综合医院精神医学问题的认识

综合医院精神医学问题涉及面较广,主要是指除精神病外的各种心理障碍与心理应激相关疾病。患者就诊主诉多样化,就诊医院或专科繁多。提高对综合医院精神医学问题的识别能力对临床各科医务人员非常重要。本文对综合医院常见器质性和功能性精神疾病的临床特点、识别处理作一概述。     

Effect of Representational Distance Between Meanings on Recognition of Ambiguous Spoken Words

Previous research indicates that mental representations of word meanings are distributed along both semantic and syntactic dimensions such that nouns and verbs are relatively distinct from one another. Two experiments examined the effect of representational distance between meanings on recognition of ambiguous spoken words by comparing recognition of unambiguous words, noun–verb homonyms, and noun–noun homonyms. In Experiment 1, auditory lexical decision was fastest for unambiguous words, slower for noun–verb homonyms, and slowest for noun–noun homonyms. In Experiment 2, response times for matching spoken words to pictures followed the same pattern and eye fixation time courses revealed converging, gradual time course differences between conditions. These results indicate greater competition between meanings of ambiguous words when the meanings are from the same grammatical class (noun–noun homonyms) than when they are from different grammatical classes (noun–verb homonyms).     

The effects of mothers' past infant-holding preferences on their adult children's face processing lateralisation

Face processing development is negatively affected when infants have not been exposed to faces for some time because of congenital cataract blocking all vision (Le Grand, Mondloch, Maurer, & Brent, 2001). It is not clear, however, whether more subtle differences in face exposure may also have an influence. The present study looked at the effect of the mother's preferred side of holding an infant, on her adult child's face processing lateralisation. Adults with a mother who had a left-arm preference for holding infants were compared with adults with a mother who had a right-arm holding preference. All participants were right-handed and had been exclusively bottle-fed during infancy. The participants were presented with two chimeric faces tests, one involving emotion and the other one gender. The left-arm held individuals showed a normal left-bias on the chimeric face tests, whereas the right-arm held individuals a significantly decreased left-bias. The results might suggest that reduced exposure to high quality emotional information on faces in infancy results in diminished right-hemisphere lateralisation for face processing.     

面孔重复启动效应:知觉结构和语义表征的贡献

以30名大学生为被试,探讨了熟悉和陌生的正倒立面孔对重复启动效应的影响,以此考察知觉结构和语义表征对面孔重复启动的贡献.结果表明:(1)熟悉面孔的重复启动既存在知觉启动也存在语义启动,而不熟悉面孔仅仅存在知觉启动.(2)知觉结构和语义表征对启动效应的贡献是联合的,而不是分离的;在熟悉面孔中,语义表征对重复启动的贡献大于知觉结构的贡献.(3)知觉结构和语义表征对重复启动的贡献与加工阶段有关.知觉结构在初始阶段起作用,随后作用逐渐减弱;而语义表征存在于信息加工的整个过程.     

Expertise in complex decision making: the role of search in chess 70 years after de Groot

One of the most influential studies in all expertise research is de Groot's (1946) study of chess players, which suggested that pattern recognition, rather than search, was the key determinant of expertise. Many changes have occurred in the chess world since de Groot's study, leading some authors to argue that the cognitive mechanisms underlying expertise have also changed. We decided to replicate de Groot's study to empirically test these claims and to examine whether the trends in the data have changed over time. Six Grandmasters, five International Masters, six Experts, and five Class A players completed the think-aloud procedure for two chess positions. Findings indicate that Grandmasters and International Masters search more quickly than Experts and Class A players, and that both groups today search substantially faster than players in previous studies. The findings, however, support de Groot's overall conclusions and are consistent with predictions made by pattern recognition models.     

Disentangling within-person changes and individual differences among fundamental need satisfaction, attainment of acquisitive desires, and psychological health

We explored within-person and individual difference associations among basic psychological need satisfaction (autonomy, competence, and relatedness), attainment of acquisitive desires (wealth and popularity) and indicators of well- and ill-being. Participants were 198 undergraduates (51% male) who completed an inventory multiple times over a university semester. Analyses revealed that increased satisfaction of all the needs and desires beyond participants’ normal levels, with the exception of relatedness, were associated with greater psychological welfare. Nonetheless, individual differences in well-being were only predicted by psychological need satisfaction, and not by the attainment of acquisitive desires. Hence, the realization of acquisitive desires may elicit within-person increases in psychological welfare; however, satisfying innate needs may be a better bet for long term psychological health.     

