提取学习有利于学习与记忆的认知神经基础

研究表明提取学习相比简单重复学习更加益于记忆的保持。近期的脑成像研究发现, 与简单重复学习相比, 提取学习时前额叶、顶下叶、颞叶及一些皮层下结构的脑激活更大, 这些脑区的激活也能预测随后的记忆成绩。这些研究表明, 在更多认知资源的投入和工作记忆系统的参与下, 提取学习是一个获得、加工、整合和巩固语义关系的过程。提取学习充分调用认知和情感、皮层与皮层下机能, 同时还发挥语义和情景记忆优势来促进学习与记忆。     

Using Planned Adaptation to Implement Evidence-Based Programs with New Populations

The Interactive Systems Framework (ISF) for Dissemination and Implementation (Wandersman et al. 2008) elaborates the functions and structures that move evidence-based programs (EBPs) from research to practice. Inherent in that process is the tension between implementing programs with fidelity and the need to tailor programs to fit the target population. We propose Planned Adaptation as one approach to resolve this tension, with the goal of guiding practitioners in adapting EBPs so that they maintain core components of program theory while taking into account the needs of particular populations. Planned Adaptation is a form of capacity building within the Prevention Support System that provides a framework to guide practitioners in adapting programs while encouraging researchers to provide information relevant to adaptation as a critical aspect of dissemination research, with the goal of promoting wider dissemination and better implementation of EBPs. We illustrate Planned Adaptation using the JOBS Program (Caplan et al. 1989), which was developed for recently laid-off, working- and middle-class workers and subsequently implemented with welfare recipients.     

AN ISLAMIC APPRAISAL OF MINDING THE GAP

The neglect of psycho‐spiritual needs of patients as they traverse the modern healthcare system has been a featured theme in medical literature over the past decade. This literature, which often highlights in‐patient palliative care, as well as acute and critical care settings, influences practice guidelines and protocols of doctors and nurses. In this essay, I review some of the pertinent issues raised in the literature and examine the validity of placing an ethical perspective on this issue. I also compare Islamic theocentric perspectives with secular, non‐theistic perspectives on restoring psycho‐spiritual care for patients. I then develop a framework for pastoral intervention based on aspects of the Islamic tradition and elaborate this framework by addressing clinical contexts and cases. The essay is an exposition based upon a review of the modern medical literature, an analysis of some of the traditional Islamic written sources, and the observations of the investigator, a practicing physician and an American Muslim.     

IMPLICATIONS OF INTERPERSONAL NEUROBIOLOGY FOR A SPIRITUALITY OF COMPASSION

Interpersonal neurobiology (IPNB) is a burgeoning interdisciplinary field that focuses on ways in which relationships shape and transform the architecture and functioning of the human brain. IPNB points to four specific conditions that appear to encourage the emergence of empathy. Further, these conditions, when gathered together, may constitute the core components of a spirituality of compassion. Following definitions and a discussion of interdisciplinary method, this essay delineates IPNB's main tenets and demonstrates ways in which IPNB sheds light on important aspects of human empathy and compassion. Drawing on this analysis, it introduces the four conditions that encourage the emergence of empathy in individuals and groups and shows why they may be central elements of a spirituality of compassion. A case study, in which the Native American Ojibwe practice of the talking circle is described and assessed through the lens of the IPNB‐derived spirituality of compassion, demonstrates the evaluative usefulness of this set of conditions.     

Some brief considerations on the relationship between theory and practice

The present crisis in models of training and in psychoanalytical education in general can be linked to the gulf that has come to be created between analytical theory and clinical practice. The paper(1) examines the historical facts that have led to this split and suggests the need to return to the models of Freud and Jung. Both these fathers of depth psychology stressed the dangers inherent in the dogmatic use of theory and both insisted that theory must always spring from and be able to account for clinical practice rather than vice versa, as is so often the case today. The paper also looks at how theory should be taught in our analytical institutes in order to ensure that what we transmit to our candidates is not knowledge in the form of dogma but rather a way of proceeding that will enable them to think creatively about their clinical practice and thus produce new knowledge, essential if depth psychology is to remain relevant to our post-modern culture.     

内科临床实习医师的带教思考

针对新形势下教学医院内科实习医生的特点,从教学方法、医学模式转变、能力培养、实习管理、医惠关系和医德教育以及就业指导等6个方面进行了分别阐述,强调了教学实习的新特点、新任务,主张教师的角色转换,真正实行弹性化管理,从而达到最佳的实习效果。     

目前医疗执业环境对临床实习带教的影响和对策

现有的医师执业制度和不完善的医疗保障体制使医疗环境复杂化,为临床实习带教带来新的问题和挑战。探索新的教学意识和带教模式是提高临床实习质量的关键。文章分析了目前医疗执业环境对临床实习带教的影响,提出加强带教意识,在建构主义教学理论指导下,应由“教”转为“学”,采用“互动式”教学模式提高临床实习水平。     

流行病学实践与研究相关的伦理学视角与思考

随着社会的发展,公共卫生领域的伦理学问题不断显露,有必要对其重新审视。探讨了目前在公共卫生领域流行病学实践与研究中存在和涉及到的一些伦理问题,有传染病报告、隔离、免疫规划、艾滋病防治、传染病应急机制、流行病学调查和试验研究等,并就公共卫生领域中的伦理实践原则进行了概括。     

康德关于纯粹实践理性方法论的思想

文章立足于分析康德对“客观的德性法则如何在主观上也成为实践的”这一问题的回答,梳理了康德的纯粹实践理性的方法论思想,提出了两个步骤的理论：判断力的练习与自由的意识;并分析了方法论与实践理性批判的分析论在方法上的统一。康德认为这一方法论思想对道德生活与道德培育具有重要的意义,尤其是自由的意识以及对自己的敬重是道德教育的立足点,因为它们也是人在内心防止心灵的腐败与堕落的惟一守卫者。     

科学分析临床试验结果维护公众健康

近20多年来,循证医学对推动我国疾病访治的科学化、规范化和现代化起到了积极推动作用。但以临床试验为基础的循证医学在我国的20年历程也出现了一些值得关注的问题。本文将向临床医生提供如下信息：如何正确分析临床试验结果,如何合理地将临床试验结果用于临床,以及如何向患者传递科学的医学信息,保护患者利益。