现代医学模式形成与疾病治疗

现代生物心理社会医学模式已经成为卫生界领导及广大医务人员的共识 ,并以此指导临床医疗实践。临床诊断正在增添新的内容 ,疾病治疗这个概念也拓宽了她的外延 ,人文科学在医学中越来越显示出她独特的不可替代的地位和作用 ,生物治疗、心理治疗、哲学治疗是未来的三大块治疗模式     

两种医学模式的方法论问题评价

生物医学模式和生物心理社会医学模式是对医学发展具有重要意义的两种医学模式,它们在对疾病和健康的看法上形成不同的思维方式;且这种思维方式在人们进行医学科研中具有不同的方法论作用。     

呈现方式、自我效能感和成就动机对FOK判断影响的研究

以英汉配对词为实验材料探讨了呈现方式、自我效能感和成就动机对ＦＯＫ判断（Ｆｅｅｌｉｎｇ ｏｆ Ｋｎｏｗｉｎｇ）的影响,被试是１４４名大学生。实验结果表明：（１）呈现方式、自我效能感和成就动机均显著影响ＦＯＫ判断等级的高低和判断的准确性;（２）自我效能感和成就动机在影响ＦＤＫ判断方面有显著的交互作用,成就动机对ＦＤＫ判断的作用受自我效能感影响;（３）被试的回忆成绩、再认成绩和ＦＤＫ判断准确性之间均有显著的正相关,表明客体记忆与无记忆之间有较密切的联系。     

中国古代医德教育对现代医学生医德教育的启示

医德医风已成为全社会普遍关注的焦点,特殊职业要求医务工作者应具有高尚的医德,而高尚医德的培养应从医学生教育阶段开始,努力提高医学生的医德素养。我国传统的医德教育方法,如医学生人品的选拔,老师言传身教,徒弟满师传统等等对于培养现代医学生关爱病人、救死扶伤的医德风范仍具有积极的借鉴意义。     

Patterns of Preference for Numerical and Verbal Probabilities

We report results of an experiment designed to test a principle formulated by Budescu and Wallsten (1995), that, when communicating uncertainty information, mode choices are sensitive to sources and degrees of vagueness. In addition, we examined subjects’ efficacy in using such uncertainty information as a function of communication mode, source, and vagueness. In phase one of the experiment, subjects in a dyad used precise (numerical) or imprecise (verbal) expressions to communicate to a remote partner precise or vague uncertainty about the likelihoods of events. Spinner outcomes were used to generate precise uncertainty while answers to almanac questions were used to elicit vague uncertainty. In phase two, subjects saw the events paired with their partners’ estimates of similar events, and were asked to gamble on one event from each pair. Communication mode preferences were measured as the relative frequency that subjects chose the numerical mode to either express or receive uncertainty information regarding the events. Efficacy was measured as the relative frequency that subjects choose from the pair the event associated with the objectively more probable uncertainty expression. Underlying uncertainty interacted with direction of communication to affect preferences for modes of expression of the probabilities. Subjects preferred precise (numerical) information, especially for precise events (spinners). For vague events (questions), their preference for precise (numerical) information was stronger when receiving than when communicating information. Similar preferences were reflected in the efficiency of subsequent gamble decisions based on the probability estimates. Specifically, decisions were more efficacious (i.e. consistent with Expected Utility) when degrees of precision in events and estimates matched. © 1997 by John Wiley & Sons, Ltd.     

Caregivers’ emotional competence and behavioral responsiveness as correlates of early childcare workers’ relationships with children in their care

In the current study, we examined associations among early childcare workers’ emotional competence, observed responsiveness, comfort with socioemotional teaching practices, and the quality of their relationships with children in their care. The participants were 100 early childcare workers (72 center-based Early Head Start teachers and 28 family childcare providers). Results showed that caregivers’ emotion regulation ability was positively associated with caregiver–child relational closeness. Understanding and regulation of emotion were both positively associated with childcare workers’ comfort with socioemotional teaching practices. Their observed responsiveness was positively related to relational closeness and negatively related to relational conflict. Findings are consistent with aspects of the prosocial classroom model, which asserts that educators high in emotional and social competence tend to adopt childcare practices that result in supportive relationships with children. Results provide insight into whether childcare workers’ responsiveness to young children and their perceived socioemotional teaching practices provide a pathway between emotional competence and the quality of caregiver–child relationships.     

