论西方主流伦理理论的前提错误——兼论道德无力症与冷漠症对医疗的影响

从“畏死的恐惧”出发重塑扎根生命的道德基础,即道德行为和“生-生”式的道德关系是人的本真需要,道德权威性的根据是人类生命共同体这一“内在永恒大我”和人的本真存在方式的需要。这拯救了道德相对主义,也使个体作为潜在的人类生命共同体而能以“与永恒相关的生命意义”推开恐惧。进而,道德行为是出于内在自由而达于实在的自由的。道德主体应具备的道德实践能力包括独立能力、通达能力和勇气。生存性境况中的原子式个体不具备道德实践能力,生命境况中的“超个体的个体”才有此能力。由此,人类道德无力症和道德冷漠症的根源是西方主流伦理理论的前提错误,即以原子式个体充任道德主体。它是医疗纠纷和暴力频发的原因。     

阿德勒心理治疗的回顾及展望

通过对阿德勒心理治疗理论及其发展历程的梳理,发现阿德勒心理治疗大致经历了初步发展、快速发展和当代发展三个阶段。阿德勒心理治疗已经形成一套行之有效的治疗体系和相对成熟的操作流程,发展成为专业的心理服务项目,发展出四步骤治疗程序,融合动力学、人本主义和认知-行为治疗等方法,形成家庭治疗、游戏治疗、团体治疗、短程治疗等模式,加强心理诊断和培训督导,注重治疗效果,关注多元文化背景,被广泛应用在家庭教育、学校教育、心理障碍、生涯发展咨询等诸多领域。

     

免除伦理审查制度适法性与可操作性探讨

结合我国现行法律和基本伦理原则,深入分析了免除伦理审查的前置条件和适用情形在适法性与可操作性上可能存在的问题,并在此基础上提出了可行性的建议：第一,明确监管范围,免除伦理审查是一种特殊的审查方式,而非不进行伦理审查;第二,全面评估风险,对研究的风险判断不仅要考虑因研究给个人带来的生理风险,还应考虑其心理、经济、社会以及法律等方面的风险,尤其是对最小风险应明确界定;第三,界定前置条件中的具体概念,以及在此基础上适用情形的判断,制定具体、合理、合法的实施细则,为免除伦理审查的实施提供参考。

     

从伦理辩护到国家权力、个人权利界限的划定——公共卫生领域特殊伦理冲突的和解之道

在流行病防控等公共卫生工作中,为了维护公共健康不得不侵犯传染病患者的个人权利,这是公共卫生领域不同于临床医学的特殊伦理冲突。虽然有学者分别依据“效果论”、“差异原则”和“公共善优先”为公共健康的优先性进行了辩护,但都不能与医学伦理学的个体论视角相融洽。实际上,固守单一的理论视角是伦理冲突和解的最大障碍,只有改变单一视角,才能开启理论的兼容性。伦理辩护必须转化为实践智慧,即必须在公共卫生实践中实现国家权力与个人权利的有序协调,使国家权力和个人权利坚守各自的界限。     

中医隐性知识结构维度模型的验证性研究

隐性知识大量存在于中医医者知识体系中。深入探讨中医医者隐性知识的结构维度,有利于中医的传承及个体隐性知识的转移。通过文献分析和专家访谈,发现中医隐性知识可以分为学习策略维度、临床技能维度、人际互动维度、情绪情感维度、价值取向维度和中医药文化维度。结合各维度之间的相互关系,构建了中医隐性知识的结构模型。为了提升该维度结构模型的科学性,对国家级名老中医、国医大师、中医院管理者进行了深度访谈和问卷调查,进行了验证性研究。     

Parent and actometer measures of motor activity level in the young infant

Motor activity level is one dimension of infant temperament for which parental judgment can be validated against a truly independent criterion. Two studies were conducted, the first involving a 27-min sample of behavior in a structured, attention-getting situation, and the second involving a 24-hr sample of in-home behavior. In both studies, parent perception of the 3- or 4-month-old as measured by the Activity Level (AL) scale of the Rothbart Infant Behavior Questionnaire was compared to the composited readings from four mechanical motion recorders (actometers) worn, one per limb, by the infant. The AL scale did not correlate with the actometer measure, r=.05 and R=.00, and the expected convergence of the 3-month version of the IBQ activity scale with its mechanical counterpart was not found. In the 24-hr study, birth order and ponderal index were significantly correlated with 24-hr actometer scores; first-borns and thin infants were most active.     

