消费者决策分析的新视角:双通道心理账户理论

双通道心理账户是指人们在购买决策时具有一个双向通道的心理账户,其中一个通道记录了付款后消费者剩余的正效用,而另一个通道则记录了除去消费后付款带来的负效用.当消费与支付联结紧密时,会让人们更易想起支付的痛苦,从而降低消费快感,此时快乐弱化系数(α)大;当消费与支付联结较弱时,人们更不易记起支付的金额,从而在消费时拥有更多快乐,此时痛苦钝化系数(β)大.文章通过整理已有研究发现:先付款后消费的α系数更小,而先消费后付款的β系数更小;奢侈品的α系数更大,而必需品的β系数更大;吝啬者的α系数更大,而挥霍者的β系数更大.文章进一步阐述了影响消费者购买联结的心理机制是债务规避和负的时间偏好、支付贬值等.在此基础上为消费者做出购买决策以及商家选择促销方式提出了建议.同时也为消费者决策行为研究提供了新的视角和研究课题.     

Psychotic withdrawal and the overthrow of psychic reality1

The author attempts to distinguish between the world of fantasy and the imagination (which fuels our capacity to ‘dream’) from a withdrawal into fantasy. In this withdrawal, the foundations of which are laid in childhood, a dissociation from psychic reality starts and from it the delusional world arises and constitutes the adult illness. During therapies of adult patients who have experienced a psychotic state, it is often possible to reconstruct the state of infantile withdrawal and understand how their dissociation from reality was ignored or unknowingly encouraged by their parents. Children destined to develop psychosis enter into the dissociated world not just as a defence against anguish or loneliness, but also for the pleasure of experiencing a delusional self‐suffi ciency and a gratifying omnipotence in which anything is possible. Mental workings that take place in the withdrawal do not follow the rules governing normal psychic functioning. Those fantasies cannot be either repressed or ‘dreamed’ in order to be transformed into thoughts. These psychopathological structures, which develop early and autonomously, have to be understood during analytical therapy in their origins and ‘deconstructed’ in order to help the patient to escape from their dominion. By means of clinical examples, the author tries to shed light on the possible ways of reaching patients in their psychotic shelters, thereby helping them to re‐emerge into a psychic reality.     

麻醉科医师在晚期癌痛治疗中的作用

1986年WHO推出的“三阶梯”癌痛镇痛用药方案目前在临床工作中存在误区。麻醉科医师必须明确在晚期癌痛治疗转变中的责任和义务:具有专业能力、保健与防病能力,消除使用阿片类药物成瘾恐惧症;团队协作能力、新技术的评估能力,实行跨学科综合姑息保健;遵循生物心理社会医学模式,对晚期癌痛患者实施人文关怀。不仅会运用药物和医疗技术手段,还需配合心理和社会方面进行全面的诊疗,更好地为患者服务。     

Relationship between the Millon Behavioral Health Inventory and the minnesota multiphasic personality inventory (MMPI) in low-back pain patients

The Millon Behavioral Health Inventory (MBHI) is being used with increasing frequency for the assessment of chronic pain, although there is a relative lack of evidence as to its utility, and prior studies have not examined low back pain. This investigation compared the MBHI to the MMPI in a sample of low-back pain patients and analyzed subgroups of pain patients based upon their MBHI responses. Subjects were 60 patients who had been admitted to outpatient multidisciplinary pain clinics of two Chicago-area hospitals. Patients completed both the MMPI and the MBHI and provided demographic information. Results of correlational analyses indicated strong relationships between the MBHI psychogenic attitude, psychosomatic correlate, and prognostic index scales and the validity scales of the MMPI. The MBHI Pain Treatment Responsivity scale (PP) correlated with 16 of the other 19 MBHI scales. PP did not demonstrate specificity with low back pain patients. The results of both the scale comparisons and the exploratory two-group cluster subgroup analysis support the notion that responses to the MBHI are largely affected by the respondent's tendency to deny psychopathology or to admit emotional distress.     

