Lay rationalism and inconsistency between predicted experience and decision

Decision‐makers are sometimes depicted as impulsive and overly influenced by ‘hot’, affective factors. The present research suggests that decision‐makers may be too ‘cold’ and overly focus on rationalistic attributes, such as economic values, quantitative specifications, and functions. In support of this proposition, we find a systematic inconsistency between predicted experience and decision. That is, people are more likely to favor a rationalistically‐superior option when they make a decision than when they predict experience. We discuss how this work contributes to research on predicted and decision utilities; we also discuss when decision‐makers overweight hot factors and when they overweight cold factors. Copyright © 2003 John Wiley & Sons, Ltd.     

Remarks on the Absentminded Driver

Piccione and Rubinstein (1997) present and analyse the sequential decision problem of an “absentminded driver”. The driver's absentmindedness (imperfect recall) leads him to time-inconsistent strategy evaluations. His original evaluation gets replaced by a new one under impact of the information that the circumstances have changed, notwithstanding the fact that this change in circumstances has been expected by him all along. The time inconsistency in strategy evaluation suggests that such an agent might have reason to renege on his adopted strategy. As we shall see, however, this danger is only apparent. There is no serious problem of dynamic inconsistency in this case. My diagnosis of the case under consideration is in many respects similar to the one provided by Aumann, Hart and Perry (1997), but the analysis leading to this diagnosis is not quite the same. This revised version was published online in August 2006 with corrections to the Cover Date.     

Drug addicts in therapy—changes in life space in the course of one year

In a residential community treatment setting, moods and emotional states of drug addicts were explored over a 1‐year period. The specific form of treatment of heroin addiction employed in the communities is based on the importance of interpersonal relationships for psychosocial transition. Twenty‐nine participants reported current mood, emotions, attributions, and motive activation using a time‐sampling diary for 2 weeks at the beginning of the treatment, and 6 and 12 months later. Results show an increase in positive emotions, and in subjective strength and freedom. Furthermore, participants report higher self‐esteem and use less fatalistic attributions. This is interpreted as indicating successful transition processes in terms of higher autonomy, a more extended life space and increased levels of realism. Copyright © 2002 John Wiley & Sons, Ltd.     

Testing the properties of the triarchic model of psychopathy in a community sample: Self‐reported trait aggression and drug consumption associations

The triarchic model of psychopathy encompasses different conceptions of psychopathic personality characterized by three phenotypic components: boldness, disinhibition, and meanness. Psychopathy is a complex construct at both emotional and behavioral level. The aim of this study was to determine the core elements of psychopathic personality in a community sample and analyze the relation between these elements and other personality traits such as aggression, and certain specific behavioral manifestations such as substance use. The study sample comprised 1,159 participants aged between 17 and 74 years, who were administered the Triarchic Psychopathy Questionnaire, the Impulsive‐Premeditated Aggression Scale, and the Aggression Questionnaire. The results show that the constructs of meanness and disinhibition are more highly associated with different forms of both impulsive and premeditated aggression. Furthermore, men scored higher on all three components of the triarchic model compared to women. Finally, higher substance use (tobacco and drugs) was associated with higher scores in meanness, boldness, and disinhibition. These findings demonstrate the importance of assessing psychopathy in a community sample, and the detection of possible risk factors for the disorder.     

Preventing HIV infection among injecting drug users: Intuitive and counter-intuitive findings

The disease now called AIDS was first reported among injecting drug users in 1981. This article reviews the last 15 years of research on preventing HIV infection and AIDS among injecting drug users. Many of the findings were surprising in the context of previous understandings of the illicit injection of psychoactive drugs—both with respect to the much-larger-than-expected size of the epidemic and the much-greater-than-expected potential for behavior change among drug injectors (IDU). The research is reviewed within a framework of eight issues: the importance of the problem in the United States, the global diffusion of injecting drug use, the global diffusion of HIV among IDUs, potential rapid spread of HIV among IDUs, risk reduction among IDUs, community-level prevention, syringe exchange programs, and developing a public-health perspective on psychoactive drug use.     

药物不良反应补偿体系国际比较研究

药品在治疗疾病过程中有着不可或缺的作用,但药品在使用过程中也往往容易发生药物不良反应,并造成患者很重的经济负担,很多国家都针对药品不良反应建立救济保险制度。从基金筹资、补偿制度、管理等角度对国际上几个国家的药物不良反应补偿体系进行分析,以期我们在建立自己相应的药物不良反应补偿体系时有所借鉴。     

吸毒者：病人还是罪犯

如何认定吸毒者的社会身份是禁毒工作中亟待解决的问题。概述常见的毒品和吸毒的流行趋势。通过分析吸毒与医学和犯罪的关系,了解吸毒是病态还是犯罪。提出如何正确对待吸毒与戒毒,社会有关人员有责任关怀吸毒品走私案者,消除偏见,给予他们应有的帮助和治疗。     

经济学评价在临床决策中的应用探讨

医生在临床工作中做出明确诊断,并据此给予有效的处理均属于决策过程。制定决策的整个过程,同时也是进行决策思维的过程。近年来,高新技术的迅猛发展以及医疗费用急剧增加,使制定决策更加复杂。如何进行正确的决策思维,做出最切实可行的和最佳的决策,对避免决策的盲目性具有重要的现实意义。     

大连市171名中老年人两周患病及用药调查

为了解中老年人群患病和用药情况及其影响因素,在大连市某社区随机抽取171名50岁以上的居民进行问卷调查。结果发现,患病人群中80.6%患的是慢性病,以高血压、其他心血管疾病、糖尿病为主,应当加强中老年人的自我保健意识,真正做到以"预防为主",减少中老年人的发病率,根据处方用药,减少自我用药,并避免不良反应的发生。     

Creation as transformation: Parenting as a turning point in drug users’ lives

This paper is drawn from a narrative inquiry into how ex‐drug users understand the connection between childhood trauma and their subsequent drug misuse. The research was commissioned by a community drugs project. Eight participants were selected from respondents to an advertisement in a counselling journal, five of whom are qualified psychological therapists. The particular focus of this paper is on the interconnection of childhood trauma/abuse, drug misuse and parenting, by showing participants’ own experience of being parented and how the experience of becoming a parent helped them to transform their relationship with drugs. The paper draws attention to the therapeutic value of recognising the complex contextual factors that influence the parenting abilities of problematic drug users, and of building upon the positive attitudes, hopes, values and capabilities that underscore the ‘good parenting’ found in their stories. The work suggests that drug rehabilitation, treatment or counselling might usefully focus on parent–child relationships, which can become a turning point for identity transformation.