基层医院年轻医生临床素质现状分析及培养对策

本文对基层医院年轻医生临床素质的现状进行分析,指出了文化层次、福利待遇、带教培养、质控意识、科研热情、人文修养和医疗环境等方面存在的缺陷和不足是导致基层医院年轻医生临床素质低的重要原因。同时呼吁政府加大投入和确保医疗环境安全,加强年轻医生政治思想教育,树立正确的人生观和良好的医德医风,具备良好的心理素质、较好的人文修养和过硬的沟通能力,强化质控意识,引导和培养年轻医生加强临床知识积累,掌握科学的思维方法,从而促进科研水平的提高。     

Rethinking parafoveal processing in reading: Serial-attention models can explain semantic preview benefit and N+2 preview effects

During reading, some information about the word to the right of fixation in the parafovea is typically acquired prior to that word being fixated. Although some degree parafoveal processing is uncontroversial, its precise nature and extent are unclear. For example, can it advance up to the level of semantic processing? Additionally, can it extend across more than two spatially adjacent words? Affirmative answers to either of these questions would seemingly be problematic for serial-attention models of eye-movement control in reading, which maintain that attention is allocated to only one word at a time (see Reichle, 2011). However, in this paper we report simulation results using one such model, E-Z Reader (Reichle, Pollatsek, Fisher, & Rayner, 1998), to examine the two preceding questions. These results suggest the existence of both semantic preview and N+2 preview effects, indicating that they are not incompatible with serial-attention models. We discuss the implications of these findings for models of eye-movement control in reading and provide a new theoretical framework for conceptualizing parafoveal processing during reading and its influence on eye movement behaviour.     

Moral disengagement moderates the predicted effect of trait self‐control on self‐reported aggression

An increasing number of studies reveal that self‐control is an important preventative factor for aggression. However, the involvement of potential explanatory variables has received less research attention. Drawing upon the feedback‐loop model of self‐control, the current research assumed that the preventing effect of trait self‐control on aggression may be moderated by moral disengagement. Self‐reported measures of trait self‐control, moral disengagement and aggression were administered to 946 Chinese university students. Results show that trait self‐control had a negative effect on physical aggression, verbal aggression, anger and hostility, whereas moral disengagement positively predicted each of these constructs. Of particular importance was a significant interaction between trait self‐control and moral disengagement for verbal aggression and hostility. Specifically, the preventing effect of trait self‐control on these two types of aggression was more pronounced in individuals with low rather than high moral disengagement. In conclusion, low conditional endorsement of transgressive acts and having high trait self‐control are both important individual‐difference variables that explain reduced aggression.     

Attenuating depletion using goal priming

This research examines how goal priming can attenuate the depletion effect. Using different self-control goals (i.e., savings and healthy eating) and different measures of self-control ability (i.e., willingness to buy and actual consumption), this study reveals that when people were primed with cues related to a self-control goal and then depleted, the effect of depletion on a subsequent self-control task (related to the primed goal) became attenuated. Also, depleted people, relative to nondepleted people, reported a lower level of commitment to a self-control goal; however, when cues related to a self-control goal were primed, their level of goal commitment increased, weakening the depletion effect. This research clarifies questions related to the process underlying depletion, while highlighting the importance of goal commitment (a measure of motivation) in understanding depletion.     

The spatial distance rule in the moving and classical rubber hand illusions

The rubber hand illusion (RHI) is a perceptual illusion in which participants perceive a model hand as part of their own body. Here, through the use of one questionnaire experiment and two proprioceptive drift experiments, we investigated the effect of distance (12, 27.5, and 43 cm) in the vertical plane on both the moving and classical RHI. In both versions of the illusion, we found an effect of distance on ownership of the rubber hand for both measures tested. Our results further suggested that the moving RHI might follow a narrower spatial rule. Finally, whereas ownership of the moving rubber hand was affected by distance, this was not the case for agency, which was present at all distances tested. In sum, the present results generalize the spatial distance rule in terms of ownership to the vertical plane of space and demonstrate that also the moving RHI obeys this rule.     

