以心理学共情理论应对困境中的医患关系

和谐的医患关系是构建人性化医疗的基础,面对当今医患关系紧张的困境,探索如何应对困境中的医患关系迫在眉睫.共情是心理学的一个概念,阐述了人际互动过程中的一种心理现象,是一种站在对方立场上的思考方式.临床实践中医务人员存在共情缺陷,如易产生共情疲劳、缺乏倾听、缺少尊重等,通过心理学干预技术提高其临床共情能力有利于减少共情缺陷、避免医疗纠纷、协调医患关系.良好的共情能力有助于推进新的合作型医患关系的建设,尤其适合于临床一线的医务工作者.     

价值取向与社会距离影响经济决策的合作与冲突行为：Chicken Game的证据

采用Chicken Game博弈任务,考察了不同社会价值取向个体（亲社会者与亲自我者）在面对不同社会距离的博弈对手（朋友和陌生人）时表现出的合作与冲突行为。研究结果发现：（1）社会价值取向与社会距离交互影响个体的合作与冲突行为;（2）社会价值取向影响选择策略的反应时,亲社会者选择合作的反应时长于选择冲突的反应时,亲自我者选择合作与选择冲突的反应时没有显著差异;（3）无论对亲社会者还是亲自我者,反馈类型都显著影响个体的合作与冲突行为的选择率以及随后决策的反应时。上述结果表明,个体的合作或冲突行为,并非单一地受到社会价值取向的影响,更可能是受到个人因素（社会价值取向）与其他社会因素（比如,社会距离）的共同调节,并且在这一过程中个体会根据决策后反馈信息不断的调整自己的行为策略。     

Social Context and the Dynamics of Cooperative Choice

Recent work using decontextualized economic games suggests that cooperation is a dynamic decision‐making process: Automatic responses typically support cooperation on average, while deliberation leads to increased selfishness. Here, we performed two studies examining how these temporal effects generalize to games with richer social context cues. Study 1 found that time pressure increased cooperation to a similar extent in games played with in‐group members and out‐group members. Study 2 found that time pressure increased cooperation to a similar extent in games described as competitions and games described as collaborations. These results show that previous positive effects of time pressure on cooperation are not unique to neutrally framed games devoid of social context and are not driven by implicit assumptions of shared group membership or cooperative norms. In doing so, our findings provide further insight into the cognitive underpinnings of cooperative decision making. Copyright © 2014 John Wiley & Sons, Ltd.     

Child,Parenting, and Situational Characteristics Associated with Toddlers' Prosocial Behaviour

The infant and toddler years are crucial for the development of prosocial behaviour, such as helping, sharing, comforting and cooperation. Recent evidence suggests that the correlates of different types of prosocial behaviour may differ. The current study investigated whether child, maternal parenting and situational characteristics were differentially associated with toddlers' cooperation and concern with a peer. The sample, drawn from the National Institute of Child Health and Human Development Study of Early Child Care, included the 612 children who participated in the 36‐month dyadic play session and their mothers. The results indicated that girls were more cooperative and expressed more concern than boys. Greater sustained attention to toys was associated with lower cooperation. Children were more cooperative with peers who engaged in more positive social interaction, and expressed more concern with peers that they had a close relationship with. Maternal sensitivity at 24 months was associated with greater cooperation when the peer engaged in more positive social behaviour. Finally, both maternal sensitivity and cognitive stimulation at 15 months indirectly influenced toddlers' cooperation through maternal sensitivity at 24 months, underscoring the predictive power of early parenting when children are rapidly developing the capacity to engage in prosocial behaviour. Overall, the results highlight some differences in the correlates of toddlers' cooperation and concern. Copyright © 2015 John Wiley & Sons, Ltd.     

多媒体技术在医患沟通中的临床应用实践——以胸外科患者为例

伴随着网络信息技术的飞速发展,医学卫生行业正在跨入信息化时代,本课题采用多媒体技术的多样性、集成性、交互性和实时性的特点,使用自制多媒体术前谈话课件进行医患沟通.通过将胸外科拟手术患者随机分为试验组及对照组,试验组采用多媒体课件进行医患沟通,对照组采用传统方式沟通,分别统计分析两组患者沟通质量满意度,来探讨多媒体技术在胸外科医患沟通中的临床应用.采用多媒体技术进行医患沟通可以显著提高患者满意度,值得在临床工作中进一步推广.     

