“以毒攻毒”与中西医结合研究

“以毒攻毒”是中医药学一个重要医理和治则。本文介绍了国内外有关“以毒攻毒”的研究进展,以及具有“以毒攻毒”特点的医药研究状况。特别是德国细菌学家贝林等,研制成功破伤风和白喉抗毒素。我国学者张亭栋教授与陈竺教授,继承发掘中药砒霜治疗世界性难治病—急性早幼粒细胞白血病,取得国际领先水平的科研成果等等,表明中西医结合研究是继承发展中医药学的有效方法和途径。     

Enrichment and Stress in Families Caring for a Child with a Serious Emotional Disorder

We examined enrichment and stress in 214 families who had children with severe emotional disorders. Caregivers' ratings of enrichment and stress were obtained through a newly developed instrument, the Effects of the Situation Questionnaire, which used parallel items covering 17 life areas. While ratings of stress were generally higher than enrichment, caregivers reported some enrichment in areas encompassing self concept and family relationships, Bivariate and multivariate analyses using various child, family, and service-system variables revealed that stress was notably associated with severity of the child's disorder, low empowerment, and a lack of coordination among service providers. Enrichment was unrelated to severity but associated with high empowerment and spiritual support. Our findings suggest that families' experiences of caregiving can have both positive and negative aspects and that a comprehensive approach to serving and studying families should take both into account.     

Latent profiles of work motivation in adolescents in relation to work expectations,goal engagement,and changes in work experiences

Motivation plays a key role in successful entry into working life. Based on a cross-sectional and a one-year longitudinal study, we used a person-centered approach to explore work-related motivation (i.e., autonomous goals, positive affect, and occupational self-efficacy) among 577 students in 8th grade (Study 1) and 949 adolescents in vocational training (Study 2). Based on latent profile analysis, in both studies we identified four groups that were characterized by different levels of overall motivation and one group characterized by low positive affect and mean levels in autonomous goals and self-efficacy. Profiles characterized by high levels of motivation showed the highest levels of positive work expectations and goal engagement and the lowest levels of negative work expectations in Study 1 and the highest levels of person-job fit, work engagement, and job satisfaction in Study 2. Moreover, latent difference score analysis showed that motivational profiles predicted changes in person-job fit and work engagement across one year but not in job satisfaction. The results imply that career counselors should be aware of characteristic motivational patterns of clients that may require specific counseling approaches.     

Help Wanted: People With Disabilities and Recruitment Advertising

People with disabilities rely heavily on specialist agencies to find suitable employment. This research examines how agency consultants use recruitment ads in their work with clients. The authors analyzed the ads collected by consultants and learned that the ads were dominated by organization and job attributes. The ads contained less information about preferred applicant characteristics and selection procedures. Consultants used the ads to facilitate immediate matches between clients and employers, but they also used the ads to nudge clients in new career directions. The results reflect challenges consultants experience in balancing the long‐term needs of clients against the short‐term demands of employers.     

Modelling individual difference in visual categorization

Recent years has seen growing interest in understanding, characterizing, and explaining individual differences in visual cognition. We focus here on individual differences in visual categorization. Categorization is the fundamental visual ability to group different objects together as the same kind of thing. Research on visual categorization and category learning has been significantly informed by computational modelling, so our review will focus both on how formal models of visual categorization have captured individual differences and how individual difference have informed the development of formal models. We first examine the potential sources of individual differences in leading models of visual categorization, providing a brief review of a range of different models. We then describe several examples of how computational models have captured individual differences in visual categorization. This review also provides a bit of an historical perspective, starting with models that predicted no individual differences, to those that captured group differences, to those that predict true individual differences, and to more recent hierarchical approaches that can simultaneously capture both group and individual differences in visual categorization. Via this selective review, we see how considerations of individual differences can lead to important theoretical insights into how people visually categorize objects in the world around them. We also consider new directions for work examining individual differences in visual categorization.     

‘It’s silly these doors don’t open’: a six-year-old girl emerges from a chronic state of emotional withdrawal

This clinical paper explores the way in which the first two years of a long-term psychotherapy helped six-year-old Anna to lessen her retreat into a chronic withdrawn emotional state. Over the course of the first year she would occasionally pick up the fridge from the doll’s house and try to open the doors, but because the fridge was actually a block of wood the doors could not open. In treatment, this inquiry came to represent the difficulties of engaging and making contact with a baby who found it very hard to feed. The author describes how, as Anna entered into a therapeutic relationship, it slowly became clear that there was an inner world jam-packed with persecutory anxieties and a family history of unmourned loss and trauma. Through fear Anna slammed the doors to her mind – to knowing herself – and by not feeding, Anna starved herself of opportunities for mental growth. It took some time for her to state, “it’s silly these doors don’t open, they should”. In the discussion of this clinical material the author draws on the work of Francis Tustin, Alessandra Piontelli and Marguerite Reid to consider the link between intergenerational and prenatal trauma and subsequent emotional disturbance in the child.     

The Power of Language and Labels: “The Mentally Ill” Versus “People With Mental Illnesses”

Undergraduate students (N = 221), adults in a community sample (N = 211), and professional counselors and counselors‐in‐training (N = 269) were given a measure of tolerance. Within each sample, half of the participants were given a version that used the term “the mentally ill” and half were given a version that used the term “people with mental illnesses.” Individuals receiving the version with the term “the mentally ill” had lower levels of tolerance. Professional counselors had the largest differences in tolerance on the basis of language.     

男女大学生对两性嗓音源记忆的差异性研究

该项研究以两字中文词为记忆材料,以男女两种嗓音为记忆源,对20名被试进行记忆源检测.结果表明男女被试总源判断能力差异不显著;男女被试对单项源的辨别能力差异显著,表现为男性被试对男声词的辨别强于女声词,女性被试对女声词的辨别强于男声词;另外,新旧项目再认能力d'值男女被试差异不显著.     

先天性红-绿色觉异常者的非彩色表色色差辨别研究

该文就先天性红－绿色觉异常者对非彩色系表色色差的辨别展开了研究。结果表明,先天性红－绿色觉异常者色差识别的量值△Ｅ随目视评价的等级不同而异;先天性红－绿色觉异常者与色党正常者在非彩色表色辨别上存在一定的差异;同一明度等级上、下限的变化对先天性红－绿色觉异常者的非彩色表色辨别存在影响,这种影响与明度的级别有关。     

美国院前急救医患沟通＂十条金律＂解析

医患沟通的能力和技巧是院前急救人员必备的重要素养之一,与院前急救服务的效率和质量密切相关.在美国急救医疗服务体系中,普遍遵循医患沟通＂十条金律＂,包括：（1）保持职业化状态;（2）始终保持与患者目光接触;（3）给予患者恰当的称呼;（4）使用患者听得懂的语言;（5）保持恰当的语速、语调和语气;（6）与他人谈论患者病情务必谨慎;（7）当心自身的肢体语言;（8）给患者留下回答问题或反应的时间;（9）告诉患者病情真相;（10）注重与特殊群体的沟通.本文简要解析了＂十条金律＂的内涵与意义,对我国院前急救人员或有借鉴意义.