BEHAVIORAL MOMENTUM IN THE TREATMENT OF NONCOMPLIANCE

Behavioral momentum refers to the tendency for behavior to persist following a change in environmental conditions. The greater the rate of reinforcement, the greater the behavioral momentum. The intervention for noncompliance consisted of issuing a sequence of commands with which the subject was very likely to comply (i.e., high-probability commands) immediately prior to issuing a low-probability command. In each of five experiments, the high-probability command sequence resulted in a “momentum” of compliant responding that persisted when a low-probability request was issued. Results showed the antecedent high-probability command sequence increased compliance and decreased compliance latency and task duration. “Momentum-like” effects were shown to be distinct from experimenter attention and to depend on the contiguity between the high-probability command sequence and the low-probability command.     

Affection deprivation is more aversive than excessive affection: A test of affection exchange theory

Affection exchange theory predicts that both excessive affection and affection deprivation are associated with poorer health, compared with receiving the level of affectionate communication that one desires. A similar yet-untested prediction is that affection deprivation is more aversive than excessive affection. This preregistered study tested both hypotheses on a battery of mental and physical health outcomes, including depression, loneliness, stress, physical pain, frequency of nightmares, and sleep quality, using a Census-matched sample of U.S. American adults (N = 827). As hypothesized, receiving the right amount of affection was associated with more health-supportive scores on all outcomes than either excessive or deficient affection. Similarly, excessive affection was associated with lower depression, loneliness, stress, and pain, and higher sleep quality, than affection deprivation.     

Searching for Positive Aspects of Excessive Reassurance-Seeking

We investigated positive aspects of excessive reassurance-seeking in interpersonal relationships. Previous studies have emphasized that excessive reassurance-seeking leads to interpersonal rejection by significant others. However, Fowler & Gasiorek (2017) suggested that excessive reassurance-seekers tend to make efforts to maintain relationships with their romantic partners, and that these efforts affect their own satisfaction with the relationships. We investigated whether the findings of Fowler and Gasiorek in students could be replicated in general heterosexual couples (N = 437 couples). Data were analyzed using the modified actor–partner interdependence model. Results indicated that excessive reassurance-seeking had no actor or partner effects on the efforts to maintain the relationships, which predicted relational satisfaction. However, the actor and partner effects of excessive reassurance-seeking on relational satisfaction through the efforts to maintain the relationships differed according to the relational duration. These findings, despite certain inconsistencies with Fowler and Gasiorek, suggest that excessive reassurance-seeking might have positive effects on relationships.     

Gender Differences in Problem Solving: Expectancy and Problem Context

In this study, we investigated gender differences in problem solving as a function of problem context and expectations for success. Subjects were 90 women and 56 men from introductory psychology classes who were administered a set of mathematical problems varying in gender context under male-expectancy, female-expectancy, and neutral-expectancy conditions. No significant gender differences or interaction of gender with problem context were found. However, significant effects of problem context and expectancy were found. Both male and female subjects made higher scores on female-context problems and lower scores in the female-expectancy condition. When mathematics aptitude was used as a covariate, an interaction of gender with expectancy was found. Men in the female-expectancy condition made significantly lower scores than either men or women in the male-expectancy condition.     

我国恶性肿瘤的治疗现状与对策

尽管我国现在对恶性肿瘤的治疗已取得巨大成绩,但依然存在诸多问题及误区,一是医患双方对肿瘤治疗认识上存在误区;二是应调整肿瘤防治的思路,要努力做到“三早”,由过去的任其发展转变为有效检控;三是充分利用医疗资源避免晚期恶性肿瘤的过度治疗与必要时终止治疗;四是要不断更新观念,坚持个体化治疗,提高患者的生存质量。     

Excessive Reassurance Seeking, Hassles, and Depressive Symptoms in Children of Affectively Ill Parents: A Multiwave Longitudinal Study

The current study examined whether excessive reassurance seeking serves as a vulnerability factor to depression in a sample of high-risk youth using a multiwave longitudinal design. At Time 1, 140 children (aged 6-14) of affectively disordered parents completed measures assessing reassurance seeking and depressive symptoms. In addition, every 6 weeks during the following year, children and parents completed measures assessing depressive symptoms and the occurrence of hassles. In line with hypotheses, the results of contemporaneous analyses indicated that children with high levels of reassurance seeking reported greater elevations in depressive symptoms following elevations in either hassles or parental depressive symptoms than children with low levels. At the same time, the results of time-lagged analyses indicated that both these relationships were moderated by age with excessive reassurance seeking being associated with greater elevations in depressive symptoms following elevations in either hassles or parental depressive symptoms in older but not younger children.     

An Examination of Sociotropy and Excessive Reassurance Seeking in the Prediction of Depression

The study was an examination of the relationship between sociotropy and excessive reassurance seeking in the prediction of depression. Although there is an obvious theoretical link between these constructs, little empirical work has been directed at integrating these constructs. Because it was theorized that sociotropic persons would be relatively more likely to engage in excessive reassurance seeking relative to autonomous individuals, it was predicted that sociotropy, and not autonomy, would be positively related to excessive reassurance seeking. In addition, it was predicted that excessive reassurance seeking would mediate effects of sociotropy upon depression. Overall, the results from 167 undergraduates completing measures for all variables supported these predictions. The results suggest that beyond the psychological vulnerabilities hypothesized by A. T. Beck (1983), sociotropic persons might engage in interpersonal behaviors that exacerbate their response to life stress.     

论疾病治疗的自然观

人体本身对各类疾病有着强大的自我抵制和修复能力,疾病的发生和康复有其自然的进展规律,治疗疾病的过程应遵循相关规律,并辅助人体的这些能力去促进机体的修复。而现实医疗中,人们在享受医学科技成果和医疗保障实惠的同时,常常伴有过度的医疗处置或过度忽视疾病的存在,从而影响疾病本身的自然康复进程,或加重病情,甚至造成二次伤害。本文从疾病治疗自然观的角度探讨了医生和患者在应对疾病时需了解的辩证思想,并就如何认识和应用疾病治疗的自然观去诊治疾病做一探讨。     

症状对临床决策重要性的哲学解析

症状是疾病所引起患者主观上的异常感觉或某些客观病态改变,是医师对患者进行疾病调查的起点,以症状为导向的诊疗模式更符合临床实践;充分了解患者症状,可以便捷、高效扩展医生的横向思维,而大型仪器的使用也是以症状学为基础,用来验证医生临床决策;医生最早接触的是患者的症状,因此,症状能更早提示鉴别危重患者,减少过度医疗;症状学是通向患者真实世界的途径之一,不仅能判断患者整体情况和病情转归,还是医学人文融入临床的落脚点。

     

冠心病诊治中的过度医疗

近年来,过度医疗问题引起了医学伦理学界的普遍关注。过度医疗是一个经济现象,同时也是一个伦理问题．确切的说是一个医学一社会问题。结合冠心病过度医疗的特点,从医学伦理学角度剖析冠心病过度医疗的原因,并提出了医者、患者、医疗机构和社会针对冠心病过度医疗应采取的措施。