Multifactor measurement of bodily feelings: Conceptual development,scale construction,and empirical validation

A series of studies is described demonstrating a coherent exploratory and confirmatory factor-analytic approach to the scaling of self-reported bodily feelings. This approach attempts to optimize the orthogonality, parsimony, and meaningfulness of a multifactor inventory. Psychometric properties of the resulting 35-item Bodily Feeling Scale (BFS) are presented and its comparability with other inventories is discussed. A validity study using item-content-based scales of the Minnesota Multiphasic Personality Inventory showed both concurrent and discriminative validity of the BFS. Implications for clinical and research utility are discussed.Portions of this research were conducted while the first author was supported by a University Graduate Fellowship awarded by the Graduate School of Arts and Sciences at Vanderbilt University.Professor Nunnally passed away in August 1982. His major contributions to the several stages of this research program are recognized through coauthorship.     

全国高等院校医学人文教育现状与对策研究

为全面了解全国高等院校医学人文教育现状,采取问卷调查的方式对来自全国48所高等院校的18 326名在校学生进行调查。调查得出学生对本校医学人文课程设置、自身学习效果和校园医学人文氛围整体状况较为满意。但也存在课程内容不全面、教学方法单一、缺少实践教学平台等问题。由此得出结论：高等院校医学人文教育的任务需要明确,医学人文课程体系需要完善,医学人文课程教学方式需要优化,医学人文教育评价需要多元化,医学人文教师队伍需要强化,医学人文教育平台需要巩固拓展。

     

Maladaptive repetition and career construction

The role of repeated maladaptive relationship patterns established early in life has been widely studied with the goal of understanding the various factors and processes that contribute to and occur during development and psychological adaptation. The effects of maladaptive patterns have also been studied with regard to the goal of guiding interventions. The present article is intended to highlight the contribution of Career Construction Theory (CCT) for the integration of the concept of maladaptive repetition into the theory and practice of career counseling. It begins with a constructivist conceptualization of maladaptive repetition and proceeds to situate this concept within the contexts of both CCT and the constructivist conception of career indecision. The article then presents a case study, discusses difficulties that arise during career decision-making, and analyzes the maladaptive cycle rupture considering the client's perspective about her transformation.     

Age differences in understanding precedent-setting decisions and authorities' responses to violations of deontic rules

Oral narrative skills are assumed to develop through parent-child interactive routines. One such routine is shared reading. A causal link between shared reading and narrative knowledge, however, has not been clearly established. The current research tested whether an 8-week shared reading intervention enhanced the fictional narrative skills of children entering formal education. Dialogic reading, a shared reading activity that involves elaborative questioning techniques, was used to engage children in oral interaction during reading and to emphasize elements of story knowledge. Participants were 40 English-speaking 5- and 6-year-olds who were assigned to either the dialogic reading group or an alternative treatment group. Analysis of covariance results found that the dialogic reading children’s posttest narratives were significantly better on structure and context measures than those for the alternative treatment children, but results differed for produced or retold narratives. The dialogic reading children also showed expressive vocabulary gains. Overall, this study concretely determined that aspects of fictional narrative construction knowledge can be learned from interactive book reading.     

肿瘤心理学的学科建构钩玄——兼论肿瘤患者心理支持要点

心理问题对肿瘤的发生、治疗和预后产生重要影响,相关研究已经提示了大量证据,受到人们广泛的重视。本文笔者阐述了肿瘤心理学学科构建的必要性及意义;提出了肿瘤患者发病前心理因素的作用方式(慢性应激和触发作用)、发病后的最主要心理特征(安全感缺失)、心理支持的核心目标(帮助患者重获安全感);强调此时给予心理支持类似于是亟需修补的"短板";并引入了笔者实践和理论总结基础上形成的肿瘤患者心理支持的操作方法。     

肿瘤心理学的学科建构钩玄——兼论肿瘤患者心理支持要点

心理问题对肿瘤的发生、治疗和预后产生重要影响,相关研究已经提示了大量证据,受到人们广泛的重视.本文笔者阐述了肿瘤心理学学科构建的必要性及意义;提出了肿瘤患者发病前心理因素的作用方式(慢性应激和触发作用)、发病后的最主要心理特征(安全感缺失)、心理支持的核心目标(帮助患者重获安全感);强调此时给予心理支持类似于是亟需修补的“短板”;并引入了笔者实践和理论总结基础上形成的肿瘤患者心理支持的操作方法.     

医院重点专科发展过程阶段论

讨论医院重点专科发展过程的阶段划分及特征,对于我们在重点专科建设中正确地把握方向、恰当地评估成效和有力地予以推进都有十分重大和现实的意义。本文把医院重点专科发展过程分为科室建设、学科建设、科学建设阶段,并从功能目标、效率效益、人才队伍、场地设施、技术设备、技术特色、教学培训、科学研究、文化氛围、能级水平十个方面对各阶段的特征进行归纳描述。三个阶段各具不同内涵特征,又存在相互内在关联,具有方向性、连续性、可加速性、交叉性和包涵性等规律。     

Negative hallucinations,dreams and hallucinations: The framing structure and its representation in the analytic setting

This paper explores the meaning of a patient's hallucinatory experiences in the course of a five times a week analysis. I will locate my understanding within the context of André Green's ideas on the role of the framing structure and the negative hallucination in the structuring of the mind. The understanding of the transference and countertransference was crucial in the creation of meaning and enabling the transformations that took place in the analytic process. Through a detailed analysis of a clinical example the author examines Bion's distinction between hysterical hallucinations and psychotic hallucinations and formulates her own hypothesis about the distinctions between the two. The paper suggests that whilst psychotic hallucinations express a conflict between life and death, in the hysterical hallucination it is between love and hate. The paper also contains some reflections on the dramatic nature of the analytic encounter.