农村健康保障制度与反贫困

从我国农村健康保障现实出发,认为建立农村健康保障制度是反贫困的迫切要求和重要组成部分,并提出了一些政策建议,如树立公共健康投资理念、政府职能转变与市场机制结合等.     

Multiple causal pathways in attention-deficit/hyperactivity disorder – Do emerging executive and motivational deviations precede symptom development?

The multiple causal pathways model on the etiology of attention-deficit/hyperactivity disorder (ADHD) is well established. However, developmental implications of the model are not yet sufficiently analyzed. The model implies that critical neural and neuropsychological deviations from normative development precede secondarily developing ADHD symptoms. Cognitive, “cool” inhibitory control (CIC) and reward-related, “hot” functions (RRF) are regarded as neuropsychological basic deficits that indicate independent causal pathways. Both functions involve top-down control networks that undergo major normative developmental changes in the preschool period. We formalized the following assumptions in a path model: (a) CIC and RRF predict change in ADHD symptoms in the preschool period, (b) the reverse is not true, and (c) CIC and RRF independently contribute to this prediction. A community-based sample of 125 (71 boys) preschoolers was assessed at at age 4 and 5 years. At each assessment wave, CIC and RRF were measured by a battery of age-appropriate valid tasks. ADHD symptoms were measured by a clinical parent interview. Evaluation of model fit using manifest maximum likelihood parameter estimation clearly supported the hypothesized path model while controlling for gender of child and maternal education level. Thus, regarding the basic deficits of CIC and RRF, the results add evidence on the developmental implications of the multiple causal pathways model. Our findings point to the potential significance of these early emerging characteristics as indicators of risk and as targets for preventive interventions.     

Motivated to confront: How experiencing anger affects anchoring bias

Prior research has asserted that emotions affect anchoring bias in decision making through the emotion's certainty appraisal or through the emotion's action tendencies, but these prior studies investigate the role of each component—appraisal or action tendency—without accounting for potential effects of the other one. The current research investigates whether anger exerts a significant effect on anchoring bias by activating a desire to confront a potential anchor. Importantly, the studies compare the effect of anger versus disgust, emotions that differ in their action tendency but are similar in their certainty appraisal. In Study 1, participants completed an emotion induction task and then a negotiation task where the first offer from the negotiation partner served as a potential anchor. Anger led to more deviation from the anchor compared with disgust or neutral feelings. Subsequent studies provide evidence that the angry participants are less anchored when the anchor value comes from a more confrontable source (someone else vs. themselves in Study 2 and an out‐group member vs. an in‐group member in Study 3).     

Oneiric activity and the analytical process A semiotic perspective on Willy Baranger's theory of dreams1

This author reconsiders, from a semiotic perspective, the theoretical and technical ideas developed by Willy and Madeleine Baranger, especially W. Baranger's views on the function of dreams, the status of oneiric symbols and the further clinical‐technical use of dreams in the context of the intersubjective dynamic fi eld, together with the basic unconscious fantasy that emerges in the analytic situation. She attempts to relate the Barangers' ideas to others arising from Peirce's analytic semiotics that would support a triadic conceptualization of dreams. The need to incorporate a pragmatic view of communication and of the processes of production of sense as contributions to dream metapsychology and interpretation in the case of non‐neurotic patients is particularly emphasized. On the basis of the hypothesis of a described series of triads underlying the production and retelling of dreams, the acknowledgment of these produced/told dreams as intentional signs allows the presence of a continuous process of semiosis to be proposed. The author introduces clinical material to illustrate the communicative value of dreams through the textual analysis of the report and accompanying associations of three dreams. Such analysis takes a linguistic pragmatics approach that examines those aspects of meaning not accounted for by a restricted semantic theory.     

Fire at the theatre: (Un)reality of/in the transference and interpretation1

Only in Bion's extended idea of ‘waking dream thought’ is the oneiric paradigm of the cure (already an obvious Freudian principle) completely applicable. The author's basic hypothesis is that, by adopting this paradigm thoroughly, one can combine the radical antirealism which is expressed in the postulate by which all the patient's communications are transference‐connected (here meaning ‘false connection’‐i.e. as projection/displacement of elements of the patient's inner psychic world) with the ‘reality’ of the transference, that is to say with the conviction that the facts of the analysis are co‐determined by the patient‐analyst dyad and actually rooted in how they interact. The Freudian metaphor of the fi re at the theatre is reintroduced here to suggest the crisis of the therapist's internal setting and capacity for reverie, which occurs when the irreducible ambiguity of the transference is resolved defensively, either in the patient's external reality or in his unconscious fantasy constellation. The author gives three clinical examples. The fi rst shows some of the not necessarily negative effects of this temporary crisis. The other two vignettes show a way of listening to the traumatic events of the patient's life from a perspective (that of the ‘analytic fi eld’) which is thought to be potentially the most transformative and vital to the analytical relationship.     

The countertransference dream1

Can the analyst's night‐dream about his patient be considered as a manifestation of countertransference‐and, if so, under what conditions? In what way can such a dream represent more than just the disguised fulfillment of a repressed wish of the analyst? Is there not a risk of the analyst unconsciously taking up and ‘using’ the content of a session or other elements coming from the analytic situation for his own psychic reasons? The author, closely following Freud's dream theory, shows the mechanisms which can allow us to use the dream content in the analytical situation: preserved from the secondary processes of conscious thinking, other fantasies and affects than in the waking state can emerge in dream thought, following an ‘unconscious perception’. After examining the countertransference elements of Freud's dream, ‘Irma's injection’, which leads off The interpretation of dreams, the author presents a dream of her own about a patient and its value for understanding affects and representations which had hitherto remained unrepresented.     

Drawing Memories: Edouard Manet's Remembrances of the Past

The author examines Edouard Manet's quotations of traditional masters in his work. Instead of debating whether Manet simply imitated, competed with, or paid tribute to the great painters of the past, the author suggests that Manet used the depictions of his painterly past not as a remedial but as a deliberate device. By relying primarily on Freud's Interpretation of Dreams and Jokes and Their Relation to the Unconscious, the author interprets the traditional works embedded in Manet's paintings as dream thoughts lying behind a façade. The author examines these depictions as if they were associations and memories of Manet's painterly past and in so doing uncovers Manet's subtle use of the past as a means of articulating social commentaries and of creating dialogues with both his contemporaries as well as his predecessors. Drawing on Freud's idea of deferred action (Nachtraegklichkeit), the author illustrates how Manet reflects upon the present through images of the past while at the same time rearticulating the scenes of the past through the lens of the present.     

The riddle of Siegfried: exploring methods and psychological perspectives in analytical psychology

Jung's dream of the killing of Siegfried poses a riddle: why did the unconscious choose precisely Siegfried as the hero to be murdered? Jung himself declares that he does not know. This paper attempts to decipher this riddle using three distinct methodological approaches accepted by Jung, two of them in fact grounded in his theories of dream interpretation. Besides presenting some possible answers to the riddle of Siegfried, this interpretative reflection brings to light the discrepancy of the psychological perspectives created by the heterogeneity of methods within analytical psychology.     

Dreams and COVID-19

This work originates from reflections on the observation of recurring themes in dreams of patients in psychoanalytic treatment during the most restrictive lockdown period in Italy (March - May 2020). The authors focus on the peculiar dialogic state between consciousness and the unconscious that arose following a collective event such as that of the pandemic, which determined the activation of complex personal nuclei, compensatory effects of the unconscious psyche and new perspective functions. These latter aspects are interpreted with reference to the contributions of Erich Neumann, bringing a new psychological vision of the relationship between Man and Nature in relation to catastrophic events.