中国人心理账户的内隐结构

“心理账户”是个人、家庭或企业集团在心理上对结果（尤其是经济结果）的记录、编码、分类和估价的心理过程,它揭示了人们进行资金（财富）决策时的内在认知编码。研究对全国9个省市1268名有效被试进行问卷调查,经过探索性因子分析、验证性因子分析以及二阶因子验证发现：中国人的心理账户系统有一个相对稳定的“3－4－2”分类结构。即收入账户有“工作相关的常规收入”、“非常规的额外收入”和“经营收入”三个账户;开支账户有“生活必需开支”、“家庭建设与个人发展开支”、“情感维系开支”和“享乐休闲开支”四个账户;存储账户有“安全型保障账户”和“风险型存储账户”两个账户。心理账户的分类研究对探究人们的经济决策行为有重要意义     

中医基本理论体系的重建与科学技术

中医学基本理论体系核心包括医学理论和古代朴素哲学思想,医哲不分造成的循环封闭体系阻碍了中医学对现代科学技术的吸收;在保持中医学基本特点的前提下,弱化古代哲学的影响,重建以人生命活动为根本、全面开放的学科体系,有利于中医学可持续发展。     

On evading analysis by becoming an analyst

This paper considers what implications Bion's famous anecdote about 'some patients getting better and others going on to become psycho-analysts' might have in clinical practice. It explores key stages in the post-qualification analyses of three practitioners whose training analyses had left them qualified but restless and dissatisfied with their ongoing work. It suggests that a significant common factor in these unsatisfactory outcomes was the weakness of these analysands' egos, understood as their inability to enjoy coniunctios, and their profound fear of accessing the source of the problem. This had led to an unwitting investment in spurious super-ego driven alternatives such as professional qualification rather than face the initially bleak realization (of 'nameless dread') that could initiate analysis and individuation. Because of the containment and reward implicit in the training environment it is argued that training analysts--despite their experience and expertise--remain vulnerable to being recruited into an ameliorative fantasy that blocks the transference and inhibits development.     

A Two-Dimensional Theory of Health

The starting point for the contemporary debate about theories of health should be the holistic theory of Lennart Nordenfelt, claims George Khushf, not the refuted theory of Christopher Boorse. The present paper is an attempt to challenge Nordenfelt and to present an alternative theory to his and other theories, including Boorse’s. The main problems with Nordenfelt’s theory are that it is relativistic, that it leads to counter-intuitive results as to what goals can count as healthy, that it focuses on the wrong kind of abilities, that it makes measuring health extra difficult, and that it does not give us a sufficient account of health, at most a necessary one. The alternative theory proposed is two-dimensional. First, health is to have developed the abilities and dispositions that members of one’s culture typically develop, and be able to use them, in acceptable circumstances; and second, health is to experience positive moods and sensations, the kinds that have internal causes. The theory solves the problems attached to Nordenfelt’s theory by not being individual relativistic, by eliminating the goals in the definition, by giving an alternative interpretation of “ability,” by making health easier to measure, and by adding the dimension of well-being that, together with health as ability, not only gives us a necessary, but also a sufficient, account of health.     

Does Philosophy of Action Rest on a Mistake?

Philosophers of action tend to take for granted the concept of basic actions – actions that are done at will, or directly – as opposed to others that are performed in other ways. This concept does foundational work in action theory; many theorists, especially causalists, take part of their task to be showing that normal, complex actions necessarily stem from basic ones somehow. The case for the concept of basic actions is driven by a family of observations and a cluster of closely related anti-infinite regress arguments. I review this case in the work of Arthur Danto, Donald Davidson, and Jennifer Hornsby – three of the most important developers of the concept – and find it lacking. I conclude by sketching the possibility of non-foundationalist action theory.     

The Effectiveness of Couple and Individual Relationship Education: Distress as a Moderator

Current literature yields mixed results about the effectiveness of relationship education (RE) with low‐income participants and those who experience a high level of individual or relational distress. Scholars have called for research that examines whether initial levels of distress act as a moderator of RE outcomes. To test whether initial levels of relationship and/or individual distress moderate the effectiveness of RE, this study used two samples, one of couples who received couple‐oriented relationship education with their partner (n = 192 couples) and one of individuals in a relationship who received individual‐oriented RE by themselves (n = 60 individuals). We delivered RE in a community‐based setting serving primarily low‐income participants. For those attending with a partner, there was a significant interaction between gender, initial distress, and time. Findings indicate that women who were relationally distressed before RE reported the largest pre‐postgains. Those who attended an individual‐oriented RE program reported significant decreases in individual distress from pre to post, but no significant relationship gains. Findings also suggest that initial levels of distress did not moderate the effectiveness of individual‐oriented RE.     