初级军官心理选拔的预测性

目的：通过建立院校学员胜任特征及初级军官评价模型,探讨初级军官心理选拔检测系统的预测性。方法：某军校340名男性本科学员入校时完成初级军官心理选拔检测,毕业前进行院校胜任特征评价,对162名学员毕业后1~5年进行部队工作表现追踪评价。结果：中国MBTI-G人格类型测验对院校学员管理能力、影响力、约束力、口头表达、军人气质、人际关系等有较好的预测性,预测符合率72.13%;中国军人明尼苏达个性调查表6项精神障碍维度对情绪稳定性有较好的预测,预测符合率71.90%;院校学员一般能力倾向测验对学业成绩、文字表达、口头表达、人际关系和决策能力等胜任特征也有一定的预测性,预测符合率66.70%;三项测验院校胜任特征总预测符合率达81.70%,部队胜任特征总预测符合率76~87%。结论：为我军初级军官心理选拔提供了实用工具,为提高心理选拔预测准确性提供了科学依据     

重视临床决策规则 因病施治

临床决策规则作为一种决策的工具日益受到重视和应用,依赖于大量原创性研究或循证医学的证据,旨在通过把临床资料数据的收集、整理和解释的过程标准化,指导选择诊疗手段或路线,降低临床决策中的不确定性,限制或减少不必要的检查和治疗,降低因不必要检查(测)和/或治疗所带来的医疗费用的支出,提高效率,使诊疗最优化,促进患者安全,维持或增进临床的后果。从临床决策规则的概念、存在的条件、研制方法、应用现状和未来发展方向和重点等几个方面加以论述。     

Who is susceptible in three false memory tasks?

ABSTRACT

Decades of research show that people are susceptible to developing false memories. But if they do so in one task, are they likely to do so in a different one? The answer: “No”. In the current research, a large number of participants took part in three well-established false memory paradigms (a misinformation task, the Deese-Roediger-McDermott [DRM] list learning paradigm, and an imagination inflation exercise) as well as completed several individual difference measures. Results indicate that many correlations between false memory variables in all three inter-paradigm comparisons are null, though some small, positive, significant correlations emerged. Moreover, very few individual difference variables significantly correlated with false memories, and any significant correlations were rather small. It seems likely, therefore, that there is no false memory “trait”. In other words, no one type of person seems especially prone, or especially resilient, to the ubiquity of memory distortion.     

The Interactive Effects of Self‐Perceptions and Job Requirements on Creative Problem Solving

Over the years, researchers have focused on ways to facilitate creativity in the workplace by looking at individual factors and organizational factors that affect employee creativity (Woodman, Sawyer, & Griffin, 1993 ). In many cases, the factors that affect creativity are examined independently. In other words, it is uncommon for researchers to look at the interaction among individual and organizational factors. In this study, it is argued that to get a true understanding of how to maximize creativity in the workplace, organizational researchers must look at the interaction between organizational factors and individual factors that affect employee creativity. More specifically, the current study looked at an individual's perceptions about his or her ability to be creative (i.e., individual factor) and perceptions of requirements for creativity in the workplace (i.e., an organizational factor). The results indicated that individuals who have a high belief about their ability to be creative (an individual factor) were most creative when they also perceived requirements for creativity in the workplace (an organizational factor). Furthermore, individuals who had low perceptions of creative ability were still able to perform creatively when they had high perceptions of requirements for creativity. This suggests that, to maximize creativity, organizations should focus on both individual and organizational factors that affect employee creativity.