Exploring Relationships Between Negative Cognitions and Anxiety Symptoms in Youth With Autism Spectrum Disorder

Although cognitions are central to the conceptualization and treatment of anxiety in typically developing (TD) youth, there is scant research investigating automatic thoughts and their relationship with anxiety in youth with autism spectrum disorder (ASD). We sought to examine the types of automatic thoughts experienced by youth with ASD and co-occurring anxiety as well as the predictive relationship of anxiety to different types of automatic thoughts in 97 children, ages 8-14 years. We also explored the relationship of automatic thoughts and intolerance of uncertainty. Consistent with prior data, there was a strong relationship between anxiety and automatic thoughts pertaining to social and physical threat. Anxiety and IU were independently associated with thoughts pertaining to personal failure which raises the hypothesis that personal failure may serve as a common pathway between anxiety, IU, and depression in ASD youth. These findings highlight the importance of assessing and treating negative cognitions in youth with ASD and anxiety.     

重症加强监护医学与临床思维

重症加强监护医学的发展史,也是其临床思维的发展史,一个由个体性呼吸衰竭救治观念转化为集群性救治启动了重症加强监护学的建立,它们的发展带动亦受益于其临床思维、动态思维的发展。重症加强监护的实施,引发了医学伦理学新的思考与选择,而新的生物技术革命,必将导致重症加强监护医学及其临床思维的巨大变革。     

器官移植伦理审查委员会实践难题的伦理思考

器官移植伦理审查委员会在器官移植技术的临床应用中意义重大,但其在实践中面临着缺乏明确的伦理原则和沟通技巧、对需要审查内容的理解不深刻等难题,这影响了其伦理使命的充分实现。为此,伦理审查委员会必须制定明确的伦理原则、深入理解需审查的内容、在伦理学知识、行动纲领和沟通技巧方面对其成员进行培训。     

The tendency to suppress, inhibiting thoughts, and dream rebound

Ironic control theory proposes that suppressing thoughts leads to increased occurrence of the suppressed thought because monitoring for the unwanted thought leads to intrusions. This study investigated the influence of suppressing unwanted thoughts on dream content. One hundred participants who had high or low levels of tendency to suppress unwanted thoughts nominated an intrusive thought, and half of the participants were instructed to suppress that thought for 5 min prior to sleeping. Participants completed a dream diary upon waking, which was subsequently rated by independent raters for dream content. In terms of the 79 participants who reported dreaming, more high suppressors who were instructed to suppress dreamt about the intrusive thought than high suppressors in the control condition. There was no difference between low suppressors in the suppression and control conditions. These results suggest that dream content can be influenced by attempted suppression prior to sleep, and this is particularly apparent in people with a tendency to suppress unwanted thoughts.     

Clinical obsessions in obsessive-compulsive patients and obsession-relevant intrusive thoughts in non-clinical, depressed and anxious subjects: where are the differences?

Contemporary cognitive models of obsessive-compulsive disorder (OCD) assume that clinical obsessions evolve from some modalities of intrusive thoughts (ITs) that are experienced by the vast majority of the population. These approaches also consider that the differences between "abnormal" obsessions and "normal" ITs rely on quantitative parameters rather than qualitative. The present paper examines the frequency, contents, emotional impact, consequences, cognitive appraisals and control strategies associated with clinical obsessions in a group of 31 OCD patients compared with the obsession-relevant ITs in three control groups: 22 depressed patients, 31 non-obsessive anxious patients, and 30 non-clinical community subjects. Between-group differences indicated that the ITs frequency, the unpleasantness and uncontrollability of having the IT, and the avoidance of thought triggers obtained the highest effect sizes, and they were specific to OCD patients. Moreover, two dysfunctional appraisals (worry that the thought will come true, and the importance of controlling thoughts) were specific to OCD patients. The OCD and depressed patients shared some dysfunctional appraisals about their most disturbing obsession or IT (guilt, unacceptability, likelihood thought would come true, danger, and responsibility for having the IT), whereas the non-obsessive anxious were nearer to the non-clinical participants than to the other two groups of patients. The OCD patients showed an increased use of thought control strategies, with overt neutralizing, thought suppression, and searching for reassurance being highly specific to this group.     

