外科临床决策的核心在精于选择

造就名医是个系统工程,理论和实践统一才有功底。为病人提供优质服务,要求医生有能力对病情进行综合分析思考、辨认、评估,对诊断、治疗进行鉴别,为选择科学的临床决策提供依据。理论与临床实践高水平的结合,难能可贵的是忌粗取精、忌浅求深、忌表识里,从临床汇集资料来思考、分析,最终做出选择,再到临床上去验证,从而得出正确的诊断和处理方案。善于选择和精于选择,是临床决策的核心,是临床医生综合素质走向成熟的产物,是一代名医成长的必然之路。     

Children's Theory of Mind,Self‐Perceptions,and Peer Relations: A Longitudinal Study

This longitudinal study explored Theory of Mind (ToM), self‐perceptions, and teacher ratings of peer relations of 91 children (52 females, ages 6–8 years) drawn from two schools situated in a mainly Euro‐Canadian, middle socioeconomic status, semi‐rural central Canadian context. ToM, self‐perceptions, and teacher ratings of peer relations were assessed at Time 1 (T1, M = 6 y 2 m) and 2 years later at Time 2 (T2, M = 8 y 5 m). Findings showed that ToM scores and perceptions of global self‐worth and physical appearance significantly increased with time across both genders. Positive longitudinal associations were found between teacher ratings of sociable peer relations at T1 and children's T2 moral self‐perceptions. A positive longitudinal correlation was found between T1 ToM and T2 teacher ratings of anxious/fearful peer relations. Individual variation in ToM at age 6 predicted teacher ratings of anxious and fearful behaviours in 8 year olds. In contrast, teacher ratings at age 6 did not predict ToM ability in 8 year olds. Educational implications for social and emotional competencies are discussed. Copyright © 2014 John Wiley & Sons, Ltd.     

The Effects of Social Support on Self‐Esteem,Self‐Efficacy,and Job Search Efficacy in the Unemployed

This study attempted to determine the effects of family and social support on the self‐esteem, self‐efficacy, and job search self‐efficacy of the unemployed. A total of 117 surveys were collected in Nevada, Idaho, and Oregon measuring self‐esteem, general self‐efficacy, and job search self‐efficacy and social support. Pearson correlation coefficients demonstrated moderately strong positive relationships between social support and self‐esteem, general self‐efficacy, and job search self‐efficacy. Social and family support had a stronger influence on the self‐perceptions of men than women.     

Development of Indirect Measures of Conscientiousness: Combining a Facets Approach and Network Analysis

Because indirect measures of personality self‐concepts such as the Implicit Association Test (IAT) allow tapping into automatic processes, they can offer advantages over self‐report measures. However, prior investigations have led to mixed results regarding the validity of indirect measures of conscientiousness. We suggest that these results might be due to a failure to consider the different facets of conscientiousness. These facets are of crucial importance because they are associated differentially with other psychobiological constructs and they are also characterized by different mechanisms. Therefore, focusing on facets while developing indirect measures of conscientiousness may improve the validity of such measures. In Study 1, we conducted a psycholexical investigation to develop one IAT for each conscientiousness facet. In Study 2, we examined the convergent and discriminant validities of each facet IAT in relation to self‐report measures, peer‐report measures and self‐report behavioural indicators, and we investigated differential associations of the conscientiousness facets with working memory capacity and self‐control. We employed network analysis as a novel approach to elucidate differential relationships involving personality facets. The results corroborated the convergent and discriminant validity of the conscientiousness facet IATs with self‐reports and showed that the conscientiousness facets were differentially associated with working memory capacity and with self‐control. Copyright © 2015 European Association of Personality Psychology     

Commentary on Three Articles on Self‐practice/Self‐reflection in Cognitive‐Behavioural Therapy

The commentary embraces three valuable contributions to the development of professional practice: (a) engagement with self‐practice/self‐reflection as a professional self‐development: the role of therapist beliefs; (b) spontaneous self‐practice of cognitive‐behavioural therapy (CBT) by aboriginal counsellors during and following CBT training: a retrospective analysis of the facilitating conditions and impact; (c) developing metacompetence in low intensity CBT interventions: evaluating a self‐practice/self‐reflection programme for experienced low intensity CBT practitioners. Each article provides different perspectives of the self‐practice and self‐reflection benefits for efficient therapy and their use as powerful resources in therapeutic training skills in general and CBT in particular. Conclusions of their contributions close the commentary.     

