如何提高临床医学生与患者之间沟通的能力

正常有序的医疗活动应以良好的医患沟通为基础,要从根本上处理好医患关,首先要从培养临床医学生与患者之间的沟通能力入手,多数医学生在进入临床实习时都因紧张而不知道应该如何与患者沟通,因此培养医学生与患者间良好的沟通能力是当前迫切需要解决的问题。     

Enhancing early communication through infant sign training

Existing research suggests that there may be benefits to teaching signing to hearing infants who have not yet developed vocal communication. In the current study, each of 4 infants ranging in age from 6 to 10 months was taught a simple sign using delayed prompting and reinforcement. In addition, Experiment 1 showed that 2 children independently signed in a variety of novel stimulus conditions (e.g., in a classroom, with father) after participating in sign training under controlled experimental conditions. In Experiment 2, crying and whining were replaced with signing when sign training was implemented in combination with extinction.     

Assessment of Psychosocial Outcomes in Genetic Counseling Research: An Overview of Available Measurement Scales

The aim of the present paper was to describe and evaluate many of the measurement scales currently used in genetic counseling outcomes research. A team of three researchers reviewed the available literature and selected a variety of validated instruments suitable for measurement of genetic counseling outcomes. There are numerous scales to assess each of the following outcomes among counselees: satisfaction with genetic counseling; knowledge; decision-making; psychological adjustment; coping; perceived personal control; perceptions of disease risk; and family communication about genetic risk. However, the strengths and limitations inherent to each instrument warrant careful consideration prior to implementation. In the genetic counseling context, scale selection should be undertaken with thought directed towards the characteristics of the research sample (e.g. levels of literacy, culture, medical condition), the practicalities of the research setting (e.g. available funding and resources, time restrictions, researcher expertise), the purpose of the research (i.e. the specific aspect of the genetic counseling experience to be studied), and the science underlying the scale (e.g. theoretical framework, psychometric properties).     

Further evaluation of emerging speech in children with developmental disabilities: training verbal behavior

The conceptual basis for many effective language-training programs are based on Skinner's (1957) analysis of verbal behavior. Skinner described several elementary verbal operants including mands, tacts, intraverbals, and echoics. According to Skinner, responses that are the same topography may actually be functionally independent. Previous research has supported Skinner's assertion of functional independence (e.g., Hall & Sundberg, 1987; Lamarre & Holland, 1985), and some research has suggested that specific programming must be incorporated to achieve generalization across verbal operants (e.g., Sigafoos, Reichle, & Doss, 1990). The present study provides further analysis of the independence of verbal operants when teaching language to children with autism and other developmental disabilities. In the current study, 3 participants' vocal responses were first assessed as mands or tacts. Generalization for each verbal operant across alternate conditions was then assessed and subsequent training provided as needed. Results indicated that generalization across verbal operants occurred across some, but not all, vocal responses. These results are discussed relative to the functional independence of verbal operants as described by Skinner.     

Constructing intergroup relationships in social communication

Abstract:  People communicate with each other about their ingroup and outgroup in a social context. These social communications may have profound effects in constructing intergroup relationships. In this paper, we outline how different combinations of the social identities of the sender, receiver, and target of the social communication may give rise to differing face concerns of the ingroup and outgroup, and may result in different patterns of communications about them. People may enhance or protect their ingroup social identity, and derogate the outgroup social identity to their ingroup audiences; however, they are more likely to enhance and protect their outgroup's social identity when communicating with outgroup audiences. Two studies tested these predictions. Study 1 used real groups of Australian and Asian students communicating about an Asian student in an Australian university context. In Study 2, participants assigned to two fictitious groups communicated about their ingroup and outgroup. In both studies, the findings were interpreted within the framework of intergroup communication, although there were some notable deviations from the predictions. Future directions of the research were also discussed.     

语言如何进化

人类语言具有复杂多变的递归结构,漫长的物种进化过程中唯独人类精通语言。语言的进化始于大约两百万年前的“更新世时期”,语言在当时作为一种认知适应对于人类应对自然界带给人类的挑战（如动物掠食与森林毁坏）有很大帮助。人类进化过程中学习与文化因素形成一种选择压力促使人际交流语法化,人际交流语法化引发大脑容量增加,然而,最初的语言进化与基因无关。学习与文化压力也使交流的媒介依次变为手语模式、表情模式与语言模式。交流媒介的逐渐变化最终导致了FOXP2基因突变,FOXP2基因突变让智人具有了自主的言语能力。与地球上其它的人科动物相比,人类的语言能力使人类在进化中具有明显的优势     

自利和自谦归因影响大学生人际交往的实验研究

采用实验法考查了自利/自谦归因对大学生的归因评价与人际交往的影响。结果表明:(1)大学生对自谦归因的评价要好于对自利归因的评价,这尤其突出地表现在消极反馈情境中,同时大学生对朋友的归因评价要好于对陌生人的评价;(2)大学生喜欢与自谦归因的搭档交往,不喜欢与自利归因的搭档交往,这一现象在消极反馈情境中表现得更为明显;(3)大学生对搭档的归因评价在搭档归因方式与人际交往意向变化之间起着部分中介作用。     

家中不同游戏情境中婴儿与父母交流行为的比较研究

采用录像手段,考察真实的家庭环境中,16名婴儿与父亲和母亲在自由游戏和完成任务游戏情境中的交流行为。研究结果表明,无论在自由游戏还是在完成任务游戏中,母亲的表态行为都比父亲的多些。婴儿对母亲的表态行为比对父亲的多,对父亲的行动祈求、信息祈求和注意祈求行为比对母亲的多。在自由游戏中,母亲比父亲更多地承诺参与儿童的游戏。总体上,父母亲根据交流情境选择交流行为外,也表现出自身的特点,孩子则根据交流对象的选择交流行为。     

Social Class, Race, and Ethnicity: Career Interventions for Women Domestic Violence Survivors

This story describes a community intervention study conducted with women domestic violence survivors and a research dilemma related to the complex interrelationships between women's social class, race and ethnicity, and career development needs and experiences. The author presents diversity and research dilemmas related to facilitating women's critical consciousness of power dynamics at work in their lives. The influence of community context, career intervention curricula, and research team members' values on research decisions are described. This story highlights the importance of researchers examining their values and how those values impact the communities that they serve.     

“Troubles Talk”: Effects of Gender and Gender-Typing

Effects of gender and gender-typing on communication styles were examined in 62 male and 110 female college students. Participants were asked to rate the likelihood of giving certain responses to a friend's problems as well as the likelihood of feeling certain emotions when a friend gives them advice or sympathy for their own problems. Men and masculine people were expected to be more likely to respond to a friend in a way that reduces interpersonal intimacy; women and feminine people were expected to respond in a way that enhances interpersonal intimacy. Although a few gender differences were found, participants' level of expressive/nurturing traits (femininity) was related to more responses than was gender. The importance of examining gender-linked traits and not just gender when studying communication patterns is emphasized.