The cognitive mediation of thought-control strategies

Research suggests that people use various strategies to control their normally occurring intrusive thoughts. Strategies that involve worrying about the thought and self punishment appear to be associated with certain forms of psychopathology, such as obsessive-compulsive (OC) symptoms. The present study sought to examine whether dysfunctional beliefs associated with OC symptoms (e.g., beliefs that intrusive thoughts are highly significant) underlie the use of such thought control strategies. Ninety-three non-clinical participants completed self-report questionnaires measuring cognitive variables, thought-control strategies, and OC symptoms. Analyses revealed that overestimates of threat and responsibility, beliefs about the significance and need to control intrusions, the need for perfection and certainty, and scrupulosity were associated with the use of punishment, but not worry thought control strategies. These cognitive phenomena also mediated the relationship between OC symptoms and the use of punishment as a thought-control strategy. Results are discussed in terms of cognitive models of OC symptoms and their implications for cognitive-behavioral therapy.     

暴力电脑游戏对个体攻击性的影响

以75名大学生为被试,采用3×2×2被试间设计,探讨电脑游戏暴力对个体的攻击性行为、攻击性情绪和攻击性认知的影响。结果表明:(1)暴力电脑游戏导致个体的攻击性行为增加。游戏与性别和攻击性特质的两重和三重交互作用不显著;(2)暴力电脑游戏对个体的攻击性情绪无显著影响;(3)暴力电脑游戏启动了攻击性认知。游戏、性别和攻击特质这三个变量在攻击性认知上交互作用显著,对于男性,暴力电脑游戏在高攻击性个体身上比低攻击性个体启动了更多的攻击性认知;对于女性,暴力电脑游戏对高低攻击性个体攻击性认知的启动没有显著差异。     

管子的“禾变”君子观及儒家的“合变”传承——以《管子》为中心

管子的思想对中国影响较大,《管子》的君子观是天地之道,是君子存在的依据,君子的“禾变”智变是君子存在的现实需要,君子境界是静因无为自然境界与“重任”在身的道德境界的结合,君子的核心思想是“禾变”智变,这符合当时社会现实需求。这种“禾变”智变思想与儒家君子观仁义礼智合一的思想不一致,后来儒家君子观在发展上对管子君子观进行了“合变”式地发展传承,既有批判又有吸收,使儒家君子成为理想的社会形象。     

浅论管子经济思想对《歧路灯》的影响

《歧路灯》中所表现出的既重视农业又鼓励工商业发展以及尊重农民与工商业者的经济思想与管子的相关经济思想有着一脉相承的关系。而正是管子经济思想中这种进步的方面,促使李绿园从实际出发,以朴素的唯物主义态度对熏陶自己很深的儒家思想作出了一定的反思,并在一定程度上冲破了它的桎梏,其精神确实是难能可贵的。这说明他的确不是一位腐儒,其思想中存在着某些进步的因子。     

How terrorism news reports increase prejudice against outgroups: A terror management account

Three studies tested predictions derived from terror management theory (TMT) about the effects of terrorism news on prejudice. Exposure to terrorism news should confront receivers with thoughts about their own death, which, in turn, should increase prejudice toward outgroup members. Non-Muslim (Studies 1-3) and Muslim (Study 3) participants were exposed to news about either Islamic terrorist acts or to control news. When Dutch filmmaker Theo van Gogh was murdered in Amsterdam by an Islamic extremist during data collection of Study 1, this event was included as a naturally occurring factor in the design. Consistent with TMT, terrorism news and Van Gogh’s murder increased death-related thoughts. Death-related thoughts, in turn, increased prejudiced attitudes toward outgroup members, especially when participants had low self-esteem, and when terrorism was psychologically close. Terrorism news may inadvertently increase prejudiced attitudes towards outgroups when it reminds viewers of their own mortality.