早期气管切开对非肺部疾病长期机械通气患者的影响

为了评价早期气管切开对非肺部疾病长期机械通气患者的影响,我们回顾性分析158例非肺部疾病长期机械通气患者,根据气管切开时间的早晚（气管插管7天为界）分为早期气管切开组（n=88）和延迟气管切开组（n=70）。比较两组患者的抗生素使用时间、镇静剂和镇痛剂用量、病死率、医院获得性肺炎发生率等。结果显示早期气管切开可以明显缩短患者机械通气时间和ICU住院时间,降低抗生素使用天数、减少镇痛剂的用量,降低总住院费用。所以,非肺部疾病长期机械通气患者可以从早期气管切开中获益。     

儿童的最早记忆特征及其与早期记忆数量的关系

本研究采用记忆流畅性任务和回忆最早记忆的方式考察了9岁和13岁共60名中国城镇独生儿童的早期记忆特征及各特征之间的关系。结果发现:(1)和西方研究相比,中国儿童回忆最早记忆时更多自发提及他人,尤其是父母。(2)最早记忆年龄与早期记忆数量有显著负相关,最早记忆中关于重要他人的记忆容量、社会取向和道德情绪与早期记忆数量有显著正相关。这些结果说明文化渗透对自传体记忆发生的影响,以及提示无论是最早记忆的质量,还是早期记忆的数量,回忆童年记忆背后可能潜藏着共同机制。     

PATIENT‐ANALYST “WITHNESS”: ON ANALYTIC “PRESENCING,” PASSION,AND COMPASSION IN STATES OF BREAKDOWN,DESPAIR, AND DEADNESS

This paper focuses on the analyst's “presencing” (being there) within the patient's experiential world and within the grip of the psychoanalytic process, and the ensuing deep patient–analyst interconnectedness, as a fundamental dimension of analytic work. It engenders new possibilities for extending the reach of psychoanalytic treatment to more disturbed patients. Here patient and analyst forge an emergent new entity of interconnectedness or “withness” that goes beyond the confines of their separate subjectivities and the simple summation of the two. Using a detailed clinical illustration of a difficult analysis with a severely fetishistic‐masochistic patient, the author describes the kind of knowledge, experience, and powerful effects that come into being when the analyst interconnects psychically with the patient in living through the process, and that relate specifically to the analyst's compassion.     

‘Feeling for’ and ‘feeling with’: developmental and neuroscientific perspectives on intersubjectivity and empathy

This paper discusses research by Beatrice Beebe, Bessel van der Kolk and others, exploring the interpersonal processes that underpin early relational trauma and how this contributes to adult psychopathology. An essential feature of early relational trauma, the infant's experience of being unable to evoke an empathic response from the caregiver and the feelings of shame this gives rise to, is discussed and its implications for psychotherapy are considered. The neuroscience that underpins two forms of empathy in the therapeutic relationship, of ‘feeling for’ and ‘feeling with’ the patient is discussed and explored in relation to the concordant and complementary countertransference. I argue that when therapists respond to the projection on to them of the abuser by an increasingly determined adherence to analytic technique, this may become a complementary countertransference identification with the abuser and an enactment of the abusive relationship.     

Using a taped intervention to improve kindergarten students' number identification

A multiple baseline design across students was used to evaluate the effects of a taped numbers (TN) intervention on the number‐identification accuracy of 4 kindergarten students. During TN, students attempted to name the numbers 0 through 9 on randomized lists before each number was provided via a tape player 2 s later. All 4 students showed immediate increases and reached 100% in number‐identification accuracy. One student reached 100% accuracy after TN was supplemented with performance feedback, reinforcement, and overcorrection.     

