培养临床医学专业学位研究生系统思维能力的途径和方法

系统思维是20世纪中期以后发展起来的一种新型思维,它与传统还原论思维根本不同,强调立足于事物整体来认识和处理问题,注重揭示事物内部机制以及环境对整体的作用和影响。我国临床医学专业学位研究生的培养应该纳入这种现代思维方式,使其善于应用系统思维来指导诊断和治疗,并应用在医学科研中。这不仅有利于提高其服务广大患者的能力,而且有利于提高其临床医学科研能力,从而提高临床研究生的整体素质。     

The “impact factor style of thinking”: A new theoretical framework

Over the last few years, university policy in developed countries has placed too much emphasis on assessing publications on the basis of the impact factor. Any scientific material that has not been published in a journal indexed in the Journal Citation Reports is academically irrelevant. Hence, researchers strive hard to publish in such journals. Failure to achieve this means not having a successful career or receiving any academic recognition. A thorough analysis of the effects of this phenomenon on the researcher community leads to the conclusion that the overestimation of the impact factor is likely to cause disappointment among many researchers. Researchers only have two options: adopting a politically correct behavior, that is, following the “impact factor style of thinking”, or accepting the futility of their research regardless of its relevance. This is an example of the involvement of university policy habitus obsessed impact index. O policy impact index is accepted, or is doomed to academic ostracism, and exclusion from participation in all university policy.     

我国临床药学发展史的回顾及展望

临床药学是一门近几十年发展起来的新兴学科,是近年来我国一个备受关注的领域。它的产生及在我国的发展经历了一个曲折的过程,但却是历史发展的必然结果。纵观整个出现发展过程及现状,让我们思考了很多,对其今后的发展以及我们科学的认识事物有很好的启示。     

A politics of affect: Re/assembling relations of class and race at the museum

This article takes as its focus a politics of affect and its potentially transformative effects. Drawing on feminist new materialism and the process philosophy of Deleuze, I map moments in which this politics is enacted as school children encounter museum exhibits designed to address issues of class and race. Taking affect to be a matter of the capacity of bodies to affect and be affected, I attend to how the body's power of acting is increased or diminished through these encounters. Affect emerges as central to negotiations around issues relating to class and race, with some assemblages produced being particularly able to effect changes in capacities. Politics presents as a process of affective encounter through which dominant cultural norms of class and race can be contested and their exclusions ‘undone’. The argument is made that a politics of affect has the potential to unsettle normative power relations and address issues of social inequality and do so in an affirmative way. And, that attending to affect extends identity-based framings of class and race by bringing the constitutive role and contribution of the material, the micropolitical and the radically relational into view.     

医学生临床实习应掌握的几种哲学思维方式

为适应全球卫生事业的迅猛发展,面对医学教育落后于医学发展的现状,转化医学教育迫在眉睫。在第三代“以系统为基础”的教育改革中,培养医学生的哲学思维无疑是其重要环节之一。思维方式必须在医学生步入临床时就要开始正确培养,一旦开始阶段就养成不正确的思维方式、不但会导致医疗过程中的失误,而且再想改变将会有很大难度。本文通过对医学哲学重要性的探讨,剖析医学生哲学思维的不足,阐述了医学生,临床实习过程中应掌握的几种哲学思维方式。旨在提高医学生的哲学理念,促进以岗位胜任能力为导向的医学教育转型发展。     

Reasoning's relation to bodily action

Recent philosophical work on the relation between reasoning and bodily action is dominated by two views. It is orthodox to have it that bodily actions can be at most causally involved in reasoning. Others have it that reasoning can constitutively involve bodily actions, where this is understood as a matter of non-mental bodily events featuring as constituents of practical reasoning. Reflection on cases of reasoning out-loud suggests a neglected alternative on which both practical and theoretical reasoning can have bodily actions as constituents, where such bodily actions themselves amount to contentful mental events. Furthermore, the natural lines of resistance to this view trade on type-token errors, or on a questionable common-factor assumption.     

“To hope was to expect”: The impact of perspective taking and forecast type on wishful thinking

When forecasting future outcomes, people tend to believe that the outcomes they want to happen are also likely to happen. Despite numerous attempts, few systematic factors have been identified that consistently and robustly reduce wishful thinking (WT) effects. Using elections and sporting event outcomes as contexts, three experiments examined whether taking the perspective of a political rival or opposing fan reduced WT effects. We also examined whether making deliberative (vs. intuitive-based) forecasts was associated with lower WT effects. Online adult samples of U.S. citizens from Mechanical Turk and U.S. college students provided their preferences and forecasts for the U.S. presidential election (Experiments 1 and 2) and a sports competition outcome (Experiment 3). Critically, some participants received perspective taking prompts immediately before providing forecasts. First, results revealed reductions in WT effects when participants engaged in perspective taking. Interestingly, this effect only emerged when intuitive-based forecasts were made first (Experiment 3). Second, intuitive-based forecasts revealed stronger evidence of WT effects. Finally, we found that perspective taking and forming forecasts deliberately promoted a shift in focus away from preferences and toward a consideration of the relative strengths and weaknesses of the entities (i.e., candidates and teams). Theoretical implications for understanding WT effects and applied implications for developing interventions are discussed.     

How a maximizing orientation affects trade-offs between desirability and feasibility: The role of outcome- versus process-focused decision making

This research examines how maximizers make decisions when they must trade-off between desirability and feasibility attributes. Across four studies, we demonstrate that maximizers tend to prefer choices offering more desirability to those offering more feasibility and respond more favorably to a product's advertising when it highlights desirability more than feasibility attributes. Furthermore, we show that maximizers' focus on outcomes rather than processes drives their preference for desirability, such that changing from an outcome to a process focus can redirect their interest from desirability to feasibility. By contrast, satisficers do not prefer products higher in desirability to those higher in feasibility and are not more receptive to ads highlighting desirability attributes. Furthermore, because satisficers may focus on both the outcome and the process, priming either one is redundant and does not alter their preference for desirability or feasibility.