医疗文书签字扩大化失去意义的原因分析

随着近年医患关系的紧张,越来越多的医疗工作需要履行签字手续,呈现了签字扩大化的态势。签字扩大化是防御性医疗的一种表现形式,但并未带来医疗纠纷减少,也不是医疗纠纷产生的主要原因,又给医疗工作增加了繁琐程度,而且并未达到知情同意的内涵。所以,签字扩大化失去了其应有的意义。     

Shadowed reality or the 'Prometheus-complex': analytical psychotherapy after political imprisonment and persecution

Traumatic experiences of violence like those that were brought about by the communist regime of the former German Democratic Republic (GDR) are still present as if they happened yesterday, causing severe disadvantages in everyday life even after all those years. Consequently, in cases of extreme traumatization induced by political imprisonment, persecution and applied psychological methods of disintegration, regressive processes take place which corrode the ego. The breakdown of cathexis, i.e., the failure of empathic connection at the time of the trauma, is the strongest characteristic of severe traumatization. As a result of this destruction for the traumatized there is an inability to keep upright an inner empathic, emotional connection. As we try to grasp, from a Jungian point of view, the psychodynamics of severe traumatization, we can speak of a powerful pathogenous complex, which I call the 'Prometheus-complex'. Gustav Bovensiepen speaks of this complex as a sub-network, a limited fragment of the matrix of all internalized experiences, consisting of internal working models, feelings and patterns of anticipation which interact mutually. The human being, captured in such isolation and paralysis of the mind, can find himself 'in the therapist' on a mental level.     

Managerial Recruitment Advertisements – Just How Market Orientated Are They?

There is a wealth of advice offered by ‘experts’ in HRM concerning the content of the effective job advertisement. This study considers whether following such advice would provide the potential job applicant with the information they want and questions the extent to which employers actually heed this advice. It firstly compares the normative guidelines with what potential applicants' for managerial posts consider to be important. A second strand to the analysis examines the extent to which advertising practice mirrors the requirements of the job-seeker market. The results give some solace to recruiters but also demonstrates that there is a long way to go before job advertisements achieve the content that job-seekers require.     

Book Reviews

Richard A. Swanson and Elwood F. Holton III, (eds), Human Resource Development Research Handbook. Linking Research and Practice Nathan Body and Howard Erlichman, Personal Psychology, The Science of Individuality Neil Anderson and Peter Herriot, International Handbook of Selection and Assessment     

Reducing online application redundancy: Effects on applicant attrition and quality

Job applications have long been a staple of the hiring process and online applications have rapidly become the new norm. The ability to examine applicant attrition—those who start the application but do not finish—and applicant quality are the two benefits of online applications. This study evaluates the effect of reducing application redundancy (not making applicants re‐enter information contained on their resumes) on applicant attrition and quality, with hypotheses derived from signaling theory and economics (cost/benefits). Results demonstrate that reducing redundancy leads to a reduction in applicant attrition across jobs, with the largest magnitude of change found in computer‐related jobs. This reduced attrition does not reduce applicant quality and some evidence suggests that applicant quality may even increase.     

Altered Arm-Body Coordination with Triggered Pointing Responses as Influenced by Task Predictability

Abstract

Reaching movements generate reaction forces that affect postural stability, requiring sophisticated coordination between body and arm movement to maintain balance. In voluntary movement, this coordination involves feedforward shifts of posture, and such anticipatory postural muscle activity also accompanies the rapid modulation of an ongoing point to suddenly a shifting target (double-step). However, it is unknown if this early postural activity depends on target-shift predictability and whether arm and body motion are similar coordinated to voluntary movement. Body and arm motion coordination during double-step pointing movements from standing were done under differing conditions of target-shift predictability. In a proportion of trials, the pointing target was displaced, with the predictability of target-shift direction varied between two peripheral targets (target-shift direction known) and two central targets (target-shift direction uncertain). The target jump evoked an adjustment in the arm then body response, opposite to the pointing responses to the initial target. The triggered arm-then-body ordering was consistent across target-shift predictability, although known target-shift direction resulted in closer timing of arm and body onsets. The altered coordination in triggered corrections suggests that the body component in triggered reactions depend on response predictability, showing an altered control of arm and body motion.     

On the difference between internal and external reactions to legitimate and illegitimate frustrations: A demonstration

Although it is commonly assumed that the nature of any given frustration (defined as an unexpected barrier to goal attainment) affects the strength of the resulting instigation to aggression, the present paper argues that the type of frustration, ie, whether it is legitimate or illegitimate, can also influence the strength of an overt attack upon an available target independently of instigation intensity. Two groups of university men were unexpectedly kept from winning a money prize for working on a motor task, and one group was induced to attribute this failure to their partner's misbehavior (illegitimate frustration) while the other men were told the failure was due to the apparatus (legitimate frustration). In comparison to a nonthwarted control group, both frustrated conditions displayed the same level of internal arousal. However, when all subjects had an opportunity to “supervise” a second partner on an unrelated task soon afterwards, only those who had been illegitimately thwarted earlier were now more openly punitive toward this “innocent” individual than the control group. Possible reasons for these results are discussed, but it is emphasized that a distinction must be drawn between the internal and external reactions to a frustration.     

Automatic mimicry reactions as related to differences in emotional empathy

The hypotheses of this investigation were derived by conceiving of automatic mimicking as a component of emotional empathy. Differences between subjects high and low in emotional empathy were investigated. The parameters compared were facial mimicry reactions, as represented by electromyographic (EMG) activity when subjects were exposed to pictures of angry or happy faces, and the degree of correspondence between subjects' facial EMG reactions and their self-reported feelings. The comparisons were made at different stimulus exposure times in order to elicit reactions at different levels of information processing. The high-empathy subjects were found to have a higher degree of mimicking behavior than the low-empathy subjects, a difference that emerged at short exposure times (17-40 ms) that represented automatic reactions. The low-empathy subjects tended already at short exposure times (17-40 ms) to show inverse zygomaticus muscle reactions, namely "smiling" when exposed to an angry face. The high-empathy group was characterized by a significantly higher correspondence between facial expressions and self-reported feelings. No differences were found between the high- and low-empathy subjects in their verbally reported feelings when presented a happy or an angry face. Thus, the differences between the groups in emotional empathy appeared to be related to differences in automatic somatic reactions to facial stimuli rather than to differences in their conscious interpretation of the emotional situation.