“企业公民”与医药事业的境界

指出了医药行业对企业公民和企业社会责任的忽视,分析了企业公民和企业社会责任在医药行业发展中的对应要求,强调了医药行业在注重经济利益的同时,要充分重视对社会责任的承担,并从医药行业作为社会事业的角度,提出了树立企业公民意识对提升医药事业发展境界的必要性和重要性。     

国内外医疗保障制度的比较研究

作为社会保障体制中医疗保障制度的重要组成部分,对促进社会稳定和体现制度公平性起着至关重要的作用。在不同的国家,由于国情不同、人权状况不同,以及、历史和文化理念的差异,形成了各有特色的医疗保障制度。对具有代表性的四种医疗保障制度进行简述和比较,并就我国医疗保障制度存在的问题与改革提出了见解。     

内隐态度之“内隐”的涵义

内隐态度,又称为间接测量态度或自动加工态度。很多学者认为内隐态度是无意识的,需要通过间接测量来获得。但是也有学者认为,当前没有研究可以证明内隐态度内容的无意识性,并且认为内隐态度也并非一定要用间接测量来获得。探讨内隐态度之“内隐”的涵义,对于更好地理解内隐社会认知领域具有一定的借鉴意义。     

Moral reasoning in autistic individuals: a theoretical review / El razonamiento moral en personas con Trastorno del Espectro Autista: una revisión teórica

Abstract

Individuals diagnosed with an Autism Spectrum Disorder (ASD) often find it difficult to attribute mental states to others and to understand their own and others’ behaviour (Theory of Mind, [ToM]/social cognition). These difficulties can affect their moral judgements. The present article focuses on evidence on moral reasoning and ToM, with the aim of analysing theoretical and review research into autism. The weight intention has in moral reasoning and the causal relation between mental states, actions and outcomes is an essential part of this study. Evidence in the field of autism reports how autistic people would not be able to make moral judgements based on the agent’s intention. Instead, they would reason based on the outcomes of the action. For example, this can be translated into misunderstandings, malicious judgements or ‘over-blaming’ in accidental situations (ambiguous valences). These impairments can confirm the association between ToM and moral reasoning.     

Dynandcs in cancer caregiver's health over time: Gender-specific patterns and determinants

Abstract

This study exandned patterns and determinants of three dimensions of caregiver's health of newly diagnosed colorectal cancer patients, i.e. physical, mental and social functioning (N= 148). Physical functioning declined within a 6-month period in female caregivers, while no change was observed in male caregivers. For mental and social functioning, an improvement was observed in male and female caregivers. Change in physical functioning was associated with gender, age, income and initial level. Change in mental functioning was predicted by initial status and positive as well as negative caregiver experiences. Change in social functioning was mainly predicted by initial level and change in patient's dependency. Physical and mental functioning showed the least favorable patterns in female caregivers. The study shows that caregiving may lead to positive health consequences, and underlines the importance of making a distinction between male and female caregivers and of studying caregiver outcomes by using multidimensional assessments.     

Life events and psychological well-being in old age

Abstract

Although life event research has burgeoned in recent years, little attention has been paid to the prevalence of events among the elderly or their relationship to psychological well-being. This paper presents data from a three-wave longitudinal study of community elderly in Aberdeen. Negative life events were highly prevalent among both survivors [N=349) and non-survivors [N=108], but the relatively small differences between the groups indicate that attrition does not seriously affect longitudinal findings. Longitudinal analysis of survivors' data was performed using LISREL and yielded a model with a goodness of fit index of 0.918, demonstrating a close fit between the data and the model. The model parameters indicate that those in poor psychological state were more likely to report serious non-health events than health events, although the latter were more likely than the former to result in a decline in psychological well-being, even after prior psychological state was taken into account. While elderly people with low social integration experienced more severe reactions to life events in the short term than those with high social integration, there were no significant long term effects, even for those reporting highly stressful events. There was no evidence of a sub-group of elderly people lacked into a cycle of serious life events. However life events were not random occurrences; serious health events were more often reported by those with low education while women and those in lower social classes were more likely to report serious non-health events. Overall, long term disruption, directly attributable to life events, was minimal when viewed within the context of the community elderly's stable psychological state.     

“易象”新说——兼论《周易》原有《象经》问题

论文对古代典籍所载"易象"一名作了新的解读。认为所谓"易象",仅是当时《周易》的另一种称谓而已,它并不神秘;"易象"与今本《象传》没有直接联系,尚无渊源,《象传》"演德","易象""尊礼尚施",至汉代仍保存有以古礼诠释《周易》的传统;古代《周易》原有《象经》,或以《卦下易经》当之,惜已不传;但在清人的《易》著中,至今仍可见其传承的轨迹。     

妒忌:一种带有敌意的社会情绪

妒忌是个体因为意识到别人拥有自己所缺乏的优势时体验到的一种消极感受,表现为自卑、敌意和怨恨的一种混合情绪,包括特质和状态两种界定角度.相似性、自我相关是妒忌的近因,资源竞争则是妒忌的远因,前扣带皮层、腹侧纹状体和腹中侧前额叶是妒忌加工和识别的相关脑区.妒忌影响人们的身心健康、攻击行为、道德行为、幸灾乐祸、亲社会性以及业绩表现.未来研究可以在善意妒忌、内在机制、进化视角、文化差异等方面进一步扩展.     

On the Importance of the Setting in the Psychoanalytic Situation

In this article, we explore the process of psychoanalytical listening in the context of language. We demonstrate through a clinical example how listening may act as a facilitator of a person's linguistic style, but also how the defence of negation blocks the same process. Guided by the modern speculations on the function of metaphor, we show how listening has been expressed in various metaphors and other “tropes” of language by psychoanalysts, and also how useful metaphors can be in our listening to patients.     

Confounding of Big Five Personality Assessments in Emotional Disorders by Comorbidity and Current Disorder

Foremost cross‐sectional studies of personality in common mental disorders show similar Big Five trait profiles [i.e. high neuroticism (N), low conscientiousness (C) and low extraversion (E)]. It remains undecided whether this lack of distinct personality profiles is partly due to comorbidity among disorders or contamination by current state. Using data from the Netherlands Study of Depression and Anxiety, we investigated 1046 participants with panic disorder (PD), social anxiety disorder (SAD) and/or major depressive disorder (MDD) and 474 healthy controls. Personality traits at baseline and two‐year follow‐up were assessed with the NEO‐Five Factor Inventory. The Composite International Diagnostic Interview was used to determine the presence of emotional disorders at baseline and at two‐year follow‐up; the Life Chart Interview determined symptom severity in the month prior to baseline and during follow‐up. By analysing pure cases and investigating the effects in remitted cases, PD participants were found to be higher in N, but not lower in E and C than controls. Pure PD participants were also lower in N and higher in E than SAD and MDD participants. Both SAD and MDD participants were characterized by high levels of N and low levels of E, irrespective of comorbidity or current disorder state. Future studies should be more attentive to confounding of personality profiles by comorbidity and state effects. Copyright © 2012 John Wiley & Sons, Ltd.