输入型脑机接口技术临床应用的法律规制研究

输入型脑机接口技术的临床应用为神经和精神类疾病患者带来健康福祉。然而该技术涉及对大脑神经元活动的影响与改变,产生新的法律问题,尚未引起立法的重视。立法滞后的根源是对精神领域保护的忽视、对技术不确定性双重面向的忽视,以及大脑信息特殊性的忽视。对此,应当确立精神完整法益的立法保护;完善输入型脑机接口技术临床应用过程中的知情同意;对大脑信息进行特殊保护。从而保护患者的自我决定权、精神完整性、隐私权,实现患者最佳利益。

     

论严重精神障碍患者非自愿入院的危险性标准

实践中精神障碍患者权益难以得到保障的根源在于非自愿住院的“危险性”标准的判断困境。这一困境出现的原因在于：一是“危险性”的判断过于模糊,易被扩张;二是“危险性”的判断具有终局性,缺乏监督;三是“危险性”标准属医学标准,易被滥用。如何完善“危险性”判断标准？首先要厘清“危险性”标准形成的理论基础：“危险性”标准的理论基础是家长权。其次,基于家长权,“危险性标准”应当从“危险性”的行为类型、属性和程序综合判断。只有这样,才能更好地保障严重精神障碍患者的权益,使我国精神卫生工作走上光明的康庄大道。

     

Psychometric properties of Spanish version of the Mini-Mental Adjustment to Cancer Scale

Background/ObjectiveThe aim of the study was to examine the factor structure and psychometric properties of the Spanish version of the Mini-Mental Adjustment to Cancer Scale (Mini-MAC) in a large sample of patients with non-metastatic, resected cancer.MethodsProspective, observational, multicenter study for which 914 patients were recruited from 15 Spanish hospitals. Exploratory and confirmatory factor analyses, validity and reliability analyses were conducted.ResultsFactor-analytic results indicated a 4-factor structure of the Spanish version of the Mini-MAC. Three subscales have psychometric properties similar to those of Helplessness, Anxious preoccupation, and Cognitive avoidance of the original the Mini-MAC. The Fighting spirit and the Fatalism subscales were combined on the Positive attitude scale. The four factor-derived scale scores exhibited acceptable accuracy for individual measurement purposes, as well as stability over time in test-retest assessments at 6 months. Validity assessments found meaningful relations between the derived scale scores, and Brief Symptom Inventory depression and anxiety scores and Functional Assessment of Chronic Illness Therapy spiritual well-being scores.ConclusionsThe Spanish version of the Mini-MAC provides reliable and valid measures for patients with non-metastatic, resected cancer, and results corroborate the instrument’s cross-cultural validity.     

小学儿童在不同刺激材料中的左右空间方位传递性推理能力及策略分析

采用定性和定量相结合的研究方法,从图形刺激材料和文字刺激材料入手,探查了7岁、9岁、11岁儿童的一维空间方位传递性推理能力的发展水平及其认知策略。主要研究结果表明:(1)小学儿童的一维空间方位传递性推理能力从7岁到9岁,从9岁到11岁都有显著性提高。7岁儿童处于能力的初步形成期,9岁儿童是能力的提高和发展期,11岁儿童已基本具有了一维空间方位单模型条件下的传递性推理能力;(2)小学儿童在图形刺激材料条件下的推理成绩显著优于文字刺激材料条件下的推理成绩;(3)前提数量的增加没有对小学儿童的推理造成显著性影响;(4)随着儿童年龄的增长,模型建构策略的使用者越来越多,但在图形刺激材料和文字刺激材料下,儿童解决问题的策略有所不同。在图形刺激材料下,大部分7岁和9岁的儿童采用知觉策略,11岁儿童中只有少部分人使用这一策略。在文字刺激材料下,模型建构策略是儿童推理的主要策略。少部分7岁儿童使用模型建构策略,大部分9岁儿童和绝大部分11岁儿童使用模型建构策略来解决问题。     

小学儿童欺负行为与个性特点和心理问题倾向的关系

本研究采用问卷的方式测量了儿童欺负行为与个性及心理问题倾向之间的关系。结果表明：欺负组被试在个性特征上以高精神质和相对外倾型为典型特征;受害组被试以高神经质和内倾型为典型特征。在心理问题倾向上欺负组被试更多地表现出冲动倾向、学习问题和师生关系紧张等问题倾向;受害组被试更多地表现出孤独倾向、缺乏自信、学习问题和同伴关系紧张等问题。     

Ageism in Mental Health and Health Care: A Critical Review

Discussions of aging and mental health widely assume that ageism among mental health providers is an important factor limiting access to mental health services for older adults. Given the widespread citation of ageism as a problem, we critically review the history of the ageism construct, and evidence for its existence in both mental health and medical professionals. There is surprisingly little empirical evidence for age bias among mental health providers. Considerable evidence does suggest differential medical treatment for older adults in such diverse areas as physician–patient interaction, use of screening procedures, and treatment of varied medical problems, although it is unclear whether age bias accounts for these differences. We suggest that innovations in delivery of psychological services, such as collaborative medical/psychological care in primary care settings, may ultimately prove more useful in improving access to mental health services than efforts to combat ageism.     

