《管子》论“且怀且威”及其现代启示

《管子》认为,治理国家既要采用怀柔政策,主张为政者"先之以德",通过整饬四维来形成良好的社会风尚;又强调"法不可不审",主张通过严刑峻法来树立君主的权威,赏罚严明,使人们严格遵守各项法令制度,坚持"且怀且威",礼法并重,其思想对现代社会有很好的启迪意义。     

Shaping Medical Students' Attitudes Toward Ethically Important Aspects of Clinical Research: Results of a Randomized,Controlled Educational Intervention

The effects of research ethics training on medical students' attitudes about clinical research are examined. A preliminary randomized controlled trial evaluated 2 didactic approaches to ethics training compared to a no-intervention control. The participant-oriented intervention emphasized subjective experiences of research participants (empathy focused). The criteria-oriented intervention emphasized specific ethical criteria for analyzing protocols (analytic focused). Compared to controls, those in the participant-oriented intervention group exhibited greater attunement to research participants' attitudes related to altruism, trust, quality of relationships with researchers, desire for information, hopes about participation and possible therapeutic misconception, importance of consent forms, and deciding quickly about participation. The participant-oriented group also agreed more strongly that seriously ill people are capable of making their own research participation decisions. The criteria-oriented intervention did not affect learners' attitudes about clinical research, ethical duties of investigators, or research participants' decision making. An empathy-focused approach affected medical students' attunement to research volunteer perspectives, preferences, and attributes, but an analytically oriented approach had no influence. These findings underscore the need to further examine the differential effects of empathy-versus analytic-focused approaches to the teaching of ethics.     

Detecting Orientation of a Surface: The Rectangularity Postulate and Primary Depth Cues

Computational metaphors for determining the orientation of planar surfaces represented in line drawings have exploited a postulate that often surfaces are rectangular. Previous research implies that people follow such logic with real surfaces in ecological viewing. However, this research is problematic methodologically and some research does not directly address the issue. The stimuli used in this study were rectangular and trapezoidal; the latter shape was used to mislead with regard to orientation under the rectangularity postulate. Viewing conditions were monocular and binocular, with and without observer movement. The results suggest that the rectangularity postulate was important under stationary monocular viewing but diminished with movement and was not apparent during binocular viewing. General arguments about the importance of secondary depth cues in ecological viewing are developed.     

Interlimb Coordination: Real Constraints and False Dichotomies

Despite the recent advances in the field of coordination dynamics addressing the interplay of constraints of different natures in the emergence of human coordination, F. Mechsner (2004) invites us to revive hierarchical and dichotomous thinking by offering again his exclusive position that coordinated movements are (purely) perceptual-cognitive/psychological in nature. In this comment, the authors address a number of theoretical and methodological issues that might potentially puzzle the readers of Mechsner's article. They contend that the dichotomy proposed by Mechsner (i.e., perceptual-cognitive vs. motor) constitutes a restrictive framework for understanding human coordination.     

Review of "The Cultural Context of Sexual Pleasure and Problems: Psychotherapy With Diverse Clients," edited by Kathryn S. K. Hall and Cynthia A. Graham

A content and thematic analysis was conducted using forum messages from websites developed for wives of online gamers who play World of Warcraft. Blog posts from 50 women describing conflict in their marital relationship involving their husband's online game play were analyzed. Four overarching themes were identified and discussed in terms of the impact of online gaming on family functioning and relationships, emotional outcomes, and coping mechanisms. Results of ensuing issues arising from excessive gaming as perceived by the non-gaming spouse and ways in which they cope with these issues are shared.     

APP conference summary

This is an account of the extended assessment of a 22-year-old man who was initially sent for a court report, having been accused of setting fires. He had a history both of delinquency and, importantly, of childhood asthma. Although he proved unable to engage in psychotherapy, some management was provided, such as Winnicott advocates in cases of delinquency. This paper explores the symbolic meanings and functions of the patient's delinquent acts, drawing upon theoretical concepts from Freud, Aichhorn, and Deutsch. Of particular importance is the link between this patient's delinquency, his asthma, and the unresolved mourning for his dead mother which he carried not simply for himself but for his whole family.     

Changes in test-taking patterns over time

The current study aims to investigate the relationship between right, wrong and missing answers to cognitive test items (test-taking patterns) in the context of the Flynn Effect (FE). We compare two cohorts of Estonian students (1933/36, n = 890; 2006, n = 913) using an Estonian adaptation of the National Intelligence Tests and document three simultaneous trends: fewer missing answers (− 1 Cohen's d averaged over subtests), and a rise in the number of right and wrong answers to the subtests (average ds of .86 and .30, respectively). In the Arithmetical Reasoning and Vocabulary subtests, adjustments for false-positive answers (the number of right minus the number of wrong answers) reduced the size of the Flynn Effect by half. These subtests were supposed to be high g-loading subtests. Our conclusion is that rapid guessing has risen over time and influenced tests scores more strongly over the years. The FE is partly explained by changes in test-taking behavior over time.     

THE INTERPLAY BETWEEN RELIGIOUS LEADERS AND ORGAN DONATION AMONG MUSLIMS

Bioethics and health researchers often turn to Islamic jurisconsults (fuqahā’) and their verdicts (fatāwā) to understand how Islam and health intersect. Yet when using fatwā to promote health behavior change, researchers have often found less than ideal results. In this article we examine several health behavior change interventions that partnered with Muslim religious leaders aiming at promoting organ donation. As these efforts have generally met with limited success, we reanalyze these efforts through the lens of the theory of planned behavior, and in light of two distinct scholarly imperatives of Muslim religious leaders, the ?ilmī and the islāhī. We argue for a new approach to health behavior change interventions within the Muslim community that are grounded in theoretical frameworks from the science of behavior change, as well the religious leadership paradigms innate to the Islamic tradition. We conclude by exploring the implications of our proposed model for applied Islamic bioethics and health research.     

Women's views about intimate examinations and sexually inappropriate practices by their general practitioners

Abstract

The aim of this survey of 472 adult women was to assess women patients' feelings about intimate examinations and their perceptions and experiences of sexually inappropriate medical practice. Two-thirds of women preferred a women doctor for intimate examinations. Slightly more than two-thirds found intimate examinations embarrassing and stressful, and strongly expressed the need for information and on-task, health-related comments during these examinations. General personal comments or non-medical touching were not particularly welcomed, even for the purpose of comforting the patient. There was a range of views about patients' personal relationships with doctors, with the lines between acceptable and unacceptable behaviour somewhat ambiguous. A small but significant number of women perceived that they had been sexually harassed (5%) or abused (3%) by a doctor, with this experience more common for non-English speaking women. Results were discussed in terms of implications for improved doctor practice, particularly during intimate examinations and with vulnerable patients.     

A comparison of computer and questionnaire methods of history-taking in a genito-urinary clinic

Abstract

Information on the medical history and symptomatology of 69 patients presenting at a genito-urinary (GU) clinic was obtained either by a computerized interview or a paper questionnaire and the results compared. A comparison was also made between these methods and notes taken during a standard physician interview. Significantly more symptoms were elicited by the computer than the paper questionnaire. Both methods also elicited significantly more symptoms than were recorded by the physician. The patients reported having previously attended a GU clinic more often to the computer than to the physician whereas the questionnaire was no different from the physician. The results indicate that computers can be used satisfactorily to facilitate medical history- taking in GU clinics and may result in a more complete profile of symptoms than either written questionnaire or physician interview.