基于基尼指数的双目标CD-CAT选题策略

双目标CD-CAT的测验结果既可用于形成性评估也可用于终结性评估。基尼指数可度量随机变量的不确定性程度,值越小则随机变量的不确定程度越低。本文用基尼指数度量被试知识状态类别以及能力估计置信区间后验概率的变化,提出基于基尼指数的选题策略。MonteCarlo实验表明与已有的选题策略相比,新策略的知识状态分类精度和能力估计精度都较高,同时能有效兼顾题库利用均匀性,并能快速实时响应,且受认知诊断模型和被试知识状态分布的影响较小,可用于实际测验中含多种认知诊断模型的混合题库。     

客观地看待慢性乙型肝炎抗病毒治疗

乙肝病毒(HBV)感染是我国肝硬化和肝癌的主要致病因子,因此抗HBV治疗十分重要。但是,由于对抗HBV的治疗现状不够了解,不少人在盲目追求彻底清除体内的HBV,以至于弄巧成拙,所以,有必要客观地看待慢性乙型肝炎的抗病毒治疗,以求得到最佳的治疗效果。     

"半投射"和"客观性":动机测验的两种新形式

介绍两种动机测验及其形式:1)多元动机测验(MMG)及其半投射测验形式和网格技术,它综合了投射测验和问卷的优点;2)客观性成就动机测验(OAMT)及其通过被试完成操作性任务测评成就动机的客观性测验形式。     

Reflections on the Jungian nature of psychology as the discipline of interiority: a response to Saban's ‘Misunderstandings’

Psychology as the discipline of interiority is the name of the psychology that has developed from Wolfgang Giegerich's work in the field of analytical psychology. This article offers a counterview to that of Mark Saban's claim that Giegerich's psychology is ‘irrelevant’ to Jungians today and is based on a fundamental misunderstanding of the nature of Jungian psychology. It will be shown that, in fact, it is a fundamental misunderstanding of Giegerich's work that has led Saban to form erroneous conclusions. Links between Jung's and Giegerich's conceptions of the ‘objective psyche’ will be highlighted, along with other examples of how, contrary to Saban's conclusions, psychology as the discipline of interiority has obvious connections to, and grounding in, Jungian psychology.     

学制——我国医学教育的困惑与出路

目前我国医学教育层次繁多,学制较为混乱,已成为阻碍医学教育改革的重要因素。在《本科医学教育全球标准》及我国住院医师规划化培训均已启动和实施的背景下,医学教育国际化和住院医师规范化培训均对我国医学教育提出了更高要求。逐步统一医学教育学制,是继续深化医学教育变革的出路之一。     

The psychosocial impact of caregiving in dementia and quality of life: a systematic review and meta-synthesis of qualitative research

ABSTRACT

Objective: A systematic meta-synthesis of qualitative studies was conducted to interpret and synthesise findings from studies investigating the experiences, quality of life, and psychosocial impact of caregiving on adult informal caregivers of people with dementia.

Design: The meta-synthesis was conducted according to the principles of meta-ethnography.

Results: Fourteen studies describing the experiences of 265 informal caregivers were reviewed. The meta-synthesis elicited the following themes: (1) understanding and making sense of the dementia diagnosis, changing symptoms, and the caregiver role; (2) coping strategies, psychological facilitators and rewards of caregiver role; (3) challenges of caring for a person with dementia and their behaviour; (4) caregivers' relationships with care-recipient and other informal caregivers; and (5) caregivers’ experiences of formal support services and material resources.

Conclusion: Our findings highlight the need for a person-centred approach to care planning that also accounts for the needs of the informal caregiver to promote better caregiver well-being and quality of life. Caregivers’ emotional support, coping, resilience, need for information and respite care and adjustment to caregiver identity should be reviewed as part of the care package for the person with dementia.     

Neuropsychological Evaluation of Everyday Memory

The evaluation of everyday memory (EM) was reviewed and reconceptualized. EM has established new objectives of study and the development of new methods to reach these objectives . At the basic level, this approach has already produced important discoveries and the development of new principles about memory and functioning. At the clinical level, this new area of investigation has resulted in evaluating deficits of EM, which is defined as what daily life functions remain impaired after a deficit pathology has occurred. A type of evaluation has evolved that is oriented toward treatment and extremely useful in designing rehabilitation programs for individuals with alterations in memory.     

Interpretive dilemmas created by the minnesota multiphasic personality inventory 2 (MMPI-2)

While the new MMPI-2 has the potential to provide more and better clinically relevant information than its predecessor, its introduction also creates several important problems for clinicians and researchers. In particular, the new norms and the use of uniform (rather than linear) T-scores result in the same raw scores on the two tests yielding clinical profiles that can be quite different, both qualitatively and quantitatively. These differences can result in difficulty in MMPI-2 profile interpretation when the user is relying on MMPI interpretive strategies. This paper addresses these concerns and offers some temporary remedial strategies.     

Smartphone use and daily cognitive failures: A critical examination using a daily diary approach with objective smartphone measures

While smartphones have brought many benefits and conveniences to users, there is continuing debate regarding their potential negative consequences on everyday cognition such as daily cognitive failures. A few cross-sectional studies have found positive associations between smartphone use and cognitive failures. However, several research gaps remain, such as the use of cross-sectional designs, confounds related to stable individual differences, the lack of validity in self-report measures of smartphone use, memory biases in retrospective self-reports, and the lack of differentiation between smartphone checking and smartphone screen time. To simultaneously address the aforementioned shortcomings, the current study examined the within-person associations between various objective indicators of smartphone use and daily cognitive failures using a 7-day daily diary study. Multilevel modelling revealed that smartphone checking, but not total smartphone screen time, predicted a greater occurrence of daily cognitive failures at the within-person level. Surprisingly, we also found negative within-person associations between smartphone screen time for social- and tools-related applications and daily cognitive failures, suggesting that some types of smartphone use may temporarily benefit one's cognitive functioning. This finding demonstrates the importance of studying the specific functions of smartphone use and their differential cognitive consequences, as well as highlights the complex relations between smartphone use and cognition.     

Embracing the other: Revisiting the epistemological foundations of family systems therapy

Family systems therapy originated in the 1960s, 1970s, and 1980s through the work of innovative thinkers and clinicians. However, despite the creative contributions of the mentioned colleagues and of later innovations in family therapy theory and practice, it seems as though the dominant culture of establishment psychiatry in the United States (and in most Western countries) to this day has not seriously incorporated relationships, social context, or community connectedness into the treatment of individuals with psychiatric diagnoses. For the “psychiatric” patients diagnosed according to the DSM-5, the dominant underlying epistemological perspective is the medical “scientific” paradigm. Within this approach there is a dearth of reflections about the truthfulness of so-called “empirical facts” and a lack of skepticism about the techniques of “measurement” of the psychiatric illness. The alternative, relationship-oriented, context-sensitive, and community-connected thinking paradigm is highlighted here in contrast to the “psychiatric” foundation. This paradigm consists of (a) the awareness that all human Subjects (including “psychiatric” clients) are constituted as such by their relational connection to others; (b) the awareness of our sensitivity to and embeddedness in a socio-economic, cultural, and racial context; and (c) the awareness of our involvement in and connectedness with many kinds of communities.