Between the basic fault and second skin

The ideas that are commonly associated with Esther Bick, such as primal skin function, defensive second skin phenomena and adhesive identity, are traditionally seen as affiliated to the larger body of work that constitutes the Kleinian school. I shall argue, however, that Bick's thinking owes a largely communally unrecognised debt to the work of her training analyst, Michael Balint. Beginning with a discussion of Bick's early psychoanalytic formation within the British Psychoanalytic Society, her ideas will be reapproached in the light of her contemporary psychoanalytic milieu, with particular reference to Balint's notions concerning primary object-love, the basic fault and space. A brief history of the Manchester Training Centre, a short-lived but pioneering British attempt to extend psychoanalytic training beyond London, is included incidentally. Bick's early intellectual openness to diverse psychoanalytic streams will then be discussed in relation to the formation of psychoanalytic groups and their relative capacity to tolerate difference.     

The Embodiment Thesis

In this essay I articulate and defend a thesis about the nature of morality called “the embodiment thesis”. The embodiment thesis states that moral values underdetermine the obligations and entitlements of individual persons, and that actual social institutions must embody morality by specifying these moral relations. I begin by presenting two thought experiments that elucidate and motivate the embodiment thesis. I then proceed by distinguishing the embodiment thesis from a Rawlsian doctrine about the nature of justice, from the doctrine of moral relativism, and from solutions to the coordination problem of rational choice theory.     

当代心理学发展的一种新取向--进化心理学

进化心理学是近年在西方心理学中出现的一种新的研究取向,目前仍没有一个明确的概念和系统的理论。其基本主张是：过去是理解心理机制的关键;功能分析是理解心理机制的主要途径;心理机制是在解决问题的过程中演化形成的;模块性是心理机制整体组织的特性;人的行为是心理机制和环境互动作用的结果。进化心理学的发展既有意义同时也存在局限。其意义是：其发展与当代科学发展趋势相一致;它的研究促进了对人性和心理的进一步思考。局限是：具有遗传决定论的倾向;方法论存在一定的缺陷,忽视了文化对进化的意义等等。     

新医改背景下控制糖尿病肾病的基本方略

新医改背景下控制糖尿病肾病的基本方略包括微量蛋白尿的早期定性、早期和全程控制糖尿病共性高血压、糖尿病肾病的基本防护方略的程序化设计和延缓与防护糖尿病肾病的基本干预方略。后者包括ACEI和ARBs干预DN的发生与发展、防护糖尿病肾病的最佳疗法——抗高血压治疗。     

肝癌基础研究如何向临床转化

肝癌基础研究在过去数十年取得了长足的进步,而肝癌临床研究则相对滞后,二者间存在巨大的反差。如何将基因组时代发现的大量有重要意义的基础研究成果及时有效地转化为临床可用的技术方法,以进一步提高肝癌治疗效果是亟待解决的难题。转化医学研究为其搭建了一条重要桥梁。     

CAN AN UNDERSTANDING OF BASIC RESEARCH FACILITATE THE EFFECTIVENESS OF PRACTITIONERS? REFLECTIONS AND PERSONAL PERSPECTIVES

I have written before about the importance of applied behavior analysis to basic researchers. That relationship is, however, reciprocal; it is also critical for practitioners to understand and even to participate in basic research. Although applied problems are rarely the same as those investigated in the laboratory, practitioners who understand their basic research background are often able to place their particular problem in a more general context and thereby deal with it successfully. Also the procedures of applied behavior analysis are often the same as those that characterize basic research; the scientist-practitioner will appreciate the relation between what he or she is doing and what basic experimenters do, and as a consequence, will be able to apply therapeutic techniques more creatively and effectively.     

从自我决定论看动机访谈法疗效机理

动机访谈法是以病人为中心、促使病人自己改变问题行为的咨询技术和方法。该文从自我决定论角度,解释了动机访谈法取得疗效的机理:动机访谈法起到满足病人基本心理需要(胜任感、归属感、自主性),推动病人产生自主动机的作用,促使病人提高适应性行为的质量和稳定性,提高心理健康水平,从而取得心理治疗效果。     

锚定效应的产生前提及作用机制

为了探讨锚定效应的产生前提以及基础锚定效应的理论解释,设计了两个实验。实验一选取高、低、无三种锚值,设置了15ms、45ms、75ms、1000ms四种呈现时间,结果发现只有15ms条件下未出现锚定效应,随着呈现时间增加,锚定效应不断增大,低锚下的锚定效应高于高锚下的锚定效应。实验二设置了语意相同但表述形式不同的两种水平的锚值,结果发现两者引发的锚定效应不同。锚定效应的产生前提是注意,数字启动假说可以更好地解释基础锚定效应。     

家庭收入与青少年社会适应：家庭社会资本的中介作用

为了探讨家庭社会资本在家庭收入对青少年社会适应影响中的中介作用,选取了418名农村小学3-6年小学生作为被试,采用家庭经济压力问卷、同伴提名法、学习成绩、孤独感问卷和家庭社会资本问卷进行研究。结果表明：（1）家庭经济压力与学业成就、同伴接纳存在显著的负相关,与孤独感存在显著正相关;（2）家庭经济压力通过家庭社会资本的完全中介作用影响学业成就（中介效应值为–0.14）;（3）家庭经济压力通过家庭社会资本的完全中介作用影响孤独感（中介效应值为0.03）;（4）家庭经济压力通过家庭社会资本的完全中介作用影响同伴接纳（中介效应值为–0.07）。研究得出,家庭收入完全通过家庭社会资本来影响青少年的社会适应。     

现代医学教学理念:比利时基础医学教学分析

比利时是欧洲医学教育的发达国家之一。基础医学教育是整个医学教育中的基石阶段。比利时的基础教育有着浓厚的本国特点。通过从学科融合、教师行为、学生角色及考核方式等多个方面对比利时基础医学教学的优势进行了对比分析,为我国基础医学教育改革提供借鉴和参考。