21世纪的中西医结合

自本世纪６０年代以来,中西医结合取得了重要进展,中西医结合的经验与成果已经引起国内外重视。２１世纪,在“中西医并重”的方针指引下,将会迎来更好的发展机遇。兼客、互补与结合创新是主要的三种结合形式,其中结合创新占有更重要的地位。我们应增强创新意识,选好创新目标,改善临床与研究工作条件,为取得更快的发展而努力。     

Self and identity in social anxiety disorder

Models of social anxiety (SA) place the self as an organizing and causal center involved in the maintenance of this condition. An integrative conceptual framework for the understanding of the self is used to review the literature on the self in SA. Two main distinctions are emphasized: the self-as-a-subject (I-self) versus self-as-an-object (Me-self), and the evolutionary-based distinction of social rank versus affiliation. We argue that (a) although much progress has been made in understanding the association between SA and Me-self, the association between SA and I-self remains largely unexplored (with the important exception of anxiety-related processes in social situations); and (b) experiences and representations of the self in SA center on social rank. We suggest that in SA, social rank themes constitute the linchpins of identity, defined as the content and structure of the Me-self. We speculate that processes related to low social rank contribute to the focus on representational (Me), rather than experiential (I), self-aspects. Finally, we delineate the ways in which such an understanding may direct and refine the construction of novel, individually tailored, therapeutic approaches.     

The development of our sense of self as a defense against invading thoughts: From Buddhist psychology to psychoanalysis

In interdisciplinary debates on the nature of the self, no-self accounts often refer to Buddhist psychology, arguing that the self is an illusion arising from our identification with mental content. What is often missing, however, is a developmentally, motivationally and emotionally plausible reason why this identification happens in the first place. It is argued that directing attention to our ongoing thought activities and their effect on our mind reveals their often invasive character. This is supported by psychoanalytic accounts on the ontogenetic and phylogenetic origins of thinking. On an experiential level, invading thoughts have similarities to attacks and provoke defensive reactions. The defense mechanism described as identification with the aggressor is used as a model in order to better grasp how we deal with invading thoughts, namely, by identifying with them and thus generating a sense of self as an agent of thoughts which provides an illusion of control.     

Quine's Argument from Despair

Quine's argument for a naturalized epistemology is routinely perceived as an argument from despair: traditional epistemology must be abandoned because all attempts to deduce our scientific theories from sense experience have failed. In this paper, I will show that this picture is historically inaccurate and that Quine's argument against first philosophy is considerably stronger and subtler than the standard conception suggests. For Quine, the first philosopher's quest for foundations is inherently incoherent; the very idea of a self-sufficient sense datum language is a mistake, there is no science-independent perspective from which to validate science. I will argue that a great deal of the confusion surrounding Quine's argument is prompted by certain phrases in his seminal ‘Epistemology Naturalized’. Scrutinizing Quine's work both before and after the latter paper provides a better key to understanding his remarkable views about the epistemological relation between theory and evidence.     

Democratic School Climate and Sense of Community in School: A Multilevel Analysis

This study examines individual- and school-level predictors of sense of community in school among adolescents. Hierarchical linear modeling was used to examine the relationships between individual (demographics, control and monitoring by parents, and perception of democratic school climate), class, and school characteristics (mean democratic school climate, demographics, activities, school size, public/private governance of the school, and facilities) and students' sense of community in the school. Data were analyzed using a three-level model based on 4,092 10- to 18-year-old students nested within 248 classes (across three grade levels: 6th, 8th, and 10th grade level, where the median age was 11, 13, and 15, respectively) in 134 schools in the Veneto region of northeast Italy. Individual and contextual measures of the perception of a democratic school climate, modeled at the individual, class, and school levels simultaneously, were each significant predictor of school sense of community. More parental monitoring and less parental control were also predictive at the individual level. School-level SES predicted between school variation in sense of community, controlling for individual student SES and other student and school-level predictors. School size, facilities (physical spaces resources), level of interaction of the school with the community, public, or private governance, and number of extracurricular activities offered were all nonsignificant. The study demonstrates significant variation in school sense of community at the student, class, and school levels and the important role played by democratic school practices, such as student participation in making rules and organizing events, freedom of expression, and the perceived fairness of rules and teachers, in determining this variable.     

The Alien-Hand Experiment

This article reintroduces a phenomenological experiment designed in the early 1960’s, The Alien-Hand Experiment (TAHE), and it illustrates how phenomena denoted by theoretical concepts like body image, body schema and agency can be studied via the experiment. An analysis of the verbal reports from 26 subjects who participated in TAHE is presented in this article. Subjects were divided into three groups: A group of non-bulimic men, a group of non-bulimic women and a group of female bulimics. The group of (female) bulimics was studied due to the widely spread notion that subjects suffering from eating disorders have a distorted body image. TAHE can be thought of as both a qualitative and quantitative way to study the phenomena arising when the normal relationship between motor behaviour and body experience is disrupted. The present investigation is not an operational definition of body schema and body image, but the two concepts offer a useful interpretive framework.     

Childhood psychological maltreatment,sense of self,and PTSD symptoms in emerging adulthood

This study outlines the relationships among childhood psychological maltreatment (CPM), an understudied form of maltreatment, sense of self (SOS), a developmental construct negatively impacted by trauma, and post-traumatic stress disorder (PTSD) symptoms in emerging adults. Results from regression analysis on a sample of emerging adults (N = 358) indicated CPM to be the greatest predictor of a weaker SOS, even when considered alongside other types of child maltreatment. Among those exposed to CPM, SOS was a significant predictor of PTSD symptoms, explaining 34.1% of the variance in the outcome. Counseling interventions that focus on SOS during emerging adulthood are recommended as one important consideration for survivors of CPM who experience PTSD symptoms. Specific counseling practice and research implications are included.     

The effects of response cost and response restriction on a multiple-response repertoire with humans

In two experiments a multiple-response repertoire of four free-operant responses was developed with university students as subjects using monetary gain as reinforcement. Following baseline, one of the responses was reduced either by making monetary loss contingent upon it (response cost) or by removing it from the repertoire (response restriction). In Experiment 1 a multielement baseline design was employed in which baseline and restriction or response-cost contingencies alternated semirandomly every 3 minutes. In Experiment 2 a reversal design was employed (i.e., baseline, restriction or response cost, then baseline), and each response required a different amount of effort. Both experiments had the following results: (a) The target response decreased substantially; (b) most nontarget responses increased, and the rest remained near their baseline levels; and (c) no support was found for Dunham's hierarchical, most frequent follower, or greatest temporal similarity rules. For several subjects, the least probable responses during baseline increased most, and the most probable responses increased least. Furthermore, in Experiment 2, responses with the lowest frequency of reinforcement increased most (for all 7 subjects), and those with the greatest frequency of reinforcement increased least (for 5 subjects).