卫生服务公平性:理念、制度和实践——读《关于深化医药卫生体制改革的意见(征求意见稿)》有感

长期以来,我国的卫生服务一直存在着不公平的状况,看病难、看病贵等问题在农村表现十分突出,一直是社会关注的焦点。对卫生服务不公平问题的讨论也已经持续很久,正因为如此,人们对新一轮的卫生体制改革寄予厚望。人们深知,实现卫生服务公平性需要从理念转变到人、财、物的支持,从构建相应的制度、机制、法规到付诸实践等多方面着手,只有这样才能实现人人享有卫生保健的目标。     

Selection of Decision Strategies After Conscious and Unconscious Thought

It is commonly assumed that the use of simple, non‐compensatory strategies is especially pronounced in memory‐based decisions, where information costs are high. At the same time, there is evidence that in memory‐based decisions, a compensatory processing of attributes is facilitated when the processing occurs unconsciously rather than consciously. We applied a strategy classification approach—developed in research on non‐compensatory heuristics—to test two key tenets of unconscious thought theory: the capacity principle and the weighting principle. Participants memorized attribute information about cars and were subsequently either directed to or diverted from thinking consciously about their preferences between the cars (conscious versus unconscious thought). Then, participants indicated in pair‐wise choices which car they would prefer and were classified (based on their choices) as using either one of two compensatory strategies (equal weight or weighted additive) or a non‐compensatory strategy (lexicographic heuristic). In line with the capacity principle, the number of participants best described by a compensatory strategy (the equal‐weight strategy) tended to be higher after unconscious thought than after conscious thought, whereas the number of participants best described by the lexicographic heuristic tended to be lower. Inconsistent with the weighting principle, participants in the unconscious thought condition were better described by the equal‐weight strategy than by the weighted‐additive strategy. In Experiment 2, in which participants were not instructed to form an impression while learning the attribute information, the use of the equal‐weight strategy was not more prevalent after unconscious thought. Copyright © 2013 John Wiley & Sons, Ltd.     

《管子》人才思想及其现代解读

《管子》是我国古代著名的一部子书,其中蕴涵着丰富的人才思想。它提出了一整套关于人才的培养、选拔、任用和激励等方面的措施和思想。对其包含的人才思想进行现代解读,对于现代人力资源管理具有积极的借鉴意义。     

Minimally Creative Thought

Creativity has received, and continues to receive, comparatively little analysis in philosophy and the brain and behavioural sciences. This is in spite of the importance of creative thought and action, and the many and varied resources of theories of mind. Here an alternative approach to analyzing creativity is suggested: start from the bottom up with minimally creative thought. Minimally creative thought depends non‐accidentally upon agency, is novel relative to the acting agent, and could not have been tokened before the time it is in fact tokened, relative to the agent in question. Thoughts that meet these three conditions—agency, psychological novelty, and modal—are what may be called cognitive breakthroughs. Even if such breakthroughs are not necessary to or definitive of richer creativity, they are indeed central to much of creativity. The minimal analysis provides a more workable explanandum for theories of creativity of varied motivation and method.     

THE DOCTRINE OF THE TRINITY AS A MODEL FOR STRUCTURING THE RELATIONS BETWEEN SCIENCE AND THEOLOGY

Abstract. A strategy for deeding systematically with such complex relationships as those between science and theology is presented after a brief overview of the historical record and illustrated in terms of the concept of divinity. The application of that strategy to the title relationships yields a multilogical/multilevel solution which presents certain analogies to or isomorphisms with the doctrine of the Trinity. These concern mainly the multilogical/multilevel character of both conceptualizations and the relational and contextual reasoning required to conceive them. Furthermore, certain characteristics of the doctrine facilitate the dialogue between theologians and scientists on account of their similarity with such scientific concepts as diversity in unity, multiplicity of relationships, nonseparability, and nonclassical logic.     

