An open trial of mindfulness‐based stress reduction for young adults with social anxiety disorder

The present study investigated mindfulness‐based stress reduction (MBSR) for young adults with a social anxiety disorder (SAD) in an open trial. Fifty‐three young adults in a higher education setting underwent a standard eight‐week MBSR program. Eight participants (15%) did not complete the program. Participants reported significant reductions in SAD symptoms and global psychological distress, as well as increases in mindfulness, self‐compassion, and self‐esteem. Using intention‐to‐treat (ITT) analyses, effect sizes ranged from large to moderate for SAD symptoms (Cohen's d = 0.80) and global psychological distress (d = 0.61). Completer analyses yielded large effect sizes for SAD symptoms (d = 0.96) and global psychological distress (d = 0.81). The largest effect sizes were found for self‐compassion (d = 1.49) and mindfulness (d = 1.35). Two thirds of the participants who were in the clinical range at pretreatment reported either clinically significant change (37%) or reliable improvement (31%) on SAD symptoms after completing the MBSR program, and almost two thirds reported either clinically significant change (37%) or reliable improvement (26%) on global psychological distress. MBSR may be a beneficial intervention for young adults in higher education with SAD, and there is a need for more research on mindfulness and acceptance‐based interventions for SAD.     

Randomized controlled trial of mindfulness-based stress reduction (MBSR) on posttraumatic growth of Chinese breast cancer survivors

Breast cancer (BC) patients in China suffered from a variety of psychology stress such as perceived stress and anxiety, posttraumatic growth (PTG) as a positive factor could promote their psychology health and quality of life. This study aimed to investigate the efficacy of mindfulness-based stress reduction (MBSR) on promoting PTG, decreasing perceived stress and anxiety of Chinese BC patients. A randomized controlled trial of 60 BC patients (Stages I–III) was conducted. They were randomly divided to the 8-week MBSR group or usual care (UC) group. PTG inventory, Perceived Stress Scale of Chinese version (CPSS) and State Trait Anxiety Inventory (STAI) evaluated the PTG level, perceived stress and anxiety at three times(before intervention-T1, after intervention-T2 and follow up at 3 months-T3). A repeated-measures analysis of variance model was used to compare each outcome measure of two groups at the three times. There was one patient discontinued the intervention and one lose to follow up in MBSR group, finally 58 BC patients completed the research. There was no difference between two groups before the intervention. The results showed significant improvements in MBSR group comparing with the UC group that PTG level was much higher after the 8-week intervention and the follow up (F = 34.73, p < .00). At the same time, CPSS (F = 14.41, p < .00) and STAI (F = 15.24, p < .00) scores were significant decreased at T2 and T3. The results showed that MBSR promoted the level of PTG and decreased perceived stress and anxiety state of Chinese BC patients, and the results persisted at three months after intervention. The research preliminary proved that MBSR was suitable to Chinese BC patients. MBSR should be recommending to BC survivors in China.     

对抗偏见:作为偏见消减策略的社会行为

对抗偏见是偏见对象或旁观者对偏见持有者表示不满的社会行为,能够降低偏见持有者的偏见水平,并有助于形成反偏见的社会规范,是一种有效的偏见消减策略。对抗偏见领域的研究可分为对抗偏见效果研究与对抗偏见行为研究。前者主要采用材料型和实验型研究范式,关注对抗偏见的作用机制、具体效果及对抗偏见效果的影响因素;后者主要采用回顾型、实时记录型和前瞻型研究范式,关注对抗偏见行为的发生机制和影响因素。将来这一领域需注重研究范式的综合使用及生态效度的提高,以促进对抗偏见效果研究与对抗偏见行为研究的有机结合;并在对抗偏见的神经机制和有效策略方面进一步深入探索。     

疼痛恐惧的神经机制及其消退

疼痛恐惧是疼痛基础和临床研究中的一个重要课题。个体对疼痛信息产生过度警觉,诱发不恰当的回避行为,扰乱机体的正常功能,加剧疼痛的现象即为疼痛恐惧。疼痛恐惧可影响个体的疼痛感知以及疼痛相关的注意和回避行为,且在慢性疼痛(如慢性肌骨骼疼痛)的发展、维持个体正常生理功能的丧失中起着重要作用。疼痛恐惧的形成与表达涉及杏仁核、海马、背侧前扣带回皮层、和前额叶皮层等脑区的参与。当前的疼痛恐惧消退的心理-行为干预方法可在疼痛恐惧加工的不同阶段(巩固、再巩固和消退)消退个体的疼痛恐惧。然而,由于恐惧记忆形成过程较为复杂并受多种因素影响,疼痛恐惧记忆消退方法效果较不稳定,其基础研究与临床应用之间仍存在较大的鸿沟。将来研究有必要考虑到疼痛恐惧形成环境的差异以及个体人格特质/心理状态的差异,逐步完善相关消退方法并将其引入临床镇痛,以期帮助患者弱化、擦除甚至改写困扰他们的疼痛恐惧,从而缓解甚至消除病患的疼痛。     

