辩证行为疗法：理论背景、治疗效果及作用机制

辨证行为疗法（Dialectical Behavior Therapy, DBT）于20世纪90年代初由美国治疗师Linehan创立。作为第三代行为治疗之一,该疗法以行为主义理论、辩证哲学、生物社会理论及禅宗为哲学基础,通过增加患者的技能使用,提高其情绪调节能力,以达到治疗目的。临床研究已证明其在边缘人格障碍,自杀及自伤行为中具有良好的治疗效果,除此之外也广泛适用于其他心理障碍及群体。DBT的临床效果、改变机制及拓展应用都需进一步研究。     

正式反馈的发展与临床应用

摘要:正式反馈通过系统收集当事人的效果反馈来追踪其治疗进展,进而识别缺乏治疗进展的个案,并通过促进治疗策略的调整来阻止治疗失败。正式反馈是近20年来发展出的一种循证治疗手段,其目的为进一步提高当事人的咨询效果。正式反馈的发展大致经历了临床有效性检验和实用性发展两个阶段。正式反馈可用于促进个体、夫妻和团体咨询的效果,也可用于评估临床督导效果、确定督导个案和指导临床督导。未来研究可探讨咨询师对待正式反馈的态度,拓展正式反馈的使用价值,建立正式反馈系统的本土化常模。     

The silent music sheet,the replica tin and the unsewn button: Materialising nostalgia in the Marks and Spencer's archive

This paper explores how nostalgia and collective memory are materialised, imagined, curated and orchestrated through the archive. Drawing upon the example of the Marks and Spencer's (M&S) archive, we argue that archives, particularly those containing objects, command nostalgia. They re-appropriate objects, memories and their histories into contemporary narratives. This paper adds to a body of work within and beyond geography and sociology exploring the potency and creativity of everyday materials and their ability to produce, imagine and memorialise affinities between people, places and past times. This raises questions about the politics of memory, the authenticity of objects and the nostalgic imaginaries they enliven, what we discuss as ‘faux nostalgia’. We illustrate how M&S is part of collective British memory, promoting middle-class ideals of British family life. The archive and objects on display materialise such imaginaries, creating a yearning for the spirit, values and opportunities of times gone by; interweaving them into contemporary narratives of family life to create unattainable ideals. We reflect upon the biographies of three objects from the archive: a music sheet, an unsewn button and a replica tin. By making these objects central to our account, we illustrate how they materialise and recollect nostalgia through the archive.     

Critical geographies of love and loss: Relational responses to the death of a spouse in Senegal

Marriage practices in the Majority world may differ considerably from dominant cultural ideals in the Minority world of ‘romantic love’ and ‘companionate marriage’ based on monogamous relationships. Similarly, mourning in the ‘Rest’ of the world often diverges from assumptions within Anglophone bereavement studies of a ‘grieving journey’. This paper provides a gendered, spatial, relational analysis of responses to the death of a spouse in Senegal, based on in-depth interviews with Serer women and men in rural and urban communities. A heightened sense of relationality with the deceased surrounded widows' bodies, with permeable boundaries that needed to be contained and “purified” through widowhood-mourning practices in order to restore social cohesion. For men, the space of the home was transformed, sometimes unbearably, by the loss of a wife and mother due to their central role in home-making practices, transforming men's relational being. ‘Embodied relationality’, alongside material constraints, also shaped perspectives on remarriage. The paper reveals the diverse material, embodied, spatial, and often explicitly gendered, ways that the effects of the death of a spouse may be manifested in the experience of the living person and draws attention to the permeable embodied boundaries of ‘relational being’ that encompass the living and the dead.     

A multi-objective mathematical programming problem with fuzzy relation constraints

In this study we discuss the problem of multi-objective mathematical programming with constraints defined by ‘max-min’ composite fuzzy relation equations. Since the feasible region is normally non-convex, the properties of the efficient points of a non-convex feasible region under multi-objectives are investigated and illustrated by examples. The necessary and sufficient conditions are proposed and proved. To facilitate decisions, a procedure that transforms these efficient points of an interval-valued decision space into a constant-valued decision space is proposed when the level of confidence is given by a decision maker. Then the transformed problem becomes a multi-attribute decision problem that can be evaluated by Yager's method to find the optimal alternative.     

Targets of attack and defense in play-fighting of the Djungarian hamster Phodopus campbelli: Links to fighting and sex

Analysis of the body targets attacked and defended during play-fighting by juvenile Djungarian hamsters Phodopus campbelli revealed that about 70% of all attacks were directed at the mouth. If successfully contacted, the mouth was briefly licked and nuzzled. The remaining playful attacks were gentle bites directed at the rump, and to a lesser extent, the top of the head. During serious fighting the top of the head and the rump are targets of attack, whereas the mouth is not. Licking and nuzzling the mouth was found to be a behavior performed by adult males at the beginning of sexual encounters. Therefore, play-fighting in juvenile hamsters cannot be thought of merely as a form of “mock fighting” since the principal target is seemingly sexual, not agonistic. The data also show that of the sexual body targets contacted, adult females are more likely to defend the mouth. In this way it is suggested that targets attacked and defended during juvenile play-fighting are derived from adult contexts in which such targets are defended. This hypothesis accounts for the prevalence of agonistic targets in the play-fighting of many species, and may provide a rationale for classifying those amicable targets that are competed for during play-fighting.     

Hubert's multi-rater kappa revisited

There is a frequent need to measure the degree of agreement among R observers who independently classify n subjects within K nominal or ordinal categories. The most popular methods are usually kappa-type measurements. When R = 2, Cohen's kappa coefficient (weighted or not) is well known. When defined in the ordinal case while assuming quadratic weights, Cohen's kappa has the advantage of coinciding with the intraclass and concordance correlation coefficients. When R > 2, there are more discrepancies because the definition of the kappa coefficient depends on how the phrase ‘an agreement has occurred’ is interpreted. In this paper, Hubert's interpretation, that ‘an agreement occurs if and only if all raters agree on the categorization of an object’, is used, which leads to Hubert's (nominal) and Schuster and Smith's (ordinal) kappa coefficients. Formulae for the large-sample variances for the estimators of all these coefficients are given, allowing the latter to illustrate the different ways of carrying out inference and, with the use of simulation, to select the optimal procedure. In addition, it is shown that Schuster and Smith's kappa coefficient coincides with the intraclass and concordance correlation coefficients if the first coefficient is also defined assuming quadratic weights.     

Creation and humanity: Veli-Matti Kärkäinen's answer to the ultimate question

This article focuses on the third volume of Vel-Matti Kärkkäinen's systematic theology, titled Creation and Humanity. After a brief overview of the volume the article offers some clarification on the tenth chapter, especially on its interaction with paleontology. After that, two constructive observations follow. The first is related to Kärkkäinen's notion of the embeddedness of human nature, and the second is to further employ systems thinking in his constructive work on creation and human evolution.