Depression Treatment by Non‐Mental‐Health Providers: Incremental Evidence for the Effectiveness of Listening Visits

Maternal depression is a prevalent public health problem, particularly for low‐income mothers of young children. Intervention development efforts, which often focus on surmounting instrumental barriers to care, have not successfully engaged and retained women in treatment. Task‐sharing approaches like Listening Visits (LV) could overcome key instrumental and psychological barriers by leveraging the access of trusted, community caregivers to deliver treatment. A recent randomized controlled trial (RCT) demonstrated the efficacy of LV delivered by non‐mental‐health providers as compared to usual care. The present report presents results from a follow‐up phase of that RCT during which participants who had completed LV were followed for an additional 8 weeks and completed measures of depression and quality of life. In addition, participants who were initially randomized to the wait‐list control group received LV and were assessed. Treatment gains previously observed in participants completing LV were enhanced during the 8‐week follow‐up period. Participants receiving LV during the follow‐up period experienced significant improvement in depressive symptoms. Results demonstrate the sustainability of LV delivered by non‐mental‐health providers, and provide preliminary evidence for the replicability of this approach in a sample of predominately low‐income pregnant women and mothers of young children.     

Immigration, lack of control and psychological distress: findings from the Oslo Health Study

The aims of this study are to compare the level of psychological distress between Norwegian born and immigrants from countries with different income levels and culture, and to investigate the explanatory effect of socioeconomic and psychosocial factors, with special emphasis on lack of control (powerlessness and self-efficacy). A cross-sectional survey with self-administered questionnaire was conducted in 2000-2001 in a sample of 15,723 adults living in Oslo. Psychological distress was measured by a ten-item shortened version of Hopkins Symptom Checklist-25 items, whereas psychosocial variables were measured by various instruments. The results show that the level of psychological distress is significantly higher in immigrants from low- and middle-income countries than in the Norwegian born and the immigrants from high-income countries. They also report more powerlessness, more negative life events, less social support, less income and less paid work. It is concluded that negative life events, mainly related to social network, somatic health and economic situations, as well as lack of social support, are important mediators between immigration from low- and middle-income countries to Norway and psychological distress. Powerlessness also plays a role, but this is mainly because of a concept overlap between psychological distress and powerlessness.     

Prevention science and neighborhood influences on low-income children's development: theoretical and methodological issues

Despite the rapid growth of research on neighborhood influences on children, little of this research may be useful to prevention scientists. Most studies have ignored processes by which neighborhood conditions influence individual outcomes. To encourage neighborhood research that can better guide the development of preventive interventions, we propose a model that focuses attention on mediating and moderating processes, is appropriate for studies interested in individual differences in outcomes, acknowledges the transactions between residents and neighborhoods, and is sensitive to how neighborhood influences may differ for children at different developmental stages. Furthermore, we argue that greater attention to several methodological issues also can make neighborhood research more useful for the next generation of prevention programs to help low-income urban families and children cope successfully with the challenges posed by their neighborhoods.     

On medicine, culture, and children's basic interests: a reply to three critics

Margaret Mohrmann, Paul Lauritzen, and Sumner Twiss raise questions about my account of basic interests, liberal theory, and the challenges of multiculturalism as developed in Children, Ethics, and Modern Medicine. Their questions point to foundational issues regarding the justification and limitation of parental authority to make decisions on behalf of children in medical and other contexts. One of the central questions in that regard is whether adults' decisions deserve to be respected, especially when they seem contrary to a child's or adolescent's basic interests. Questions about respect, in turn, focus attention on other's decisions about what seems good for families and children, decisions that may be paternalistic or utilitarian. Such decisions are further complicated by a child's or adolescent's budding autonomy and need for respect and recognition. Pediatric bioethics grounded in an account of a child's basic interests produces a theory of negative and positive rights for assessing adults' actions in relation to children, especially (but not only) when adults demand respect in their expressions of care.