网络环境下医患关系的新变化及其改善对策

从正反两方面详细剖析了网络环境的发展给医患关系带来的影响,并分析了医患关系产生的新变化,针对这些影响和变化,提出培养适应网络时代的医务工作者、利用好网络环境双刃剑、不断完善网络医疗信息环境建设、借助网络媒体促进和谐医患关系等改善网络环境下医患关系的策略.     

认知与身体:理论心理学的视角

文章站在理论心理学的立场,从具身的维度,探讨了认知与身体的可能关系。文章指出,自古希腊以来的西方文化中,二元论思想一直占据主导地位。柏拉图是二元论思想的最早代表,笛卡尔从认识论上确证了心、物二元世界的存在。传统认知心理学承袭了身心分离的二元论传统,视心智为独立于身体感觉运动系统的抽象符号信息加工。但是具身认知的兴起对二元论提出了挑战。从具身的维度来看,认知是身体的认知,身体是认知的主体。认知在以下三个方面表现出对身体的依赖性:a.身体限制着认知的特征与范围。有机体的身体结构、身体的活动能力限制了认知表征的性质和内容;b.身体不仅限制着认知加工,而且可以作为认知加工的一个组成部分,在大脑和身体之间分配认知任务,发挥着一种类似于分销商的作用;c.身体调节着认知,影响着思维、判断、情绪和动机等心智过程。上述事实说明,身心并非对立的二元,而是一体,身体与环境的互动造就了心智和认知。心智、身体、环境是一体化过程。     

代际团结潜在类别与关系质量对自陈健康及幸福感的影响

本研究考察了成年子女与其父母的代际关系中团结和关系质量对代际双方身体和心理结果的影响。研究1中,对中国成年子女（N=1283）的潜在类别分析结果显示是六种代际团结类别,多项逻辑回归表明两代人的特征会影响团结潜在类别和关系质量。研究2中,对367对中国成年子女-父母（N=734）的报告进行等级线性建模,行动者-搭档互依模型结果指出好的团结潜在类别（自我和搭档报告的）和好的关系质量（自我报告的）与两代人的高幸福感相关,好的团结潜在类别（自我和搭档报告的）和好的关系质量（自我和搭档报告的）预测了两代人的低心理苦恼;其中代际和性别调节了团结类别和关系质量对自我报告健康及幸福感的作用,同时,两代人团结类别的交互作用和评价的相似性也影响了幸福感和心理苦恼。     

Emotional intelligence (EI), conflict resolution patterns,and relationship satisfaction: Actor and partner effects revisited

This study tested for actor and partner effects in the relationship between ability-based EI and adaptive marital relationships and satisfaction employing a standard dyadic design involving 100 young heterosexual couples. Participants were assessed on the MSCEIT along with measures of conflict resolution patterns and perceived marital satisfaction. A series of path analyses provided support for actor effects—but not partner effects—in the association of EI, assessed as ability, and marital variables. Overall, the data provide only partial support for the common claim and some prior research suggesting that EI plays a pivotal role in marital relationships.     

Book reviews

Abstract

Eldercare by James Kenny&;Stephen Spicer. Buffalo, NY: Prometheus Books, 1988, 152 pages, $11.95 paper

Lonely All the Time: Recognizing, Understanding and Overcoming Sex Addiction, for Addicts and Co-dependents by Ralph Earle&;Gregory Crow with Kevin Osborn. New York: Pocket Books, 1989, 337 pages, $19.95

The Imperfect Therapist: Learning from Failure in Therapeutic Practice by Jeffrey A. Kotter&;Diane S. Blau. San Francisco: Jossey-Bass, 1989, 188 pages, $19.95

Families with a Difference: Varieties of Surrogate Parenthood by Michael Humphreys&;Heather Humphreys. New York: Routledge, 1988, 177 pages, $45.00

Between Husbands and Wives: Communication in Marriage by Mary Anne Fitzpatrick. Newbury Park, CA: Sage Publications, 1988, 283 pages, $35.00 hardbound, $16.50 paperback     

Importance of Therapist Use of Social Reinforcement with Parents as a Model for Parent-Child Relationships: An Example with Parent-Child Interaction Therapy

ABSTRACT

This paper focuses attention on the therapeutic relationship in parent-child therapy by using social reinforcement with parents and children as it relates to Parent-Child Interaction Therapy (PCIT). As in other therapy contexts, it is argued that having the therapist serve as a mediator of social reinforcement facilitates client change, After discussing different aspects of PCIT, we discuss the therapeutic relationship as viewed through other theoretical frameworks. This is followed by a discussion of the role of social reinforcement in the parent-child relationship. We then discuss at methodological and applied levels, the importance of therapist accuracy and consistency in the delivery of reinforcement as a means of changing the parent-child relationship. Next, this is followed by a discussion of the therapist-to-parent-to-child sequential chain of behaviors involved in PCIT. Finally, suggestions for future empirical studies are considered.     

