对我国高等医学教育学制与学位改革和发展的思考

通过对国内外医学教育学制与学位的比较,以及对我国目前试行的住院医师培训制度存在问题的分析,提出我国六年制培养医学硕士的模式;认为这有利于提高中国高等医学教育层次,有利于统一医学教育学制和学位,有利于国际交流;也为毕业生衔接新体制留下了接口。     

帛书《昭力》易学观初探

帛书《易传》中的《昭力》篇虽然字效较少,但其结构完备,内涵清晰,属于帛书《易传》中十分具有特色的一篇释文。然而由于其篇末的字数标记,许多学者认为《昭力》与《缪和》属于一篇文章。亦有的学者认为《昭力》中论及“卿大夫”与“国君”,乃以《易》论政,属于政治论的范畴,不属于解《易》范畴。笔者通过研究《昭力》对卦爻辞的解读,认为《昭力》恰恰是一篇独立成章的解《易》文章,而且其所体现的是与帛书《易传》其他篇章不尽相同的解《易》理念,其“六经注我”的解释学理念也是我国典籍中出现较早的。《昭力》篇的研读对于我们认识孔子的政治论点与易学观念都有着十分积极的意义。     

On Mill,Infallibility, and Freedom of Expression

Philosophers have tended to dismiss John Stuart Mill’s claim that ‘all silencing of discussion is an assumption of infallibility’. I argue that Mill’s ‘infallibility claim’ is indeed open to many objections, but that, contrary to the consensus, those objections fail to defeat the anti-authoritarian thesis which lies at its core. I then argue that Mill’s consequentialist case for the liberty of thought and discussion is likewise capable of withstanding some familiar objections. My purpose is to suggest that Mill’s anti-authoritarianism and his faith in thought and discussion, when taken seriously, supply the basis for a ‘public interest’ account of ‘freedom of expression as the liberty of thought and discussion’ which is faithful to Mill in spirit, if not to the precise letter. I outline such an account, which – as I say in conclusion – can serve as a valuable safeguard against ad hoc, reactive legislation, and the demands of a spurious communitarianism.     

Performance as annihilation or integration?1

What happens when the analyst has the impression of being annihilated by the patient? Analysts have a tendency to use more general, i.e. simplifying, constructions such as destructiveness, psychosis or death instinct as explanatory models. In the authors' view, these constructions in the end evade rather than mirror clinical reality. More recent research points to promising possibilities of differentiation, e.g. psychotic mechanisms which are‐as yet undiscussed‐based on Freud's notion of the partial ‘rent in the relation between ego and external world’. These findings emphasize the restitutive function of a symptom or disturbance, i.e. destruction of a relationship which hinders the therapeutic process and which is not understood initially, instead of solely stressing the destructive meaning in a tabooing gesture. The concept of performance attempts to replace simplifying models with a discriminant process, and will be preliminarily defined and explained in delineation to terms already in use such as acting out, enactment, and role responsiveness. The authors explore the question of how the perception of unthought certainty in the performance can either be recognized as a blueprint, i.e. organizing activity, or as the destruction of the relationship so that a new one can emerge. The evidence from a detailed clinical example shows that many treatments can fail at this point and demonstrates how an understanding of performance in this sense offers a chance for integrating processes that otherwise impede treatment.     

Attention to endpoints: a cross-linguistic constraint on spatial meaning

We investigate a possible universal constraint on spatial meaning. It has been proposed that people attend preferentially to the endpoints of spatial motion events, and that languages may therefore make finer semantic distinctions at event endpoints than at event beginnings. We test this proposal. In Experiment 1, we show that people discriminate the endpoints of spatial motion events more readily than they do event beginnings-suggesting a non-linguistic attentional bias toward endpoints. In Experiment 2, speakers of Arabic, Chinese, and English each described a set of spatial events displayed in video clips. Although the spatial systems of these languages differ, speakers of all three languages made finer semantic distinctions at event endpoints, compared to event beginnings. These findings are consistent with the proposal that event endpoints are privileged over event beginnings, in both language and perception.     

德鲁克医院管理思想研究

德鲁克医院管理思想主要有:医院管理与企业管理没有多大差异;医疗保健是21世纪增长最快、最需要管理的部门;医疗服务需要合理组织及团队精神;评价医疗服务质量的标准是"最佳";医院要实施目标管理并不断致力于变革,通过"专业化"提高效率和效益;医院管理者与员工之间是伙伴关系;信息技术对医疗服务有深刻的影响;医院应实行"职业化"管理.     

Synchronicity and the capacity to think: a clinical exploration

Synchronicity blurs the boundaries of psyche and physis. This invisible dance of mind and matter suggested to Jung an interconnection between physical and mental events reflecting a unified 'psychophysical space-time continuum'. His idea of exteriorization put forth the notion that unconscious thoughts can manifest themselves in the external world. I have related this to Bion's theory of thinking, where thoughts, which should be a prelude to action, become actions in themselves, projections of unthought thoughts. Through detailed clinical work with dreams I will explore the effects of early trauma on the development of the capacity to think, and the way in which synchronistic events relate to projections of early traumatic experiences which have not been 'mentalized'.     

认知与误读--宋代儒士佛教思想论略

至有宋一代,佛教已成为中国思想文化的一个重要组成部分。宋代儒士对佛教常识、佛教教义都有较深入的认知与把握,但也存在大面积的误读;宋代儒士一方面主观地批佛、排佛,另一方面却客观地成就了“批判的佛教”。宋代儒士对佛教的认识、理解和评价,不仅有助于弄清宋代新儒学与佛教之关系,也有助于进一步把握宋代学术之分野,而且可以加深我们对佛教中国化的理解。     

乾坤并建超越内在--牟宗三后期易学思想研究

牟宗三先生后期易学研究和他早年对<周易>的研究有所不同,他强调了<易传>是孔门义理,并发掘了<周易>的辨证思维模式.乾坤两卦是牟宗三先生后期易学研究的主要内容,通过对这两卦的研究他提出了"乾坤并建"原则.乾坤并建包括创生原则和终成原则,乾元代表了创生原则,儒家的道德形上学全都藏在乾卦;坤元代表了终成原则,包含了儒家的道德修养、道德实践.易简原则也是乾坤并建的重要部分,易简原则就指出了道德修养的方法,确立了道德实践的第一义.超越内在则概括了<周易>的总体特征和儒家的智慧,是儒家道德形上学的集中体现.     

The cognitive regulation of emotions: The role of success versus failure experience and coping dispositions

Attention deployment and generating specific types of cognitions are central cognitive mechanisms of emotion regulation. Two groups of hypotheses make contradicting predictions about the emotion-cognition relationship. The moodcongruency hypothesis expects the emergence of mood-congruent cognitions (i.e., negative mood leads to negative and positive mood to positive cognitions). Similarly, a substantial body of research suggests that negative mood induces selffocus, whereas positive mood elicits an external focus of attention. The moodrepair hypothesis, on the other hand, assumes that persons in a negative mood state summon thoughts incongruent with that state and divert attention away from the self. However, the temporal sequence of cognitions assessed as well as coping dispositions, such as vigilance and cognitive avoidance, may moderate these relationships. Positive and negative emotional states were elicited by exposing the participants to the experience of success or failure in a demanding cognitive task. Cognitions that were present after emotion induction were assessed by means of a thought-listing procedure. For the total sample, results clearly confirmed the moodcongruency hypothesis. Thought order was a critical factor only for changes in self-focus. Thought valence (positive, neutral, negative) as well as self-focus were substantially influenced by coping dispositions.