中西医结合若干问题的比较思考

讨论中西医结合对西医临床思维的影响。对于慢性病中医注意病人的主观症状,与病人就医的缘由一致;西医重视客观的功能和结构异常,其判断结果有时未必能被病人接受。近年来西医开始重视病人的生活质量,其实中医的辨证指标有很多就是针对病人的生活质量。中医的整体观念同样体现在急性感染的治疗中,现代研究显示,清热解毒法除祛邪外也兼顾扶正。中西医结合促进了中西药合用,但须注意合理应用,避免合用的不良效果。     

互联网使用与青少年自我认同的生态关系

互联网已经渗透到人们日常生活的方方面面,给社会及个人带来了广泛而深远的影响,正处于人生的关键时期的青少年更是首当其冲。依据Bronfenbrenner的生态学模型,该文从微系统、中系统、宏系统以及处于生态系统中心的青少年自身4个方面,分别论述了互联网使用与青少年自我认同的形成与发展的密切关系,从而提供了有关互联网使用对青少年身心发展的影响方面的一些初步知识     

关于两项样例学习心理实验研究报告的分析与评论

对两项关于样例学习心理实验研究的报告进行了逻辑分析,指出了Ross的研究设计的合理性以及莫雷等的 “表面概貌对原理运用的影响的实验研究”中的逻辑欠缺,进而给出了莫雷等的结论“样例与作业问题表面概貌的相似性,不仅会影响原理的通达,而且也会影响原理的运用” 尚不足信的断言,所以只能继续维持Ross的“表面概貌是否相似不影响原理的运用”的结论。最后明确了莫雷等实验研究应该采取的正确设计思路和方法。     

青少年的时间透视、人际卷入与互联网使用的关系

通过问卷法调查了589名青少年的互联网使用状况,拟探讨影响青少年互联网使用的重要变量。研究发现不同时间定向可以通过不同人际卷入变量预测青少年的病理性互联网使用。研究指出,重视不同人际卷入变量（如积极同伴卷入与适度父母卷入）对于青少年病理性互联网使用的中介作用,可能有利于青少年更好受益于互联网使用。     

A Multivariate Associative Finite Growth Mixture Modeling Approach Examining Adolescent Alcohol and Marijuana Use

Theoretical and empirical substance use development research suggests that adolescent populations are not homogenous and can often be separated into subpopulations characterized by qualitatively different patterns of substance use development. This paper demonstrates the application of a multivariate associative finite latent growth mixture modelling approach to examine heterogeneity in patterns of adolescent alcohol and marijuana use and the influence of age, gender, parent, and peer substance use. Substance use problem outcomes were also examined. Participants were male and female adolescents (N = 1,044) ranging in age from 11 to 17 years at the first assessment (Mean age = 14.47; SD = 1.95). Individuals were 45% female and 82% Caucasian. Using growth mixture methodology, a 7-class model captured distinct simultaneous alcohol and marijuana use patterns over a 3-year period. Findings highlight the importance of examining subgroups of adolescent substance use, rather than focusing only on single samples.     

Using accelerator pedal force to increase seat belt use of service vehicle drivers

This study evaluated a device that applied a sustained increase in accelerator pedal back force whenever drivers exceeded a preset speed criterion without buckling their seat belts. This force was removed once the belt was fastened. Participants were 6 commercial drivers who operated carpet-cleaning vans. During baseline, no contingency was in place for unbuckled trips. The pedal resistance was introduced via a multiple baseline design across groups. On the first day of treatment, the device was explained and demonstrated for all drivers of the vehicle. The treatment was associated with an immediate sustained increase in seat belt compliance to 100%. Occasionally, drivers initially did not buckle during a trip and encountered the force. In all instances, they buckled within less than 25 s. These results suggest that the increased force was sufficient to set up an establishing operation to reinforce seat belt buckling negatively. Drivers indicated that they were impressed with the device and would not drive very long unbelted with the pedal force in place.     

‘Not in our front garden’: Land use conflict,spatial meaning and the politics of naming place

Strategies aimed at reducing land use conflict often stress the need to make planning decisions more democratic. However, this goal is obstructed by overly‐narrow conceptual perspectives that neglect the symbolic significance of place. We illustrate this by examining place names, which function as repositories of socio‐political meaning. Drawing on elements of discursive and rhetorical psychology and subject positioning theory, we investigated the variety of meanings associated with place names in the context of a proposed housing development in Swindon, in the South of England. Thirty interviews with different stakeholders were conducted to gauge their opinions towards the proposal. Noting differences in the way the proposed site was named, we analysed the range of meanings associated with each name in relation to participants' stances towards development. Our results show how, in naming place, spatial meanings are negotiated and contested in ways that support contrasting political objectives. We conclude that planning professionals should exercise greater sensitivity towards existing spatial meanings, especially place names. In addition, socio‐political understandings of subjective spatial relationships can serve as a basis for achieving more productive dialogue and improving development designs. Copyright © 2009 John Wiley & Sons, Ltd.     

The community substance use environment: The development and predictive ability of a multi‐method and multiple‐reporter measure

This study tested the feasibility and utility of developing a multiple‐method and multiple‐reporter measure that describes the community substance use environment. Data on community‐level norms and availability of substances were reported by 5261 students and 181 prevention‐focused community leaders (CL) involved in the 28 promoting school–university–community partnerships to enhance resilience (PROSPER) Project communities between 2002 and 2005. Additionally, locations of alcohol and tobacco outlets were geocoded. Initially, these four subscales were aggregated to measure the community substance use environment. Analyses demonstrated this measure was associated with community rates of adolescent reported cigarette use, but it was not associated with community rates of adolescent reported alcohol use. Further analyses tested the relative strength of the four different subscales in predicting rates of student use. Implications of these results for the field of community‐based prevention are discussed, as well as limitations and future directions. Copyright © 2009 John Wiley & Sons, Ltd.     

感觉寻求对工读生毒品使用的影响：有中介的调节效应

以523名工读生为调查对象,考察工读生毒品使用特点,并在控制相关人口学变量后,探讨感觉寻求、压力性生活事件、结交不良同伴与工读生毒品使用的关系。结果显示：（1）工读生的毒品使用行为严重,34.2%的工读生曾使用过毒品,毒品使用呈现低龄化、以吸食新型毒品为主的趋势。（2）工读生的感觉寻求是毒品使用的风险因素。（3）压力性生活事件对感觉寻求与毒品使用之间的关系具有风险增强的调节效应。（4）这种调节效应以结交不良同伴为中介变量。因此,感觉寻求对工读生毒品使用的影响是有中介的调节效应。研究结果对青少年毒品使用的预防和干预有重要的理论价值和参考价值。     

Time Use, Time Pressure and Gendered Behavior in Early and Late Adolescence

Using a stratified sample of Canadian adolescents residing in Ontario (n = 2,154) time use patterns and perceptions of time pressure are explored to determine gender differences among younger (12–14 years) and older adolescents (15–19 years). For both age groups, girls report a higher total workload of schoolwork, domestic activities and paid employment and spend more time on personal care while boys have more free time, especially during early adolescence. Feelings of time pressure for teens increase with age and are significantly higher for girls in both age categories. Gender differences are less pronounced on school days when time is fairly structured, but become more consistent with traditional gender schema on the weekend when time use is more discretionary.