医学职业显规则何以不再“败走麦城”

近些年来,医学职业显规则接连受挫,医学职业生态呈现非常态甚至反常态。其根本原因在于,医学职业显规则与潜规则二者并存且此消彼长。职业规则是职业精神的核心。若要真正颠覆医学职业潜规则,让医学职业显规则回归医学职业生活,从而恢复或重构医学职业精神,就必须克服现存的医学职业显规则的致命性缺欠,进行自身优化,即强化自己的权威性、情境性与实用性。     

对子宫肌瘤患者从医心理及治疗决策的思考

子宫肌瘤是妇科最常见的良性肿瘤,发病率高、恶变率低,目前治疗方法较多,但各有利弊;众多子宫肌瘤患者从医心理复杂,甚至难以配合治疗,医生应针对不同部位、大小、症状的肌瘤及患者的不同年龄、生育需求和心理状态,制定出个体化、人性化治疗方案,以期取得患者机体和心理均满意的和谐疗效。     

小学高年级学生的学习判断绝对准确性及预见偏差

本研究以小学高年级学生为被试,选取高熟悉度的具体名词组成的联结词对为实验材料,考察不同判断模式下学习判断的准确性及预见偏差。研究发现:(1)小学高年级学生的学习判断绝对准确性存在年级差异。总体来看,小学六年级学生在即时判断和延迟判断模式下都具有较好的绝对准确性,而四年级和五年级学生在即时判断时出现显著的高估,而在延迟判断模式下具有较好的绝对准确性。具体分析正向词对和反向词对的准确性发现,在即时判断模式下,五、六年级学生的正向联结词对有较好的准确性,而四年级的正向联结词对出现高估;三个年级的学生的反向词对都出现高估。在延迟判断模式下,三个年级学生在正向词对和反向词对上都有较好的准确性。(2)小学五年级学生的学习判断开始出现预见偏差。(3)延迟判断能够提高小学高年级学生的学习判断准确性,减小甚至消除预见偏差。     

CPM领导行为模式对员工利他行为及工作投入的作用机制

通过对我国26个省市企事业单位员工的问卷调查,探讨了CPM领导行为模式对员工利他行为和工作投入的影响途径。采用潜变量路径分析的方法,对两个阶段的模型进行检验和比较,结果表明：（1）C因素和M因素通过信任上司的完全中介作用影响利他行为和工作投入,而P因素则通过信任上司的部分中介作用对它们产生影响。（2）信任上司通过情感承诺的完全中介作用影响工作投入,通过情感承诺的部分中介作用影响员工的利他行为。     

Influences of high and low variability on infant word recognition

Although infants begin to encode and track novel words in fluent speech by 7.5 months, their ability to recognize words is somewhat limited at this stage. In particular, when the surface form of a word is altered, by changing the gender or affective prosody of the speaker, infants begin to falter at spoken word recognition. Given that natural speech is replete with variability, only some of which determines the meaning of a word, it remains unclear how infants might ever overcome the effects of surface variability without appealing to meaning. In the current set of experiments, consequences of high and low variability are examined in preverbal infants. The source of variability, vocal affect, is a common property of infant-directed speech with which young learners have to contend. Across a series of four experiments, infants' abilities to recognize repeated encounters of words, as well as to reject similar-sounding words, are investigated in the context of high and low affective variation. Results point to positive consequences of affective variation, both in creating generalizable memory representations for words, but also in establishing phonologically precise memories for words. Conversely, low variability appears to degrade word recognition on both fronts, compromising infants' abilities to generalize across different affective forms of a word and to detect similar-sounding items. Findings are discussed in the context of principles of categorization that may potentiate the early growth of a lexicon.     

How is the arrival of things possible?

Ancient Chinese thought inquired primarily into how the achievement of things is possible rather than into what a thing as a thing is. It held that man should participate in the achieving or generation of things in order to realize his self-achievement. A thing is understood as an event. Because all things and man are united as one, it is possible for man to enter into things by tasting and feeling rather than by relying on the sense of sight. This may provide a possible new means of rescuing things from the numericalization and phenomenalization that sweep over the world today. Translated by Liu Liangjian from Renwen Zazhi 人文杂志 (The Journal of Humanities), 2007, (2): 14–21     

Shanahan on Symbolization

In his article ‘A New View of Language, Emotion and the Brain,’ Dan Shanahan claims that the post-war Cognitive Turn focused mainly on information processing and that little attention was paid to the dramatic role played by emotion in human cognition. One key argument in his defence of a more comprehensive view of human cognition rests upon the idea that the process of symbolization—a unique capacity only developed by humans—combines, right from the start, information processing and feelings. The author argues that any theory ignoring this fact would miss the whole point, just as mainstream cognitive science has done since Noam Chomsky published Syntactic Structures, exactly 50 years ago.

The Incompleteness of ‘Punishment as Fair Play’: A Response to Dagger

Richard Dagger (in this issue) provides perhaps the most persuasive version of a ‘fair play’ theory of criminal punishment, grounded in an attractive liberal republican political theory. But, I argue, his version of the theory still faces serious objections: that its explanation of why some central mala in se are properly criminalised is still distorting, despite his appeal to the burdens of ‘general compliance’; and that it cannot adequately explain (as it should explain) the differential seriousness and wrongfulness of different kinds of crime.