患者集中大医院就医的行为经济学分析

认为患者的行为心理因素是造成就医集中现象的重要原因,其中,关于参照点的选择是影响患者就医行为的重要因素,风险规避、损失厌恶、心理账户、敏感度递减等因素也是重要的影响因素。通过提高社区医院的力量、改革医疗保险的支付方式、对技术的理性追求等措施,可以缓解这一反常现象。     

Relating reference points and weights in MOLP

A frequent problem for decision makers (DMs) analysing decisions involving multiple objectives is the identification and selection of the most preferred option from the set of non‐dominated solutions. Two techniques, weighted sum optimization and reference point optimization, have been developed to address this problem for multiobjective linear programming problems (MOLP). In this paper, we examine the relationship between these two techniques. We demonstrate that the values of the dual variables associate with auxiliary constraints of the reference point technique are equal to the weight values used to compute the same non‐dominated solution via the weighted sum technique. This insight will enable the development of new interactive solution procedures for MOLPs which allow the DM to readily switch from one method to the other during the search for the most preferred non‐dominated solution. The advantages of the approach are discussed in the paper. Copyright © 1999 John Wiley & Sons, Ltd.     

Using aspiration levels in an interior primal-dual multiobjective linear programming algorithm

We introduce in this paper a new multiple-objective linear programming (MOLP) algorithm. The algorithm is based on the single-objective path-following primal—dual linear programming algorithm and combines it with aspiration levels and the use of achievement scalarizing functions. The resulting algorithm falls in the class of interactive MOLP algorithms, as it requires interaction with the decision maker (DM) during the iterative process to obtain statements of aspirations for levels of objectives of the MOLP problem. The interior point algorithm is then used to trace a path of interates from a current (interior) solution and approach as closely as desired a non-dominated solution corresponding to the optimum of the achievement scalarizing function. The timing of the interaction with the DM is dependent on the progress of the interior algorithm. It can take place every few, pre-specified, iterations or after the duality gap achieved for the stated aspirations has fallen below a certain threshold. It is expected that an interior algorithm will speed up the overall process of searching and finding the most preferred MOLP solution—especially in large-scale problems—by avoiding the need for numerous pivot operations and their corresponding interactive sessions inherent in simplex-based algorithms.     

Communicative functions of directional verbal probabilities: Speaker’s choice,listener’s inference,and reference points

Verbal probabilities have directional communicative functions, and most can be categorized as positive (e.g., “it is likely”) or negative (e.g., “it is doubtful”). We examined the communicative functions of verbal probabilities based on the reference point hypothesis According to this hypothesis, listeners are sensitive to and can infer a speaker’s reference points based on the speaker’s selected directionality. In four experiments (two of which examined speakers’ choice of directionality and two of which examined listeners’ inferences about a speaker’s reference point), we found that listeners could make inferences about speakers’ reference points based on the stated directionality of verbal probability. Thus, the directionality of verbal probabilities serves the communicative function of conveying information about a speaker’s reference point.     

基于三参照点理论的薪酬差距与离职决策的分析

离职是组织管理研究中一个重要的课题, 但鲜有研究将其纳入风险决策的框架中。本文运用行为决策的研究方法, 将离职作为一种风险选择, 运用三参照点理论探讨个体薪酬差距与离职决策之间的关系。我们的理论分析和初步的预研究发现：(1)个体薪酬现状与底线的差距负向预测离职决策, 薪酬目标与现状的差距正向预测离职决策; (2)进一步推导出薪酬差距与离职决策间存在双拐点的非线性函数关系; (3)同行现状收入作为横向参照系, 在薪酬差距与离职决策两者之间起锚定作用; (4)组织中薪酬分布的差距大小作为纵向参照系, 在薪酬差距与离职决策两者之间起调节作用。本研究将离职作为一种风险决策进行研究, 不仅对于离职理论与决策理论的发展有一定意义, 而且为人力资源管理实践提供了指导与启示。     

