重构我国医德规范体系论要

由于我国现有医德规范体系构成混乱、规定抽象、功能低下,已严重不适应医学发展尤其是医德建设的现实需要,因此,亟需对现有医德规范体系加以解构,并在解决人道理念与功利理念相统一、传统规范体系现代化与外来规范体系本土化相统一、先进性要求与普遍性要求相统一、宣传教育功能与实际调节功能相统一等关键问题中,按照"一个原则、六个准则、十二个范畴"的总体框架进行科学、合理的重构.     

Challenges in Disseminating Model Programs: A Qualitative Analysis of the Strengthening Washington DC Families Program

This article discusses the challenges faced when a popular model program, the Strengthening Families Program, which in the past has been implemented on a smaller scale in single organizations, moves to a larger, multiorganization endeavor. On the basis of 42 interviews conducted with program staff, the results highlight two main themes that address program and organizational characteristics. The themes relate to the cultural relevance of the program, the accessibility of program partners, the organization of program services, and the coordination of program activities. The article also offers a discussion of how to better prepare sites for program delivery. This discussion focuses explicitly on the need for good communication among program partners, extensive community outreach, and the ability to secure additional resources.     

TPS: A hybrid automatic-interactive system for developing proofs

The theorem proving system Tps provides support for constructing proofs using a mix of automation and user interaction, and for manipulating and inspecting proofs. Its library facilities allow the user to store and organize work. Mathematical theorems can be expressed very naturally in Tps using higher-order logic. A number of proof representations are available in Tps, so proofs can be inspected from various perspectives.     

Analysis of proctor marking accuracy in a computer-aided personalized system of instruction course

In a computer-aided version of Keller's personalized system of instruction (CAPSI), students within a course were assigned by a computer to be proctors for tests. Archived data from a CAPSI-taught behavior modification course were analyzed to assess proctor accuracy in marking answers as correct or incorrect. Overall accuracy was increased by having each test marked independently by two proctors, and was higher on incorrect answers when the degree of incorrectness was larger.     

Daimonic elements in early trauma

This paper explores some of the 'daimonic' elements of unconscious mentation that emerge both in dreams and in the transference/countertransference field with early-trauma patients and illustrates these with an extended clinical example. An archaic and typical (archetypal) 'trauma complex' is articulated (with diagram) as a bi-polar structure consisting of divine child protected and/or persecuted by an inner 'guardian angel'. Sources of this structure and its mythological inner objects are traced to trauma at the stage of what Winnicott calls 'unintegration' and to flooding by disintegration anxiety at a time before nascent ego-structure has formed. In an extended case example, the author shows how the patient's traumatized innocence and desire for a new start, thwarted by self-attacking defences, pulls him into playing the inflated role of her guardian angel, leading to re-traumatization in the transference. Working through is seen as the necessary disillusionment and humanization of these daimonic structures as they are projected, suffered, and transmuted by the analytic partners in the stormy process of psychotherapy.     

论中医学体系突变的失败

中医学在其体系西藏怕初、中期,其抽象的哲学化的体系比具体的物质基础构成的体系更具有弹性和优越性。随着科学的发展,因不恰当地借助于哲学化处理的中医学在近现代并未得到发展,但由于中医学已具有哲学般高弹性的缓冲性,故中医学体系仍未突变。而这种体系,已阻碍了中攻滨发展,必须用实事求是的态度去检验和发展它。     

The Dependency–Counterdependency Dynamic: Interactive Effects of System Justification and Power-Distance Orientation on Radicalization against the Political System

System Justification Theory posits that individuals are less prone to engage in radical action against a system on which they depend. In the present research, we investigated how the association between system-justifying tendencies and radical intentions is moderated by individuals' orientation towards power differentials, namely their “power distance.” A stronger power distance orientation implies that individuals perceive power differentials as a fixed feature of society, curtailing prospects for change. We hypothesized that, at lower levels of power distance orientation, system-justification tendencies would be associated with reduced radical intentions. We contend this will occur because individuals feel dependent on a system perceived as malleable (dependency hypothesis). Conversely, at higher levels of power distance orientation, we expected system-justification tendencies to be associated with stronger radical intentions. We argue that this effect reflects the rejection of dependency on a system perceived as fixed (counterdependency hypothesis). This dependency-counterdependency dynamic was tested using a multigroup latent structural equation model and samples from four countries (N_Total = 2,502), South Korea, Italy, the United Kingdom, and the United States. Results were consistent with the hypothesized dynamic across all countries. Theoretical implications of the findings, limitations, and future research directions are discussed.     

The influence of vestibular system and fetal presentation on handedness,cognitive and motor development: A comparison between cephalic and breech presentation

Genetics are undoubtedly implicated in the ontogenesis of laterality. Nonetheless, environmental factors, such as the intrauterine environment, may also play a role in the development of functional and behavioral lateralization. The aim of this study was to test the Left-Otolithic Dominance Theory (LODT; Previc, 1991) by investigating a hypothetical developmental pattern where it is assumed that a breech presentation, which is putatively associated with a dysfunctional and weakly lateralized vestibular system, can lead to weak handedness and atypical development associated with language and motor difficulties. We used the ALSPAC cohort of children from 7 to 10 years of age to conduct our investigation. Our results failed to show an association between the vestibular system and fetal presentation, nor any influence of the latter on hand preference, hand performance, or language and motor development. Bayesian statistical analyses supported these findings. Contrary to our LODT-derived hypotheses, this study offers evidence that fetal presentation does not influence the vestibular system's lateralization and seems to be a poor indicator for handedness. Nonetheless, we found that another non-genetic factor, prematurity, could lead to atypical development of handedness.     

Cultural values,system justification,meritocratic beliefs,and evaluations of governments' performance in handling the COVID-19 crisis

System justification and meritocratic beliefs legitimize the status quo of economic, social, and political arrangements, and may correlate with favourable evaluations of governments' performance during the COVID-19 pandemic. This study furthers research on this topic by examining (1) the cultural value antecedents of system justification and meritocratic beliefs, and (2) the differential effects of these on attitudes toward ingroups and outgroups from an intergroup perspective. The results show that collectivist values positively predict system justification and meritocratic beliefs, whereas a similar effect was not observed for individualist values. As hypothesized, system justification motivation was positively associated with favourable evaluation of the Chinese government (an ingroup). By contrast, system justification and meritocratic beliefs were negatively associated with evaluation of the American government (an outgroup). We discussed the implications for understandings of the cultural value bases of system justification and meritocratic beliefs, and the relevance of the lens of intergroup relations in studying those beliefs.