A PENTECOSTAL PERSPECTIVE ON ENTROPY,EMERGENT SYSTEMS,AND ESCHATOLOGY

Many contemporary theologies have given considerable attention to the inbreaking work of God whereby the Spirit imbues creation with life and vitality, but in the process the seriousness of the destructive forces that plague the world has been overlooked. This oversight not only has significant theological consequences, but it also generates a tension with scientific postulates about physical reality. Paradoxically, increasing complexity, including emergent life systems, arise in spite of the overarching conditions. I posit from a theological perspective that the Spirit acts within the world to generate pockets of organization out of disorder. The Spirit not only was present and active at initial creation but also continues to act within the cosmos, sustaining the natural order and giving rise to innovative acts of creation. The world, which groans for and anticipates transformation, experiences local decreases in entropy as proleptic events of God's inbreaking kingdom. This theological hypothesis provides the framework for considering an eschatological response to the world's decay.     

Some differences between Kant’s and Husserl’s conceptions of transcendental philosophy

This article compares the differences between Kant’s and Husserl’s conceptions of the “transcendental.” It argues that, for Kant, the term “transcendental” stands for what is otherwise called “metaphysical,” i.e. non-empirical knowledge. As opposed to his predecessors, who had believed that such non-empirical knowledge was possible for meta-physical, i.e. transcendent objects, Kant’s contribution was to show how there can be non-empirical (a priori) knowledge not about transcendent objects, but about the necessary conditions for the experience of natural, non-transcendent objects. Hence the transcendental for Kant ends up connoting a philosophy that claims to show how subjective forms of intuition and thinking have objective validity for all objects as appearances. By contrast, Husserl’s phenomenological philosophy takes a different set of problems for its starting point. His quest is to avoid the uncertainty of empirical knowledge about all kinds of objects that present themselves to us as something other than, something transcendent to, consciousness. Transcendental or reliable knowledge is made possible through the phenomenological reduction that focuses strictly on consciousness as immediately self-given to itself—reflection upon “pure” consciousness. The contents of such consciousness are not the same for everyone and at every time, so they are not necessary and invariant in the way that Kant’s pure forms of subjectivity are. Since Husserl however also claims that the all objects, as intentional objects, are constituted in and for consciousness, an investigation into the structures of pure subjectivity can also be called “transcendental” in a further sense of showing the genesis of our knowledge of objects that are transcendent to consciousness. Moreover, since Husserl’s philosophical interest is precisely upon the structures of that consciousness, he also concentrates on necessary conditions for the constitution of these objects in his philosophical work. Hence, there ends up being a great deal of overlap between his own transcendental project and Kant’s in spite of the differences in what each of them means by the term “transcendental.”

临床肺减容术发展历程中的矛盾思辨

晚期肺气肿是进行性恶化的常见呼吸系统疾病。由于内科药物治疗不能彻底遏制疾病的自然进程,外科肺减容术应时而生。但手术治疗有着与生俱来的缺点,因此内科介入肺减容术基于相似的机理出现了,并可与外科手术序贯应用。这种矛盾双方的对立与统一促进了该领域的发展,也是一种解决临床问题的重要辩证思维。     

Entropy in multiattribute problems

Concepts involving entropy have intermittently been used in consideration of multiattribute problems. This paper discusses the main approaches that have been proposed. It is argued that the analogies drawn with information theory and between weights and probabilities are to some degree unsatisfactory and a reconsideration is given. The result is a new suggestion in the spirit of Jaynes’ maximum entropy methodology, but now in two parts: ask those questions that are likely to be most discriminating (minimize entropy) but process the answers obtained conservatively (maximize entropy). In contrast to many previous methods, it is the distribution of the utilities of alternatives rather than of the weights given to attributes that is the focus of attention. Copyright © 1999 John Wiley & Sons, Ltd.