关于医学哲学逻辑起点的思考——兼与刘虹教授商榷

人的生命存在在医学哲学理论体系中具有最抽象、最简单、最根本的规定性。医学哲学的其它概念都是人的生命存在的逻辑展开和转化。同时,人的生命存在是人的健康的先决条件,而健康只是人的生命存在的一种样态。因之,医学哲学应以人的生命存在作为其逻辑起点。     

主语表征预报思维指向状态的马尔科夫链模型

个体的语言表征是一种随机现象, 在连续句子构成的语言表征中, 句子主语表征现象具有马氏性。采用马尔科夫链模型建构句子主语表征的状态转移概率矩阵, 发现主语表征的名词(n)/代词(r)是一个正则链。主语表征变化规律反映思维指向的变化规律, 个体根据对环境的适应需要, 通过第一个句子的主语表征反映出客观思维或主观思维指向的随机性, 通过N个句子则反映出个体既关注外界又关注自我的思维指向稳定性的特征。外显的语言表征是观察内隐的心理变化的客观线索, 运用数学模型的方法, 通过语言表征的规律可以对心理活动的可能变化做出预报。     

Modeling dynamic inconsistency with a changing reference point

A rational principle of decision making called dynamic consistency was tested by presenting decision makers with a sequence of two gambles. The first gamble was obligatory. Before playing the first gamble, participants were asked to make a planned choice as to whether they would take the second gamble. After experiencing the actual results of the first gamble, decision makers were asked to make a final choice regarding the second gamble. Dynamic consistency requires agreement between the planned and final choices. Violations of dynamic consistency were observed, e.g. anticipating a gain in the first gamble, decision makers planned to take the second gamble; after experiencing the gain, they changed their minds and rejected the second gamble. Two models of dynamic inconsistency were compared. One assumes that experience shifts the reference point and changes the utility associated with the gamble; another assumes that experience changes the subjective probability associated with the gamble. The reference point model provided the best account for the findings. Copyright © 2003 John Wiley & Sons, Ltd.     

编辑职业道德：从经济学的角度审视

长期以来,人们从各个角度来谈论职业道德,试医用各种理论来解释职业道德。在一个以经济发展为驱动力和刚刚转轨的社会中,我们不妨从经济学的角度来剖析编辑职业道德,也许更有意义。     

采用理想点方法检验生活取向测验及其修订版的单维性

该文从项目反应过程出发,认为可能是由于原有的维度分析方法将生活取向测验（LOT）及其修订版（LOT-R）这两个测验的项目反应理想点过程错误地限定为优势过程,导致两个测验违背单维性的结论;进而采用主成分分析的未旋转成分负荷散点图和对应分析的维度分数散点图,并结合项目相关矩阵法验证LOT和LOT-R的维度。结果显示LOT-R的单维性得到了验证,LOT由于包含两个测量应对的项目而导致违背单维性。最后作者提出应该与理想点过程相一致的心理计量学模型对LOT-R的数据进行分析。     

言语情绪韵律加工的时间进程

有关情绪韵律加工的时间进程,现在的研究采用ERP技术在词汇和句子水平上进行探讨：在词汇水平,韵律情绪信息和语义情绪信息都存在自动加工,前者可在300ms内得以识别,受到性别、注意等因素的调节;在句子水平,语义情绪加工可能“制约”韵律情绪加工,二者具有交互作用。未来研究应进一步探索情绪韵律加工的时间进程以及与其他信息加工的相互时间关系等。     

风险决策中的参照点效应研究

本研究以展望理论和社会决策范式模型为基础,着重探讨三种参照点对个体和群体风险决策产生的影响。３００名被试经实验者设置参照点后分别在个体和群体条件下对不同风险度的博弈方案进行选择。结果表明：（１）个体决策中,损失参照点的被试和无得失经验者比得益者更冒险;（２）得益被试的决策受到社会比较的影响;（３）损失参照点的被试并未对群体决策有更大影响,决定群体决策结果的主要是多数原则。     

THE EFFECTS OF TARGETING IMPROVEMENTS IN URINE GLUCOSE ON METABOLIC CONTROL IN CHILDREN WITH INSULIN DEPENDENT DIABETES

A treatment program designed to increase the percentage of negative urine tests was implemented using a multiple-baseline across groups design in a sample of 19 families of children with insulin dependent diabetes. The treatment involved instructions in insulin adjustment, decrease in intake of simple sugars and saturated fats, and increase in exercise, along with teaching the parents to support improvements in children's self-regulatory behaviors using a point economy and praise. New proocedures designed to measure and reinforce adherence to the urine testing regimen were developed. Results showed significant increases in percentage of negative urines consistent with implementation of treatment across the three treatment groups, which were maintained over the follow-up period. Metabolic measures of control, including glycosylated hemoglobin and serum glucose did not show improvements even though the relationship between the percentage of negative urine tests and glycosylated hemoglobin was very high during treatment.     

A note on the minres method

This paper discusses the advantages and problems related to factor analysis by minimizing residuals (minres). It is shown that this method fails if the starting point of iterations is not well chosen. A suitable starting point is suggested.     

Self-control: teaching tolerance for delay in impulsive children.

We investigated a procedure to increase the selection of larger, more delayed reinforcers (i.e., more advantageous in the long run) over smaller immediate reinforcers, in an effort to increase a key aspect of self-control in children. Six preschoolers, including one comparison subject, identified by their teachers as impulsive, were preassessed and found consistently to select smaller immediate reinforcers over larger, more delayed ones. The teaching procedure consisted of gradually increasing the durations of the delay interval over many sessions. The follow-up assessments showed that 5 of these children increased the proportion of their choices of the delayed reinforcers. Before training, indifference points ranged from 1.7 to 51.7 s; following treatment, points rose to a range of 37.5 to at least 90 s, with 3 children preferring the larger reinforcer at all delay intervals tested. The results demonstrated the feasibility of teaching young children to make choices more advantageous to them in the long run.