Identification with the aggressor and the ‘normal traumas’: clinical implications

Ferenczi's (1933) surprisingly unknown concept of identification with the aggressor – an abuse victim's ‘eliminating’ her own subjectivity and ‘becoming’ precisely what an attacker needs her to be – has radical implications for our understanding of analytic technique. Its very frequent occurrence also forces us to broaden our understanding of what constitutes trauma. Ferenczi saw the experience of ‘traumatic aloneness’ or ‘emotional abandonment’ as the key element of trauma, since this is what enforces the traumatic responses of dissociation and identification with the aggressor. Identification with the aggressor operates in the analytic relationship in both patient and analyst. This has various consequences, including the structuring of the relationship through unconscious collusions – mutually coordinated, defensive identifications designed to help both participants feel secure. This view of the analytic relationship has clinical implications in at least four areas: the understanding of the patient's free associations, which may reflect the patient's compliance with the analyst's wishes rather than the contents of the patient's own unconscious; the need for some kind of mutuality of analysis; the traumatizing potential of the analyst's authority; and the tendency of some patients to take blame and responsibility reflexively, as a way of protecting the analyst.     

Reciprocal effects of student-teacher and student-peer relatedness: Effects on academic self efficacy

This study investigated the reciprocal effects between teacher-student relationship quality (TSRQ) and two dimensions of classroom peer relatedness, peer liking and peer academic reputation (PAR), across three years in elementary school and the effect of both TSRQ and the peer relatedness dimensions on academic self efficacy. Participants were 695 relatively low achieving, ethnically diverse students recruited into the longitudinal study when they were in the first grade. Measures of TSRQ and peer relatedness were assessed in years/grades 2-4. Peer liking and PAR were moderately correlated with each other at each time period. As expected, peer liking and TSRQ exhibited bidirectional effects across the three years. Year 3 TSRQ had an effect on Year 4 PAR, but PAR did not have an effect on TSRQ at either time interval. In an additional analysis, Year 4 PAR mediated the effect of Year 3 TSRQ on Year 5 academic self efficacy. Implications for teacher professional development are discussed.     

责任关系视角下的儿童责任行为发展研究

为了解社会转型期儿童责任行为的发展特点,本研究以“责任关系”的视角,通过问卷调查的方式考察了儿童的责任行为发展特点及其与学校、家庭表现之间的关系。结果显示：（1）不同性别儿童责任行为存在显著差异,女生的责任行为水平无论在总体或各因子得分上,均显著高于男生;（2）不同年级儿童责任行为存在显著差异,小学生的总体责任行为水平高于初中生;（3）独生子女的自我责任行为显著低于非独生子女,核心家庭儿童在自我责任行为上显著低于扩展家庭中的儿童;（4）责任行为水平高的儿童具有更高的社会能力,家长问卷中参与家务的行为也更多。总之,儿童的责任行为水平与年龄、性别、家务劳动和社会能力均有显著的关联。     

Integrity and identity: Moral identity differences and preferred interpersonal reactions

Moral identity affects interpersonal relationships by guiding how people perceive and respond to feedback, evaluate others and select task partners and friends. Self‐described principled participants (high scorers on the Integrity Scale) more strongly preferred principled‐prototypic others over expedient ones and believed it possible to be more principled in one's beliefs (Study 1), preferred evaluators who regarded them as principled over expedient (Study 2), had friends who saw them as principled and paired up with friends who were themselves principled (Study 3). In contrast, expedient individuals did not display mirror‐image reactions but saw merit in being both expedient and principled; they were accepting of any relevant feedback and partner preferences. Moral identity is a key link between ethical beliefs and behaviours. Copyright © 2010 John Wiley & Sons, Ltd.