Why perversion?: False love and the perverse pact1

In this paper, the author works with the awareness that perversion is a socially, historically and theologically loaded term, at the same time as it may be the latest frontier in psychoanalysis, both clinically, and in relation to contemporary art and culture which emphasize the perverse. Positioning itself against tendencies to deny the existence of a category of perversion or, inversely, to abuse it for the power that accrues from the act of diagnosing, she also points to other liabilities in the history of the treatment of this term, such as the narrowing down of perversion to the exclusively sexual domain, or, alternatively, the overextension of it to polymorphously erotic practices that enhance sexual excitement. The paradoxes of perversion and the difficulties of distinguishing the perverse from the non‐perverse are addressed. The case is also made that, in order to understand perversion, one must unlink it from the narrow notion of sexual practice and see what is involved on a deeper level an approach initiated when psychoanalysis turned to perversion as a defense against psychotic anxieties, and began considering the necessary place of perversion in the transference countertransference. Two features common to both sexual and non‐sexual perverse relations are the seductive and bribing aspects of perversion, and its means‐ends reversal. Perversion is a haven for the disguising of hatred and suspicion as excitement and (false) love. Displaced child and beating father, entitled child and seductive mother, are both prototypes of psychoanalytic refiection on parents who excite, deceive and corrupt their children and establish perverse pacts with them. The notion of the perverse pact is foregrounded in Alice's analysis, where first the resurrection and then the dismantling of such a pact were effected through various analytic means.     

Terrorism and the Uses of Terror

“Terrorism”' is sometimes defined as a “form ofcoercion.” But there are important differences between ordinary coercion and terrorist intimidation. This paper explores some of those differences, particularly the relation between coercion, on the one hand, and terror and terrorization, on the other hand. The paper argues that while terrorism is not necessarily associated with terror in the literal sense, it does often seek to instill a mental state like terror in the populations that it targets. However, the point of instilling this mental state is not necessarily coercive or intimidatory: one can try to instill terror as an act of punishment, or as an expressive or therapeutic act, or because one values the political consequences that might follow, or because one thinks terror is preferable, from an ethical point of view, to the inauthentic complacency that characterizes the targeted population at present. Though this paper asks questions about the definition of “terrorism,” these questions are not asked for their own sake. The quest for a canonical definition of “terrorism” is probably a waste of time. But asking questions which sound like questions of definition is sometimes a fruitful way of focusing our reflections on terrorism and organizing our response. This revised version was published online in June 2006 with corrections to the Cover Date.     

老年疾病按病种付费研究

以沧州市7所医疗机构的290名住院患者的医疗费用为研究对象,利用统计学中的中位数和P25和P75两个百分位数测算出了医疗费用的平均水平、参考值范围,利用逐步回归分析探索住院费用的影响因素。应根据年龄、住院天数、入院时情况等是影响住院费用的关键因素开发DRGS付费系统;采取必要的措施降低住院天数和术前住院天数。     

医疗保险费用控制的临床路径研究——胰腺炎医疗保险费用结算标准的确定

临床路径是现代医院管理的前沿技术之一,对于提高医疗服务质量和降低医疗费用具有现实意义。通过对急性胰腺炎病人的临床路径研究,探讨了我国临床实践中临床路径的实施方法,并在此基础上进一步研究了该疾病医疗保险费用结算标准的分类标准。     

Uncovering the links between brand choice and personal values among young British and Spanish girls

This paper presents empirical research which demonstrates how snacks brands can satisfy certain personal values for female 11–12 year‐old British and Spanish consumers. The qualitative research design uses a means‐end approach, based on a laddering technique, to uncover the links between brand choice and personal values. After reviewing the means‐end model and other relevant theory, the research methodology and design are presented in detail. The findings reveal significant scope for positioning snacks brands using the values of well being and fun and enjoyment (UK and Spain), while the value of friendship and belonging emerges as an extra dimension for the British respondents. Copyright © 2001 Henry Stewart Publications.     

按病种支付医疗保险费用与病种成本核算研究

医疗服务具有垄断性、委托代理双重性和需求刚性。在利益机制驱动下 ,医疗项目的选择变成供方偏好 ,是医疗费用快速攀升的症结之一。变按项目支付为按病种支付 ,是控制医疗费用快速上涨、深化卫生改革的重要措施之一。最科学的方法是进行病种成本核算     

Robust nonorthogonal analyses revisited: An update based on trimmed means

Three approaches to the analysis of main and interaction effect hypotheses in nonorthogonal designs were compared in a 2×2 design for data that was neither normal in form nor equal in variance. The approaches involved either least squares or robust estimators of central tendency and variability and/or a test statistic that either pools or does not pool sources of variance. Specifically, we compared the ANOVA F test which used trimmed means and Winsorized variances, the Welch-James test with the usual least squares estimators for central tendency and variability and the Welch-James test using trimmed means and Winsorized variances. As hypothesized, we found that the latter approach provided excellent Type I error control, whereas the former two did not.Financial support for this research was provided by grants to the first author from the National Sciences and Engineering Research Council of Canada (#OGP0015855) and the Social Sciences and Humanities Research Council (#410-95-0006). The authors would like to express their appreciation to the Associate Editor as well as the reviewers who provided valuable comments on an earlier version of this paper.     

高校业绩津贴的心理激励模型

本研究探讨了高校业绩津贴发挥激励作用的心理模型。结果表明:收入满意感及工作压力感的交互作用是津贴制发挥激励作用的内在机制;收入满意感及工作压力感通过作用于组织认同对工作业绩有显著的正向预测作用,同时收入激励对工作业绩有直接的正向预测作用。     

On having very long arms: how the availability of technological means affects moral cognition

Modern technological means allow for meaningful interaction across arbitrary distances, while human morality evolved in environments in which individuals needed to be spatially close in order to interact. We investigate how people integrate knowledge about modern technology with their ancestral moral dispositions to help relieve nearby suffering. Our first study establishes that spatial proximity between an agent's means of helping and the victims increases people's judgement of helping obligations, even if the agent is constantly far personally. We then report and meta-analyse 20 experiments elucidating the cognitive mechanisms behind this effect, which include inferences of increased efficaciousness and personal involvement. Implications of our findings for the scientific understanding of ancestral moral dispositions in modern environments are discussed, as well as suggestions for how these insights might be exploited to increase charitable giving. Our meta-analysis provides a practical example for how aggregating across all available data, including failed replication attempts, allows conclusions that could not be supported in single experiments.