中世纪的修道院医学对近代西医体制化的影响

中世纪的修道院医学使超自然疾病观死灰复燃,从而严重阻碍了对疾病生理机制的探讨.但从医学社会体制的视角看,它孕育了近代医院与医学院的雏形,打破了古代医疗活动以家庭为中心的传统,促成了古代个体医学向近代群体医学的过渡.     

Attention focusing versus distraction during exposure in dental phobia

A survey of the discrepant findings regarding the effects of attention focusing and distraction on exposure suggested that subjective measures of anxiety and avoidance respond better to the latter condition, and heart rate (HR) reaction responds to the former. To test this hypothesis, 63 dental phobics were recruited who had not visited a dentist for a mean of 6.6 (1.5-25) years. Participants received a 1-h exposure session with either attention focusing or distraction. Subjective anxiety and HR to phobia-related pictures were assessed before and after the treatment session and again after 1 week. Avoidance was recorded in terms of adherence to the dental treatment schedule in the following 6 months. Contrary to expectation, state anxiety showed a greater decrease in the attention focusing than the distraction condition after 1 week. Both treatment conditions were similarly effective with regard to HR and avoidance. HR habituated in both groups after exposure and 73% of followed-up patients adhered to the dental treatment schedule. Comparison of the present with previous results suggests that the differences between attentional conditions tend to be more pronounced during shorter exposure sessions than were employed in the present study.     

The effect of conditioned reinforcement rate on choice: a review

We review the nature of conditioned reinforcement, including evidence that conditioned reinforcers maintain choice behavior in concurrent schedules and that they elevate responding in the terminal links of concurrent‐chains schedules. A question has resurfaced recently: Do theories of choice in concurrent‐chains schedules need to include a term reflecting greater preference for higher rates of conditioned reinforcement? The review of several studies addressing this point suggests that such a term is inappropriate. Elevated rates of conditioned reinforcement (and responding) in the terminal links of concurrent‐chains schedules do not lead to greater preference in the initial link leading to the higher rate of conditioned reinforcement. If anything, the opposite preference is likely to occur. This result is not surprising, since the additional putative conditioned reinforcers in the terminal link are not correlated with a reduction in time to primary reinforcement nor with an increase in value.     

基础概率在贝叶斯推理中的作用

针对贝叶斯推理研究中基础概率忽略现象的争论,直接操纵基础概率水平,考察被试在贝叶斯推理时是否加工了基础概率信息。结果表明,低基础概率组后验概率估计显著低,无基础概率组后验概率估计反应时显著短于有基础概率组。被试在各种条件下估计的正确率都较低,说明对基础概率在贝叶斯推理中的作用考虑不充分。     

不同干预方式、不同应激源对血压、心率的影响

探讨不同干预方式、不同应激源对血压、心率影响的差异。被试为本科生48人,采取干预方式、应激源、实验间期的三因素混合实验设计。干预方式为放松训练和预知,应激源为心算和恐怖影片。实验间期包括基线期、干预期、应激期、恢复期。实验的因变量为每个实验间期的血压和心率。结果显示,心算应激引起的血压和心率升高显著高于恐怖影片应激引起的血压和心率的升高;放松训练组和预知组其干预期的血压和心率值都低于基线期;干预方式和应激源在血压和心率两个指标上交互作用不显著。结果表明,与恐怖情绪引起的紧张相比较,智力操作紧张更容易影响血压和心率;放松训练和预知对于对抗应激时血压和心率升高都起到了一定的作用;不同干预方式对于不同性质的应激源作用没有差别。     

Evaluating correlations in studies of personality and behavior: Beyond the number of significant findings to be expected by chance

When large numbers of statistical tests are computed, such as in broad investigations of personality and behavior, the number of significant findings required before the total can be confidently considered beyond chance is typically unknown. Employing modern software, specially written code, and new procedures, the present article uses three sets of personality data to demonstrate how approximate randomization tests can evaluate (a) the number of significant correlations between a single variable and a large number of other variables, (b) the number of significant correlations between two large sets of variables, and (c) the average size of a large number of effects. Randomization tests can free researchers to fully explore large data sets and potentially have even wider applicability.     

