La traviata and Oedipus

This paper explores the oedipal themes of Verdi's La Traviata, and proposes that it is his masterly treatment of their complexity which accounts for the psychological power of the opera. It is suggested that a particular quality of this opera lies in its ordinariness: no gross psychopathology is displayed, and yet it is mesmerizing. The claims of the eminent musicologist Joseph Kerman are explored that, in opera, music trumps words when there is a conflict between the apparent meanings of the libretto and the feel of the music, with special reference to the famous duet between Violetta (the ‘fallen woman’ – the traviata) – and her lover's father, Giorgio Germont, in which his harsh condemnation of her as conveyed by the libretto text seems to be softened, indeed quite altered, by the music. Other contradictions between the apparently explicit meaning of the text and the implicit sense of the music are also examined. These conflicts are illuminated by John Steiner's theory of two versions of the Oedipus situation, one paranoid–schizoid and the other depressive, which are contrasted with Grunberger's Oedipal views.     

Existential crises in two religious patients: Vicissitudes of faith and the emergence of the true self

The authors present two clinical cases involving an existential crisis which led the patients to lose what had been the foundation in their lives, their faith. Although the therapeutic settings differ – the first patient had a few psychotherapy sessions following a psychotic episode with a mystical background, while the second was in the final stage of analytic treatment – the authors highlight how in both clinical cases a loss of faith becomes a total and urgent crisis of the Self. The fracture which ensues seems to generate an intense engagement of the body which, paradoxically during a loss of faith, induces an experience of ecstasy of the kind that has traditionally been reported. In the first case the experience of ecstasy was lived first‐hand by the patient who thereafter redefined the psychotic breakdown as a “moment of truth”; whereas the second patient, through a deep projective identification, induces an eerie countertransferential feeling of ‘metaphysical’ shortfall in the agnostic psychoanalyst, triggering bewilderment, physical discomfort and awe in him. In both cases the authors believe that the notable somatic involvement may be correlated to a potentially profound and unprecedented contact with the True Self.     

大陆和台湾地区精神疾病患者强制住院医疗之比较研究

精神病患者是社会弱势群体,其权利易遭受他人的侵害,同时其有可能对他人权利造成损害。因此为维护本人和他人权利,有必要对其实施特殊的措施。大陆和台湾地区均规定对严重精神病患者实施强制住院医疗措施,但二者在强制医疗的对象、程序以及人身自由的限制等方面存在重大差异。大陆强制医疗采取的是行政程序,而台湾地区是"准司法程序",其强制医疗决定由第三方作出。台湾地区精神卫生法为精神病患者提供了较为完善的权益保障体系。     

身体活动与心理活动动词加工的ERP比较

在19名右利手被试完成词汇判断任务的同时,通过119个头皮电极记录其事件相关电位（ERP）,以此来探讨表示身体活动的动词与表示心理活动的动词之间的加工差异。研究结果表明,在200~300ms时窗,在左半球枕区附近,身体活动动词所诱发的ERP比心理活动动词所诱发的ERP在正走向上更小。在300~400ms（即类似的N400）时窗,动词类型效应出现在中线和左半球的更大的区域上,特别是中央区附近,身体活动动词所诱发的ERP比心理活动动词所诱发的ERP在负走向上更大。语言表征的神经生物学理论可以解释本研究的部分结果。     

Acceptance of a price discount: the role of the semantic relatedness between purchases and the comparative price format

Two studies are reported where people are asked to accept or not a price reduction on a target product. In the high (low) relative saving version, the regular price of the target product is low (high). In both versions, the absolute value of the price reduction is the same as well as the total of regular prices of planned purchases. As first reported by Tversky and Kahneman ( 1981 ), findings show that the majority of people accept the price discount in the high‐relative saving version whereas the minority do it in the low one. In Study 1, findings show that the previous preference reversal disappears when planned purchases are strongly related. Also, a previously unreported preference reversal is found. The majority of people accept the price discount when the products are weakly related whereas the minority accept when the products are strongly related. In Study 2, findings show that the classic preference reversal disappears as a function of the comparative price format. Also, another previously unreported preference reversal is found. When the offered price reduction relates to a low‐priced product, people are more inclined to accept it with a control than a minimal comparative price format. Findings reported in Studies 1 and 2 are interpreted in terms of mental accounting shifts. Copyright © 2002 John Wiley & Sons, Ltd.     

