Cognitive and attentional functioning in adolescents and young adults with Tetralogy of Fallot and d-transposition of the great arteries

The objective of this study is to investigate cognitive and attentional function in adolescents and young adults with operated congenital heart disease. Previous research has indicated that children with congenital heart disease have deficits in broad areas of cognitive function. However, less attention has been given to survivors as they grow into adolescence and early adulthood. The participants were 18 non-syndromic adolescents and young adults with tetralogy of Fallot and d-transposition of the great arteries that required cardiac surgery before the age of 5 years, and 18 healthy, unaffected siblings (11–22 years of age for both groups). Cases with congenital heart disease and their siblings were administered Wechsler Intelligence scales and reported attention problems using the Achenbach System of Empirically Based Assessments. Cases were compared to both healthy siblings and established norms. Cases performed significantly lower than siblings on full scale IQ and processing speed, and significantly lower than norms on perceptual reasoning. Cases also reported more attention problems compared to both siblings and norms. Effect sizes varied with medium-to-large effects for processing speed, perceptual reasoning, working memory, and attention problems. Findings suggest that neurocognitive function may continue to be affected for congenital heart disease survivors in adolescence and young adulthood, and that comparisons to established norms may underestimate neurocognitive vulnerabilities.     

The Influence of Time Estimation and Time‐Saving Preferences on Learning to Make Temporally Dependent Decisions from Experience

In this paper, we merge research related to experiential learning, temporal perception, and the value of time and money by examining decisions where the timing of action (response) determines the outcome received. We predicted that time‐saving preferences and impatience would decrease maximization (i.e., taking action when it returned the largest reward), and that the constraints of temporal perception would compound their effects. Across three studies, participants undershot on average (i.e., responded earlier than the period of time during which a response would return the maximal reward) showed a preference for shorter‐delay options and often did not find the maximal reward. In addition, participants' reliance on temporal perception increased undershooting, increased preferences for shorter‐delay options, and reduced maximization. Nevertheless, participants who found the maximal reward continued to maximize at a high rate rather than opting for shorter delays and smaller rewards. Thus, while most participants appeared to have a preference for saving time, most behaved as reward maximizers rather than temporal discounters. Copyright © 2017 John Wiley & Sons, Ltd.     

Cognitive and behavioral rating measures of executive function as predictors of academic outcomes in children

Interrelations of two measurement methods (cognitive versus behavioral ratings) for executive function (EF) were examined and related to reading comprehension and math calculations in fourth and fifth grade students (n = 93) in the context of a diverse urban student population. Relations among measures within four EF processes (working memory, planning, inhibition and shifting) were modest; relations to academics were stronger. EF measures contributed to both academic outcomes even in the context of relevant covariates (age, language and educational program). Working memory was particularly important for reading comprehension across measurement type. Cognitive measures from all EF processes, particularly inhibition and planning, and behavioral ratings of working memory were important for math.     

Does goal relevant episodic future thinking amplify the effect on delay discounting?

Delay discounting (DD) is the preference for smaller immediate rewards over larger delayed rewards. Research shows episodic future thinking (EFT), or mentally simulating future experiences, reframes the choice between small immediate and larger delayed rewards, and can reduce DD. Only general EFT has been studied, whereby people reframe decisions in terms of non-goal related future events. Since future thinking is often goal-oriented and leads to greater activation of brain regions involved in prospection, goal-oriented EFT may be associated with greater reductions in DD than general goal-unrelated EFT. The present study (n = 104, M_age = 22.25, SD = 3.42; 50% Female) used a between-subjects 2 × 2 factorial design with type of episodic thinking (Goal, General) and temporal perspective (Episodic future versus recent thinking; EFT vs ERT) as between factors. Results showed a significant reduction in DD for EFT groups (p < 0.001, Cohen’s d effect size = 0.89), and goal-EFT was more effective than general-EFT on reducing DD (p = 0.03, d = 0.64).     

