论深化医疗卫生事业改革的伦理基础——兼谈《关于深化医药卫生体制改革的意见(征求意见稿)》

长期以来,我国医疗卫生事业改革发展受多方面因素的冲击与影响,陷入伦理精神缺失、公益性质淡化、价值目标扭曲、整体效率低下的窘境。深化医药卫生体制改革应当全面加强医疗卫生事业的伦理基础建设,努力实现行业伦理精神回归。新医改只有将解决当前群众反映强烈的“看病难、看病贵”的最大现实难题与合理规划长远发展战略相协调,着重从微观层面上提出切中要害的可操作性实施方案、监管制度、政策法规措施,才能切实引导医疗卫生事业摆脱困境,实现又好又快发展。     

调节定向的测量维度及其问卷的信度和效度检验

采用RFQ、B IS/BAS和LOT-R对331名企业新员工和920名在校大学生施测,以探讨H iggins等提出的调节定向测量维度在中国文化中的适应性及其问卷（RFQ）的信度和效度。结果表明：（1）在删除1个偏重从策略角度测量调节定向的项目后,得到由10个项目组成的调节定向问卷,可有效测量促进定向和预防定向两个基本维度;（2）调节定向问卷具有较好的内部一致性信度和区分效度,可作为开展相关研究的评定工具。     

To err is human: How regulatory focus and action orientation predict performance following errors

In the current study, we hypothesize that post-error performance is influenced by individual differences in action orientation and situationally induced regulatory focus. Two experiments employing a time-pressured flanker-like task, measured participants’ dispositional action orientation and manipulated regulatory focus. As expected, accuracy of the responses following errors was reduced for all participants except for action-oriented participants in a promotion focus. The latter participants are assumed to down-regulate error-related negative affect, thereby saving resources for subsequent performance. A promotion focus is assumed to facilitate the optimal use of these resources.     

The Living Body as the Origin of Culture: What the Shift in Husserl’s Notion of “Expression” Tells us About Cultural Objects

Husserl’s philosophy of culture relies upon a person’s body being expressive of the person’s spirit, but Husserl’s analysis of expression in Logical Investigations is inadequate to explain this bodily expressiveness. This paper explains how Husserl’s use of “expression” shifts from LI to Ideas II and argues that this shift is explained by Husserl’s increased understanding of the pervasiveness of sense in subjective life and his increased appreciation for the unity of the person. I show how these two developments allow Husserl to better describe the bodily expressiveness that is the source of culture. Husserl’s account of culture is thoroughly intentionalistic, but it does not emphasize thought at the expense of embodiment. Culture originates not in an abstract subjectivity, but by persons’ expressing themselves physically in the world. By seeing how Husserl develops his mature position on bodily expressiveness, we can better appreciate the meaningfulness and the bodily concreteness of cultural objects.

The cultural congruency effect: Culture, regulatory focus, and the effectiveness of gain- vs. loss-framed health messages

The present study contributes a cultural analysis to the literature on the persuasive effects of matching message frame to individuals’ motivational orientations. One experiment examines how members of cultural groups that are likely to differ in their regulatory focus respond to health messages focusing on either the benefits of flossing or the costs of not flossing. White British participants, who had a stronger promotion focus, were more persuaded by the gain-framed message, whereas East-Asian participants, who had a stronger prevention focus, were more persuaded by the loss-framed message. This cultural difference in persuasion was mediated by an interaction between individuals’ self-regulatory focus and type of health message. Thus health messages framed to be culturally congruent led participants to have more positive attitudes and stronger intentions to perform the health behaviors, and the interaction between self-regulatory focus and message frame emerged as the pathway through which the observed cultural difference occurs. Discussion focuses on the integration of individual difference, socio-cultural, and situational factors into models of health persuasion.     

Actuality and possibility: On the complementarity of two registers in the bodily constitution of experience

The purpose of this paper is to demonstrate the usefulness of the concept of possibility, and not merely that of actuality, for an inquiry into the bodily constitution of experience. The paper will study how the possibilities of action that may (or may not) be available to the subject help to shape the meaning attributed to perceived objects and to the situation occupied by the subject within her environment. This view will be supported by reference to empirical evidence provided by recent and current research on the perceptual estimation of distances and the effects brought about by the use of a tool on the organisation of our perceived immediate space.

目标追求过程中的权力效应

权力在心理学中被定义为一种对他人施加影响的能力。理论和实证研究都表明, 个体在目标追求的过程中, 个体权力感的高低对个体的目标追求的认知过程和行为结果都会产生影响。具体表现为在认知加工方面, 高权力者的信息加工抽象程度更高, 注意保持和分配能力也更好; 在行为结果上, 高权力者能更果断地设定目标、目标追求的行动力也更强。在权力和目标追求关系中, 预期自我调节的倾向类型起到中介作用。     

Waist-to-Hip Ratio and Unhealthy Body Change in Women

The role of waist-to-hip ratio (WHR) in unhealthy body change was examined in a sample of 143 women university students. They completed the Eating Disorder Examination-Questionnaire (EDE-Q), reported their level of concern with weight and with WHR, and used unmarked measuring tapes to record their subjective (self-perceived), ideal, and objective (measured) waist and hip circumference. Although body shape was reported as important, and concern with WHR correlated significantly with symptoms of disordered eating, the relationships involving WHR were not independent of those involving body weight. Thus, there appears to be little behavioural and/or clinical significance in the aesthetic evaluations made by women of their WHR. Reasons for this are considered in light of evidence that women regard WHR as more difficult to control and less amenable to change than their overall body weight.     

A regulatory focus model of self-evaluation

Regulatory focus theory [Higgins, E. T. (1998). Promotion and prevention: Regulatory focus as a motivational principle. In M. P. Zanna (Ed.), Advances in experimental social psychology (Vol. 30, pp. 1-46). New York: Academic Press.] argues that concerns with growth and nurturance (i.e., a promotion focus) and concerns with safety and security (i.e., a prevention focus) produce different motives and perception. The current studies test whether regulatory focus also affects individuals’ strivings for self-evaluation. Specifically, we argue that a promotion or a prevention focus directs the self-evaluation process to self-esteem or self-certainty, respectively. Two studies supported this prediction by demonstrating that regulatory focus affects the strength of self-evaluation goals and individuals’ reactions to goal failure. In Study 1, we found that a promotion focus led to a stronger self-esteem goal (as measured by greater accessibility of esteem-related words), whereas a prevention focus led to a stronger self-certainty goal (as measured by greater accessibility of certainty-related words). In Study 2, a promotion failure led to lower self-esteem than a prevention failure, but a prevention failure led to lower self-certainty than a promotion failure. This research suggests an unrecognized role of nurturance and safety concerns in understanding the self-evaluation process.     

The Significance of the Emergence of Language and Symbol in the Development of the Young Infant

In this paper I have suggested that the mother–child dyad is the foundation for integrity between the psychic self and the physical self, and the capacity of these to relate to the external environment. I have also argued that the development of language and symbol are creative agents in the development of consciousness in the young infant, and that the emergence of language and symbol are an expression of the opening of a potential space which allows differentiation from the mother and facilitates the infant’s ability to distinguish fantasy from fact and self from other. Sharn Waldron is a psychotherapist residing and working in Suffolk, England and is a registered member with the UKCP through the Forum for Independent Psychotherapists. She has contributed numerous papers for international psychotherapeutic journals, is a contributor to Pear’s Cyclopedia and writes freelance for Penguin and the National Health Service in the United Kingdom.