How probable is probably? It depends on whom you're talking about

Two studies tested whether people interpreted verbal chance terms in a self‐serving manner. Participants read statements describing the likelihood of events in their own future and in the future of a randomly chosen other. They interpreted the chance terms numerically. Chance terms were interpreted as denoting a higher probability when they were used to describe the likelihood of pleasant events in one's own future than when they were used to describe the likelihood of pleasant events in someone else's future (Study 1). Similarly, chance terms were interpreted as denoting a lower probability when they were used to describe the likelihood of unpleasant events in one's own future than when they were used to describe the likelihood of unpleasant events in someone else's future (Studies 1 and 2). These differences occurred primarily when the risk statements were threatening. Copyright © 2005 John Wiley & Sons, Ltd.     

The role of self‐esteem and anxiety in decision making for self versus others in relationships

Previous research has documented a tendency for people to make more risk‐seeking decisions for others than for themselves in relationship scenarios. Two experiments investigated whether this self–other difference is moderated by participants' self‐esteem and anxiety levels. In Experiment 1, lower self‐esteem and higher anxiety levels were associated with more risk‐averse choices for personal decisions but not for decisions for others. Therefore, participants with lower self‐esteem/higher anxiety showed greater self–other differences in comparison to participants with higher self‐esteem/lower anxiety levels. Experiment 2 demonstrated that this effect was largely mediated by participants' expectations of success and feelings about potential negative outcomes. These results are discussed in the context of “threats to the self,” with a central role played by anxiety and self‐esteem threats in personal decision making but not in decision making for others. Copyright © 2005 John Wiley & Sons, Ltd.     

De‐escalation after repeated negative feedback: emergent expectations of failure

Research on willingness to make marginal investments (e.g., the escalation and sunk cost literatures) has often focused on project completion decisions, such as the “radar‐blank plane.” This paper discusses a fundamentally different type of marginal investment decision, that of couples deciding whether to continue infertility treatment in the face of repeated failures. Two experiments based on this context show that when people face multiple independent chances to achieve a valued goal but are unsure about chances of success, premature quitting or “de‐escalation” is the norm. Repeated negative feedback appears to induce individuals to see each successive failure as more and more diagnostic. As a result, even a short series of failed attempts evokes beliefs that future attempts will also fail. These emergent expectations of failure, generated by causal attribution processes, associative learning, and/or discounting of ambiguous information, appear very compelling and induce people to forgo profitable marginal investments. Copyright © 2004 John Wiley & Sons, Ltd.     

建立风险管理机制防范医疗纠纷的探讨

"医疗风险无处不在".针对医疗纠纷的起因及医疗风险管理的办法阐述了国内外医疗风险管理的现状,提出医疗风险管理的建议,使医疗风险管理规范化、制度化、社会化.     

危机情境中的期望差异效应

本文提出了期望差异效应的概念并细致阐述了期望差异效应可能是导致风险沟通障碍的原因。期望差异效应是指处于同一情境中的一方对另一方的期望与另一方自我期望之间的差异。围绕上述问题,研究者在阐述了期望差异效应的含义以及期望差异效应可能的心理表征和认知根源之后,细致分析了期望差异效应的强化因素及其可能导致的风险沟通障碍。有关期望差异效应的研究尚处于起步阶段,界定期望差异效应的心理表征,确定期望差异效应的测量工具,探索期望差异效应的影响因素以及分析期望差异效应与风险沟通障碍的关系等都可以作为未来的研究方向。     

老年髋部骨折围手术期医疗风险的分析与对策

髋部骨折是老年人的常见病之一,髋部骨折对老年人生命的危害最大。随着人口老龄化,老年髋部骨折发病率呈逐年上升趋势。老年骨质疏松髋部骨折围手术期的医疗风险临床较常见,如何降低老年骨质疏松髋部骨折围手术期的医疗风险,是临床骨科需要解决的问题。分析存在的风险问题,明确各种风险因素,尽可能降低老年髋部围手术期的医疗风险。     

The community substance use environment: The development and predictive ability of a multi‐method and multiple‐reporter measure

This study tested the feasibility and utility of developing a multiple‐method and multiple‐reporter measure that describes the community substance use environment. Data on community‐level norms and availability of substances were reported by 5261 students and 181 prevention‐focused community leaders (CL) involved in the 28 promoting school–university–community partnerships to enhance resilience (PROSPER) Project communities between 2002 and 2005. Additionally, locations of alcohol and tobacco outlets were geocoded. Initially, these four subscales were aggregated to measure the community substance use environment. Analyses demonstrated this measure was associated with community rates of adolescent reported cigarette use, but it was not associated with community rates of adolescent reported alcohol use. Further analyses tested the relative strength of the four different subscales in predicting rates of student use. Implications of these results for the field of community‐based prevention are discussed, as well as limitations and future directions. Copyright © 2009 John Wiley & Sons, Ltd.