恋爱中大学生依恋焦虑与心理健康的关系：恋爱关系质量的中介和调节作用

依恋焦虑与个体心理健康存在密切关联,恋爱关系质量可能在二者关系中发挥着重要作用。本文以595名处于恋爱关系中的大学生为被试,探讨了恋爱关系质量在大学生依恋焦虑与心理健康关系中的作用。结果表明,恋爱关系质量在大学生依恋焦虑与心理健康的关系中既发挥着中介作用,也发挥着调节作用。一方面,依恋焦虑能够通过影响恋爱关系质量对心理健康造成影响,另一方面,高质量的恋爱关系能够缓解依恋焦虑对心理健康的消极影响。     

2010~2020中国内地小学生心理健康问题检出率的元分析

我国小学生心理健康问题的检出率莫衷一是, 为整合调查结果并分析其原因, 对2010~2020年来检索到的相关研究进行了元分析。结果显示：(1)小学生心理健康问题的检出率由高到低依次是睡眠问题(25.2%, 95% CI = [0.16, 0.37])、抑郁(14.6%, 95% CI = [0.12, 0.18])、焦虑(12.3%, 95% CI = [0.06, 0.23])、攻击行为(4.1%, 95% CI = [0.02, 0.10])、退缩(3.8%, 95% CI = [0.02, 0.06])、违纪行为(3.7%, 95% CI = [0.02, 0.07])、躯体化(3.6%, 95% CI = [0.02, 0.07])。(2)测量工具、检出标准、检出时间是导致小学生心理健康问题检出率不一致的关键因素。总体而言, 我国小学生除了睡眠问题、抑郁和焦虑检出率偏高外, 整体心理健康状况尚可。未来应开发适合中国小学生的心理健康状况测评工具及检出标准, 为心理健康问题的预防和精准干预提供支持。     

The motivations for Walter Burley’s theory of the proposition

Walter Burley (born c. 1275; died. c. 1344) claims throughout his career that the mind can make a statement (propositio) out of things. Since things include entities that exist outside of the mind, Burley appears to be claiming that the mind can form a statement out of things that exist outside of it. Most scholars of Burley offer a deflationary reading of this claim, arguing that it confuses two distinct but closely related philosophical issues: the nature of propositional content, on the one hand, and the role of facts in a compelling account of truth, on the other. But I argue that Burley means exactly what he says: that the mind can, quite literally, form statements out of things that exist outside of it. In Burley’s account, statements of this sort function as the propositional contents of our thoughts and written or uttered sentences. This account of propositional content is motivated by three more fundamental theses to which Burley is committed: referentialism, compositionality, and a claim about truth-conditionality I call intellectualism.     

Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review

The number of acceptance- and mindfulness-based interventions for chronic pain, such as acceptance and commitment therapy (ACT), mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT), increased in recent years. Therefore an update is warranted of our former systematic review and meta-analysis of studies that reported effects on the mental and physical health of chronic pain patients. Pubmed, EMBASE, PsycInfo and Cochrane were searched for eligible studies. Current meta-analysis only included randomized controlled trials (RCTs). Studies were rated for quality. Mean quality did not improve in recent years. Pooled standardized mean differences using the random-effect model were calculated to represent the average intervention effect and, to perform subgroup analyses. Outcome measures were pain intensity, depression, anxiety, pain interference, disability and quality of life. Included were twenty-five RCTs totaling 1285 patients with chronic pain, in which we compared acceptance- and mindfulness-based interventions to the waitlist, (medical) treatment-as-usual, and education or support control groups. Effect sizes ranged from small (on all outcome measures except anxiety and pain interference) to moderate (on anxiety and pain interference) at post-treatment and from small (on pain intensity and disability) to large (on pain interference) at follow-up. ACT showed significantly higher effects on depression and anxiety than MBSR and MBCT. Studies’ quality, attrition rate, type of pain and control group, did not moderate the effects of acceptance- and mindfulness-based interventions. Current acceptance- and mindfulness-based interventions, while not superior to traditional cognitive behavioral treatments, can be good alternatives.