临床经验对诊断的双重作用及改造

文中用辩证唯物主义的观点,阐述了临床经验的定义、来源及指导实践过程中的意义,指出其具有促进诊断和引起误诊的双重作用,并用临床病历例子详细说明其双重作用的形式、导致结果及产生的原因。指出临床经验的双重作用在临床工作中的重要性及局限性,提出对经验的改造完善途径,以能充分表现出其促进诊断的作用,而最大限度降低其导致误诊的程度,发挥在临床工作中的良性作用。     

Response acquisition by Siamese fighting fish (Betta splendens) with delayed visual reinforcement

Male Siamese fighting fish, Betta splendens, swam through a ring in an aquarium, breaking a photocell beam and initiating an unsignaled, resetting delay interval. Following delays of 0 s, 10 s, or 25 s, a 15-s mirror presentation released an aggressive display by the fish. Swimming through the ring increased in the absence of either a period of acclimatization to the reinforcer (analogous to magazine training when appetitive reinforcers are used) or explicit training of the response by the experimenters. Response rates were a decreasing function of delay duration. Other fish exposed to a schedule of response-independent mirror presentations failed to acquire and maintain the response. The results demonstrate the robustness and generality of the phenomenon of response acquisition with delayed reinforcement. They further qualify earlier observations about behavioral mechanisms involved in the phenomenon.     

The Flow-Clutch Scale: Development and preliminary validation in sport and exercise

ObjectivesThe Integrated Model of Flow and Clutch States describes two overlapping psychological states that underlie exceptional performance and rewarding exercise experiences. However, research based on this model is currently hampered because no validated measure has yet been developed. Therefore, the aim of this multi-study paper was to develop and provide preliminary validation of the Flow-Clutch Scale in sport and exercise.DesignUsing two independent adult samples (n = 280; n = 264), three studies were conducted to develop and establish preliminary validity of the Flow-Clutch Scale.MethodIn Study 1, we developed an initial version of the scale and established content validity using an expert panel. In Study 2, we employed exploratory factor analysis to: identify the most appropriate factor structure; examine the scale’s internal consistency; test whether the scale differentiated between individuals who experience flow, clutch, or neither state; and examine relationships with the Flow State Scale-2. In Study 3, we aimed to replicate findings of Study 2 with an independent sample, and employed confirmatory factor analysis to confirm the factor structure, internal consistency, and relationships with the Flow State Scale-2.ResultsThe results provide preliminary validation of the four-factor, 22-item Flow-Clutch Scale.ConclusionsThese studies indicate the Flow-Clutch Scale represents a useful scale for researchers interested in examining flow and/or clutch states in sport and exercise. Recommendations are provided for further research to continue testing, and accumulating evidence for, the validity and reliability of the Flow-Clutch Scale.     

Childhood stress: Perceptions of children and professionals

An assessment instrument was developed to measure children's perceptions of stressors in their lives, as well as their experiences and emotional reactions to these stressors. Two approaches from the adult literature, major life events and daily hassles, were compared for children. In addition, a comparison between children's and professionals' ratings of the severity of various stressors was made, as well as an examination of the relationship of experience and self-reported reaction to children's ratings. Results indicate that children's ratings of the severity of stressors do differ from adults', particularly when children have experienced the stressor. Further investigation in the study of childhood stress incorporating children's perceptions is proposed.     

Autoshaping in the rat: The effects of localizable visual and auditory signals for food

Two experiments investigated autoshaping in rats to localizable visual and auditory conditioned stimuli predicting response-independent food. In Experiment 1 considerable conditioned-stimulus approach behavior was generated by a localizable visual conditioned stimulus that was situated approximately 35 cm from the food tray. Using the same apparatus in Experiment 2 we found that the conditioned-stimulus approach was generated only to a visual conditioned stimulus and not to a localizable auditory conditioned stimulus even though subjects (1) could discriminate presentations of the auditory conditioned stimulus, (2) had associated it with food, (3) could localize it, and (4) would approach the auditory stimulus if this behavior constituted an instrumental response to food. The predominant conditioned responses to the auditory stimuli were goal tracking (entering the food tray) and orienting towards the food-paired conditioned stimulus by head turning and rearing and turning. These results imply that rats do not invariably approach a localizable appetitive Pavlovian conditioned stimulus but that stimulus-approach responses depend on the nature and modality of the conditioned stimulus.     

Eco on Dewey

This study seeks to examine Umberto Eco's views of the key ideas in John Dewey's Art as Experience. Eco's proferred suggestion of transactional psychology as a corrective to Dewey's views is criticized as a misreading of Dewey's position.     

Behavioral control of visual fixation of the rhesus monkey.

A paradigm for the control of visual fixation of the macaque monkey in vision experiments was described. Using a Maxwellian view, the procedure permits the placement of discrete test-light stimuli in a specific area of the retina as the monkey fixates a primary target. This procedure holds foveal fixation as other behaviorally significant visual stimuli are presented to the visual field. By a methods-of-limits procedure, the sensitivity of the monkey eye was measured at different retinal locations under both photopic and scotopic visual adaptation.     

Larger reported impact of stuttering in teenage females,compared to males – A comparison of teenagers’ result on Overall Assessment of the Speaker’s Experience of Stuttering (OASES)

PurposeThe aim of this cross-sectional study was to explore the impact and experience of stuttering, and attitude to communication for female and male teenagers who stutter (TWS) in comparison with teenagers with no stutter (TWNS).MethodsThe Swedish version of the Overall Assessment of the Speaker’s Experience of Stuttering (OASES-T-S), was administered to 56 TWS, 13–17 years old (26 females, 30 males). An adapted version of OASES, Attitude to Speech and Communication (ASC), was administered to 233 TWNS. The impact scores were analyzed in relation to sex in TWS and TWNS.ResultsFemale TWS reported that stuttering had a greater impact on their life than it did on male TWS (on average 0.5 higher impact scores; Hedges’ g = 0.87). The differences did not seem to be caused by differences in severity of overt stuttering symptoms. Female and male TWS particularly differed on items related to difficulties in day-to-day communication and affective/behavioral reactions to stuttering. Such sex differences were not as pronounced among TWNS, suggesting that teenage women may be more vulnerable to the negative impact of stuttering than men the same age.ConclusionFemale teenagers report more negative experiences and a greater tendency to use avoidance strategies than male teenagers.     

Close‐knit ties through thick and thin: Sharing social exclusion and acceptance enhances social bond

Three experiments investigated whether and why sharing experiences of social exclusion or social acceptance with others strengthens social bonds. Participants experienced either social exclusion or social acceptance alongside another co‐participant who either also experienced the same outcome, or experienced a different outcome, as them. Multilevel modeling results showed that participant dyads who shared the experience of social exclusion or social acceptance felt closer to each other than those who experienced different outcomes, and that perceived similarity mediated the effect of shared experiences on social bonds. Interestingly, participants felt closer to one another after having shared social acceptance, more so than when they have shared social exclusion. Implications of the present findings are interpreted in light of theories of social exclusion, shared experiences, and social bonding.