戒毒者复吸的根本原因及综合治疗模式的构想

造成戒毒者复吸的真正原因是戒毒人员已经改变的神经生化机制,不稳定的心理行为调节模式,以及吸毒的生活环境与生活方式等。解决复吸的问题应整合医疗卫生系统、公安强制戒毒管理系统、司法劳动教养系统以及教育科研系统等多种资源,构建脱毒、治疗、康复、教育、生产与劳动训练等统一的综合戒毒康复模式。     

论社区卫生服务机构与城市大中型医院的协调发展

对当前社区卫生服务机构与城市大中型医院协调发展中存在的问题及原因进行了分析,在功能定位、制度层面、筹资及服务提供机制、社区卫生服务机构自我建设以及综合配套改革等方面提出改进建议,并对社区卫生与医院协调发展的现有模式进行了探讨,以期构建科学合理、切实维护群众健康的城市卫生服务体系。     

Autoshaping and automaintenance: a neural-network approach

This article presents an interpretation of autoshaping, and positive and negative automaintenance, based on a neural-network model. The model makes no distinction between operant and respondent learning mechanisms, and takes into account knowledge of hippocampal and dopaminergic systems. Four simulations were run, each one using an A-B-A design and four instances of feedfoward architectures. In A, networks received a positive contingency between inputs that simulated a conditioned stimulus (CS) and an input that simulated an unconditioned stimulus (US). Responding was simulated as an output activation that was neither elicited by nor required for the US. B was an omission-training procedure. Response directedness was defined as sensory feedback from responding, simulated as a dependence of other inputs on responding. In Simulation 1, the phenomena were simulated with a fully connected architecture and maximally intense response feedback. The other simulations used a partially connected architecture without competition between CS and response feedback. In Simulation 2, a maximally intense feedback resulted in substantial autoshaping and automaintenance. In Simulation 3, eliminating response feedback interfered substantially with autoshaping and automaintenance. In Simulation 4, intermediate autoshaping and automaintenance resulted from an intermediate response feedback. Implications for the operant-respondent distinction and the behavior-neuroscience relation are discussed.     

Discourse-mediation of the mapping between language and the visual world: Eye movements and mental representation

Two experiments explored the mapping between language and mental representations of visual scenes. In both experiments, participants viewed, for example, a scene depicting a woman, a wine glass and bottle on the floor, an empty table, and various other objects. In Experiment 1, participants concurrently heard either ‘The woman will put the glass on the table’ or ‘The woman is too lazy to put the glass on the table’. Subsequently, with the scene unchanged, participants heard that the woman ‘will pick up the bottle, and pour the wine carefully into the glass.’ Experiment 2 was identical except that the scene was removed before the onset of the spoken language. In both cases, eye movements after ‘pour’ (anticipating the glass) and at ‘glass’ reflected the language-determined position of the glass, as either on the floor, or moved onto the table, even though the concurrent (Experiment 1) or prior (Experiment 2) scene showed the glass in its unmoved position on the floor. Language-mediated eye movements thus reflect the real-time mapping of language onto dynamically updateable event-based representations of concurrently or previously seen objects (and their locations).     

中西文化互释与世界根源性精神

东西方文明冲突与文化融合,既不是争夺话语权及同化的问题,也不是消融各自的特色,而是基于和谐在文化差异中分享与互尊。惟有正视这一点,中华文明的精神价值和思想资源才可能通过与西方经典的相互诠释来与西方文明沟通与交流,并追寻到当今世界根源性精神;进而发现一个为人类理性所能认同的共同的真理与价值标准。恰恰是通过对中西文化元典的比较研究,我们发现不同文化的冲突不可怕;它是进化的一个条件,但是你必须共同融合才能产生新的文明。     

认知加工偏向视野下的自尊研究

目前,关于自尊与认知相互作用关系的研究主要集中在认知加工偏向效应的探讨上。认知加工偏向效应的探索为自尊研究提供了一种全新的视角。该文以认知加工过程为脉络,重点介绍自尊的注意、记忆、解释加工偏向研究的实验范式和研究结果,并对其进行评价,以期为后来研究提供参考。     

