急诊室濒死病人临床诊治决策的影响因素

正确、合理的临床决策为病人提供理想的诊疗方案.在急诊室濒死病人的诊治过程中,急诊医生应本着以人为本的原则,根据病情的轻重缓急,抓住重点进行紧急处理.其中,病人疾病的性质与预后、疾病严重程度、医生技术水平、医院护理水平、医院的医疗设备与管理水平、诊治费用、医患关系、家属对待诊治的态度、医德医风、政策法规等对医生的临床诊治决策均有不同程度的影响.     

Violence as Secular Evil: Forensic Evaluation and Treatment of Violent Offenders from the Viewpoint of Existential Depth Psychology

Violence is the preeminent evil of our day. Though the causes of destructive violence in our society are complex, the troublesome human emotions of anger and rage play a central role in the genesis of violent behavior and psychopathology in general. In this paper, the author discusses forensic evaluation and psychotherapeutic treatment via existential depth psychology—a synthesis of Freudian, Jungian, and existential theory—focusing on the overlooked links between repressed anger or rage, pathological narcissism, antisocial personality, and violent behavior.     

人格与病理性赌博研究述评

人格障碍是病理性赌博的定论之一。与病理性赌博有关的人格特质包括神经质、精神质、感觉寻求特质、专注特质等,这在跨文化的研究中都找到了证据。现有的研究结论存在疑问,未来研究需注意被试取样代表性,人格特质与赌博行为之间的关系有待于进一步研究,本土化研究需要加强     

拒绝敏感性与留守中学生病理性网络使用：生命意义感和自我污名的中介作用

为探究留守中学生拒绝敏感性、生命意义感、自我污名与病理性网络使用之间的关系,采用青少年拒绝敏感性自陈问卷、生命意义感量表中文修订版、留守儿童自我污名自陈问卷,以及青少年病理性互联网使用量表,对803名留守中学生进行调查。结果发现：拒绝敏感性既可直接正向预测,也可经拥有意义感、自我污名以及二者的链式中介作用间接正向预测留守中学生的病理性网络使用行为。研究结果可为解释留守中学生病理性网络使用问题的成因及教育干预提供理论依据。     

Gambling and Delay Discounting in Japanese Students

The present study examined the relationship between gambling behavior and delay discounting with Japanese residents. Japanese university students were selected into pathological gambler and non‐gambling control groups using a Japanese version of the South Oaks Gambling Screen. In a discounting task, participants chose individually between a large delayed reward and a smaller immediate reward with varied delays. The discounting rate (k‐value) and the area under the curve were significantly higher and smaller, respectively, for the gambler group than for the control group. These findings show that Japanese gamblers discount delayed rewards more steeply than non‐gambling controls, as has been found in U.S. residents.     

Why Do People Stay in Hateful Relationships? The Concept of Malignant Vindictiveness

Why do couples remain in hateful relationships? This article defines theoretically rigorous ways of viewing partners who stay together despite severe strife. A case presentation shows how a relationship of two people, each with his or her character structure and idealized image, creates interpersonal conflict because of opposing demands each makes on self and other. Such conflict requires radical defensive measures including alienation, idealization, and externalization that increase tensions. A vicious circle of malignant vindictiveness cements the relationship. Increasing implacability in the relationship is understood through Horneyan categories of interlocking idealized images, hurt pride reactions, and the externalizing process.

     

A comparison of impulsivity and sensation seeking in pathological gamblers and skydivers

The aim of this study was to compare pathological gamblers and skydivers in relation to measures of impulsivity and sensation seeking. The Eysenck Impulsivity Scale - Narrow Impulsiveness Subscale and the Arnett Inventory of Sensation Seeking were administered to pathological gamblers (n = 29), skydivers (n = 93), and a control group (n = 43). A two-way multivariate analysis of variance was conducted to explore differences in impulsivity and sensation seeking between the groups and possible group by gender and group by age interaction effects. The significant effects were further investigated using follow-up univariate analysis of variance. The results showed significant main effects of Group, Gender and Age, and a significant Group by Gender interaction effect. The results showed no statistically significant differences in impulsivity between pathological gamblers and skydivers; however, both groups scored higher than the controls. The skydivers scored higher compared to the pathological gamblers and controls on both sensation seeking subscales. Pathological gamblers scored higher than the controls on the subscale Need for Stimulus Intensity, although lower than the controls on the subscale Need for Novelty. We conclude that skydivers and pathological gamblers do not seem to differ in terms of impulsivity, but that the two groups differ in terms of sensation seeking. Skydivers are hence characterized by more sensation seeking compared to pathological gamblers. Skydiving, as opposed to pathological gambling, is not considered a psychiatric disorder, and skydiving may represent a more non-pathological way to fulfill the need for stimulus intensity.     

左利手及其形成机制:生理、病理及心理学的视角

与右利手相比,左利手在人口中占少数,并且具有明显的性别差异,男性比女性多。左利手有时会表现出认知缺陷,同时在某些领域也具有优势。左利手形成机制比较复杂,既有遗传影响,也有生理、病理方面的原因,可能的因素包括早期脑损伤,各种出生风险因素,以及孕期激素水平等,还具有深刻的心理、社会根源。     

Journeys in the labyrinth: Some difficulties in the psychotherapy of a severely traumatized adolescent

This paper explores the long-term sequelae of chronic early trauma as expressed by an adolescent in intensive psychotherapy. In particular, attention is given to the ways in which intolerable early experience may block subsequent identificatory ego growth by means of a radical defensive detachment from any potential source of help. Healthy maturation is replaced by an elaborate structure of defences aimed at obliterating awareness of unfulfilled attachment needs and providing a constantly available inner sanctum filled with exciting but profoundly unsatisfying sadomasochistic distractions. The technical importance of careful attention to the therapist's countertransference experiences is underlined. It is suggested that the presence of hatred in this area may represent one of the few undistorted communications from the patient, implying hatred of torture and cruelty. As such, when carefully metabolized by the psychotherapist, it may herald the recovery of hope and serve to protect hidden, bullied aspects of the patient's self which are still on the side of life and development.     

初中生假想观众、个人神话与其互联网社交的关系

采用问卷法,以初中生为被试(n=372),探讨了假想观众、个人神话观念、互联网社交服务使用偏好和病理性互联网使用之间的关系。结果表明在初中阶段:(1)互联网社交服务使用偏好和病理性互联网使用水平随着年级升高而呈直线上升的趋势;(2)互联网社交服务使用偏好可以直接正向预测其病理性互联网使用;(3)假想观众观念对于病理性互联网使用也有显著的直接预测作用;(4)假想观众和个人神话中的无懈可击成分通过对互联网社交使用的喜好间接预测病理性互联网使用水平。