district, accessibility, and environmental. The relationship among criteria were assessed and a network was formed. ANP approach was then utilized in order to evaluate possible retail locations for the apparel stores. Besides global preferences of these alternatives, relative importance of the criteria was also revealed. Copyright © 2007 John Wiley & Sons, Ltd.     

Joyce's Argument with Himself/Or, Reading Joyce's Inside Narrative

James Joyce's argument with himself about where he should practice his art and with what literary tradition he should identify—Irish, British, or European—is represented by several of the characters and episodes in his short story The Dead.In the main character, Gabriel Conroy, Joyce represented the conflicts that he himself experienced. But in many of the minor characters Joyce also reflected parts of his own wishes and fears.In this story, Joyce rejects the possibilities of artistic identification with Ireland and England, and, in the dynamics of the tale, arrives at the understanding that to fulfill his artistic aspirations, he must make an identification with the great European tradition, and also live in Europe; if he stays in Ireland or attempts to be an English author, he will be, as he portrays Gabriel to be, paralyzed, imitative, and a failure as an artist. Joyce himself took the decisive path that Gabriel could not choose.