Jung and Pauli

In his early theories of the structure of the psyche, psychic energy and psychodynamics, Jung was influenced by William James's understanding of the complementary insights of depth psychology and the discoveries of subatomic physics, and his concept of field in physics and the study of the subconscious. In his relationship with Freud, Jung initially struggled with a sexually-based drive theory. But he gradually came to conceive libido as a quantitative concept, a psychic analogue of physical energy. In their own languages, both C. G. Jung and Nobel physicist Wolfgang Pauli explored the evolution of scientific thought from the naive insights about process in alchemy through Newtonian causality, space-time theories of relativity to quantum mechanics. Jung had access to thirteen hundred of Pauli's dreams. The first four hundred were basis for his research into alchemical symbolism in a modern psyche. In a later collaboration, Pauli supported Jung's synchronicity principle as scientific, and Jung fostered Pauli's understanding of the archetypal and collective factors in the psyche. They each explored the interconnections between the energies of psyche and matter, and the possibilities of acausal order and synchronicity. Pauli's ground-breaking discoveries gave scientific demonstration of alchemical intuitions. Through him, alchemical and archetypal insights entered the discourse of physics. Through Jung, the apprehensions of microphysics entered our psychological language and thought.     

Sex Differences in Clinical Pain: A Multisample Study

A recent meta-analysis of the experimental pain literature revealed effect sizes of .55 for pain threshold and .57 for pain tolerance, indicating a moderate difference in pain perception between men and women, with women reporting an increased sensitivity to pain. The current study investigated the relationship between sex and clinical pain ratings, in patients seeking care at a tertiary care facility. Five samples of chronic pain patients were recruited from several diverse clinics associated with the University of Florida. Analyses of clinical pain ratings revealed similar effect sizes for all samples, ranging from –.07 to –.25, indicating small differences, with women reporting higher levels of clinical pain. This is the first paper to report effect sizes for differences in report of pain in samples of chronic pain patients presenting for treatment at a tertiary care facility.     

Sex, Aggression, and Pain: Sociobiological Implicatios for Theological Anthropology

Theological anthropology can be enriched by paying attention to insights into human behavior taken from sociobiology. The capacity for reflective self-consciousness enables the human animal to respond to basic instincts and drives in unprecedented ways. Humans follow gender-specific sexual strategies, display aggressive behavior, and respond to physical pain as do other animals. Yet human beings have the intellectual ability to express these tendencies uniquely in either destructive or constructive ways. The human being, unlike any other animal, must reckon with sexual ethics, the problem of violence, and the meaning of suffering. In developing the basic concepts of theological anthropology—good creation, natural evil, fall, sin, and image of God—sociobiological research can lead to more adequate understanding of the human.     

The numinous and immanent nature of the psychoanalytic subject

In the Freudian and Kleinian conception of unconscious mental life, credence is given to the existence and functioning of peremptory instinctual drives as the putative causation of all mental life, yet they are denied an organization or a personality. It is especially when we come to the notion of how dreams are created or how the free associations of an analytic hour are orchestrated that we begin to wonder about the hidden order, the cryptic intelligence or presence, that seems to cohere our chaos and present it to us in mystically encoded forms for us to translate.
In this contribution it is posited that there is a numinous or ineffable subject of the unconscious which organizes our mental life and which unconsciously registers everything that happens to us. Mysteriously connected with this is the immanent subject of conscious/preconsciousness which registers the impact of stimuli from the external world but which has contact with the numinous subject.     

What is chronic pain?

Chronic pain leads to individual suffering and to major costs for all developed countries. Previous studies suggest that both the incidence of disabling chronic pain and the amount of health care consumption due to chronic pain are rapidly increasing. Western medicine is not only often ineffective but may be one of the causes of this epidemic. This article will address the issue of chronic pain of unknown etiology and has the goals of: (1) identifying the factors which have led to our confusion about this topic, and (2) proposing alternative ways of conceptualizing chronic pain and its ensuing behaviors and social consequences. It is concluded that it is essential to discriminate between tissue damage, pain, suffering, pain behaviors, health care consumption, impairment and disability if one is to develop a meaningful conceptualization of the medical, social, economic and political problems of chronic pain. Successful treatment must be defined in behavioral terms such as restoration of normal activities. Disabling chronic pain is often a sign of overwhelming stress engendered by the individual's failure to cope with the demands of industrialized society.     

Chronic pain,compensation and clinical knowledge

The nosological status of the putative clinical entity of compensation neurosis and the relationship of chronic pain complaints to compensation are explored. It is concluded that, using the traditional criteria of diagnostic validity, there is no support for the view that a specific type of psychiatric disorder related to compensation or litigation can be demonstrated. Although it has been generally considered that chronic pain complaints reflect an underlying disease state, recent evidence has shown that in the medico-legal setting the nature of the compensation system and the level of available benefits have a marked influence on both the rate of chronic pain complaints and the duration of pain related work incapacity.