Bidirectional Associations Among Sensitive Parenting,Language Development,and Social Competence

Rapid changes in language skills and social competence, both of which are linked to sensitive parenting, characterize early childhood. The present study examines bidirectional associations among mothers' sensitive parenting and children's language skills and social competence from 24 to 36 months in a community sample of 174 families. In addition, this study examines how these developmental pathways vary by child sex. Findings indicate stability across time in sensitive parenting, expressive language skills, and social competence, as well as positive main effects of sensitive parenting on expressive and receptive language skills for girls and boys. We find mixed evidence over time of reciprocal links between social competence and sensitive parenting. Further, boys' receptive language skills at 24 months uniquely contribute to increases in mothers' observed sensitive parenting from 24 to 36 months. These findings highlight the utility of applying transactional frameworks to the study of sex‐based differences in early developmental processes. Copyright © 2012 John Wiley & Sons, Ltd.     

学校资源与早期青少年心理社会适应的关系：一项潜在转变分析

以1012名初一学生为被试进行3年的追踪研究, 采用潜在剖面分析与潜在转变分析考察了早期青少年心理社会适应的亚组分化与转变情况, 以及学校资源与性别在青少年发展适应中的作用。结果发现：(1)初一时青少年的心理社会适应分化成2个亚组：适应良好组与内化问题组, 初二与初三时青少年分化成4个适应亚组：适应良好组、内化问题组、外化问题组和同伴拒绝组; (2)从初二到初三, 适应良好组和内化问题组的青少年保持了较高的稳定性, 同伴拒绝组和外化问题组的青少年向适应良好组转变的概率最高; (3)拥有更多学校资源的青少年更可能处于或保留在适应良好组, 同时在初二时拥有更多学校资源的外化问题组和同伴拒绝组的青少年在初三时更可能向适应良好组转变; (4)初二时女生更大概率地进入内化问题组。研究结果有助于深化对早期青少年心理社会适应发展模式多样性的理解, 并提示教育人员有必要对青少年适应状况进行全面筛查和动态监测, 以便针对适应亚组和性别特点制定更为复杂的预防和干预方案。     

自我录像示范干预学龄初期儿童课堂学业自立的个案研究

为了探讨自我录像示范对学龄初期儿童课堂学业自立养成的影响,研究采用单个被试的A-B实验设计,用自我录像示范对一名学龄初期儿童的课堂学业自立进行干预。结果表明:自我录像示范的干预能提高个案的课堂学业自立水平,在干预期和追踪期出现高课堂学业自立行为的频次均高于基线期。结论:自我录像示范能够促进学龄初期儿童课堂学业自立的养成。儿童对于示范录像中目标行为的习得和运用可以泛化到日常生活中类似的其他情境中,且情景越相似,效果越佳。     

机器学习在自闭症儿童早期识别和诊断领域的应用

早发现、早诊断、早干预是开展自闭症儿童教育康复工作的共识, 但传统识别和诊断方法局限及专业人员缺乏常导致自闭症儿童错失最佳干预期。为改善现状, 近年来机器学习凭借其客观准确、简便灵活等方面的优势, 逐渐被应用到自闭症的早期预测、筛查、诊断和评估过程管理中, 积累了较为丰富的成果。但是机器学习也在研究对象选取、分类数据采集和理论模型应用等方面存在局限性。未来研究应推动构建孕产期和新生儿病理生理信息追踪数据库和标准化模型分类指标体系, 同时继续优化算法, 加快智能化自闭症识别和诊断理论成果向实践转化。     

父母生涯相关行为和学前教育专业大学生专业满意度的关系：生涯适应力和生涯规划的中介作用

以600名学前教育专业大学生为被试,探讨了父母生涯相关行为 (支持、干涉和缺位) 和专业满意度 (6个月后) 的关系及生涯适应力和生涯规划的中介作用。结果表明：(1) 支持对专业满意度的直接预测作用不显著,是通过正向预测生涯适应力和生涯规划及生涯适应力→生涯规划这一序列中介作用间接预测专业满意度。(2) 干涉对专业满意度的直接预测作用不显著,但通过负向预测生涯适应力及生涯适应力→生涯规划这一序列中介作用间接预测专业满意度。