医师知识结构和思维方式与肺血栓栓塞症诊断

肺血栓栓塞症是常见的临床病症,因其临床表现多样,易发生误诊漏诊而导致较高的病死率。但“凡事预则立,不预则废”,充分掌握肺血栓栓塞症的知识、以正确的思维方式引导临床诊疗可以有效减少和避免误诊漏诊。     

专科医生应注重整体性和系统思维训练——由一例甲亢患者门诊长期误诊引发的哲学思考

临床医学专科的发展对促进医学科学的进步起到了重要的推动作用,尽管它可能缺乏整体性、系统性临床思维,但在可预见的将来,它仍是综合性医院医疗实践的主旋律,医学界应对此有较为清醒的认识。本文从哲学的角度分析了造成误诊的原因,然后指出防止或减少误诊的途径是培养科学的临床思维,并提出了在临床过程中培养整体思维和系统性科学思维的一些方法。     

药物性肝损伤的诊断思维

药物性肝损伤（DILI）是指由于药物或其代谢产物引起的肝脏损害。DILI的诊断尚无金标准,目前国际上比较常用的诊断标准分别从数个不同方面各自进行量化评分,根据得分情况做出诊断。本文归纳DILI的产生机制、诊断标准、临床分型及病理类型,总结推论其临床诊断思维与决策,以供临床医生参考,提高诊断水平。     

个体化角膜屈光手术的探讨

对个体化角膜屈光手术这一屈光矫正领域的新理念和新方法进行探讨,提出医务工作者要勇于思想创新;以辩证思维看问题;关注社会需求,正确处理以人为本与追求经济利益的关系;加强多学科交叉合作和复合型人才的培养,才能推动个体化角膜屈光手术不断向更高层次迈进.     

Counterfactual thinking and confidence in blackjack: A test of the counterfactual inflation hypothesis

This research tests the idea that repeatedly generating counterfactual thoughts in response to recurring events can lead to impairments in memory for actual outcomes (i.e., counterfactual inflation hypothesis). Participants (N = 56) played 40 games of blackjack and listed their thoughts after each win. They were instructed to list evaluative counterfactuals, reflective counterfactuals, or any thoughts that came to mind following each loss. Because reflective counterfactuals focus only on the alternatives to reality, and not in addition to reality (like evaluative counterfactuals), they were expected to lead to the greatest degree of overestimations of performance and confidence for future blackjack playing. The results confirmed this hypothesis, and also demonstrated that the relationship between thought-listing instructions and confidence for the future was mediated by overestimations of performance. Thus, repeatedly generating reflective counterfactual thoughts appears to lead to a special case of imagination inflation with dysfunctional implications for future confidence and risk-taking.     

Counterfactual thinking facilitates behavioral intentions

People often ponder what might have been, and these counterfactual inferences have been linked to behavior regulation. Counterfactuals may enhance performance by either a content-specific pathway (via shift in behavioral intentions) and/or a content-neutral pathway (via mindsets or motivation). Three experiments provided new specification of the content-specific pathway. A sequential priming paradigm revealed that counterfactual judgments facilitated RTs to complete behavioral intention judgments relative to control judgments and to a no-judgment baseline (Experiment 1). This facilitation effect was found only for intention judgments that matched the information content of the counterfactual (Experiment 2) and only for intention judgments as opposed to a different judgment that nevertheless focused on the same information content (Experiment 3). These findings clarify the content-specific pathway by which counterfactuals influence behavior.     

Students' Divergent Thinking and Teachers' Ratings of Creativity: Does Gender Play a Role?

The differences between genders regarding the properties of divergent thinking and teachers' ratings of students' creativity are the issue of the present research. Data gathered from three previous experimental studies in Greek primary school students (N total = 228) was used for this purpose. In these studies, divergent thinking tasks were assigned to students and teachers' ratings were collected. The results showed that there were indeed differences in performance — except in the subscale of originality — in favor of girls who were more likely to perform better when they had a male teacher. Teachers' ratings of creativity were not related to students' gender but to teachers' gender.     

Changing explicit and implicit attitudes: The case of self-esteem

Three experiments investigated predictions concerning asymmetrical patterns of implicit and explicit self-esteem change. Specifically, we investigated the influence of knowledge about the own self that is momentarily salient as well as the influence of affective valence associated with the self in memory on implicit and explicit self-esteem. The latter was induced by evaluative conditioning, the former by directed thinking about oneself. We found that while evaluative conditioning changed implicit but not explicit self-esteem (Experiment 1), thinking about the own self altered explicit but not implicit self-esteem (Experiment 2). Moreover, in a third experiment, it could be shown that the effect of evaluative conditioning can spill over to the explicit level when participants are asked to focus on their feelings prior to making their self-report judgements (Experiment 3). Implications of our results are discussed in terms of recent controversies regarding dual-process models of attitudes and associative versus propositional modes of information processing.     

中学生思维风格结构及其测量

本研究在文献分析和开放调查的基础上,构建了中学生思维风格的理论结构,并据此编制了中学生思维风格量表。对测量结果进行探索性和验证性因素分析表明:思维风格是一个单一维度的整体-分析型结构,它包括两个呈两极连续性的整体和分析因素,可以用来说明复杂多样的具体思维风格类型。     

Has 60 Years of Research in Psychology Really Gone Astray?

The author presents several arguments against Toomela’s (Culture of science: Strange history of the methodological thinking in psychology. Integrative Psychological and Behavioral Science, 2007a, doi:, History of methodology in psychology: Starting point, not the goal. Integrative Psychological and Behavioral Science, 2007b, doi:) pessimistic thesis: “The last 60 years of research in psychology seems to have gone astray.” Nevertheless he admits that Toomela’s article despite the excessively categorical assessments contained in it and the undue pessimism crowing its conclusion, represents a substantial contribution to the highlighting of socio-cultural impact on various models of psychological cognition, which lurks behind the international unification of globalizing science.