Identifying facial emotions: valence specific effects and an exploration of the effects of viewer gender

The valence hypothesis suggests that the right hemisphere is specialised for negative emotions and the left hemisphere is specialised for positive emotions (Silberman & Weingartner, 1986). It is unclear to what extent valence-specific effects in facial emotion perception depend upon the gender of the perceiver. To explore this question 46 participants completed a free view lateralised emotion perception task which involved judging which of two faces expressed a particular emotion. Eye fixations of 24 of the participants were recorded using an eye tracker. A significant valence-specific laterality effect was obtained, with positive emotions more accurately identified when presented to the right of centre, and negative emotions more accurately identified when presented to the left of centre. The valence-specific laterality effect did not depend on the gender of the perceiver. Analysis of the eye tracking data showed that males made more fixations while recognising the emotions and that the left-eye was fixated substantially more than the right-eye during emotion perception. Finally, in a control condition where both faces were identical, but expressed a faint emotion, the participants were significantly more likely to select the right side when the emotion label was positive. This finding adds to evidence suggesting that valence effects in facial emotion perception are not only caused by the perception of the emotion but by other processes.     

Developmental differences in shape processing

Considerable evidence indicates that shape similarity plays a major role in object recognition, identification and categorization. However, little is known about shape processing and its development. Across four experiments, we addressed two related questions. First, what makes objects similar in shape? Second, how does the processing of shape similarity develop? We specifically asked whether children and adults determine shape similarity by using categories (e.g., straight vs. curved), as proposed by Biederman (1987), or whether they treat all shape variability uniformly, as proposed by Ullman (1998). Findings from Experiments 1 and 2 suggest that adults and 7-year-olds generally engage in a process in which they impose categories on shape variation and judge objects that fall within those categories as being similar in shape. Four-year-olds are far less likely to engage in such a process. Experiments 3 and 4 address whether 4-year-olds are more likely to treat shape similarity categorically (as older children and adults do) when the objects are given familiar names, functions, and internal properties. Naming did lead to more advanced treatment of shape similarity in some cases. Overall, these findings provide evidence of developmental differences in shape processing and suggest that knowledge of abstract properties of objects may affect the calculation of shape similarity.     

Influence of emotional facial expressions on 3-5-year-olds’ face recognition

Three experiments examined 3- and 5-year-olds’ recognition of faces in constant and varied emotional expressions. Children were asked to identify repeatedly presented target faces, distinguishing them from distractor faces, during an immediate recognition test and during delayed assessments after 10 min and one week. Emotional facial expression remained neutral (Experiment 1) or varied between immediate and delayed tests: from neutral to smile and anger (Experiment 2), from smile to neutral and anger (Experiment 3, condition 1), or from anger to neutral and smile (Experiment 3, condition 2). In all experiments, immediate face recognition was not influenced by emotional expression for either age group. Delayed face recognition was most accurate for faces in identical emotional expression. For 5-year-olds, delayed face recognition (with varied emotional expression) was not influenced by which emotional expression had been displayed during the immediate recognition test. Among 3-year-olds, accuracy decreased when facial expressions varied from neutral to smile and anger but was constant when facial expressions varied from anger or smile to neutral, smile or anger. Three-year-olds’ recognition was facilitated when faces initially displayed smile or anger expressions, but this was not the case for 5-year-olds. Results thus indicate a developmental progression in face identity recognition with varied emotional expressions between ages 3 and 5.     

Theories of spoken word recognition deficits in aphasia: evidence from eye-tracking and computational modeling

We used eye-tracking to investigate lexical processing in aphasic participants by examining the fixation time course for rhyme (e.g., carrot-parrot) and cohort (e.g., beaker-beetle) competitors. Broca’s aphasic participants exhibited larger rhyme competition effects than age-matched controls. A re-analysis of previously reported data (Yee, Blumstein, & Sedivy, 2008) confirmed that Wernicke’s aphasic participants exhibited larger cohort competition effects. Individual-level analyses revealed a negative correlation between rhyme and cohort competition effect size across both groups of aphasic participants. Computational model simulations were performed to examine which of several accounts of lexical processing deficits in aphasia might account for the observed effects. Simulation results revealed that slower deactivation of lexical competitors could account for increased cohort competition in Wernicke’s aphasic participants; auditory perceptual impairment could account for increased rhyme competition in Broca’s aphasic participants; and a perturbation of a parameter controlling selection among competing alternatives could account for both patterns, as well as the correlation between the effects. In light of these simulation results, we discuss theoretical accounts that have the potential to explain the dynamics of spoken word recognition in aphasia and the possible roles of anterior and posterior brain regions in lexical processing and cognitive control.