Analytical practice: do the new technologies have an impact?

Through commentary on four clinical vignettes, this article focuses on the anthropological transformations taking place in contemporary society, underlining their differences from the anthropologies of reference of the founding fathers of psychoanalysis. Hybridization between man and machine and the speeding up and alteration of communications which the new technologies promote are now crucial issues facing psychoanalysis. Social media and a 24/7 internet connection have produced deep changes in the way people live and perceive relationships. Analytical practice is not exempt from such issues, which can be particularly insidious, often subtle and difficult to recognize, or even underestimated or ignored by psychoanalysts outright, in order to preserve the illusion of a complete understanding of what unfolds in the analytical space. The authors suggest that such transformations, by (partially) rendering inadequate the theoretical and technical corpus on which the various depth psychologies are founded, require personal engagement on the part of psychoanalysts in the search for new strategies to treat their patients, with the consequent abandonment of the ‘certainties’ offered by sclerotic models of clinical procedure.     

云南省新型农村合作医疗调查报告

采用个别访谈、小型调查会和文献资料收集的调查方法,对云南省7个县(市)新型农村合作医疗进行调查,从合作医疗实施的效果、公平性、责任等方面对调查结果进行分析,得出结论,并提出问题进行讨论.     

关于临床决策问题

医生在临床工作中做出明确诊断,并据此给予有效的处理均属于决策过程。制定决策的整个过程,同时也是进行决策思维的过程。近年来高新技术的迅猛发展以及医疗费用急剧增加,使制定决策更加复杂。如何进行正确的决策思维,做出最切实可行的和最佳的决策,对避免决策的盲目性、局限性及惰性具有重要的现实意义。     

Why do residents accept a demanding rule?: Fairness and social benefit as determinants of approval of a recycling system1,2

Abstract: This study examined why people accepted a demanding rule in a recycling system that was newly introduced in Nagoya City. We focused on two social psychological topics: social dilemmas and fairness. While the new system succeeded in reducing waste, it imposed a burden on citizens without providing incentives and sanctions. In a research survey, 1442 responses from a sample of 3000 (48% response rate) were obtained using a stratified sampling method. The results showed that the new recycling system was approved despite the demands placed on citizens, with a preference for more strict rules such as penalties and surveillance for noncompliance. The main determinants of approval of the new recycling system were social benefit and procedural fairness, whereas the main determinant of preference for strict rules was outcome fairness. We argue that (a) social benefit should be emphasized to facilitate cooperative behavior in a social dilemma situation and (b) the government should ensure sufficient discussion with citizens and acknowledgment of their opinions.     

分析性思维的荣耀,还是挑战--EGb-761的研发历程及其方法论启示

银杏叶有明确的活血化瘀疗效,Schwabe家族按照传统的分析思维,从银杏叶中获得一种混合制剂EGb-761,它可以改善血流,降低心脑血管意外的发生率.然而,在深入研究EGb-761的一些关键问题上,分析的思维面临全新挑战,它无法精确描述这种混合物的具体成分,也不能确切的解释这种制剂的药理作用.EGb-761的研发历程带给我们重要的启示,在科学技术迅猛发展的今天,需要以系统观、整体观为指导,提出新的药物研发探索方向.     

新的人身损害赔偿司法解释对医疗行业的影响及医疗行业的对策

新的人身损害赔偿司法解释将于2004年5月1日正式施行.预计将引起医疗纠纷诉讼大量增加,且多以医疗侵权为诉因,医疗机构的赔偿费用也会大幅上升.医疗行业应从减少医疗过失,改善医患关系,完善医疗事故鉴定等方面加以应对.     

新联结主义产生的心理学背景

新联结主义虽然是20世纪80年代早期所复兴的认知心理学的一种新的研究范式．但心理学史中早已存在这种思想的萌芽．这为新联结主义的产生提供了重要的心理学背景,本文主要从六个方面对此进行了分析。     

新医改背景下控制糖尿病肾病的基本方略

新医改背景下控制糖尿病肾病的基本方略包括微量蛋白尿的早期定性、早期和全程控制糖尿病共性高血压、糖尿病肾病的基本防护方略的程序化设计和延缓与防护糖尿病肾病的基本干预方略。后者包括ACEI和ARBs干预DN的发生与发展、防护糖尿病肾病的最佳疗法——抗高血压治疗。     

编码任务对来源记忆的影响:一项事件相关电位研究

本研究采用ERPs技术,探讨编码任务对来源记忆的影响及其神经机制。在学习阶段,被试进行两种编码操作：匹配判断任务和大小判断任务;在测验阶段,让被试进行来源判断任务。行为结果发现：在编码阶段,匹配判断任务比大小判断任务需要更长的时间;在测验阶段,匹配判断任务在“项目旧/背景旧”和“部分旧”条件的正确率显著高于大小判断任务,匹配判断任务在“项目旧/背景旧”条件的反应时显著短于大小判断任务。测验阶段ERPs结果发现：两种编码任务的新旧效应在200~700ms均有较广泛的头皮分布,而在700~1100ms呈前额皮层最大化分布;匹配判断任务的新旧效应比大小判断任务更大,表现在600~700ms的FPz电极以及700~800ms的Pz、P4电极。由此可见,在来源记忆中,编码任务影响来源记忆,主要表现在后部顶区位置;晚期前额皮层新旧效应不受任务难度因素的影响。