身份认同：“换脸术”引发的哲学思考与解读

“换脸”打破了面孔和身份一一对应的关系,该如何理解术后“身份主体”问题呢？具身性和故事叙事的方式是以身体作为理解世界的视角或者通过对其生活经历的叙述界定身份问题,然而具身性忽视了脸的双重维度的区分,故事叙事则有主观重置的嫌疑。一种可能的路径是将新面孔看作过渡客体,逐渐将异组织移植同化为受者的完全一体化,“脸”作为一种符号使用,其意义在于日常生活的互动。这种策略可使受者在现实和虚幻之间作出区分,更易于重塑身份认同。虽然心理排异和“被侵占”等问题仍需进一步调整,但它仍不失为一种合理路径。

     

第三方医学检验机构法律问题研究——从两个典型判例的实证研究切入

第三方医学检验机构主要从美国兴起,我国的第三方医学检验机构随着医疗改革的深入也在迅猛发展。但是比起医疗机构附设的医学检验部门,第三方医学检验机构是独立的法人主体,因此与患者和医疗机构之间形成多元法律关系。通过整理涉医学检验机构诉讼纠纷发现,法律实践中主要存在两类典型的法律问题：一类是法理或法律可以予以解决的问题,但解决的结果无法达到案结事了或者公平公正,这类问题源于实践超出理论的复杂性;另一类是落入法律或法理的“间隙”,在理论上存疑的问题。诉诸法律来解决的这些问题虽然还未能成为第三方医学检验机构发展的重要风险,但是所展现出来的问题都具有相当的典型性和代表性。

     

临床代理决策中的利益冲突及其消解

对于限制/无行为能力患者的医疗决策采取代理决策模式,该模式奠基于社会习俗与习惯法。通常情况下,亲属能够更加准确地评判患者的个人价值取向和医疗决定偏好。但是,基于利益判断的主观性,代理决策中的道德冲突难以避免,其合理性辩护基于代理身份的合法性、“善意”与“患者利益”的标签、制度缺失,对于其批评在于代理者德性基础上的一致性不足。按照解决问题的逻辑进程,规避代理决策中利益冲突的方式有寻求共识的可能、临床伦理咨询与司法介入,其中伦理咨询与司法介入需要依托国家制度设计。     

作为治疗的艺术：绘画艺术治疗的兴起与作用机制的探究

通过文献梳理的方式探索绘画艺术治疗兴起及其疗愈机制,揭示绘画艺术治疗的兴起具有特定的历史基础和实践发展过程。其疗愈功效是多种因素综合发挥作用的过程:人们在绘画过程中能够呈现完整的主体;通过美和创造获取积极的体验;以正念的方式沉浸在当下;非言语和象征化的形式有助于自由地进行表达和重构;其中,高质量的治疗关系是所有因素发挥效用的基础。身心关系理论和大脑可塑性为绘画艺术治疗提供了神经生物学的理论支持。绘画艺术治疗的广泛应用证明了其普适性和有效性,为人文在医疗环境中的复归提供了新的启示。     

心理定势现象的认知神经机制

问题解决活动中的心理定势,是指人们固执地沿用熟悉方案、忽略其他方案的反应倾向。它可能源于人们已经掌握的陈述性知识,也可能源于程序性知识,两类不同来源的心理定势的发生条件和影响效果都不尽相同。然而,过往的研究都没有做出严格区分。本文通过梳理相关研究,描述心理定势现象,解释心理定势是怎么发生的,分析心理定势是在什么条件下发生的、会对心理与行为活动造成什么样的影响,从而评述两种来源的心理定势的认知神经机制,指出尚未解决的科学问题。