The gap between medical and monetary choices under risk persists in decisions for others

Decisions under risk in the medical domain have been found to systematically diverge from decisions in the monetary domain. When making choices between monetary options, people commonly rely on a decision strategy that trades off outcomes with their probabilities; when making choices between medical options, people tend to neglect probability information. In two experimental studies, we tested to what extent differences between medical and monetary decisions also emerge when the decision outcomes affect another person. Using a risky choice paradigm for medical and monetary decisions, we compared hypothetical decisions that participants made for themselves to decisions for a socially distant other (Study 1) and to recommendations as financial advisor or doctor (Study 2). In addition, we examined people's information search in a condition in which information about payoff distributions had to be learned from experiential sampling. Formal modeling and analyses of search behavior revealed a similarly pronounced gap between medical and monetary decisions in decisions for others as in decisions for oneself. Our results suggest that when making medical decisions, people try to avoid the worst outcome while neglecting its probability—even when the outcomes affect others rather than themselves.     

How intention to retrieve a memory and expectation that a memory will come to mind influence the retrieval of autobiographical memories

While involuntary memories are retrieved with no intention and are usually unexpected (when one is not waiting for a memory to arise), voluntary memories are intended and expected (when one is searching and waiting for a memory to arise). The present study aimed to investigate the effects of retrieval intentionality (i.e. wanting to retrieve a memory) and monitoring processes (i.e. waiting for a memory to appear) during autobiographical memory retrieval. In addition, we introduced two novel laboratory conditions that have not been used in previous research on voluntary memories: in the first, participants were asked to report anything they could think of in response to each cue word; in the second, they could skip a word if nothing came to mind. These novel manipulations allowed us to differentiate between voluntary memories retrieved in response to experimenter-generated cues (when participants were forced to provide a memory or a thought for each cue) and self-selected cues (when participants were free to not answer a cue if they found it too difficult). We found that highly accessible memories were mostly experienced when retrieval was involuntary and unexpected, while memories with low accessibility were accessed through intentional retrieval and monitoring processes. Response times for memories recalled in the experimenter-generated cue conditions were longer compared to the self-selected cue conditions. This novel finding shows that experimenter-generated recall favours memories with low accessibility; it further supports the idea that, in a substantial number of trials, voluntary memories are directly rather than effortfully retrieved. The idea that the driving force behind differences between involuntary and voluntary memories is not the intention per se is further discussed.     

社会排斥的心理行为特征及其脑机制

社会排斥损害个体基本的归属需要, 对个体的心理和生理会造成严重影响。根据需要威胁时间模型, 社会排斥后的心理和行为特征可以分为三个阶段。社交媒体的发展使社会排斥出现了新的心理和行为特征。近年来功能性磁共振成像研究发现, 突显网络和默认网络等网络中的一些核心脑区都参与了社会排斥各阶段的情绪和认知加工过程。未来研究应以需要威胁时间模型为基础, 以脑网络方法为手段, 探索社会排斥神经机制, 预测排斥后的心理和行为反应模式。     

Circumplex of identity formation modes: A proposal for the integration of identity constructs developed in the Erikson–Marcia tradition

The paper presents the Circumplex of Identity Formation Modes, which is designed to integrate the various concepts describing identity formation in the Erikson–Marcia tradition. The theoretical foundations of the model were formulated based on (1) analysis of the definitions of constructs currently used in the literature on identity development, (2) redefinition of exploration and commitment (basic constructs proposed by Marcia to describe identity formation), and (3) the relationship between identity constructs and personality metatraits. The new model incorporates circumplex structure from other personality models and distinguishes eight modes of identity formation: Exploration, Consolidation, Socialization, Normativity, Petrification, Diffusion, Defiance, and Moratorivity. In this way, our proposal resolves problems inherent in the theory of identity formation offering a synthesis of models developed in the Erikson–Marcia tradition.