“The primary process”: The vicissitude of a concept

Abstract

During the first twenty years that Freud spent creating his theory, he assumed that most of the functions responsible for creating mental-thought structures were organized according to two different forms or principles of thought. He called these forms “primary process” and “secondary process”. The “secondary process” is identified with rational thinking and the ego, and it is easy to follow the changes that this concept underwent in the works of Freud that followed. The concept of “primary process”, on the other hand, disappeared from his later works with no explanation. This article traces the changes that the “primary process” underwent in Freud's thinking and examines the connection between his analytical technique and his research method. A close study of the changes that the “primary process” underwent reveals that Freud's developmental thought process included concepts whose directional changes may be termed “regressive”.     

The interplay between presentation material and decision mode for complex choice preferences

Recent research suggests that, when faced with a choice between several alternatives described with a large number of attributes, people make better choices if they do not consciously ponder over the alternatives but rather perform a distraction task assumed to elicit unconscious thought. Subsequent research attempting to replicate this finding, however, provided mitigated support for its existence. The research reported here contributes to this ongoing debate on two grounds. First, it highlights a methodological confound between qualitative and quantitative presentation material and proposes a novel procedure that can accommodate both. Second, it shows that, whereas conscious deliberation leads to better decisions when alternatives are characterised by quantitative information, the use of a qualitative format for presenting information cancels the advantage of conscious deliberation.     

Mindfulness and dream quality: the inverse relationship between mindfulness and negative dream affect

The aim of the study was to examine the relationship of mindfulness to the emotional quality of dreaming. In our questionnaire-based study, comprising the data of 587 undergraduate students we examined the association between trait anxiety, perceived stress, trait mindfulness, negative dream affect and dream anxiety. Our results indicate that mindfulness is inversely related to disturbed dreaming and predicts less severe dream disturbances after controlling for trait anxiety. Moreover, the results of the applied hierarchical regression analysis suggest that mindfulness is associated with reduced dream anxiety by moderating the extent of waking anxiety. Our findings extend previous research relating mindfulness, emotional regulation and sleep quality to the domain of dream research. We suggest that mindfulness is a possible protective factor against dream disturbances.     

对我国高等医学教育学制与学位改革和发展的思考

通过对国内外医学教育学制与学位的比较,以及对我国目前试行的住院医师培训制度存在问题的分析,提出我国六年制培养医学硕士的模式;认为这有利于提高中国高等医学教育层次,有利于统一医学教育学制和学位,有利于国际交流;也为毕业生衔接新体制留下了接口。     

帛书《昭力》易学观初探

帛书《易传》中的《昭力》篇虽然字效较少,但其结构完备,内涵清晰,属于帛书《易传》中十分具有特色的一篇释文。然而由于其篇末的字数标记,许多学者认为《昭力》与《缪和》属于一篇文章。亦有的学者认为《昭力》中论及“卿大夫”与“国君”,乃以《易》论政,属于政治论的范畴,不属于解《易》范畴。笔者通过研究《昭力》对卦爻辞的解读,认为《昭力》恰恰是一篇独立成章的解《易》文章,而且其所体现的是与帛书《易传》其他篇章不尽相同的解《易》理念,其“六经注我”的解释学理念也是我国典籍中出现较早的。《昭力》篇的研读对于我们认识孔子的政治论点与易学观念都有着十分积极的意义。     

病人角色的社会心理学思考

病人角色是一个角色丛,患者在诊断治疗过程中,可能扮演医疗自助者、医疗求助合作者、医疗拒助者、医疗失助者、医疗反助者或医疗受试者等不同角色.医疗卫生工作者对病人角色内涵的理解,直接影响着医学认知、医学教育改革、医患关系及以病人为中心的落实.     

Synchronicity and the capacity to think: a clinical exploration

Synchronicity blurs the boundaries of psyche and physis. This invisible dance of mind and matter suggested to Jung an interconnection between physical and mental events reflecting a unified 'psychophysical space-time continuum'. His idea of exteriorization put forth the notion that unconscious thoughts can manifest themselves in the external world. I have related this to Bion's theory of thinking, where thoughts, which should be a prelude to action, become actions in themselves, projections of unthought thoughts. Through detailed clinical work with dreams I will explore the effects of early trauma on the development of the capacity to think, and the way in which synchronistic events relate to projections of early traumatic experiences which have not been 'mentalized'.     

肝癌时间生物学研究的启示

在临床一线工作中发现肝癌病人就诊率有一定的时间现象,而在时间生物学理论启发下开拓了肝癌时间生物学研究的创新思路,体会到新科学理论是一把开启科学思维的金钥匙,但还必须善于用在科学实践上。在“对立统一”哲学原理的启发下,根据爱因斯坦“弯曲时空”原理找到气候差异很大的不同经纬度区域的肝癌临床时间生物学特征是否为同一性的论证方法。根据“对立统一”哲学原理,对肝癌细胞内正/负向癌基因进行对应表达实验研究,探索肝癌时间生物学特征的分子机制。对肝癌时间生物学研究最终目标进行了哲理性思考。     

认知与误读--宋代儒士佛教思想论略

至有宋一代,佛教已成为中国思想文化的一个重要组成部分。宋代儒士对佛教常识、佛教教义都有较深入的认知与把握,但也存在大面积的误读;宋代儒士一方面主观地批佛、排佛,另一方面却客观地成就了“批判的佛教”。宋代儒士对佛教的认识、理解和评价,不仅有助于弄清宋代新儒学与佛教之关系,也有助于进一步把握宋代学术之分野,而且可以加深我们对佛教中国化的理解。