Psychological implications of a vision disorder

The paper discusses how the condition of crossed‐eyes affects a baby's eye contact with mother and potentially results in the loss of a vital emotional connection with her during the earliest days of life. This loss may contribute to a rupture that arrests emotional development at a deep psychic level. It is suggested that, in the same way as premature separation, the rupture can precipitate a ‘fusional complex’, a defence that develops to protect the infant against psychotic anxieties. The paper proposes that psychological development atrophies in this place and creates a blind spot. These ideas are explored through analytic theory and developmental literature. The dreams of a patient and his art are used to illustrate a 10‐year ‘alchemical’ process of bringing repressed material into consciousness and transformation. Healing the psychological wounds of deficits in early eye contact may be found to bring sight to a blind spot that was created by the nature of the condition itself.     

Set points of positivity ratio for different levels of well‐being: A latent profile analysis

Previous studies have explored the set points of the positivity ratio by grouping according to predetermined cut‐off scores, resulting in inconsistent criteria and unstable results. This study intends to further explore the set points of the positivity ratio using latent profile analysis. Two samples of 716 college students and 381 adults in China completed the Questionnaire for Eudaimonic Well‐Being, the Personal Growth Subscale from Ryff's Psychological Well‐being Scale, the Need Satisfaction Questionnaire, and the Emotional Experience of Well‐Being Questionnaire. College students were classified into four classes (2.0, 2.8, 3.7 and 5.0) with the set points of the positivity ratio, whereas adults were classified into three classes (1.9, 2.9 and 4.2) with the set points of the positivity ratio. The difference of the set points between college students and adults was nonsignificant for medium and high well‐being classes, and significant with a small effect size for the higher well‐being class. Future research should examine more diverse samples and combine the real experience method to further explore the set points of the positivity ratio.     

The analytic situation as a dynamic field. 1969

This paper discusses the consequences of the importance that recent ³ papers assign to the countertransference. When the latter acquires a theoretical and technical value equal to that of the transference, the analytic situation is configured as a dynamic bi‐personal field, and the phenomena occurring in it need to be formulated in bi‐personal terms. First, the field of the analytic situation is described, in its spatial, temporal and functional structure, and its triangular character (the present–absent third party in the bi‐personal field) is underlined. Then, the ambiguity of this field is emphasized, with special weight given to its bodily aspect (the bodily experiences of the analyst and the patient being particularly revealing of the unconscious situation in the field). The different dynamic structures or lines of orientation of the field are examined: the analytic contract, the configuration of the manifest material, the unconscious configuration – the unconscious bi‐personal phantasy manifesting itself in an interpretable point of urgency – that produces the structure of the field and its modifications. The authors describe the characteristics of this unconscious couple phantasy: its mobility and lack of definition, the importance of the phenomena of projective and introjective identification in its structuring. The authors go on to study the functioning of this field, which oscillates between mobilisation and stagnation, integration and splitting. Special reference is made to the concept of the split off unconscious ‘bastion’ as an extremely important technical problem. The analyst’s work is described as allowing oneself to be partially involved in the transference–countertransference micro‐neurosis or micro‐psychosis, and interpretation as a means of simultaneous recovery of parts of the analyst and the patient involved in the field. Finally, the authors describe the bi‐personal aspect of the act of insight that we experience in the analytic process.     

SUPERVALUATION FIXED-POINT LOGICS OF TRUTH

Michael Kremer defines fixed-point logics of truth based on Saul Kripke’s fixed point semantics for languages expressing their own truth concepts. Kremer axiomatizes the strong Kleene fixed-point logic of truth and the weak Kleene fixed-point logic of truth, but leaves the axiomatizability question open for the supervaluation fixed-point logic of truth and its variants. We show that the principal supervaluation fixed point logic of truth, when thought of as consequence relation, is highly complex: it is not even analytic. We also consider variants, engendered by a stronger notion of ‘fixed point’, and by variant supervaluation schemes. A ‘logic’ is often thought of, not as a consequence relation, but as a set of sentences – the sentences true on each interpretation. We axiomatize the supervaluation fixed-point logics so conceived.