Drug addiction. Is it a disease or is it based on choice? A review of Gene Heyman's Addiction: A disorder of choice.

In Addiction: A disorder of choice, Gene Heyman surveys a broad array of evidence—historical, anthropological, survey, clinical, and laboratory‐based to build an argument about the role of basic choice processes in the phenomena that comprise drug addiction. He makes a compelling, multifaceted argument that conceptualizing drug addiction as a chronic disease (like schizophrenia or diabetes) is both misleading and erroneous. In developing his argument, he points out that the best survey data available indicate that most drug addicts quit their addiction, a fact inconsistent with a chronic‐disease model. He illustrates how basic, normal choice processes can lead to addiction, arguing that people do not choose to be addicts, but that normal choice dynamics can lead them to that condition. He points to a variety of factors that keep most from becoming addicted, with a focus on the role of choice governed by choice‐by‐choice contingencies versus choice governed by the outcome of sequences of choices, a difference in an under‐described activity called framing. His view is consistent with the most effective treatments currently available, and provides a basis for continued basic research on choice as well as research on treatment and prevention.     

September 11th,an attack at the limits of thought

The paper deals with imagination and its failures from a psychoanalytic perspective. We offer a definition of imagination failures and suggest how they can be interpreted as an opportunity to learn from experience. In order to show that the topic has a concrete and not only speculative significance we consider the public report on September 11 as a case study. The report was published by the National Commission on Terrorist Attacks Upon the United States after a long investigation of the facts and circumstances relating to the September 11 attacks. The document has been the object of strong criticisms, as we argue in the paper. Both the document and some of the critiques that it received focus, however, on significant aspects of the debate about imagination, such us the fragility of imaginative thought, its dependence on unconscious desires and its plurality of outcomes: a plethora of imaginaries can in fact be developed at any time, from the same set of information about reality. We comment on these aspects and reinterpret them from a Bionian perspective. The concepts of ‘unthinkability’, ‘imagination failure’ and ‘depressive position’ are used to inform the necessity of dealing with an evolving and conflictual geopolitical scenario. Particular attention is paid to the proposal of ‘routinizing, even bureaucratizing, the exercise of imagination’ within the institutions that deal with National Defense. This possibility is discussed in depth in order to suggest how it may be concretely implemented. In conclusion, a strong case is made for the usefulness of psychoanalytic reflection in the arena of relationships among countries, with particular emphasis on the new terrorist challenges.     

成就动机和性别对风险倾向的预测作用

研究通过对等同绝对值(CE)的比较将冒险倾向转换为可以量化比较的变量,旨在探讨成就动机和性别在经济获益和损失的各种概率情景下对冒险倾向的预测作用。结果发现,高低成就动机组并没有表现出冒险倾向的显著差异。进一步的相关分析发现,成就动机中的回避失败维度与获益情景下的冒险倾向相关显著,而追求成功维度与各个情景下的相关都不显著。以回避失败维度聚类得到的高低回避失败组,体现出来的冒险倾向趋势显示高回避失败组的被试在获益低概率、获益中等概率、获益高概率、损失低概率、损失中等概率和损失高概率6种情景下都更加回避冒险,而且两组等同绝对值中位数的差异在获益中等概率和获益高概率两种情况下达到显著。另外,冒险倾向的性别差异只在损失中等概率和损失高概率两种情景中达到显著,这两种情况下都是女性更冒险,这与传统的女性更保守的刻板印象不同。     

自尊对大学生失败后情绪状态的影响

以117名大二学生为被试,采用2×2两因素混合设计检验了自尊对大学生失败后情绪状态的影响。结果表明:(1)无论失败前还是失败后,低自尊组都比高自尊组有更多的抑郁、焦虑情绪;(2)无论高自尊组还是低自尊组,失败后都比失败前有更多的抑郁、焦虑反应;(3)自尊水平与情绪测量时间没有显著的交互作用;(4)高自尊组和低自尊组在失败后的情绪变化幅度上没有显著差异。     

慢性乙型肝炎治疗目标及策略解析

慢性乙型肝炎治疗的目标是最大限度地长期持续抑制或清除乙肝病毒,减轻肝细胞炎症坏死及其所致的肝纤维化,延缓疾病进展,减少肝硬化、原发性肝细胞癌及其并发症的发生。治疗措施包括核苷类似物抗病毒治疗;干扰素抗病毒治疗;免疫调节治疗;抗炎治疗和抗纤维化治疗,其中抗病毒治疗是关键。     

儿童的内隐特质观与社交失败后反应的关系

以160名儿童为被试考察儿童内隐特质观与社交失败后反应的关系。结果表明:(1)随着年龄增长,儿童越来越积极地应对社交失败;(2)社交失败后,越赞同固存观儿童提出的积极群体加入策略比例越低而消极策略比例越高;越赞同发展观儿童提出的积极策略比例越高而消极策略比例越低;(3)持固存观儿童比持发展观儿童更倾向将社交失败归因于自己,自我评价也更为消极,但两者在社交坚持性、未来社交预期等方面无显著差异。     

从肾功能衰竭的治疗革新审视医学科技的内在张力

肾功能衰竭的治疗方法作为人类战胜疾病的一种工具,随着人类对疾病本质认识的不断深化而随之不断更新。每一种治疗手段都有其特定的时空性,在治疗肾功能衰竭过程中,医务工作者应当在尊重患者意愿的基础上,优化组合治疗方法以期发挥最佳的治疗效果。     

综合医院开展临床预防服务的可行性

临床预防服务是预防医学的重要组成部分,也是临床医学的重要内容。鉴于慢性非传染性疾病对社会、家庭及个人的负担越来越重,在各级医院尤其综合医院开展临床预防服务,对预防慢性病的发生、发展,降低死亡率、减轻社会、家庭负担,将起到事半功倍的作用,产生深远影响。     

浅谈健康危险因素评价

健康危险因素评价是研究危险因素与慢性病发病及死亡之间的数量依存关系。进行健康危险评价对传播健康知识,提高社会对健康危险因素的认识,促使人们改变不良行为和生活方式,减少危险因素,提高健康水平和生活质量,具有重要意义。     

Working memory of highly self‐critical men is impaired by failure

Previous studies have shown self‐criticism to be negatively associated with goal progress. In order to investigate factors that may influence this association, the present study examined the interactive impact of performance (failure vs. success) and self‐criticism on working memory (WM). Goal‐directed behavior in the achievement domain was operationalized as comparative performance on two strongly correlated WM span tasks. The effect of negative or positive performance feedback was assessed by presenting a success or a failure experience between the two WM span tasks in order to examine the influence of failure and success on the second WM span task compared with the first/baseline. A male‐only sample was used as a follow‐up to a previous study that has utilized a female‐only sample. Findings revealed self‐criticism to serve as an individual difference factor that influences men's WM functioning in the context of failure. This interactive effect may contribute to diminished goal progress in men.