负性情绪干扰行为抑制控制:一项事件相关电位研究

以往研究提示,行为抑制控制与视觉情绪加工的神经活动存在交互作用,而视觉材料诱发的正、负情绪如何影响行为控制加工过程尚不清楚。采用双选择情绪oddball范式与事件相关电位(ERP)技术,本研究假设视觉情绪刺激的呈现对个体的行为控制能力具有显著影响。实验要求被试对标准刺激与偏差刺激(85%vs.15%)分别做不同的按键反应。偏差刺激由正、负、中三种来自中国情绪图片系统的情绪图片组成。行为结果发现,负性条件下的反应时间显著长于中性与正性条件,而三类偏差刺激的反应时均显著长于标准刺激的反应时。ERP结果显示,不论效价,在240～300ms与350～550ms两个时间窗口,偏差刺激与标准刺激诱发的平均波幅差异显著,表明本研究条件下行为抑制控制效应显著。在代表行为控制加工的偏差-标准差异波中,在上述两窗口内分别出现显著的N2与P3成分。负性条件下N2及P3潜伏期显著长于中性条件;而负性条件下N2波幅显著大于而P3波幅显著小于中性条件。相反,正性条件下N2波幅显著小于而P3波幅显著大于中性条件。因此,本研究从行为与脑电两个层面揭示了情绪对行为控制过程的影响:负性情绪减弱个体的行为控制能力,从而导致个体对反应冲突的觉察变慢及对优势反应的抑制过程更长。相反,正性情绪对行为控制过程可能具有促进作用。     

循证医学在构建和谐医患关系中的应用

医患关系是一种特殊的人际关系。采用循证医学的原理和方法,规范医疗服务行为,缓解医患矛盾,构建和谐的医患关系,已越来越成为人们的共识。试图从循证医学的角度探索改善医患关系的途径,通过对循证医学理论的应用来缓解医患冲突,改善医患关系。     

Group problem-solving among teachers: A case study of how to improve a colleague’s teaching

A case study of six teachers cooperating to improve a teacher’s teaching showed the dynamics of the group problem-solving process. An analysis of their verbal interactions showed the importance of shared understanding to successful group problem solving. The cooperative group structure helped members resolve cognitive conflicts and build group understanding. During this process, the members’ past teaching experiences and knowledge contributed to their conceptualization of the teacher’s teaching problems and their proposed solutions to improve the teacher’s teaching. Tsz Cheung Lam graduated from the Department of Educational Psychology at the Chinese University of Hong Kong in 2004 and obtained his Master of Education degree. His research interests lie primarily on cooperative learning and problem solving. As a primary school teacher in practice, he is now studying part-time for another master degree in data science at the Department of Statistics of the Chinese University of Hong Kong.     

Mission and reconciliation from a Christian-Muslim relations perspective

The encounter between Islam and Christianity in the mission field has created shocks that have left indelible scars across the ages. These two religions, which have never hidden their missionary intentions, have at times engaged in the struggle for supremacy on the religious chessboard, not hesitating to encroach on each other. This state of affairs has led to frustrations and conflicts between the two religious systems that the passage of time has not been able to erase. Various organizations have attempted to bring Christians and Muslims together, among these the Programme for Christian-Muslim Relations in Africa. Reconciliation is possible. Although the path to reconciliation is still long, one who has already travelled on it gives us signs of hope. Only God can clear the path to effective reconciliation. This, however, must be combined with a new understanding of mission in both religious systems as well as a commitment on the part of both to embark on a new dynamic.     

中学生人际冲突解决策略取向及影响因素研究

本研究针对中学生常见的人际冲突问题 ,分别设计了与教师、家长、同学冲突的 9种情境 ,考察 1 80名初一至高三的学生在不同情境中解决冲突的策略取向、防御机制发展以及影响策略取向的因素。实验表明 :( 1 )总体上中学生更倾向于选择协商策略解决人际冲突 ,退让或服从策略以及对峙性策略运用的多寡与具体情境因素或冲突对象有关。对峙性策略多出现在与教师和家长的冲突情境 ,而退让策略较多出现在与同学的冲突中。 ( 2 )随着年龄的增长和社会化的发展 ,学生逐渐采用成熟性防御机制替代不成熟性防御机制以促使问题得到更好解决。初、高中学生在运用成熟性防御机制方面差异显著。 ( 3 )文化背景及个性特点与策略取向有关。     

急诊医学医患共同决策中的博弈分析

通过急诊医学的实践,借助博弈论方法分析了急诊医学中实施医患共同决策（shared decision making,SDM）的现状,为急诊医学中实施SDM提供参考意见。分析发现,在急诊医疗决策中存在“公地悲剧”“蜈蚣博弈”“博傻理论”等博弈现象。急诊医学中的信息技术滞后、医患对SDM的认知不足、医患信任等因素是影响SDM在急诊医学中实施的重要博弈因素。通过推动急诊医学的信息化建设、SDM理念的普及和技能培训,借助博弈论的方法和相关法律制度的完善,提升互联网作为健康宣传和健康教育的工具作用,有利于SDM在急诊医学的应用推广,从而促进急诊医学和谐医患关系的构建。

     

关怀伦理的介入：医患关系重构的新视角

梳理有关学者的关怀伦理理论观点,并基于关怀伦理的相关思想对疾病状态下患者的特性（脆弱性、自主性和依赖性）进行分析,在此基础上,讨论目前医疗机构中主流医患关系模式理论（包括律法关系、家长制关系和自主决策关系）的局限性与不足,并将这类主流医患关系说纳入到基于关怀的医患关系之中,以重构适用于当前医疗行为模式和医疗行业现状、体现己他两利关怀思想的医患关系模式,最后阐述了基于关怀的医患关系中的“关怀”实践路径,包括引导性双向叙事、同情与移情以及关怀美德。

     

Legal and Ethical Implications of Using Religious Beliefs as the Basis for Refusing to Counsel Certain Clients

This article addresses potential legal and ethical implications of lawsuits that have been brought when counselors and counseling students have used their religious beliefs as the basis for refusing to counsel lesbian, gay, bisexual, and transexual clients. Four lawsuits are reviewed, issues relevant to the cases are identified, and implications for counselor educators and counseling students are discussed.     

和谐医患命运共同体建设的思考

医患关系作为医疗诊治活动中最主要的关系,是以医护人员为核心的群体与以患者为核心的群体之间的关系。近来,医患关系在一定程度上的对立以及由此引发的社会公共事件激起了广泛的社会反响。旨在通过构建人类命运共同体对医患关系的启示,结合社会现实和医患关系实际,从医患双方生命至重的理念统一、防病治病的过程统一、平等尊重的人文情怀统一以及权利义务的关系统一等方面,对当前医患关系进行深入分析,对“和谐医患命运共同体”的建设加以阐释,以期对医患关系的深入探讨提出可行性的建议和支持。     

医患双方对医患关系认知差异性的调查分析

采取整群随机抽样方法,现场调查发现,医患双方对医患关系重要性的认知一致,而对其性质、发展趋势、法律适用,以及医患冲突的主要诱因、责任主体、主要解决方式的认知状况均存在着显著性差异。相互理解、交流和尊重是建立和谐医患关系的根本措施。