Relating individual differences in internalizing symptoms to emotional attention set-shifting in children

A growing body of evidence points to links between internalizing symptoms and various executive functioning deficits, and especially to inhibition and set-shifting difficulties. However, there is limited developmental research regarding the impact of internalizing symptoms on the shifting function, particularly during middle childhood. The current study investigated attention shifting in a sample of 108 early school age children (7–11 years) using a task-switching paradigm which required participants to alternate between emotional and nonemotional judgments. Results indicated that higher levels of internalizing symptoms (anxiety and depression) had a detrimental effect on performance efficiency (measured by response times) but not on response accuracy. This effect was only observed on emotional (and not on nonemotional) repetition trials and did not affect switching trials; moreover, it was only present when feedback was presented to participants. The findings partially support the predictions of the Attentional Control Theory in a developmental sample and suggest that individual differences in internalizing symptoms play a role in children's ability to flexibly alternate between emotional judgments.     

Examining gender differences in received,provided, and invisible social control: an application of the dual-effects model

The dual-effects model of social control not only assumes that social control leads to better health practices but also arouses psychological distress. However, findings are inconsistent. The present study advances the current literature by examining social control from a dyadic perspective in the context of smoking. In addition, the study examines whether control, continuous smoking abstinence, and affect are differentially related for men and women. Before and three weeks after a self-set quit attempt, we examined 106 smokers (77 men, mean age: 40.67, average number of cigarettes smoked per day: 16.59 [SD = 8.52, range = 1–40] at baseline and 5.27 [SD = 6.97, range = 0–40] at follow-up) and their nonsmoking heterosexual partners, assessing received and provided control, continuous abstinence, and affect. With regard to smoker's affective reactions, partner's provided control was related to an increase in positive and to a decrease in negative affect, but only for female smokers. Moreover, the greater the discrepancy between smoker received and partner's provided control was the more positive affect increased and the more negative affect decreased, but again only for female smokers. These findings demonstrate that female smokers' well-being was raised over time if they were not aware of the control attempts of their nonsmoking partners, indicating positive effects of invisible social control. This study's results emphasize the importance of applying a dyadic perspective and taking gender differences in the dual-effects model of social control into account.     

特殊教育教师工作要求与职业倦怠：心理控制源的中介作用

目的：考察心理控制源在特殊教育教师工作要求与职业倦怠间的中介作用.方法：整群抽取252名特殊教育教师接受量表测量.结果：（1）工作要求与职业倦怠存在显著的性别差异;（2）相关分析表明,工作要求、职业倦怠与心理控制源之间呈显著相关;（3）心理控制源在工作要求与职业倦怠间起着中介作用;独立的中介效应检验中,三种控制源（内控性、有势力的他人、机遇）在工作要求与职业倦怠间都起着部分中介作用;综合模型中,工作要求主要通过有势力的他人这一中介与职业倦怠产生联系,同时也与职业倦怠间存在直接效应.结论：心理控制源是工作要求预测职业倦怠的部分中介因素.     

Good intentions gone awry? Effects of weight-related social control on health and well-being

A negative body image has been associated with a variety of negative health and well-being outcomes. Social pressures from others, in the form of weight-related social control, may serve to exacerbate this effect, especially for college-aged women. Undergraduate students (N = 399) completed a variety of questionnaires assessing weight-related social control, well-being, and diet and exercise behaviors. The results suggest that weight is associated with a variety of negative health and well-being outcomes and particularly for women, weight-related social control is also associated with these negative effects. In addition, men of higher body mass indexes (BMIs) or higher self-perceived weight did not experience negative health and well-being outcomes to the same degree that overweight women did. Parents in particular seem to instigate weight-related social control to change students’ diet and exercise behaviors. These results help clarify the effects of weight-related social control in a college population, where weight may be especially important.