中国大陆宁养照顾对癌症末期患者生活质量之影响

宁养工作强调全人的照顾,不但能维持原有的生活方式,而且能提高生活的品质。本研究旨在探讨癌症末期患者在宁养照顾介入后,生活质量的改变。研究分为试验组（n=630）和对照组（n=241）。研究的结果显示癌症末期患者经过宁养介入后,其身、心、灵、社会之生活品质大幅度改善。而对照组患者仅在身体生活质量方面有显著改变。因此对医疗人员、社会大众的临终关怀观念的推广及教育是迫切需要的,立法更是不容忽视的课题,正确的立法才能真正推动宁养工作的发展。     

Caring,final ends and sports

In this essay I argue that sports at their best qualify as final ends, that is, as ends whose value is such that they ground not only the practices whose ends they are, but everything else we do as human agents. The argument I provide to support my thesis is derived from Harry Frankfurt's provocative work on the importance of the things we care about, more specifically, on his claim that it is by virtue of caring about things and practices, really caring about them – even loving them – we are able to regard and treat them as final ends. Sports, I claim, are paradigmatic examples of practices cared about and loved in these deep ways, and as such deserve to be considered, rather than dismissed because of their supposed triviality, as one of those ends around which a life most worth living can be legitimately forged.     

Action representation across ages and cultures: Recognition of action means–end change in German and Chinese children and adults

Actions can be represented as a hierarchy of goals and means, whereas the granularity of the top level depends on the action's complexity. So far, most evidence comes from imitation studies. We explored this issue by evaluating the detection of means and end changes in a recognition paradigm across ages and cultures. German and Chinese preschoolers (n = 53) and adults (n = 58) studied videos of tool-use actions differing in complexity and familiarity. In the test phase, participants judged identical, means-changed and end-changed actions as same or different. Changes of the actions' end were generally identified more accurately independent of age and culture. Means' changes, but not ends' changes, were detected more frequently for complex than for simple actions. Changes in familiar actions were recognised better than changes in unfamiliar actions. The data supports a hierarchical model of action representation where the end information is superordinate to means information.     

上博馆藏楚竹书《周易》初析

本文是最近面世的上海博物馆藏楚竹书<周易>的初步研究成果.本文认为:1.从"数图形卦"分析楚竹书<周易>的卦符,由于这卦符纯以一与八这两数来表达,体现了与长沙马王堆帛书本<周易>同类的历史、人文水平,而稍晚于阜阳简本<周易>;2.楚竹书<周易>所以有"经"无"传",是因为尊"经"贬"传"的缘故;3.楚竹书<周易>的"同卦同类符号"即首符、尾符相同的文本现象,并不能证明"对立与统一"的辩证法思想,符号匚也不是楚竹书<周易>具有"上、下部分"的证明.本文对以上见解进行了有据有理的分析.     

不同阅读过程文章信息保持特点的实验研究

本研究主要探讨在自然的阅读与有特定的记忆任务的情况下,学生阅读记忆的特点.从某中学、小学选取高中二年级、初中二年级与小学六年级学生各60人进行实验研究.结果表明,在自然阅读文章的情况下,一般读者所进行的主要是运算性的信息加工活动,是一种筛选保持的过程,服从于中心效应;而在明确的记忆要求下,读者所进行的主要是联结性的信息加工活动,是一种一般的意义记忆过程,服从于首尾效应。     

Managing multiple chronic conditions in Singapore – Exploring the perspectives and experiences of family caregivers of patients with diabetes and end stage renal disease on haemodialysis

Objective: Diabetes mellitus (DM) is the commonest cause of end stage renal disease (ESRD). Despite increasing DM-ESRD prevalence and high dependency on care, there is a lack of literature on DM-ESRD caregivers. We sought to explore the perspectives and experiences of caregivers of patients with DM undergoing haemodialysis in Singapore.

Design: This study employed an exploratory, qualitative design comprising in-depth interviews with caregivers of DM-ESRD patients.

