Medicine as business and profession

This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business.     

Reflections on segregating and assessing areas of competence

Various complexities that arise in the application of legal and/or clinical criteria to the actual assessment of competence/capacity are discussed, and a particular way of understanding the nature of such criteria is recommended.     

《尚书》、《左传》、《国语》的心理学思想研究

《尚书》、《左传》、《国语》是我国最古老的三部文献。我国古代的心理学思想有不少都可以在其中找到源头。本文主要讨论：《尚书》的五行观念、人贵论和人性论思想、认知心理思想、个性心理思想、心理测验思想;《左传》的情感心理思想、病理心理思想、文艺心理思想;《国语》的缺陷心理思想。     

中国传统情绪疗法及其应用

系统地探讨了中国传统情绪疗法：情志相胜疗法,相反情绪疗法,激情刺激疗法,与感觉刺激有关的情绪疗法,与别人有关的情绪疗法,顺情从欲疗法,抑情顺理疗法,移情易性疗法,情志导引疗法,七情合参疗法。这些中国传统心理疗法在现代仍有实用价值。     

Do medical decision analyses' largest gains grow from the smallest trees?

Some decision analysts recommend reserving their models for careful, complete study of complex problems. Others believe simple problem analyses provide the greatest gains. To clarify these issues, I tested: (1) whether simple published analyses compared to complex ones, produced results as non-intuitive; and (2) whether non-intuitiveness represented analytic gain (or equivalently, intuitive loss). Very limited data also examined (3) the gain from adding model intricacy for a given problem vs. selecting more complex problems for analysis. To assess two non-intuitiveness measures, 75 subjects (33 physicians and 42) non-physicians stated their intuitive preferences in 40 (22 published and 18 unpublished) medical dilemmas. For both physicians and non-physicians, simpler models (those with lees than 30 terminal branches in the decision tree) had about one third the non-intuitiveness of more complex ones. Three tests also supported the premise that analyses outperform intuition, therefore that on average the formers' non-intuitiveness reflects less analytic gain. In addition, for different models of the same problem, tree complexity did not correlate with gain. Thus, simpler trees may not generally gain less because they inadequately describe problems. Instead, simpler analyses may represent simpler problems, with more similar intuitive and formal solutions. If so, these findings may help us avoid some costly but unnecessary simple analyses.     

What is philosophy as a way of life? Why philosophy as a way of life?

Despite a recent surge of interest in philosophy as a way of life, it is not clear what it might mean for philosophy to guide one's life, or how a “philosophical” way of life might differ from a life guided by religion, tradition, or some other source. We argue against John Cooper that spiritual exercises figure crucially in the idea of philosophy as a way of life—not just in the ancient world but also today, at least if the idea is to be viable. In order to make the case we attempt to clarify the nature of spiritual exercises, and to explore a number of fundamental questions, such as “What role does reason have in helping us to live well?” Here we distinguish between the discerning and motivational powers of reason, and argue that both elements have limitations as guides to living well.     

拖延行为的发展认知机制及神经基础

拖延是指尽管预见到拖延会带来不利后果, 人们仍自愿推迟开始或完成某一计划好的任务。研究表明, 不同文化背景下有15%~20%的成年人存在慢性拖延, 超过70%的学生承认自己存在学业拖延, 部分学生还会形成特质性拖延。严重的拖延不仅影响人们的学业、工作和生活, 甚至还会危害到人们的身心健康。鉴于目前对于拖延产生的核心机制、形成的关键期以及发展认知神经机制还不是很清楚, 本项目拟从拖延的时间决策理论出发, 首先系统探明拖延决策的核心机制, 尤其是远期价值评估、延迟折扣和自我控制能力等在拖延决策过程中的认知加工机制和神经基础; 其次结合行为-环境变量-脑的多模态数据, 从发展角度探究拖延形成的关键期(敏感期)、影响因素以及发展认知神经机制; 最后从行为干预和脑的可塑性角度出发, 试图制定各关键年龄阶段拖延预防与干预的临床方案。本研究的开展对于把握拖延形成的认知机制、神经基础及其发展规律具有重要的科学价值, 对于拖延行为的预防和干预也具有直接的现实意义。     

混合情绪能促进心理健康吗？

摘 要 积极和消极情绪的同时体验,即混合情绪,是生活中常见的情绪状态。健康应对的共激活模型、情绪动态模型和积极比模型一致认为混合情绪与心理健康之间呈现非线性的关系,适当的混合情绪有利于个体在困境中全面加工和整合信息,寻求意义,获得控制感,进而实现健康应对和心理症状改善,获得幸福感。未来研究应关注对非线性关系的精确描述;低压力或非压力情境下混合情绪的意义;进一步研究混合情绪促进心理健康的内部机制和影响因素。     

味觉对判断与决策的影响及其机制

味觉作为人类生存必不可少的感觉之一, 早已超越“舌尖”的直接感受, 潜在地影响了个体对人际关系及伦理道德的知觉与判断, 改变着个体对冒险与消费等行为的决策。情绪中介假说、具身隐喻假说、进化假说以及社会建构假说从不同视角试图阐明味觉对判断与决策的影响机制。当前研究存在味觉感受存在个体差异、味觉测量难以保证效度、味觉实验缺乏统一研究范式等问题, 未来可继续进行味觉隐喻的验证并将其应用于感官营销、心理治疗等领域, 从生理、心理及社会等多个层面出发, 全方位探讨味觉对判断、决策的影响及其机制。