Psychological correlates of peer victimisation in preschool: social cognitive skills,executive function and attachment profiles

Most research into peer victimisation has focussed on children aged 8 years and above and has included a study of the correlates of victimisation, including cognitive and social skills, and attachment profiles. Recent research has started to investigate aggression and victimisation in younger groups and has found that the nature of aggression differs from that in older children in terms of the types of victimisation involved and the stability of the roles. This study investigated some of the correlates of roles taken in victimisation in 104 children aged 4–6 years, using a cartoon methodology to elicit peer nominations for aggressor, victim, and defender. It examined the social cognitive abilities, executive function skills, and attachment profiles of aggressors, victims, and defenders. Victims did not exhibit poor performance on the social cognitive tasks or have insecure attachment qualities as has been found with victims during middle childhood. Aggressors did not perform highly on the social cognitive tasks in contrast to older aggressors and bullies. Defenders were found to perform above average (although not significantly different from other groups) on the social cognitive tasks. These findings are related to the nature of aggression and victimisation at this age, and a developmental change hypothesis is proposed to accommodate them. Aggr. Behav. 00:1–18, 2005. © 2005 Wiley‐Liss, Inc.     

中医院市场定位的两难选择及其对策

中医院的市场定位处于两难选择之中:中医药技术的潜在优势与现实局限性的矛盾、中医院管理者的价值取向与现实窘况的矛盾、中医院发展历史沉淀与市场竞争的矛盾、政府的中医药政策自身存在的矛盾等。这些矛盾涉及多方行为和利益主体,必须深化改革,以实现中医院的良性发展。     

The basic traumatic situation in the analytical relationship1

The author attempts to develop a concept of psychic trauma which would comply with the nucleus of this Freudian notion, that is, an excess of excitations that cannot be processed by the mental apparatus, but which would also consider the functions and the crucial role of objects in the constitution of the psychism and in traumatic conditions, as well as taking into account the methodological positioning according to which the analytical relationship is the sole possible locus of observation, inference and intervention by the psychoanalyst. He considers as a basic or minimal traumatic psychoanalytical situation that in which a magnitude or quality of emotions exceeds the capacity for containment of the psychoanalytical pair, to the point of generating a period or area of dementalisation in the psyche of one or both of the participants, of requiring analytical work on the matter and promoting a signifi cant positive or negative change in the relationship. Availing himself of Bion's theory about the alpha function and the metapsychological conceptions of Freud and Green concerning psychic representations, he presents two theoretical formulations relating to this traumatic situation, utilising them according to the ‘altered focus’ model proposed by Bion. He presents three clinical examples to illustrate the concept and the relevant theoretical formulations.     

公共卫生的作用及政府职责

从20世纪人类健康的进步的贡献和2003年非典危机的爆发,都反映了公共卫生的作用,公共卫生投入对国家社会经济发展和政治及宏观经济的稳定具有不可忽视的作用和不可取代的贡献.理论研究和实证研究揭示了政府公共卫生投入与健康指标的关联,政府为全体人民提供基本公共卫生产品的必要性.而政府提供基本公共卫生服务和保障基本公共卫生产品供给的重要前提是确保政府预算对公共卫生的投入,使其对人民健康产生正向的积极促进作用.明确各级政府在公共卫生中的责任,实行分级管理和考核监督机制,是急待研究和解决的问题.进一步加大政府对公共卫生政府投入水平和改善投入机制,是今后强化中国政府公共卫生职责的一个突破口.     

人造物概念的表征：功能、意图和目的论的解释

以概念结构研究从“相似”到“解释”的理论转向为背景,评述人造物领域的“意图-历史论”（Bloom, 1996）,提出人造物概念结构中自上而下的约束是来自“使用目的”而不是“设计意图”。分析近期报告的大量实验,最后提出人造物概念表征的“基于使用的目的论”的解释模式和人造物归类的双重目标模型。     

青少年异性交往心理问题研究综述

异性交往对青少年的成长与发展具有极其积傲的功能：(1)能够促进自我同一感的发展;(2)有利于增进心理健康;(3)有助于增进友谊．并为日后获得成熟爱情积累经验：同时．青少年异性交往存在不少心理问题。并且．对青少年的异性交往仍存在着教育误区．主要表现为不当的教育观念和教育方式,当前．有关青少年异性交往的研究主要集中在：e3q青a少年异性交往的发展阶段、特点、影响因素和教育构想,缺乏对青少年异性交往心理问题的研究,研究领域较为狭窄;理论研究多．实证研究少;缺乏专门、科学的测量工具。