眼跳的双相调节理论的行为证据

为了研究眼跳的双相调节理论是否适用于人类的视觉系统,本研究测量了人类被试对分别呈现在三种眼跳时间段（基线、眼跳抑制和眼跳增强）内的光栅的朝向辨别准确率。研究发现：相对于光栅呈现在基线时间段内,被试对呈现在抑制（或增强）时间段内的光栅的朝向辨别准确率显著地更低（或更高）（实验1）;另外,只有使用低或中等空间频率光栅作为测试刺激时,才有这种双相调节作用（实验2）。这些结果表明：人类的视觉系统在眼跳过程中存在双相调节机制,并且这种双相调节机制具有刺激选择性。     

基于成本最小化信息的社会性意图识别：来自脑电和行为的证据

与已有研究着重考察如何识别客体导向性意图(动作以物理对象为目标, 而不涉及其他人)不同, 本研究对人们如何识别社会性意图(动作以指向社会主体为目标以影响对方的交互行为)进行了探讨。基于两交互主体在整体层面应遵循效用最大化的分析, 提出当A协助B达成目标状态所需要的成本小于B单独实现该目标状态所需要的成本时(简称为成本最小化信息), 其可被识别为具有社会性意图。通过在B面前设置栅栏的方法操纵成本最小化信息, 以指示不同意图类型的脑电μ抑制程度、对不同变化的敏感性(辨别力)为指标, 对该假设进行了检验。结果显示, 相比客体导向性意图的控制条件(即A将目标物苹果放置在石头前), 当A将目标物苹果放置在被栅栏挡住的B前, 其动作可减少B单独获取该苹果的动作成本, 即符合成本最小化条件时, μ的抑制程度更高(实验1), 且对结构改变(某两个动画中充当相同角色的智能体互换)的辨别力更强, 但对角色交换(某个动画中两个智能体的角色交换)的辨别力更弱(实验3a); 而当栅栏不存在时, 虽然A的运动路径与实验1相同, 但A将苹果放置在B前的成本大于B自身获取苹果的成本, 即不符合成本最小化条件, 条件间μ抑制的差异消失(实验2), 且对不同动作模式中变化的辨别相当(实验3b)。鉴于已有研究表明社会性意图所诱发的μ抑制强于客体导向性意图, 且人们对存在社会性意图的两个智能体间的结构改变更容易辨别, 而对角色交换不敏感, 故上述结果揭示, 两个个体的行为是否满足成本最小化影响人们对动作意图的识别, 支持成本最小化信息是社会性意图识别线索的观点。     

Self‐reported inner speech use in university students

Remarkably little is known regarding what people talk to themselves about (inner speech use) in their everyday lives. Existing self‐directed speech measures (e.g., thought sampling and questionnaires) either uniquely capture inner speech frequency and neglect its content or classify self‐reported thoughts instances in overly simplistic categories determined by the researchers. In the current study, we describe an open‐format thought listing procedure as well as a refined coding scheme and present detailed inner speech content self‐generated by 76 university students. The most frequently self‐reported inner speech activities were self‐regulation (e.g., planning and problem solving), self‐reflection (e.g., emotions, self‐motivation, appearance, behavior/performance, and autobiography), critical thinking (e.g., evaluating, judging, and criticizing), people in general, education, and current events. Inner speech occurred most commonly while studying and driving. These results are consistent with the self‐regulatory and self‐referential functions of inner speech often emphasized in the literature. Future research avenues using the open‐format inner speech listing procedure and coding scheme are proposed.     

An examination of the roles of trauma exposure and posttraumatic stress disorder on emotion regulation strategies of Operation Iraqi Freedom,Operation Enduring Freedom,and Operation New Dawn veterans

Theories of posttraumatic stress disorder (PTSD) implicate emotional processes, including difficulties utilizing adaptive emotion regulation strategies, as critical to the etiology and maintenance of PTSD. Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn (OIF/OEF/OND) veterans report high levels of combat exposure and PTSD. We aimed to extend findings suggesting that emotion regulation difficulties are a function of PTSD, rather than combat trauma exposure or common comorbidities, to OIF/OEF/OND veterans, in order to inform models of PTSD risk and recovery that can be applied to returning veterans. We tested differences in emotion regulation, measured with the Difficulties in Emotion Regulation Scale and Emotion Regulation Questionnaire, among trauma-exposed veterans with (n = 24) or without PTSD (n = 22) and healthy civilian comparison participants (n = 27) using multivariate analyses of covariance, adjusting for major depressive disorder, anxiety disorders, and demographic variables (age, sex, and ethnicity). Veterans with PTSD reported more use of expressive suppression and more difficulties with emotion regulation than veterans without PTSD and healthy comparison participants. Groups did not differ on cognitive reappraisal. Findings suggest the key role of PTSD above and beyond trauma exposure, depression, and anxiety in specific aspects of emotion dysregulation among OIF/OEF/OND veterans. Interventions that help veterans expand and diversify their emotion regulation skills may serve as helpful adjunctive treatments for PTSD among OIF/OEF/OND veterans.