Linear Analogue Self-Assessment and Procrustean Measurement: A Critical Review of Visual Analogue Scaling in Pain Assessment

Visual analogue scales (VASs) are one of the most widely used self-report measures of clinical pain. This article reviews the empirical literature on linear analogue self-assessment (LASA) and critically examines the features that appear to have made it such an attractive measurement option in pain assessment. It is concluded that analogue scaling does not withstand critical scrutiny as a primary measure of either pain intensity or pain affect and that, in most circumstances, the overall clinical utility of VASs is inferior to that of more structured pain indices.     

Risk perception and the location of a repository for spent nuclear fuel

This study investigates lay people's reactions to a repository for nuclear waste. Risk perception is seen as a complex concept, comprising both affective and cognitive components. Attitude towards nuclear power and trust in experts and authorities had a substantial impact on risk perception, while personal knowledge about nuclear waste disposal had no effect. Thus, the more positive one's attitude towards nuclear power is and the more trust one has in experts and authorities, the lower one's risk perception is. Also, reactions were expected to vary with distance between the home district and the location of a repository. These variations differed in nature for people with alternative levels of risk judgement. The distance between the home and a repository affected approval of the proposed site. Distance between home and repository also had an effect on risk feelings and somewhat less on beliefs about consequences. Estimated total risk was directly mediated by beliefs about consequences, but even more so by risk feelings. With regard to risk, one can conclude that it is important to make a distinction between an emotional and a cognitive component of risk perception.     

Infants' sensitivity to arbitrary object-odor pairings

The ability of 4-month-old infants to learn the arbitrary relationship between an object and a distinctive odor was assessed. Infants were familiarized with two objects while one of them was paired with a cherry odor. Results indicated that only female subjects showed evidence of matching. They increased their looking to the target object in the presence of the odor but not in the absence of the odor, relative to baseline levels.     

Concordance Between Mothers' and Children's Reports of Somatic and Emotional Symptoms in Patients with Recurrent Abdominal Pain or Emotional Disorders

Mother–child concordance regarding children's somatic and emotional symptoms was assessed in children with recurrent abdominal pain (n = 88), emotional disorders (n = 51), and well children (n = 56). Children between 6 and 18 years of age and their mothers completed questionnaires assessing the children's somatic symptoms, functional disability, and depression. Mothers of children with recurrent abdominal pain reported more child somatic and depressive symptoms than did their children, and mothers of children with emotional disorders reported more child depressive symptoms than did their children. Higher levels of maternal distress were associated with greater mother-child discordance in the direction of mothers reporting more child symptoms than did their children. No significant child age or sex differences were found in concordance patterns.     

Validity and temporal stability of the chimeric face technique for studying hemispheric processing asymmetries: Data from 6-through 14-year-old children

The validity and temporal stability of the chimeric face technique as a measure of cerebral hemispheric functioning in children were investigated. The method is based upon the observation that when a subject encounters a representation of the human face, the left side (from the observer's point of view) of the face dominates his or her perception of it. This bias was shown to be present in a majority of children ranging from 6 through 14 years old, and it was stronger for right-handers than for left-handers. The 1-month temporal stability of the bias was 67%, which is comparable to that of other surface methods. As in other split-message techniques, the typical left visual field bias was more reliable than the unusual right visual field bias. The implications of these data are discussed.     

福至心灵：幸运感知对消费行为的影响及其理论解释

寻求幸运的行为从古至今广泛存在于人类生活的方方面面,幸运感知如何影响消费行为的理论成果为消费研究领域做出了重要贡献。通过系统回顾相关文献发现,个体的幸运感知会对冒险行为、独特性寻求、传染效应、特定事物的态度和幸运消费产生影响。归因理论、人格特质理论、认知启动理论、反事实思维、社会比较理论、控制感理论和启发式决策可以用于解释幸运感知对消费行为的影响。未来研究应深化幸运感知影响消费行为的作用机制并拓展边界条件及其双向结果。     

The perception of preschool social dominance

Children's and teachers' perception of social dominance was examined using a behavioral criterion for determining accuracy of verbal judgments. Video records of agonistic interactions were obtained during approximately 60 hours of free-play at two preschool centers. Analyses of social conflict episodes ending in submission revealed linear dominance structures for both groups. Dominance perception was assessed in two ways. Both teachers and children were asked to rank-order a subgroup of children according to dominance. They were also asked to select the more dominant children in a number of predetermined pairs. Results indicated that teachers could accurately judge dyadic dominance relations, and that accuracy among children varied as a function of their status within the group hierarchy. Findings have implications for social dominance assessment methodology, and for the issue of consensual versus ecological validity in developmental studies of social perception.     

The medial amygdala: Serotonergic inhibition of shock-lnduced aggression and pain sensitivity in rats

Two aspects of the amygdaloid complex (corticomedial and basolateral) were examined with reference to serotonergic inhibition of shock-induced aggression. Fighting was significantly depressed by serotonergic stimulation (5-HT, 10 μg bilateral) in the corticomedial amygdala while serotonergic blockade (methysergide, 5 μg bilateral) in this region increased levels of fighting. No consistent effects were obtained with serotonergic manipulation of the basolateral amygdala. Further investigation revealed that the state of serotonergic activity in medial amygdaloid sites was associated with concomitant alterations in the animals' sensitivity to footshock. Results are discussed in relation to a) a general inhibitory role of serotonin in behavioural mechanisms and b) a dopaminergic-serotonergic balance for behavioural arousal involving medial amygdaloid nuclei.     

慢性腹痛

慢性腹痛病史较长,性质不定。引起慢性腹痛的原因很多,除器质性疾病外,一些功能性疾病也引起,如最终找不出具体原因,则可称之为功能性腹痛综合征。诊断比较困难,也容易误诊,甚至误治,外科医生应特别慎重。误诊的思维原因包括对引起慢性腹痛的原因认识不全面,思维惰性,辩证思维不周密和思维简化等。     

重视专科思维的局限，提倡多学科协同发展的应用

由于医学分科越来越细,临床工作中易逐渐形成专科思维。从一个病例就诊18次心血管专家门诊,分析表现为心血管症状和其他学科分科思维的局限性,并进一步阐明多学科协同发展的必要性。提倡在临床决策中,多进行跨学科的分析与思考。