Building and Maintaining Clinical Programs

This paper describes the basic elements of practice development and management within the academic medical setting. These include assessment of the market environment, both in the community and within the medical setting, product development, marketing, budget basics, quality, managed care negotiations, and finding time to do research in a financially-driven health care system.     

快速书写条件下硬笔笔迹变量与认知及个性特征的关系

以圆珠笔为书写工具．北京市某中学高一学生为被试,有效数据169人．探讨了在快速抄写条件下,笔迹书写特征与认知及个性的关系：18个笔迹变量可抽取笔压、结构、特征、字体和空间五个反映字的书写特征的因素;书写特征与认知因素间,横、竖笔压与概念形成速度。整篇压与视力追踪、字位与眼手协调相关显著;横笔压与16PF测验中的畏缩退怯——冒险敢为有正相关;竖笔压与艾森克个性因素的N有高相关。     

1—5岁儿童使用双宾结构状况的考察

本文对1—5岁汉族儿童使用双宾结构的状况进行了考察。首先对儿童语言中双宾结构的结构类型、句法功能及其发展状况进行了描述分析;在此基础上,讨论了儿童习得汉语双宾结构的机制。     

婴儿共同注意能力的发展

本研究采用严格的实验室测验法,从年龄趋势、学习能力、性别差异三方面考察了8～11个月婴儿共同注意能力的发展。结果表明：1）婴儿的共同注意力在8～11个月间逐步提高,9个月左右出现显著的发展性变化,但1岁以前,该能力的发展水平都较低;2）就共同注意而言,婴儿具有从练习经验中学习的可能性,且学习能力存在年龄差异,8个月的婴儿基本不能从练习中受益,而8个月以上的其他三组婴儿在练习后共同注意水平都有不同程度的提高;3）总体而言,女婴共同注意能力的发展水平显著地高于男婴。     

初级指挥官人格类型与PM领导行为类型有效性的关系

通过对陆军初级指挥官人格心理类型与领导行为有效性的心理学研究 ,探讨个人的领导潜能、人格心理类型对领导行为有效性的影响。研究发现 :1方差分析表明 ,具有不同领导行为的指挥官在人格维度上存在明显的统计学差异。提示了指挥官的领导行为取向与人格因素有密切的关系。2卡方分析结果也表明 ,PM型行为的军官在其人格特征上具有“ESTJ”组合特征 ,而 pm型的军官则正好相反 ;另外 ,pm型的军官在成就动机上获得高分的人数最少。3系统聚类分析显示 ,“成就动机”、“感觉”和“判断”三种人格因素与军事指挥官完成整体领导职能有着更为密切的关系。     

The specific action of different personality risk factors on cancer of the breast, cervix, corpus uteri and other types of cancer: A prospective investigation

We report the results of a prospective study of a random sample of 1353 elderly but healthy men and women who were followed up for a period of 10 yr, when mortality and cause of death were ascertained. Overall results have been reported elsewhere for mortality from cancer, coronary heart disease and other causes; here we are concerned with the personality factors predicting breast cancer, cervical cancer, cancer of the corpus uteri specifically, as well as other types of cancer in women. Ten specific hypotheses were tested, using specially constructed questionnaires for the purpose, and for most of these statistically significant support was obtained. The results justify belief that specific types of cancer may be related to specific stress/personality factors.     

汽车司机安全驾驶性向测验的建构

本研究之目的是建构适用于我国的汽车司机安全驾驶性向测验。经各种检验结果表明,无论是能力测验还是个性测验,它们在信度和效度上均达到了要求。因此,为进一步标准化奠定了基础。     

BEHAVIORAL CUSPS: A DEVELOPMENTAL AND PRAGMATIC CONCEPT FOR BEHAVIOR ANALYSIS

Most concepts of development explain certain behavior changes as products or markers of the invariable succession of emerging periods, stages, refinements, or achievements that define and order much of an individual's life. A different but comparable concept can be derived from the most basic mechanisms of behavior analysis, which are its environmental contingencies, and from its most basic strategy, which is to study behavior as its subject matter. From a behavior-analytic perspective, the most fundamental developmental questions are (a) whether these contingencies vary in any systematic way across the life span, and thus make behavior change in a correspondingly systematic way; and (b) whether some of these contingencies and their changes have more far-reaching consequences than others, in terms of the importance to the organism and others, of the behavior classes they change. Certain behavior changes open the door to especially broad or especially important further behavior change, leading to the concept of the behavioral cusp. A behavioral cusp, then, is any behavior change that brings the organism's behavior into contact with new contingencies that have even more far-reaching consequences. Of all the environmental contingencies that change or maintain behavior, those that accomplish cusps are developmental. Behavior change remains the fundamental phenomenon of development for a behavior-analytic view; a cusp is a special instance of behavior change, a change crucial to what can come next.     

An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

Implications of college-age narcissism for psychosocial functioning at midlife: Findings from a longitudinal study of women

Positive and negative implications of two types of college-age narcissism on psychosocial functioning at midlife were studied in a longitudinal sample of women. Both types were scored with self-report measures when the women were, on the average, age 21. Throughout the first half of their adult life, high scorers on covert narcissism presented themselves as lacking in confidence and having low morale; high scorers on overt narcissism described themselves as wanting admiration, being independent, and being forceful. Positive outcomes associated with covert narcissism included the development of insight and of a differentiated sense of the self and, in the case of overt narcissism, entailed an involvement in high-status and creative work careers. At midlife, high scorers on covert narcissism experienced negative affect and feelings of being neglected, whereas high scorers on overt narcissism experienced family conflict and problems with impulse control. The personality characteristics associated with both types of narcissism remained stable from the early 20s to early 50s.