Heart rate variability and drawing impairment in hypoxemic COPD

We studied 54 patients with hypoxemic chronic obstructive pulmonary disease (COPD). The Mini Mental State Examination and the Mental Deterioration Battery were used for neuropsychological assessment. Heart rate variability (HRV) was assessed based on 24-h Holter ECG recording. Mann–Whitney test was used to compare HRV parameters of patients performing normally or abnormally on individual neuropsychological tasks. Spearman’s rho was used to investigate the correlations between HRV parameters and neuropsychological scores, indexes of health status or COPD severity. Patients with defective performance at copying drawings with landmarks (CDL) test (N = 23) had lower very low frequency (VLF) power with respect to patients with normal performance (N = 31) (24 h: median 213; interquartile range 120–282 vs. 309; 188–431 ms², p = 0.043; daytime: 202; 111–292 vs. 342; 194–397 ms², p = 0.039). The CDL score correlated with the VLF power (24 h: ρ = 0.27, p = 0.049; daytime: ρ = 0.30, p = 0.028), and the normalized low frequency/high frequency (LF/HF) ratio (24 h: ρ = 0.27, p = 0.05; daytime: ρ = 0.33, p = 0.015). Sympathetic modulation decreased for increasing severity of COPD. In conclusion, drawing impairment correlates with depressed sympathetic modulation in patients with COPD, and both might be indexes of COPD severity.     

Motor acquisition rate in Brazilian infants

This study used the Alberta Infant Motor Scale (AIMS) with the aim of characterizing motor acquisition rate in 70 healthy 0–6‐month‐old Brazilian infants, as well as comparing both emergence (initial age) and establishment (final age) of each skill between the study sample and the AIMS normative data. New motor skills were continuously acquired from 0 to 6 months of age by the Brazilian infants, but their acquisition rate was non‐linear. When compared to the AIMS sample, Brazilian infants achieved lower percentiles, and their initial age to acquire skills requiring greater antigravity demand was higher. In contrast, Brazilian infants stopped exhibiting primitive patterns earlier, and their final age to acquire antigravity skills was lower. These differences in motor development are suggested to be a consequence of different parental practices and not necessarily indicate motor delay. Thus, the AIMS normative values should be adapted to cultural particularities so as to avoid that infants are misclassified as at risk for motor delay. Furthermore, an adequate assessment of motor development should consider not only the age at which a skill is emerged, but also the age at which such a skill is established in the infant's motor repertoire. Copyright © 2009 John Wiley & Sons, Ltd.     

奖惩线索对停止信号任务中抑制能力和心率、皮肤电的影响

采用不同类型强化刺激(中性刺激,奖励刺激,惩罚刺激,以及奖励、惩罚刺激并存)来改变可获得奖励和惩罚的强度和频度,分别考察不同类型强化条件对停止信号任务中抑制能力、心率和皮肤电的影响.结果显示:与奖惩混合条件相比,在奖励条件下,被试的反应速度快,但正确抑制率明显低于惩罚条件和奖惩混合条件;在奖励条件下,被试在任务完成过程中的心率明显高于反馈条件、惩罚条件和奖惩混合条件.四种条件下被试的皮肤电活动无差异.     

CHOICE BEHAVIOR OF NONPATHOLOGICAL WOMEN PLAYING CONCURRENTLY AVAILABLE SLOT MACHINES: EFFECT OF CHANGES IN PAYBACK PERCENTAGES

In a simulated casino environment, 6 nonpathological women played concurrently available commercial slot machines programmed to pay out at different rates. Participants did not always demonstrate preferences for the higher paying machine. The data suggest that factors other than programmed or obtained rate of reinforcement may control gambling behavior, which should encourage behavior analysts to look beyond direct, contingency‐driven explanations of gambling.