The workable here and now and the why of there and then

At an earlier time our work as analysts was easier. We searched for the repressed in order to make constructions that connected the past to the present symptoms. Making these connections conscious, based upon the continuing influence of the Topographic theory, was thought to be the curative factor in psychoanalysis. Freud (1912, 1914) briefly expressed the importance of working in the present but his main focus remained the importance of reconstructing the past. The importance of working in the present started to be fully articulated approximately 30 years ago, and has become a central part of most views on technique. However, it is the contention of this paper that, while there is general agreement on the necessity of working in the here and now, the understanding of what this means or why it is useful runs along parallel lines rather than leading to a central point. Further, it is my impression there is little agreement on the reasons for interpreting the there and then. The idea of a 'workable here and now' is introduced to capture how the here and now might best include the analysand's readiness to synthesize what is offered, while a theory of the necessity for working in the here and now and the there and then is offered.     

Effects of general-case training, instructions, rehearsal, and feedback on the reduction of sight-reading errors by competent musicians

We used general-case training, instructions, rehearsal, and feedback to teach 3 advanced flute students to improve their sight-reading skills. Training resulted in systematic decreases in note errors, rhythm errors, repetitions, and hesitations for each participant. The procedures and outcomes were socially validated through subjective evaluation by the participants and music teachers not involved with the study.     

Development of infant crying behavior: A longitudinal case study

This study documents the development of infant crying behavior during the second half of the first year (across a key developmental transition). Two female infants were observed twice a month for 6 months when the infants were between 7 and 14 months of age. The infants exhibited crying behavior that seemed to become more sophisticated with increasing age. This marked a proactive stance in communicating with the mother on the part of the infant. Interestingly, at 11–12 months, “fake crying” was observed during a naturalistic interaction with the mother. This implied that deceptive infant behavior could be seen at quite an early stage.     

预防导尿管相关性感染的临床问题及决策

留置导尿是一项侵袭性操作,易引起尿道黏膜损伤,且留置导尿时间过长,容易引起泌尿系统的逆行感染。为了预防导尿管相关性感染,我们从临床角度讨论是否需要更换一次性尿袋以及更换尿袋的时间,留置导尿尿道外口的清洗,留置导尿膀胱冲洗的必要性及是否应用抗生素,更换导尿管的时间及导尿管的选择等临床问题,为临床人员做该项操作时提供参考,做出正确的临床决策。     

我国临床药学发展史的回顾及展望

临床药学是一门近几十年发展起来的新兴学科,是近年来我国一个备受关注的领域。它的产生及在我国的发展经历了一个曲折的过程,但却是历史发展的必然结果。纵观整个出现发展过程及现状,让我们思考了很多,对其今后的发展以及我们科学的认识事物有很好的启示。     

动脉瘤性蛛网膜下腔出血的临床诊疗决策

探讨动脉瘤性蛛网膜下腔出血的临床诊疗决策。运用循证医学对动脉瘤性蛛网膜下腔出血早期诊断,及时、合理、有效地选择个性化的治疗方案,降低动脉瘤性蛛网膜下腔出血的病残率和死亡率。     

易学话语与伊斯兰教中国化——论《天方正学》对易学话语的利用问题

明清时期,伊斯兰教汉文著述大量出现,汉语伊斯兰教在很多非基本信仰问题的思考与表述上,表现出明显的中国特色。清代后期,以蒋湘南与蓝曦为代表的伊斯兰教学者,系统利用熟悉的易学资源阐释汉语伊斯兰教思想。其中蓝曦在《天方正学》中,发展了王岱舆、马注等人已经开始的以回释儒的传统,大量利用卦气说、伏羲画卦说、易象说与太极化生宇宙说一套易学话语系统,作为建构汉语伊斯兰教思想的重要资源,这可以看作易学在清代的一个发展。这种情况的出现和中国思想史上格义的传统、易学强大的阐释空间、伊斯兰教思想和中国传统思想本身的沟通之处、汉语伊斯兰教思想明显有苏非气息等因素有关。     

A qualitative analysis of mock jurors' deliberations of linkage analysis evidence

Evidence about a suspect's behavioural similarity across a series of crimes has been presented in legal proceedings in at least three different countries. Its admission as expert evidence, whilst still rare, is becoming more common thus it is important for us to understand how such evidence is received by jurors and legal professionals. This article reports on a qualitative analysis of mock jurors' deliberations about expert linkage analysis evidence. Three groups of mock jurors (N = 20) were presented with the prosecution's linkage analysis evidence from the USA State v. Fortin I murder trial and expert evidence for the defence constructed for the purposes of the study. Each group was asked to deliberate and reach a verdict. Deliberations were video‐recorded and subject to thematic content analysis. The themes that emerged were varied. Analysis suggested that the mock jurors were cautious of the expert evidence of behavioural similarity. In some cases they were sceptical of the expert. They articulated a preference that expert opinion be supported using statistics. Additional themes included jurors having misconceptions concerning what is typical offender behaviour during rape which suggests there is a need for expert linkage analysis evidence regarding behavioural similarities and the relative frequencies of crime scene behaviours. Copyright © 2010 John Wiley & Sons, Ltd.     

审美的神经机制

审美能力是人类独有的高级功能。本文介绍了审美的认知神经模型, 以及相关研究的实验范式, 对各种刺激材料和任务进行了评价。回顾了近年来脑成像研究的主要进展, ERP和MEG研究证明审美包含发生在不同时段的不同加工阶段, 与审美判断相关的ERP成分为300~400 ms 额中部负成分和440~880 ms 头皮后部晚期正成分。fMRI研究发现与审美相关的主要脑区包括尾状核、框额部皮质和扣带前回。未来研究应进一步区分审美的不同方面的神经机制之间的差别, 扩大刺激材料范围, 更深入地探讨复杂因素, 如文化因素对审美神经机制的影响。     

案例概念化在临床上的应用

随着心理治疗方法的发展, 案例概念化作为治疗工作的重要组成部分, 日益成为临床关注的热点。案例概念化主要指在一定治疗理论的基础上, 就来访者的问题成因和维持因素提出假设, 为构建治疗方案提供指导蓝图。西方的临床研究表明案例概念化能有效地促进咨询师和来访者对于问题的认识和理解, 提高治疗效果。以认知行为治疗理论为基础, 具体地介绍案例概念化技术在焦虑症和抑郁症的临床应用。