Therapist response modes in the exploration stage: timing and effectiveness

In an investigation of the exploration stage of single counselling sessions with 26 anxious female volunteer clients and 13 female doctoral student therapists, no overall association was found between client narrative processing modes and subsequent therapist verbal response modes. There was evidence in a third of the sample for an association between therapist response modes and subsequent client narrative modes, such that clients used more internal than external or reflexive narrative processing modes when therapists used open questions about feelings and reflections of feelings. Client and therapist helpfulness ratings did not differ for different therapist response modes or client narrative process modes. Hence, overall results suggested that all four therapist response modes (open questions about thoughts, open questions about feelings, restatements, reflections of feelings) are effective during the exploration stage.     

The Path of Least Resistance: Using Easy-to-Access Information

Abstract— Recent work on judgment and decision making has focused on how people preferentially use cues, or pieces of relevant information, that are easy to access when making decisions. In this article, we discuss a framework for understanding the ways that cues become accessible. We begin by identifying two components of cues and show how these components can become accessible during different parts a decision process. We highlight evidence for the use of accessible information and discuss implications for future research on heuristics.     

Social Emotions and Intertemporal Choice: "Hot" Mechanisms for Building Social and Economic Capital

ABSTRACT— Individuals regularly confront situations in which acceptance of short-term costs may lead to long-term gains. Given that individuals frequently discount the utility of future benefits with respect to more immediate ones, successfully solving such intertemporal choice dilemmas has been theorized to involve self-regulation aimed at controlling emotional responses that are sensitive to immediate rewards. In this article, I argue for a more multifaceted view of the role played by emotions in intertemporal choice. In support of this view, I review emerging evidence demonstrating the ability of specific, socially oriented emotions to facilitate behaviors designed to build social and economic capital in the long run.     

外科决策的理念、技巧与艺术

影响外科决策的因素很多,每个因素都存在不确定性。在这诸多不确定中作出正确的决、策绝非易事。本文提出决策者要有正确的理念,要具备八个要素,要掌握决策的技巧与艺术,才能做好外科决策。为了便于理解,以一个决策案例来说明上述这些问题。     

认知闭合需要研究评述

认知闭合需要是个体稳定的认知特征,描述了个体在面对模糊情境时是否愿意系统处理信息的动机。已有研究表明,认知闭合需要对个体的信息处理过程和决策结果有显著的预测能力。总体上说,高认知闭合需要的个体更容易利用启发式进行思考,因此此类个体更容易受到过度归因、首因效应等的影响。虽然大多数的研究表明认知闭合需要是个体稳定的认知特质,但也有研究者发现环境因素如噪音等可以在一定程度上、在短时期内改变个体的认知闭合需要的水平。因此,在相关研究中,认知闭合需要既可以通过量表测量,也可以通过在实验中改变环境噪音和时间压力等方法来操纵。已有的关于认知闭合需要的研究也有不足之处。首先,如何引导高认知闭合者克服匆忙做出决策的动机并采用分析式的方式处理信息和进行决策,目前的相关研究还很少;其次,已有的关于认知闭合的研究大都为实验室研究,因此这些研究的外部效度较低;第三,认知闭合需要在冲突研究领域的应用被忽略了。未来有必要针对这些不足之处进行相应研究     

决策过程中的建议采纳

建议采纳是指决策者参考他人建议并形成最终决策的过程。在过去的20年中,建议采纳研究集中探讨了三方面问题：（1）评判者多大程度上采纳了他人建议;（2）他人建议对决策质量的提升作用;（3）建议者和评判者在决策中的信心。本文首先介绍了建议采纳研究的实验范式,并从测量方法和研究成果两方面对上述三个问题进行回顾。未来的研究应注意丰富“建议”的外延、关注“建议者”角色、拓展决策任务、并探讨情绪在建议采纳过程中的作用。     

决策者-建议者系统模型的回顾与前瞻

自从决策者-建议者系统于1995年被提出以来,在决策领域引起了广泛的关注。通过总结决策者-建议者系统的研究范式和过程模型,比较了其与群体决策和团队决策的异同。目前在该系统模型中的主要研究变量涉及信任、建议者信心、专门知识、报酬、任务难度和相似性,已有的理论解释主要包括心理契约理论、态度改变理论、信念修正理论和沉没成本理论。未来的研究应当从变量关系、信任机制、建议提出和任务类型的角度进行专题探讨,并应当开展跨文化研究。     

时间框架对决策的影响

时间是影响决策偏好一致性的重要因素,时间框架与行为决策之间的相互关系是决策科学领域关沣的重要问题.本研究采用实验方法,运用跨时选择研究范式对延迟决策和提前决策进行对比研究.实验结果表明,时间框架对跨时选样产生显著影响;同一时间距离条件下,提前框架下的时间折扣低于延迟框架下的时间折扣,即存在时间维度的框架效应.     

腹膜透析相关性腹膜炎诊治的临床决策

腹膜透析相关性腹膜炎的治疗以前主要着眼于抗生素的选择,但其防治应该是从腹透管置管开始的整体策略,包括预防性抗生素的使用、患者的强化培训、腹膜炎的早期快速诊断、给药途径与疗程,以及拔管指征等.肾科医师临床决策是需要根据最新的治疗指南及研究进展,结合患者的个体特点进行综合判断,以期达到最佳的治疗效果.     

Motivational Interviewing in Primary Care

Healthcare systems are in the process of reforming themselves to better meet the needs of people with, or at risk of developing, chronic diseases and long term conditions. One goal of these efforts is the coproduction of activated, informed, engaged and motivated patients and citizens. The clinical, public health and financial benefits of achieving such a goal may be dramatic. Motivational Interviewing (MI) is a proven and practical front-line approach which can help deliver this goal whilst also helping to deliver such policy objectives and intermediate outcomes as increased levels of patient centered care, participatory or shared decision making, evidence-based healthcare and improved clinician-patient relationships. Until now, MI has been passively diffusing through the system as a result of the innovation and early uptake by insightful individuals and organizations. If healthcare systems want to breakthrough to higher levels of performance, investment in the conscious and deliberate implementation of MI into front-line settings may prove helpful.