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921.
    
Minimally-invasive surgery (MIS) offers many benefits to patients, but is considerably more difficult to learn and perform than is open surgery. One main reason for the observed difficulty is attributable to the visuo-spatial challenges that arise in MIS, taxing the surgeons’ cognitive skills. In this contribution, we present a new approach that combines training and assistance as well as the visual and the auditory modality to help surgeons to overcome these challenges. To achieve this, our approach assumes two main components: An adaptive, individualized training component as well as a component that conveys spatial information through sound. The training component (a) specifically targets the visuo-spatial processes crucial for successful MIS performance and (b) trains surgeons in the use of the sound component. The second component is an auditory display based on a psychoacoustic sonification, which reduces and avoids some of the commonly experienced MIS challenges. Implementations of both components are described and their integration is discussed. Our approach and both of its components go beyond the current state of the art in important ways. The training component has been explicitly designed to target MIS-specific visuo-spatial skills and to allow for adaptive testing, promoting individualized learning. The auditory display is conveying spatial information in 3-D space. Our approach is the first that encompasses both training for improved mastery and reduction of cognitive challenges in MIS. This promises better tailoring of surgical skills and assistance to the needs and the capabilities of the surgeons and, thus, ultimately, increased patient safety and health.  相似文献   
922.
ABSTRACT

This article contextualizes Francis Turretin’s (1623–87) doctrine of sin, and in particular his understanding of sin as a punishment for sin. Specifically, it elaborates on the theological context into which Turretin speaks. Through analyzing Turretin’s historical situation, it progresses to the content of Turretin’s theology in light of his theological and political opponents. Utilizing Turretin’s Institutes of Elenctic Theology (1679–1685), St Augustine’s Contra Julianum, and John Calvin’s Institutes of the Christian Religion, amongst others, this article evaluates Turretin’s view of the doctrine of sin and its relation to medieval and early-modern European theology. Ultimately, it argues that Turretin’s view of sin as a punishment of sin is born from his understanding of God’s holiness being demonstrated through his ‘vindicatory justice’ and Turretin’s self-understanding as an ‘orthodox’ theologian in the grand tradition of Western theology extending back to the Church Fathers.  相似文献   
923.
Regarding evaluation, numerous researches highlighted the social valuation of the internality. From the end of 1990s, the diversification of the studied situations came to put in perspective the impact of this norm, while revealing the existence of others social norms. The present research was designed to investigate the phenomenon of social valuation of the deference in situation of annual performance review. The social valuation of the power of others was examined by two studies: one led from paradigm of autopresentation with employees and other one, conducted under legislator paradigm with Human Resources specialists (students in their final year of Institutes Business Administration). If the results indicate, in a classic way, important normative effects of the internality, the valuation of the deferential explanations is globally so obvious. These results question about the contextual expression of a norm of deference: employees and RH experts give weight to the power of others. The results show a convergent use of the internality and the power of others.  相似文献   
924.
    
Greater client resistance has been consistently found to be negatively associated with outcome in psychotherapy. However, the pathways through which resistance impacts such outcomes are underexplored. Given that client outcome expectation (OE) has been identified as an important common factor in psychotherapy, the goals of the present study were to examine: (a) the impact of resistance on subsequent client and therapist OE (COE & TOE, respectively); and (b) whether COE and/or TOE mediate the relationship between resistance and outcome. These relationships were tested among 44 clients with severe generalised anxiety disorder treated with cognitive‐behavioural therapy in the context of a randomised controlled trial (Westra, Constantino, & Antony, 2016). Resistance was measured at a mid‐treatment session, and COE and TOE were assessed at baseline and immediately after the resistance session. Treatment outcome was measured via client‐rated worry severity at post‐treatment. As predicted, higher resistance was associated with lower subsequent COE and TOE; B = ?.73, p < .001 and B = ?.46, p < .001, respectively. In turn, lower post‐resistance COE predicted higher post‐treatment worry (B = ?.5, < .001), indicating mediation. In contrast, TOE did not mediate the relationship between resistance and outcome (B = ?.02, p = .876). These results suggest that resistance can be demoralising to both clients and therapists. However, only lower client morale may be detrimental to therapy outcome. This study contributes to understanding outcome pathways through two common therapy processes.  相似文献   
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927.
    
Objective : This study investigated people's willingness to emotionally manipulate others maliciously and disingenuously in the workplace. It also examined the role of gender, emotional intelligence, and the Dark Triad traits in this destructive behaviour. Method : A sample of employees (N = 765; 581 females, 184 males) from varying occupations completed measurements of emotional manipulation willingness in the workplace, emotional intelligence, and the Dark Triad. Results : T-tests revealed that females were significantly less likely than males to engage in both malicious and disingenuous emotional manipulation. In bivariate correlations, higher levels of emotional intelligence were associated with disingenuous emotional manipulation in females only. Emotional intelligence was also a significant contributor to disingenuous emotional manipulation in multiple regression analysis, indicating the existence of a “dark side to emotional intelligence” at work. In females, the magnitude of correlations (small to moderate) between the Dark Triad traits and both forms of emotional manipulation were similar. In males, both forms of emotional manipulation most strongly correlated with Machiavellianism, followed by narcissism, then psychopathy. Conclusion : This study is the first to demonstrate that good emotional intelligence skills can facilitate undesirable workplace behaviours. Emotional manipulation is elevated in males with a relentless drive to achieve goals, and in females with broader deceptive tendencies.  相似文献   
928.
    
Sanders et al.'s proposal for a management framework for conflicting interests among program developers is very welcome. The underlying principles of such a framework must nevertheless prioritise the need for researchers and commissioners of services to make objective assessments of the impact of interventions reported in journal articles. This is particularly important in the field of randomised trials which may influence public sector expenditure. Using a strict definition derived from known financial conflict of interest, we have demonstrated that child-based effect sizes are much lower for independent studies than for studies with developer involvement. On this basis, we propose that journals publishing evaluations of psychosocial interventions should agree a standardised format for declarations of conflicts of interest based on that recommended by the International Committee of Medical Journal Editors.  相似文献   
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