Show them the money? The role of pay,managerial need support,and justice in a self‐determination theory model of intrinsic work motivation

The link between money and motivation has been a debated topic for decades, especially in work organizations. However, field studies investigating the amount of pay in relation to employee motivation is lacking and there have been calls for empirical studies addressing compensation systems and motivation in the work domain. The purpose of this study was to examine outcomes associated with the amount of pay, and perceived distributive and procedural justice regarding pay in relation to those for perceived managerial need support. Participants were 166 bank employees who also reported on their basic psychological need satisfaction and intrinsic work motivation. SEM‐analyses tested a self‐determination theory (SDT) model, with satisfaction of the competence and autonomy needs as an intervening variable. The primary findings were that amount of pay and employees' perceived distributive justice regarding their pay were unrelated to employees' need satisfaction and intrinsic work motivation, but procedural justice regarding pay did affect these variables. However, managerial need support was the most important factor for promoting need satisfaction and intrinsic work motivation both directly, indirectly, and as a moderator in the model. Hence, the results of the present organizational field study support earlier laboratory experiments within the SDT framework showing that monetary rewards did not enhance intrinsic motivation. This seems to have profound implications for organizations concerned about motivating their employees.     

中文版一般自我效能量表的信度和效度检验

该研究以山东省610名高中生为被试,检验了中文版一般自我效能量表（GSES）的信度和效度.结果表明：（1）中文版GSES的有些项目,区分度不高;（2）中文版GSES具有较高的内部一致性信度与分半信度,但重测信度不高;（3）中文版GSES的单维度性没有得到证实;（4）中文版GSES不具有很好的预测效度.     

中国人的内隐辩证自我：基于内隐联想测验(IAT)的测量

作为一种文化构念, 朴素辩证从文化与认知的角度诠释了中国人基于民众理论的思维方式。本研究首次采用内隐联想测验（IAT）的方法测量内隐层面朴素辩证概念与自我以及自我相近概念在东方被试认知中的联结, 探讨东方人内隐层面的辩证自我。文章通过2个IAT实验发现, 中国人将“我”和辩证思维词汇归为一类, 将“非我”和线性思维归为一类时反应速度更快; 且他们将“朋友”和辩证思维词汇归为一类, 将“敌人”和线性思维词汇归为一类时反应速度更快。这表明在内隐层面上, 东方人确实将辩证概念与自我以及自我相近概念联系得更为紧密。     

Present Bias and Everyday Self‐Control Failures: A Day Reconstruction Study

Everyday life is full of self‐control problems. The economist's favorite explanation for self‐control problems is present bias. This paper tests whether experimentally elicited present bias predicts self‐control problems in everyday life. We measure present bias by using a standard incentivized delay discounting task and everyday self‐control by using the day reconstruction method (DRM). Because this is the first study to measure everyday self‐control by using the DRM, we also validate the method by showing that its data replicate key results from the seminal Everyday Temptation Study. We find that present bias does not predict everyday self‐control. This points to a distinction between decreasing impatience (as measured in delay discounting tasks) and visceral influences (as occurring in everyday life) as determinants of self‐control problems. We argue that decision making research can benefit from the DRM as a cost‐effective tool that complements lab and field experiments to better understand economic preference measures and their correlates in everyday life decision making. Copyright © 2017 John Wiley & Sons, Ltd.