从就医经历谈过度医疗

通过一次就医亲身经历,遇到的过度医疗现象,分析过度医疗产生的原因,主要有医者和医疗机构两方面.阐述过度医疗造成的不良影响,提出制约过度医疗的对策.     

生态心理学之界说

生态心理学目前还没有形成一种统一的范式,把它称为一种取向比把它称为一种学科更为合适,更能反映它内部复杂的现状,也更具包容性。生态心理学有广义和狭义之分,我们通常所说的是指狭义生态心理学。狭义生态心理学的两大理论核心是以巴克为代表和以吉布森为代表的理论范式,其他人的思想都基本上在整合和延伸他们的思想的基础上展开的。作为一种研究取向,可以把狭义生态心理学初步界定为：生态心理学是一种强调研究动物(人)-环境交互体的动态交互过程,尤其倾向于研究生态环境中的具有功能意义的心理现象的取向。     

框架效应发生机制的辨优启发加工

以亚洲疾病问题为代表的框架效应是描述性决策理论违背规范性理论的经典＂异像＂,而辨优启发式是行为决策理论的一大新进展。该研究探讨了辨优启发式对框架效应的解释过程。以经营风险决策为情境,以有管理经验的被试为样本,实验结果发现选择理由越少的情景其反应时越短、相应的优势项的选择比例也越高,这一结果有效地支持了辨优启发作为过程模型的次序规则、停规则和裁决规则存在的客观依据,也间接证实了辨优启发式对框架效应的解释力。     

Rationality, Reason and the History of Thought

Philosophers over the course of the last century, including Edmund Husserl, Chaim Perelman, and Jacques Derrida, have attempted to unravel the tangled relationship between the rational and the reasonable in order to understand how the history of thought progresses. Critical political theorists, including Michel Foucault and Ernesto Laclau have also investigated this issue from a range of perspectives, especially as it relates to the relationship between ideational limits and their transgression and the universal and the particular. This essay compares these perspectives to locate the rational dimensions of the reasonable, and to relate that “meta-reason” to the irrational and unreasonable aspects of identity formation and the unfolding of world history.     

男科临床工作中的人文关怀

随着现代医学模式的转化和男科学诊治技术的发展,在男科临床工作中应该注重树立人文关怀理念和强化人性化服务意识.实施人文关怀的方法包括:重视心理应激,应用心理疗法;关注患者生活,有效预防疾病;营造人文环境,提供人性化服务;遵循最优化原则,做到适度医疗;关心老年人健康,关注社会特殊群体.在男科临床工作中应提高人文关怀的自觉性.     

Perceiving communion in the dyadic relationship of others

The present research took an ecological approach to explore a relational issue in social perception ? are the perceived personality characteristics of dyad members and their perceived behavioural exchanges related to perceptions of that dyad’s perceived level of friendship? To this end, observers reported on a dyad they knew well using an indigenous measure of personality perception and the Dyadic Behavioural Exchange Scale, combined with an adapted version of Hays’ Friendship Observation Checklist. Perceived similarity of personality on the dimensions of application, emotional stability (negative) and helpfulness (negative) along with the perceived level of dyadic behaviour exchange were found to be additive predictors of perceived communion or friendship strength. This interplay of personal and interpersonal processes has demonstrated the application of methodological relationalism in the social domain, and broadened the ambit of social cognition to include knowledge of relationship units of which the observer is not a member, but which plays a part in his or her social world.     

生态学习观:一种审视学习的新视角

学习理论作为教育心理学的重要组成部分,百余年来发展繁盛。然而,无论是行为主义、信息加工、建构主义、还是目前流行的社会文化观,每一种学习理论所能描述和解释的不过是学习现象的某些方面或某一层次,都未能反映出人类学习的完整图景。本文尝试提出生态学习的思想,试图展现学习的整体、适应和多元的面孔。     

人非理性且难教化?论支持自由家长主义的证据

基于心理学的研究, 自由家长主义者认为人们的思维有个体难以克服的、根深蒂固的系统性缺陷, 并难以通过教育来避免和消除, 因此主张因势利导, 仰仗外部专家的“助推”把人们的行为引导到正确方向。然而, 从生态理性的角度看, 人们依照自由家长主义者所谓的认知偏差做出的选择未必导致糟糕的结果, 而依照自由家长主义者所推崇的理性方法做出的选择也未必导致理想的结果。本文分析了自由家长主义者用来支持助推的证据后发现：(1)它们源于一些研究者对“何为理性”的狭隘定义, 误解了人类理性的本质; (2)它们对研究结果进行了选择性的报告, 忽视了与这些证据相反的证据。通过这些分析, 我们认为“人非理性且难教化”这一自由家长主义者的论断过于武断并有失偏颇。投入教育, 教会人们如何精明老练地处理风险不仅是可行的, 而且是替代助推的一个更为持久有效的解决方案。     

‘It’s not a diet,it’s a lifestyle’: a longitudinal,data-prompted interview study of weight loss maintenance

Objective: To advance understanding of the individual and environmental factors underpinning weight loss maintenance. Design: Semi-structured, data-prompted interviews were conducted with twelve overweight adult participants (three men, nine women) who had lost over 5% of their body weight in the year before baseline. Participants gathered daily data through wireless scales, activity monitors (Fitbit?), ecological momentary assessment and experience sampling (taking photographs, writing notes). They were interviewed at 3- and 6-months post baseline. Interview stimuli included personal data of weight and activity graphs, correlations of psychological factors, and self-generated notes and photographs. Interview data were analysed using the Framework Method, applying pre-specified maintenance-relevant theoretical themes. Results: The theoretical Framework provided a good fit for the narratives, with five main themes underpinning successful weight loss maintenance: sustained motivation, effective self-regulation, plentiful resources, habit formation and a supportive environment. Additionally, participants reported an identity shift from being a dieter to accepting a new healthy lifestyle. Goal prioritising and allowing for occasional controlled lapses enhanced weight loss maintenance. Conclusions: This study successfully used the novel method of data-prompted interviews to explore weight loss maintenance experiences with new explanations emerging from the data. Future research should further develop behaviour change maintenance theory and data-prompted interview method.     

Investigating ToM in aging with the MASC: from accuracy to error type

Growing evidence indicates that Theory of Mind (ToM) declines in normal aging. However, the majority of this research has used classic and static verbal tasks that present scenarios, which are very different from real life. The present study was designed to fill this gap by administering the Movie for the Assessment of Social Cognition (MASC) to young and older participants. It allows one to analyze not only the accuracy, but also the typology of error in mental states attribution distinguishing between iper-ToM (over-mentalization), ipo-ToM (insufficient mentalization), and no-ToM (lack of mentalization). We recruited 30 young (20–29 years), 39 young-old (65–74 years), and 31 old-old (75–86 years) participants. Along with the MASC, we administered a classic ToM task, the Strange Stories, and several measures of cognitive functioning. Results showed that older adults were less accurate in mental state attribution than young adults in the MASC, but not in the Strange Stories. In addition, compared to young adults, older adults committed more errors of both ipo- and no-ToM, while young adults committed more often iper-ToM errors. Additionally, older adults, but not young adults, did not show a difference between iper-ToM and ipo-ToM errors, which were equally frequent in this age group. Globally, results indicated that older adults’ failure in classic ToM tasks may be due to both ipo- and iper-ToM and provide needed evidence for the MASC as a suitable measure of ToM in aging.