‘Can you push a camel through the eye of a needle?’ Reflections on how the unconscious speaks to us and its clinical implications

There has been a recent surge of interest in a type of thinking seen in some patients most of the time, and all patients some of the time. In the past it was simply called regressive thinking, but attempts to be more specific have led it to be called by various names, like 'pre-symbolic', 'pre-conceptual' and 'pre-operational'. What these labels attempt to capture is that the patient's thinking, at these times, is without representations and closer to actions. As a clinical phenomena I prefer to use Loewald's term, 'action–language', that is, where words become attempts to bore, seduce, anger, etc. It is different from when words are used to communicate internal states via free association. A case is made for action–language being the primary method by which the unconscious speaks to us in psychoanalytic treatment. This paper explores some of the reasons for this type of thinking, along with the clinical methods to find the thinker where there appears to be none. Distinctions will be made as to the use of the process versus the content, on the goal of interventions as bringing insight versus the capacity for insightfulness, and the model of treatment as leading to transformations in thinking, rather than lifting of repressions. A clinical example is presented to demonstrate these perspectives.     

'The healing power of love': The literary/analytic bond of marriage in Freud's essay on Gradiva

Freud 's declared position regarding the management of 'transference love' advocated 'abstinence', objectivity and even 'emotional coldness in the analyst'. However, his essay on Jensen's Gradiva reveals an identification with an involved and responsive 'maternal' analytic position associated with theorists such as Ferenczi, Balint and Winnicott. These theorists attribute the origins of transference love to the pre-oedipal stage, shaping their analytic model on the basis of the early relationship with the mother. Freud generally had difficulty identifying with such a position, since it entailed addressing his own inner feminine aspects. Yet a literary analysis of his 'Gradiva' reveals this stance in his textual performance, i.e. in the ways in which he reads and retells Jensen's story. Freud 's narration not only expresses identification with Zoe, the female protagonist, but also idealizes her 'therapeutic' conduct, which is closer in spirit to that of object-relations theorists. His subtext even implies, however unintended, that an ideal treatment of transference love culminates in a psychical 'marriage' bond between the analytic couple, a metaphor used by Winnicott to describe the essence of the mother–baby (analyst/patient) bond. Freud 's reading process is itself analogous to Zoe's 'therapeutic' conduct, in that both perform a creative and involved interaction with the text/patient.     

Child versus adult psychoanalysis: Two processes or one?

Child analysis continues to be seen as a different technique from adult analysis because children are still involved in a developmental process and because the primary objects continue to play active roles in their lives. This paper argues that this is a false dichotomy. An extended vignette of the analysis of a latency‐aged girl is used to demonstrate that the psychoanalytic process that develops in child analysis is structurally the same as that in adult analysis. Both revolve around the analysis of resistance and transference and use both to promote knowledge of the patient’s mind at work. And both techniques formulate interventions based on the analyst’s appraisal of the patient’s mental organization. It is hoped that stressing the essential commonality of both techniques will promote the development of an overarching theory of psychoanalytic technique.     

特征类型在组合概念范畴效应中的作用

组合概念范畴效应是指,人们解释不同范畴组合概念的策略存在差异。本研究通过特征列举实验和建构路径模型,检验概念的特征类型在组合概念范畴效应中的作用。特征列举实验的结果表明,生物的实体特征比率高于人造物,而人造物的情境特征比率高于生物。路径分析的结果表明：⑴修饰词的实体特征比率显著影响属性解释比率,修饰词具有较多实体特征的组合概念得到属性解释的比率较高;⑵主名词的情境特征比率对关系解释比率的影响不显著;⑶将特征类型引入路径模型后,范畴对解释策略的影响依然显著。因此,范畴间的特征类型差异会影响组合概念范畴效应,但还存在其他影响因素有待进一步研究。