医学与艺术:临床医学和医学人文学关系探索

医学与艺术是医学人文学研究的重要课题.医学与艺术有着广泛的联系,涉及对临床医学性质的争论,医学人文学对临床医学教育与实践的作用,艺术对医学的表现与理解,以及作为治疗康复手段的艺术.     

手近效应：研究内容、影响因素与神经机制

把手放在刺激旁边,会对知觉、记忆、语义和执行控制等认知加工产生影响,这类现象被称为手近效应。手近效应反映了身体与环境的互动对认知的塑造作用,为具身认知提供了新证据。本文从手近效应的内容,影响因素,及其认知、神经机制等方面对相关研究进行梳理。并从手近效应的神经机制,应用研究,以及动作意图和人际社会因素的调节作用等方面探讨当前手近效应还未解决的问题。     

孤独症谱系障碍者视觉定向与视觉搜索的特点及神经机制

定向网络是注意网络的重要组成部分, 主要包括视觉定向与视觉搜索两大任务。对于这两大注意任务, 正常个体在神经机制上存在较大的重叠, 然而, 孤独症个体却表现出截然相反的行为证据。研究者从非社会信息的注意视角发现, 一般而言, 在视觉定向上, 孤独症个体注意转移不存在缺陷, 而注意脱离存在困难, 但该结论仍有争议; 在视觉搜索上, 孤独症个体存在视觉搜索优势, 但该优势发生的阶段及原因仍需进一步探究。未来研究应进一步考察孤独症个体在视觉定向任务中左右视野的不对称性、视觉搜索优势的内在机制及两大注意任务之间的相互关系。     

Seeing in the Dark: A View into Dissociation and Healing

In this paper, I will explore the role of art-making, the experience of trauma and dissociation, and the process of working with self-states from an analytic and creative frame. Relevant literature on dissociation, trauma, and the use of art will be discussed. A case involving my work with an adolescent girl who had experienced sexual abuse from a family member will be shared, with an emphasis on the meaningful role images played during the therapeutic process. Both Jungian and psychoanalytic models of conceptualizing and working with dissociation are included, following Donald Kalsched’s (2013) recommendation for a “binocular stance” to treatment, including both a focus on the inner, intrapsychic world and the interpersonal, relational realm, and how art images both illuminated and expressed these realms. Within the therapeutic process, art images allowed the therapist a view into the client’s unconscious process, and created a meeting ground for dissociative barriers to be gradually seen, felt and known, by both therapist and client. The experience of dissociation, in images and in session, provided a reference point for myself and my client, Taylor, to develop a shared understanding and a framework for growth.     

Is Happy Facial Expression Identified by the Left or Right Hemisphere？

1IntroductionCorrectly identifying other people′s facial ex-pressions of emotions is important to human socialinteraction in all societies.Many studies suggestthat the identification of facial expressions in par-ticular and perceptual processing of emotional infor-mation is carried out mainly by the right hemi-sphere of the brain[1￣7].Damage to the righthemisphere generally produces more significant im-pairment in recognition of all facial expressions ofemotion than damage to the left hemisp…     

影响视觉复合刺激中整体和局部性质加工的几种因素

文章研究了视知觉组织,空间位置不确定性和视野位置等因素对复合刺激中整体和局部性质加工的影响。实验发现,（１）当复合刺激呈现在白背景上时,反应时和干扰作用都表明复复合刺激中大图的加工优于小图,刺激位置的不确定削弱大图对小图的干扰作用;而当复合刺激呈现在由“＋”组成的背影或时,小图的加工优于大图,刺激位置的不确定延长分辩小图的ＲＴ;（２）与周国刺激相比,分辨视野中央的复合刺激的ＲＴ较短,这种影响对分辨     

词素认知加工的理论模型及研究范式

自上世纪七十年代以来,随着视觉词汇加工领域的研究,多词素词的认知加工引起了研究者的广泛关注。文章对三十年来的研究进行综述和系统梳理,重点讨论词素在多词素词认知加工中的作用。虽然对词素加工的本质 (形或义的激活)仍未达成共识,但词素语义能否在多词素词加工的早期阶段得到激活已成为现今研究的焦点问题之一。相关研究大致可分为三个对立阶段：分解论与整体论之争、词素形式论与语义论之争、先形后义激活论与形义同时激活论之争。本文最后指出该研究领域尚未解决的问题并对未来研究进行了展望。     

周边视觉的知觉学习

知觉学习是指知觉能力随着知觉训练或经验逐渐改变的现象。它具有特异性-迁移性,可以根据时程划分为快速学习和慢速学习。知觉学习意味着与知觉直接对应的脑区神经元激活方式的变化,并且与注意有着一定的联系。目前周边视觉的知觉学习研究已有一些成果：对于非语词刺激,随着练习,判断目标刺激（例如刺激朝向、游标视敏度）的能力,有很大的提升;对于语词刺激,周边视觉的知觉学习可以帮助提高阅读速度。可以通过提高视觉广度来提高周边视觉的阅读速度。周边视觉的知觉学习还有着重大应用价值,可以帮助中央凹视觉缺损的人们提高周边视觉能力,帮助恢复阅读能力。     

n-back任务下视觉工作记忆负荷研究

实验采用n-back范式,考察了视觉工作记忆负荷与反应时、辨别力和主观评价的关系,以及空间位置记忆负荷与图形记忆负荷的差异。结果发现,随着记忆负荷的增大,反应时延长,辨别力降低,主观负荷提高。视觉图形记忆任务的负荷水平高于视觉空间位置记忆任务的负荷水平;同时也为视觉图形记忆和视觉空间记忆具有不同的加工过程提供了证据。     

A secondary task is not always costly: Context‐based guidance of visual search survives interference from a demanding working memory task

Repeatedly encountering a visual search display with the target located at a fixed position relative to the distractors facilitates target detection, relative to novel displays – which is attributed to search guidance by (acquired) long‐term memory (LTM) of the distractor ‘context’ of the target. Previous research has shown that this ‘contextual cueing’ effect is severely impeded during learning when participants have to perform a demanding spatial working memory (WM) task concurrently with the search task, though it does become manifest when the WM task is removed. This has led to the proposal that search guidance by LT context memories critically depends on spatial WM to become ‘expressed’ in behaviour. On this background, this study, of two experiments, asked: (1) Would contextual cueing eventually emerge under dual‐task learning conditions if the practice on the task(s) is extended beyond the short training implemented in previous studies? and given sufficient practice, (2) Would performing the search under dual‐task conditions actually lead to an increased cueing effect compared to performing the visual search task alone? The answer is affirmative to both questions. In particular, Experiment 1 showed that a robust contextual cueing effect emerges within 360–720 dual‐task trials as compared to some 240 single‐task trials. Further, Experiment 2 showed that when dual‐ and single‐task conditions are performed in alternating trials blocks, the cueing effect for the very same set of repeated displays is significantly larger in dual‐task blocks than in single‐task blocks. This pattern of effects suggests that dual‐task practice eventually leads to direct, or ‘automatic’, guidance of visual search by learnt spatial LTM representations, bypassing WM processes. These processes are normally engaged in single‐task performance might actually interfere with direct LTM‐based search guidance.