Methods: Semi-structured interviews were conducted with a sample of 20 family caregivers (54.2 ± 12.6 years; 75% female) of DM-ESRD patients. Data were analysed using Thematic Analysis.

Results: Key caregiving challenges identified were managing diet, care recipients’ emotions and mobility dependence. Patients’ emotional reactions caused interpersonal conflicts and hindered treatment management. Difficulties in dietary management were linked to patients’ erratic appetite, caregivers’ lack/poor understanding of the dietary guidelines and caregivers’ low perceived competence. Limited resources in terms of social support and finances were also noted. Physical and psychological well-being and employment were adversely affected by caregiving role.

Conclusion: This study highlights distinctive aspects of the DM-ESRD caregiving experience, which impact on caregivers’ health and challenge care. Disease management programmes should be expanded to support caregivers in dealing with multimorbidity.     

The effect of product type on value linkages in the means‐end chain: implications for theory and method

Means‐end chain (MEC) theory proposes that consumer motivation can only be understood in terms of the hierarchical linkages between attributes, consequences and values. Other researchers have suggested a much more immediate impact of values on motivation. Seeking to explain these conflicting views, this research suggests and empirically tests the proposition that the role of values in consumer motivation differs by product type and also tests that the linkages are not affected by individual differences in the need for cognition. A sample of 191 consumers indicated their motivation to consume utilitarian and non‐utilitarian products using an adapted association pattern matrix technique. Responses were analysed using mixed‐design ANOVAs with planned comparisons. Results indicate significant differences related to product type in the role of values in consumer motivation. Limitations, implications for MEC theory and future research are discussed. Copyright © 2004 Henry Stewart Publications Ltd.     

实践的逻辑与哲学终结论的困境

以实践是一种具体、历史的现实生活为基础,把马克思意义上的哲学终结论解释为以具体、历史的分析取代抽象、超历史的形而上分析这种愈来愈被认可的说法,由于马克思仍然把需要、经济、理性、发展视为一般性、永恒性的东西,而需要重思。实际上,马克思在反旧形而上学之路上前进的距离不能过高估计。对实践的自悖性估计过低是马克思未能继续前进的根源。同时,在马克思主义理论中反对过分的专门化富有意义,但把哲学终结于社会批判理论中的马尔库塞式见解也会造成某种漠视。     

From an axiological standpoint

I maintain that intrinsic value is the fundamental concept of axiology. Many contemporary philosophers disagree; they say the proper object of value theory is final value. I examine three accounts of the nature of final value: the first claims that final value is non‐instrumental value; the second claims that final value is the value a thing has as an end; the third claims that final value is ultimate or non‐derivative value. In each case, I argue that the concept of final value described is either identical with the classical notion of intrinsic value or is not a plausible candidate for the primary concept of axiology.     

An exploration of afterlife beliefs in religiously-and secularly-oriented adults

One of the ways that religion helps individuals to find meaning and purpose in life is through the enrichment of the concept of an afterlife. Afterlife beliefs are more likely to be held by religious than non-religious individuals. However, research findings also suggest that even individuals that are self-characterised as non-religious, also endorse the continuation of several psychological states in the afterlife. The present study aimed to investigate whether secularly- and religiously-oriented individuals hold one, common representation about the afterlife or if more than one concepts of afterlife exist. One-hundred and seventy-five adults participated in the study (97 females). Participants were interviewed individually with a vignette and a questionnaire that explored the endorsement of perceptual, psychobiological and emotional capacities, desires, and communication aspects of a dead agent and to provide justification for their answers. Their level of religiosity was also assessed. All participants were Greeks and members of the Greek Orthodox Church. By applying a Two-Step Cluster Analysis, we identified four clusters/representations of the afterlife that range from the conception of death as the end of human existence to the conception of an afterlife where numerous human capacities continue to exist. Religious orientation related to the four conceptions in different ways.