信任是改善医患关系的关键

目前医患关系紧张,医疗纠纷频繁,同时又是新闻媒体追逐的热点,追究其原因是医患之间的不信任。如果医患之间成为相互信任的朋友,医患之间多一些相互理解,医生掌握精湛的医术,具备良好的沟通能力,做一个充满阳光的常常带给患者乐观情绪、鼓励话语、轻松气氛的医生,加上医疗体制的改革,应该可以有效改善紧张的医患关系。     

自闭症谱系障碍儿童心理测评的回溯与探索

自闭症谱系障碍(ASD)儿童是一群已引起高度关注的群体,因其兼具社会发展、人际交流障碍等于一身,更因其中大部分儿童还伴有认知,言语发展和情绪障碍,对其进行心理测评是一个极为艰巨和重要的课题.本文从诊断性、认知性和教育干预三个方面对ASD儿童的心理测评进行了述评.同时还阐述了在此基础上建构"会聚式"、"分层式"和"分类式"ASD儿童心理测评体系之构想.     

The Problem of Other Minds: Wittgenstein's Phenomenological Perspective

This paper discusses Wittgenstein's take on the problem of other minds. In opposition to certain widespread views that I collect under the heading of the “No Problem Interpretation,” I argue that Wittgenstein does address some problem of other minds. However, Wittgenstein's problem is not the traditional epistemological problem of other minds; rather, it is more reminiscent of the issue of intersubjectivity as it emerges in the writings of phenomenologists such as Husserl, Merleau-Ponty, and Heidegger. This is one sense in which Wittgenstein's perspective on other minds might be called “phenomenological.” Yet there is another sense as well, in that Wittgenstein's positive views on this issue resemble the views defended by phenomenologists. The key to a proper philosophical grasp of intersubjectivity, on both views, lies in rethinking the mind. If we conceive of minds as essentially embodied we can understand how intersubjectivity is possible.     

My Silent Story: Conflicted Memories,Silences and Intergenerational Traumas1

This article aims to present the interdisciplinary project “My Story from Silence”, conceived in 2022. The project represents a pioneering effort in assembling individuals from diverse communities, characterized by varying ethnic, national, and migratory backgrounds, along a historically dynamic border. Its primary objective was to provide a platform for these participants to articulate and share narratives previously shrouded in silence, offering insights into their historical pasts. Emphasizing reciprocal dialogue for the first time, the initiative fostered an environment where participants engaged in the dual act of narrating their own experiences and attentively listening to the narratives of others. These memories were explored in group workshops on both sides of the border. By combining elements of cultural anthropology fieldwork and analytical psychology, the workshops attempted to address hitherto unaddressed traumas and silent personal memories linked to major traumatic historical events such as fascism and Istrian exodus through the narratives of individuals. Three vignettes will illustrate the workshop dynamic and our Jungian understanding of it.     

The neighbor and the infinite: Marion and Levinas on the encounter between self,human other,and God

In this article I examine Jean-Luc Marion's two-fold criticism of Emmanuel Levinas’ philosophy of other and self, namely that Levinas remains unable to overcome ontological difference in Totality and Infinity and does so successfully only with the notion of the appeal in Otherwise than Being and that his account of alterity is ambiguous in failing to distinguish clearly between human and divine other. I outline Levinas’ response to this criticism and then critically examine Marion's own account of subjectivity that attempts to go beyond Levinas in its emphasis on a pure or anonymous appeal. I criticize this move as rather problematic and turn instead back to Levinas for a more convincing account of the relations between self, human other, and God. In this context, I also show that Levinas in fact draws quite careful distinctions between human and divine others.     

Between-measure consistency in social-skills assessment

The purpose of the present study was to assess the between-measure consistency of general and specific social-skills assessment strategies. Nineteen mentally retarded adults were assessed using both common and newly devised measures of social skills: (1) specific (molecular) behavior ratings from role-play assessments, (2) general (molar) ratings based on the role plays, staff (3) molar and (4) molecular predictions of client social skills use in the described role-play situations, (5) peer sociometric ratings, and molecular in vivoobservations conducted in (6) cafeteria and (7) party settings. For all molecular measures, the subjects were assessed on eye contact, response relevance, response latency, voice volume, and appropriate affect, which allowed for direct comparisons to be made between each of these assessment modalities. In addition, the role-play assessment was conducted under two distinct conditions to determine whether role-play performance varied between standard and reinforced administrations; however, multivariate analyses (MANOVA) revealed no differences between the two assessments. Correlations between the molar and the molecular measures suggested a substantial overlap between the measures, with staff ratings having the highest consistency with the other measures. Furthermore, MANOVAs calculated between role-play ratings and those of staff revealed little difference between the two. The limitations on and practical significance of these findings are discussed.     

An empirical investigation of the specificity and sensitivity of the automatic thoughts questionnaire and dysfunctional attitudes scale

Cognitive assessment of depression is not well advanced and the evidence for the validity and reliability of measures is incomplete. This study examined two cognitive assessments of depression-the Automatic Thoughts Questionnaire (ATQ) and the Dysfunctional Attitudes Scale (DAS). There were two major objectives of this study. The first objective was to examine the ability of these two measures of cognitions to discriminate depressive symptomatology within a variety of sample populations-university undergraduate students, medical and psychiatric outpatients, and acute psychiatric inpatients. The second objective was to examine the ability of the ATQ and DAS succesfully to classify depressed and nondepressed patients. The results of this study suggest that the ATQ is a sensitive and specific measure of depression. Nonspecificity to the ATQ, however, was demonstrated in the substance abuse disorder group and the personality disorder group. In contrast, the DAS, although correlated with depressive symptomatology, was not found to be specific to depression.Part of this project is supported by a Special Project Grant from the University of Queensland to Dr. Oei.     

NONCONTINGENT PRESENTATION OF ATTENTION AND ALTERNATIVE STIMULI IN THE TREATMENT OF ATTENTION-MAINTAINED DESTRUCTIVE BEHAVIOR

Previous research has demonstrated that destructive behavior may be reduced through noncontingent presentation of attention when attention is identified as the stimulus responsible for behavioral maintenance. Because it may not always be possible to deliver attention in all situations, we examined the extent to which alternative stimuli that have been identified through a choice assessment would substitute for attention (the functional analysis—based reinforcer) in a noncontingent reinforcement procedure. Prior to treatment, functional analyses demonstrated that the destructive behavior of 2 clients with mental retardation was maintained by adult attention. Next, a stimulus choice assessment identified highly preferred tangible items for the 2 clients. Finally, we compared the effectiveness of two noncontingent reinforcement procedures: continuous noncontingent access to attention and continuous noncontingent access to the tangible item identified in the choice assessment. For both clients, these noncontingent reinforcement procedures reduced destructive behavior. The results are discussed in terms of the clinical implications for the treatment of destructive behavior using functional and alternative stimuli.