The Future of Neuropsychology in Medical Specialties

Although neuropsychology continues to grow as a valued service in most medical specialties, because of its multiple uses with diverse populations, it is necessary to evaluate the specialty critically in order to ensure continued future success. This article reviews areas in which neuropsychology is most firmly established, potential growth areas, and likely obstacles to success in the future. Suggestions are provided for ways in which neuropsychology can be improved/adapted in clinical, business, research, and training areas. On sabattical at Bebek University, Instanbul, Turkey     

Building and Maintaining Clinical Programs

This paper describes the basic elements of practice development and management within the academic medical setting. These include assessment of the market environment, both in the community and within the medical setting, product development, marketing, budget basics, quality, managed care negotiations, and finding time to do research in a financially-driven health care system.     

医学伦理学概念之探究

医学伦理学的概念看起来很简单,一般情况下人们便习以为常地接受了作为应用规范伦理学的一个分支的科学地位,而忽视了医学对医学伦理学所起的作用。本文认为：医学伦理学的具体内容是医学科技与伦理道德两因素相互作用的产物,对其相互作用的形式和产物的具体分析和总结便可构成这门学科的理论体系。     

Internal Objects - A Theoretical Analysis of Jungian and Kleinian Models

In this paper I discuss the ways in which experimental and objective research from cognitive science and developmental psychology can help analysts evaluate the theoretical models of mental objects which we use; I indicate the ways in which such evidence tends to support models of internal objects as mental representations or developmental capacities rather than as wish-fulfilling expressions of instinctual drives. This land of empirical evidence is not just of academic interest but also has direct clinical relevance, particularly with borderline patients; such patients' sense of identity is totally dependent on the analyst's understanding of their internal world and for this to be misunderstood by the analyst can be catastrophic. An accurate theoretical model of mental objects can therefore help analysts to contain their patients more effectively.     

Response acquisition by Siamese fighting fish (Betta splendens) with delayed visual reinforcement

Male Siamese fighting fish, Betta splendens, swam through a ring in an aquarium, breaking a photocell beam and initiating an unsignaled, resetting delay interval. Following delays of 0 s, 10 s, or 25 s, a 15-s mirror presentation released an aggressive display by the fish. Swimming through the ring increased in the absence of either a period of acclimatization to the reinforcer (analogous to magazine training when appetitive reinforcers are used) or explicit training of the response by the experimenters. Response rates were a decreasing function of delay duration. Other fish exposed to a schedule of response-independent mirror presentations failed to acquire and maintain the response. The results demonstrate the robustness and generality of the phenomenon of response acquisition with delayed reinforcement. They further qualify earlier observations about behavioral mechanisms involved in the phenomenon.     

THE TREATMENT OF COVERT SELF-INJURY THROUGH CONTINGENCIES ON RESPONSE PRODUCTS

Assessment and treatment of covert self-injurious behavior are complicated because it is difficult to quantify and apply differential consequences to covert responses. In this study, both tangible and social reinforcers were identified using reinforcer assessment methods. These reinforcers were then provided contingent upon the absence of tissue damage identified during physical examinations, resulting in near 100% success in physical assessment checks that was maintained over 10 months.     

Sensitizing Medical Residents to Fantasies and Alignments in the Family: Mastering Psychosocial Skills in the Medical Encounter

In this paper, it is proposed that a) psychosocial medicine is best taught in a setting that provides technical and emotional support, while seizing for teaching only those moments when the learner is most receptive; and b) that the setting should avoid the development of a separate psychosocial skills curriculum, but should take the student where he or she is and integrate the psychosocial skills into his or her everyday biomedical practice. The paper gives specific case examples in which family based psychosocial issues were preeminent in the clinical problem-solving medical residents faced.     

Perceived relationship with God moderates the relationship between social comparison and body appreciation

Social comparison has been shown to contribute to the negative attitudes that most Western women have towards their bodies. However, minimal research has addressed the relationship between social comparison and body appreciation, which entails holding favourable opinions towards the body, accepting the body along with its deviations from societal beauty ideals, respecting the body by engaging in healthy behaviours, and protecting the body by rejecting unrealistic media appearance ideals. This study tested whether feeling loved and accepted by God would weaken the inverse relationship between social comparison and body appreciation among a sample of 186 female undergraduates. Results showed that frequent body-related comparisons were related to lower body appreciation, but this relationship was conditional upon the quality of women's perceived relationship with God. Results suggest that future research should explore interventions designed to create improved secure attachment relationships between clients and God.     

如何削弱产品来源国效应*—— 产品信息呈现方式的影响研究

以元认知和双系统模式的心理学理论为背景, 研究了分析式系统对来源国效应的削弱, 检验了产品信息呈现方式对来源国效应的调节作用。三个研究说明, 分析式系统的启动可以有效削弱来源国效应; 特定的产品信息呈现方式所引起的消费者信息处理不流畅性感知会激发消费者的元认知困难, 从而使他们在产品评价过程中主要依赖分析式系统, 达到削弱来源国效应的目的; 并不是所有能引起信息处理不流畅性的产品信息呈现方式都能削弱来源国效应, 过于复杂的呈现方式由于给消费者带来过多认知负荷, 反而不能成功启动分析系统, 从而无法削弱产品来源国形象对消费者产品评价的影响。