Assessing the Prevalence of Body Dysmorphic Disorder in an Ethnically Diverse Group of Adolescents

We investigated the prevalence of Body Dysmorphic Disorder (BDD) in an ethnically diverse sample of adolescents (N = 566) using the Body Image Rating Scale, a brief self-report measure for assessing body dissatisfaction. Results showed that adolescent girls were more dissatisfied with their bodies than adolescent boys, and that African-Americans of both genders were less dissatisfied with their bodies than Caucasians, Asians, and Hispanics. The interaction between gender and ethnicity was not significant. We found an overall prevalence for BDD of 2.2%. Although these are the first data on the prevalence of BDD in an ethnically diverse group of adolescents, they are consistent with the other study on the prevalence of BDD in a predominantly Caucasian group of college students.     

Generalised Chronic Musculoskeletal Pain as a Rational Reaction to a Life Situation?

While the biomedical model is still theleading paradigm within modern medicine and healthcare, and people with generalised chronicmusculoskeletal pain are frequent users of health careservices, their diagnoses are rated as having thelowest prestige among health care personnel. Anepistemological framework for understanding relationsbetween body, emotions, mind and meaning is presented.An approach based on a phenomenological epistemologyis discussed as a supplement to actions based on thebiomedical model.Within the phenomenological frame of understanding,the body is viewed as a subject and carrier ofmeaning, and therefore chronic pain can be interpretedas a rational reaction to the totality of a person'slife situation. Search for possible hidden individualmeanings in painful muscles presupposes meeting healthpersonnel who view the person within a holistic frameof reference.     

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。     

Predicting the intensity of losses vs. non-gains and non-losses vs. gains in judging fairness and value: A test of the loss aversion explanation

Three studies examined the predictions that in the context of evaluation of fairness and concessions in negotiations, losses would be perceived as more intensely negative than non-gains, and that non-losses would be perceived as more positive than gains. Extant studies tested only the first of these predictions. These predictions derive from the principle of loss aversion (LA), according to which losses are experienced more intensely than gains of similar objective magnitude. In this view, losses and non-losses are measured against the steep loss part of the value curve, whereas gains and non-gains are measured against the shallow part of the value curve. Our studies replicated extant studies in confirming the first prediction but failed to confirm the second prediction. Specifically, opposite to the prediction of LA, gains were perceived as more intensely positive than non-losses. It seems, therefore, that LA is not a sufficient explanation of why losses are perceived as more averse than gains. Feature positive and regulatory focus effects are discussed as additional potential contributors to the phenomenon.     

Psychodynamic assessment of changes in children with autism under psychoanalytic treatment

In this article the authors report insights into autism developed through their extensive experience of psychoanalytic therapy with children with autism. The fi rst stages of body psychic development are seriously disrupted by this pathology, resulting in primitive anxieties of falling and of being liquefi ed. These anxieties are connected to the fragile development of body ego and of its related spatiotemporal organisation. The changes in children observed by the authors during the therapeutic process lead them to offer a psychodynamic assessment tool, which revolves principally around the development of body ego. After the initial state of 'severe autism', the authors describe three stages: the stage of 'recovery of the skin' (Bick); the established 'symbiotic phase', subdivided into 'vertical then horizontal splitting of the body ego'; and fi nally the stage of 'individuation'. First, the authors describe the principal psychoanalytic approaches to autism and refl ect on the links possible with nonpsychoanalytic work.     

意识:大脑整体运动态

简要叙述有关意识问题的不同理论观点,同时从一个全新的角度提出对意识内涵的理解:意识是大脑整体运动态,是能够与环境相互作用形成心理现象的大脑"运动态".意识是大脑运动的固有属性,大脑运动的本质功能就是产生意识.意识随着大脑的进化而进化,同时又是大脑进化的动因.     

The Body as the Ground of Religion, Science, and Self

The human body is both religious subject and scientific object, the manifest locus of both religious gnosis and secular cognition. Embodiment provides the basis for a rich cross–fertilization between cognitive science and comparative religion, but cognitive studies must return to their empiricist scientific roots by reembodying subjectivity, thus spanning the natural bridge between the two fields. Referencing the ritual centrality and cognitive content of the body, I suggest a materialist but nonreductionist construct of the self as a substantial cognitive embodiment that embraces not just perception and cognition, mind and spirit, but the forceful physicality of the moving body. Proprioception of the body's moving mass constitutes a mode of knowing that resonates strongly with the experience of self, not only across religious traditions but also within the physical sciences. By way of illustration, two directions are suggested in which a construct of the self as a substantial cognitive embodiment might lead us: first, a body–based interpretation of the Islamic myth of Adam and Iblis that reveals an internal substantiality as constitutive of the divinely imaged Self, and second, a new, religious direction for human evolutionary theory based on the implications of an embodied intentionality.     

Need for Family Therapy Services for Middle-Class Families in India

This qualitative study explored the needs of Indian middle-class families for family therapy services. Four focus group interviews were conducted with middle-class parents in Madras, India. Participants were introduced to the concept and practice of family therapy and were encouraged to take a more active role in supporting the services they suggested. Participants identified problems faced by Madras middle class families and five different types of services that they were aware of. Three categories of need for family therapy were identified from the narratives of the participants. Several themes fit in each of the three categories. Implications for clinical application are discussed.     

The body in the analytic session: focusing on the body-mind link

The author focuses on the importance of the body in the analysis of patients with a defect of thinking. In many cases this defect is not fully evident until concrete and bodily aspects begin to emerge in sessions. In the absence of awareness of the body, the patient's personality is deprived of the main source of emotional stimulus, and mental growth is consequently paralysed. Hence the body is considered the starting point of mental processes and a progressive source of experience requiring the exercise of responsibility and thought. To indicate the theoretical background to this essentially clinical paper, some hypotheses about the body-mind link are very briefly considered. Specific emphasis is given to the development of Freud-Klein-Bionian theories about this subject and to some of Ferrari 's recent proposals. The author discusses four clinical cases, emphasizing the encounter with the body in analysis and its integration in emotional and thinking processes. The analyst's function in such cases is conceived mainly as that of midwife for a dialogue between the analysand 's body and mind.     

七氟醚与丙泊酚麻醉诱导用于小儿支气管异物取出术的比较

小儿气管或支气管异物取出术是临床常见的急症手术。本研究比较了七氟醚与丙泊酚应用于小儿支气管异物取出术的麻醉效果及不良反应。70例全麻下支气管异物取出术患儿,随机分为七氟醚组（S组）和丙泊酚组（P组）。两组分别接受瑞芬太尼静脉输注合并七氟醚吸入或丙泊酚静脉注射进行麻醉。记录诱导前、下镜前、下镜时以及下镜后1、3、5、7、10min时的HR和SBP,记录术中、术后不良反应的发生情况及手术医师对操作条件的满意程度。两组患儿各时点的HR和SBP无显著差异,仅在下镜时及下镜后1min时HR和SBP发生明显变化。所有患者均未发生喉痉挛或支气管痉挛,呼吸抑制的发生率两组无显著差异;P组呛咳反射发生率较高而S组苏醒期躁动发生率较高;S组手术医师的满意度较高。七氟醚或丙泊酚麻醉后不良反应的发生率各不相同,七氟醚能为支气管镜手术提供更好的操作条件。