THE VALUE OF UNCERTAINTY

The author discusses some of the characteristics of Roy Schafer's contributions to psychoanalysis that he finds most valuable, such as his openness to uncertainty, his anti‐reductive view of analytic constructions, his unique formulation of the analyst's role, and his close attention to how the patient engenders particular emotional reactions in the analyst. The author also presents a clinical vignette illustrating the value of the analyst's tolerance of uncertainty in the face of the patient's push for interpretations, explanations, and reassurance.     

The 24-item Brief HEXACO Inventory (BHI)

Up until now, no really short instrument that measures the six personality dimensions of the HEXACO model has been available. In two studies, I report the construction of the Brief HEXACO Inventory (BHI), which represents the 24 HEXACO facets with 1 item per facet (i.e., 4 items per domain) and which takes approximately 2–3 min to complete. Although characterized by relatively low alpha reliability, its test–retest stability, self-other agreement, and convergent correlations with full-length scales are relatively high and its validity loss is only modest. Correcting for attenuation using a weighted average of alpha reliability, test–retest stability, and self-other agreement, the BHI re-estimates the original construct validity correlations of the HEXACO-PI-R with relatively great accuracy.     

Russell's Early Theory of Denoting

The ancient Greek method of analysis has a rational reconstruction in the form of the tableau method of logical proof. This reconstruction shows that the format of analysis was largely determined by the requirement that proofs could be formulated by reference to geometrical figures. In problematic analysis, it has to be assumed not only that the theorem to be proved is true, but also that it is known. This means using epistemic logic, where instantiations of variables are typically allowed only with respect to known objects. This requirement explains the preoccupation of Greek geometers with questions as to which geometrical objects are ‘given’, that is, known or ‘data’, as in the title of Euclid's eponymous book. In problematic analysis, constructions had to rely on objects that are known only hypothetically. This seems strange unless one relies on a robust idea of ‘unknown’ objects in the same sense as the unknowns of algebra. The Greeks did not have such a concept, which made their grasp of the analytic method shaky.     

“Hammered down on every side” versus “just being positive”: A critical discursive approach to health inequality

Socio‐economic and health inequality are strongly linked and are increasingly perpetuated by discourses of individual responsibility. However, little research from a critical discursive perspective has addressed how people affected themselves may account for this relationship. This research examined the ways in which people who are in debt, unemployed, or in insecure, minimum‐wage employment construct health and negotiate identities around it. Data from semistructured interviews with 6 participants were analysed and 3 main interpretative repertoires were identified: a medical repertoire of health as a lack of illness; health as adopting the “right” behaviours and attitudes; and health as being heavily influenced by external factors, such as income and life circumstances. The analysis focuses on how participants managed the tension between these latter 2 repertoires by adopting various subject positions around health: that it is “slipping” away from them; that it requires motivation; and that it is unattainable. Underpinning this is a “common‐sense” idea of health as something that is worked towards through culturally approved actions and attitudes.     

The role of narrative in career construction theory

Career construction theory (CCT) (Savickas, 2005) approaches career counseling and career development from a constructivist and narrative perspective. As career theories move towards incorporating holistic approaches that take into consideration individuals' subjective experiences, narrative theory offers a means to draw out and clarify this story. Career construction theory, effectively integrates narrative and career conceptualizations to holistically create clarity in understanding what, how, and why individuals author their lives and careers in order to help individuals develop a cohesive identity, adapt within their environment, and construct the next chapter of their career story.     

How to get really smart: Modeling retest and training effects in ability testing using computer-generated figural matrix items

The interpretation of retest scores is problematic because they are potentially affected by measurement and predictive bias, which impact construct validity, and because their size differs as a function of various factors. This paper investigates the construct stability of scores on a figural matrices test and models retest effects at the level of the individual test taker as a function of covariates (simple retest vs. training, use of identical vs. parallel retest forms, and general mental ability). A total of N = 189 subjects took two tests of matrix items that were automatically generated according to a strict construction rationale. Between test administrations, participants in the intervention groups received training, while controls did not. The Rasch model fit the data at both time points, but there was a lack of item difficulty parameter invariance across time. Training increased test performance beyond simple retesting, but there was no large difference between the identical and parallel retest forms at the individual level. Individuals varied greatly in how they profited from retest experience, training, and the use of identical vs. parallel retest forms. The results suggest that even with carefully designed tasks, it is problematic to directly compare scores from initial tests and retests. Test administrators should emphasize learning potential instead of state level assessment, and inter-individual differences with regard to test experience should be taken into account when interpreting test results.     

Using person matching to predict career specialty choice

Person matching promotes career exploration and choice by linking persons to persons in occupations based on inventory profile score similarity. We examined the efficacy of the procedure for career specialty choice. Medical students (N = 196 women, 224 men) responded to the Sixteen Personality Factor Questionnaire (16PF) in their first year of training. After graduating and selecting a medical residency, members of a reference subgroup (n = 62) of the total sample were matched with members of a criterion subgroup (n = 358) based on 16PF score equivalencies determined by the D² statistic. Person matching predicted medical specialty choice 43-60% of the time. Using broader specialty group categories and adding criterion persons increased the number of specialty matches. Additional refinement and analysis should enhance the efficacy of this idiographic approach as an alternative to nomothetic P-E matching for career exploration. Future research should examine person matching in terms of consequential validity.     

医院伦理委员会建设的探索

面对日益突出的医患矛盾、临床与医学科研中的伦理问题,各国都在探索医院伦理委员会的建设。通过阐述我国医院伦理委员会建设的发展历程,并介绍其性质、构成、职责、工作形式和存在的问题等,对其规范化建设进行积极的探索。     

实现和谐社会的道德思考

社会主义和谐社会是一个道德化的社会,是物质生产、民主法治、利益分配机制、人际交往方式、精神化生活等与不断实现的社会主义现代化相一致的理性社会。构筑时代道德、创建道德环境、完善道德化制度、注重道德教育、重视官德建设是当前加强道德建设,加快实现和谐社会的主要方法和重要途径。     

NEUROMYTHOLOGY: BRAINS AND STORIES

Abstract. I sketch a synthetic integration of several levels of explanation in addressing how myths, narratives, and stories engage human beings, produce their sense of identity and self‐understanding, and shape their intellectual, emotional, and embodied lives. Ultimately it is our engagement with the metanarratives of religious imagination by which we address a set of existentially necessary but ontologically unanswerable metaphysical questions that form the basis of religious belief. I show how a multileveled understanding of evolutionary biology, history, neuroscience, psychology, narrative, and mythology may form a coherent picture of the human spirit. Neuropsychological functions involved in constructing and responding to the narratives by which we form our identities and build meaningful lives include memory, attention, emotional marking, and temporal sequencing. It is the neural substrate, the emotional shaping, and the narrative structuring of higher cognitive function that provide the sine qua non for the construction of meaning, relationship, morality, and purpose that extend beyond our personal boundaries, both spatial and temporal. This includes a neural affect system shaped by our developmental dependency, the dynamic narratives of self formed in the development of identity and reconstructed over the life span, drawing on culturally available mythic and storied forms. Narrative constitutes our movement in moral space and may have the potential both for healing and for disruption for us as individuals and as a species, providing a contingent solution to the alienation and fragmentation of personhood, relationship, and community.