诺贝尔生理学或医学奖美国获得者学术条件背景分析

在诺贝尔生理学或医学奖105年的历史中,美国分别占了颁奖年度的52.08%,获奖成果的44.87%,获奖人数的48.91%.形成这些科学家学术优势积累和美国国家科技竞争优势的学术条件背景是:适宜的宏观政策,充足的经费投入,成功的人才政策,根本的教育改革和创新的科技管理.     

Creativity and dialectical phenomena From dialectical edge to dialectical space1

The seeds of creativity have the potential to germinate and flourish within the rich, ambiguous and unsettling tapestry of the core dialectical tensions related to the central organizing dialectic, life and death, generated in the patient‐analyst relating. The author introduces the concept of the ‘dialectical edge’ and describes it as the pivotal point in the dialectical struggle within these core dialectical dilemmas. This is a fluid, emotionally evocative threshold, where there is maximum potential for change, as well as for homeostatic stagnation. Drawing on Winnicott, the author illustrates how the presence of an edge within these dialectical dilemmas has the potential to open up into a creative, reflective space. He suggests that this, however, will depend on the therapist's capacity to contain/hold at this edge the arousing and intense affects‐such as anxiety, dread, excitement and passion‐that are inevitably generated at these pivotal relational moments. This will determine whether the patient will move forwards into the light of a creative, reflective, dialectical space, or backwards into collapsed, non‐reflective darkness, where fluid oscillation is transformed into rigid ossification. The author uses a clinical example to illustrate these dialectical phenomena, with a special focus on two clinically relevant dialectics, i.e. ‘ritual versus spontaneity’ and ‘closeness versus separateness’.     

个体化角膜屈光手术的探讨

对个体化角膜屈光手术这一屈光矫正领域的新理念和新方法进行探讨,提出医务工作者要勇于思想创新;以辩证思维看问题;关注社会需求,正确处理以人为本与追求经济利益的关系;加强多学科交叉合作和复合型人才的培养,才能推动个体化角膜屈光手术不断向更高层次迈进.     

A developmental perspective on psychotherapy process, psychotherapists' expertise, and “Meaning-Making Conflict” within therapeutic relationships: A two-part series

Part I (in this issue)—A Dialectical-Constructivist View of Human Development, Psychotherapy, and the Dynamics of Meaning-Making Conflict Within Therapeutic Relationships— reviews a dialectical-constructivist model of human development and articulates, in the language of that model, how psychotherapy, in general, works. It describes and illustrates three generic processes, which contribute to the frequent successes of an extremely diverse range of psychotherapy theories and practices. This view of psychotherapy focuses on both the client's meaning-making processes and the therapist's meaning-making processes and how they contribute together to effective psychotherapy. Part I also offers a way of understanding what is going on when therapeutic progress is blocked by conflict between the client's and the therapist's meaning-making processes. Part II—Dialectical Thinking and Psychotherapeutic Expertise: Implications for Training Psychotherapists and Protecting Clients from Theoretical Abuse—explores those experiences in which the therapist's own exercise of his or her meaning-making structures, and maintenance of the integrity of his or her theories, has a limiting or destructive impact on the value of therapy to the client. It considers the concept of “theoretical abuse” by psychotherapists as a way of characterizing the most destructive of these experiences. This serves as a rhetorical device for introducing comparisons between these phenomena and the phenomena of sexual abuse by psychotherapists, in terms of dynamics, prevalence, and appropriate strategies for prevention. Part II uses work on the development of dialectical thinking in adulthood to conceptualize how different understandings of the nature of psychotherapists' expertise increase or decrease the likelihood and severity of “theoretical abuse”. Finally, it derives implications for training psychologists and other psychotherapy professionals.     

Speaking truth to power: Empowerment ideology as social intervention and policy

The popularity, and subsequent ambiguity, in the use of the term “empowerment” has created an even greater need for reassessment in the applied context than in the theory and research literatures. This paper outlines some of the areas of community, organizational, and societal level social intervention and policy ostensibly based on the concept of empowerment. These include neighborhood voluntary associations (for environmental protection, community crime prevention, etc.), self-help groups, competence-building primary prevention, organizational management, health care and educational reforms, and national and international community service and community development policies. Issues in applying social research to community organizations and to legislative and administrative policy making are reviewed. Ten recommendations are offered, including the value of a dialectical analysis, for helping researchers and policy makers/administrators make more effective use of empowerment theory and research. Humpty Dumpty: “When I use a word, it means just what I choose it to mean neither more nor less.” King of Hearts: “If there's no meaning in it, that saves a world of trouble, you know, as we needn't try to find any.”—Lewis Carroll Portions of this paper were first presented in the program “Empowerment Theory, Research and policy” at the Biennial Conference on Community Research and Action, Williamsburg, Virginia, June 18, 1993. The author thanks Barbara B. Brown, Jo Ann Lippe, Ken Maton and his students, David V. Perkins, Marc A. Zimmerman, and the anonymous reviewers for their very helpful comments on earlier drafts.     

The given of achievement and the reluctance to assent: Argument and inquiry in the post-postmodern world

Changes in the social, political, and intellectual climate worldwide portend radical changes in how humans view themselves and their world. This essay argues that the twenty-first century will usher in apost-postmodern age. The new epoch will be one in which argument practices more closely resemble their modernist forbears. The given of achievement will overcome the postmodern reluctance to assent. Argument will be practiced against the backdrop of realist philosophical frameworks and will be viewed as contributing to the accretion of knowledge.An earlier version of this paper was presented at the Speech Communication Association Annual Conference, Atlanta, Georgia, November 1991.To assert that moral, aesthetic, and factual arguments are statistically derived, is not to argue that there is no such thing as absolute goodness, beauty, or truth. It is to declare that these ultimate values have little relevance in practical argument.- Daniel McDonald     

Theoretical Conundrum: The Politics and Science of Theorizing Authoritarian Cognition

The historical development of the four main theories which have attempted to explain the relationship between cognitive style and ideological content—i.e., authoritarianism, extremism theory, context theory, and value pluralism theory—is analyzed from a rhetorical perspective. The discussion focuses on the manner in which the tensions between theoretical universalism and political critique have been "resolved" by theorists working in different historico-political contexts. While both these scientific and political values have been of central concern in theorizing the link between cognitive style and content, they are deeply incompatible because it is not possible to establish a fixed relationship between a personality dimension and the changing beliefs associated with different ideologies across time and place. This has prompted theorists aiming for universalistic accounts to define ideological orientation in terms of psychological processes rather than content, which, in turn, has compromised the critical potential of their theory. The paper concludes that the historical development of the literature may be understood in terms of dilemmatic counter-themes which, under different political circumstances, have been resolved in novel ways.