MATERNAL TRAUMA AFFECTS PRENATAL MENTAL HEALTH AND INFANT STRESS REGULATION AMONG PALESTINIAN DYADS

We examined how diverse and cumulated traumatic experiences predicted maternal prenatal mental health and infant stress regulation in war conditions and whether maternal mental health mediated the association between trauma and infant stress regulation. Participants were 511 Palestinian mothers from the Gaza Strip who reported exposure to current war trauma (WT), past childhood emotional (CEA) and physical abuse, socioeconomic status (SES), prenatal mental health problems (posttraumatic stress disorder and depression symptoms), and perceived stress during their secondtrimester of pregnancy as well as infant stress regulation at 4 months. While all trauma types were associated with high levels of prenatal symptoms, CEA had the most wide‐ranging effects and was uniquely associated with depression symptoms. Concerning infant stress regulation, mothers’ CEA predicted negative affectivity, but only among mothers with low WT. Against hypothesis, the effects of maternal trauma on infant stress regulation were not mediated by mental health symptoms. Mothers’ higher SES was associated with better infant stress regulation whereas infant prematurity and male sex predisposed for difficulties. Our findings suggest that maternal childhood abuse, especially CEA, should be a central treatment target among war‐exposed families. Cumulated psychosocial stressors might increase the risk for transgenerational problems.     

中医院市场定位的两难选择及其对策

中医院的市场定位处于两难选择之中:中医药技术的潜在优势与现实局限性的矛盾、中医院管理者的价值取向与现实窘况的矛盾、中医院发展历史沉淀与市场竞争的矛盾、政府的中医药政策自身存在的矛盾等。这些矛盾涉及多方行为和利益主体,必须深化改革,以实现中医院的良性发展。     

儿童在困难情景中的情绪反应

以80名二、五年级儿童为被试,采用临床访谈法,考察在困难情景中儿童的情绪反应,包括情绪类型、情绪表达、表达与否的理由和后继行为。结果表明:1)儿童报告羞愧/伤心多于生气,倾向于表达情绪,在解释是否表达情绪的原因时主要强洞自我保护和强调事实等理由,主要采取改变情景的后继行为。2)儿童倾向于表达生气,不表达羞愧/伤心。3)儿童对情绪反应各变量的认知还存在性别、年级和观众类型的个体差异。     

困难撤机

本文讨论国际上困难撤机的时间界定及困难撤机的原因,讨论了困难撤机的常见问题,困难撤机患者脱机模式的管理方法。在近代机械通气撤离新理念方面的发展趋势,尽管机械通气应用水平有很大发展,但在诸多环节上仍存在很多问题,撤机仍需经验,需多学科合作。     

Théories naïves et raisonnements téléologiques sur les animaux et les plantes

The cognitive status of plants as a biological category remains unclear in the conceptual organisation. A series of five experiments investigated whether adults agree with different kinds of teleological assertions to account for attributes of animals or plants. One major finding is that adults are inclined towards explanations that evoke an advantage for other species to motivate the existence of attributes in plants, but not in animals. This supports our assumption about social-serving teleological reasoning for plants, as for artefacts, and may contribute to increase the ambiguous status of plants within the unified concept of living thing. Therefore, plants may not only differ from animals by the low relevance of an intuitive psychology to account for their properties, but also by their tendency to trigger intuitive explanations devoted to artefacts.     

Word recognition under spatial transformation in retarded and normal readers

The recognition of words in normal, reversed, and inverted orientation was compared in a group of 9- to 11-year-old retarded readers and a matched group of normal readers. Using the ratio of reading times as an index of reading difficulty under spatial transformation, the results confirmed those of earlier studies which have shown that retarded readers' performance is less affected by spatial transformation than is normal readers'. However, an analysis in terms of the ratio of numbers of words read correctly pointed to just the opposite conclusion. The two sets of findings were reconciled by showing that they follow from the form of the function relating reading time to number correct, and by demonstrating that when word lists are equated for orthographic familiarity the performances of retarded and normal readers are equally affected by spatial transformation, whether the time or number ratio is used as an index.