Evolution of communication in perfect and imperfect worlds

We extend previous work on cooperation to some related questions regarding the evolution of simple forms of communication. The evolution of cooperation within the iterated Prisoner's Dilemma has been shown to follow different patterns, with significantly different outcomes, depending on whether the features of the model are classically perfect or stochastically imperfect (Axelrod, 1980a,b, 1984, 1985; Axelrod and Hamilton, 1981; Nowak and Sigmund, 1990, 1992; Sigmund, 1993). Our results here show that the same holds for communication. Within a simple model, the evolution of communication seems to require a stochastically imperfect world.     

Why True Globalization Depends on New Scientific Models

Ervin Laszlo's Science and the Akashic Field is vital to our transition from a long epoch of empire building—of the drive to control Earth's resources by fierce competition in a situation of perceived scarcity—to a future of truly cooperative global family. Laszlo's universe is a far cry from the one Western science has taught us and compatible with my own views as a “post-Darwinian” evolution biologist. In fact, no small number of Western scientists today have defected from the official scientific story of How Things Are to create or adopt various versions of the new scientific worldview Laszlo presents—a worldview rooted in older sciences and cultures such as Vedic, yet ultimately not just timely, but futuristic. These new scientific models, integrating ancient and modern knowledge, represent a paradigm shift greater than the Copernican revolution and are crucial to the next stage in humanity's evolution as a planetary species.     

Validation of a new multidimensional health locus of control scale (form c) in asthma research

Abstract

This study developed and validated an Asthma Multidimensional Health Locus of Control (AMHLC) scale using 186 asthmatics aged 13 to 55 years recruited from 46 pharmacies in the Hunter Valley, Australia. The construct validity and internal consistency of the scale were demonstrated using principal components factor analysis and Cronbach's alpha respectively. Although correlations were modest, findings indicate that asthmatics with higher “Powerful Others” locus of control perceived they had a better quality of doctor-patient relationship; the opposite was found for those with higher “Chance” scores. Powerful Others orientation was also associated with expectations and valuation of services doctors' provide. Knowledge of asthma was not related in the expected direction with the new scale, nor were clinical indices of asthma severity. Younger asthmatics had higher Chance scores while older asthmatics tended toward higher Powerful Others orientation. Overall, the AMHLC instrument achieved suitable measurement properties to allow further investigation of health care behavior in people with asthma.     

Probability of reciprocation in repeated prisoner's dilemma games

Both social cooperation and self‐control require reciprocation. In social cooperation situations a single person's cooperative act, if not reciprocated by others, would be unreinforced both immediately and in the long term. Similarly, a single act of self‐control (refusing a single cigarette, for example), if not followed up by other such acts, would also be unreinforced immediately and in the long term. The present experiments varied probability of reciprocation in a prisoner's dilemma‐like game that could resemble a social cooperation or a self‐control situation. Participants earned points by playing against a computer. The computer offered the participant a choice between 5 or 6 points (‘cooperation’ by the computer) or between 1 or 2 points (‘defection’ by the computer). The participant's choice of the lesser alternative (‘cooperation’) or the greater alternative (‘defection’) on the current trial led, respectively, to cooperation or defection by the computer on the next trial with a probability (probability of reciprocation, PR) which could vary. When PR was greater than 63%, consistent cooperation maximized the participant's earnings. When PR was less than 63%, defection maximized earnings. Three conditions were studied: PR signaled by spinners; PR unsignaled; PR unsignaled with participants believing that they were playing with another person, not the computer. With PR = 100% (‘tit‐for‐tat’) and PR = 50%, the modal participant maximized earnings under all three conditions. With PR = 75%, participants maximized earnings only when PR was signaled. These results indicate that differences between people's tendency to cooperate with other people (social cooperation) and their tendency to cooperate with their own future interests (self‐control) may lie in differences in subjective PR. Copyright © 2001 John Wiley & Sons, Ltd.