临床医生应具有很高的哲学修养

人体的复杂性和人命关天的特殊性决定了临床工作具有持久的挑战性.无论是病因的诊断,治疗方案的选择,还是治疗效果的判断都给临床医生的哲学思维提出很高的要求.因此,临床医生不仅要注重积累自己的专业知识和临床经验,而且要努力提高自己的哲学修养.     

Long‐term Self‐monitoring of Weight: A Case Study

The aim of this study was to examine the self‐monitoring of weight on a daily basis over a long period of time in order to understand the process of weight regain. An obese female client measured her weight every morning over a period of 10 years. The subject made a total of 2081 weight measurements. Thus, her weight was measured on 67% of all possible days. After the initial weight loss a pattern of gradual weight gain was observed. The subject gained weight during August and September, and at the end of December, in particular. Furthermore, her weight increased slightly at the weekends. This case study highlights the advantage of self‐monitoring of weight on a daily basis. Individual patterns of weight change possibly associated with season and weekly variation may be crucial when obese subjects try to maintain their weight after weight loss. However, it may take several months or even years to detect the weekly and yearly rhythms or other patterns in the data. Thus, self‐control of weight is problematic, since patterns in the weight regain process are difficult to detect. This may be one reason why self‐control of weight is so difficult.     

Evaluating the Acceptability of Four Versions of a Child Sexual Abuse Prevention Program

Fifty-nine college students used a modified version of the Treatment Evaluation Inventory-Short Form to evaluate the acceptability of four versions of a sexual abuse prevention program for 10-year-old children. The four versions include an information-based training approach or a behavioral skills training (BST) approach with a focus on strangers or known individuals as perpetrators of sexual abuse. A significant effect was found for both training method and type of perpetrator, with information-based approaches involving strangers as perpetrators rated the most acceptable. These results suggest that college students were most comfortable with sexual abuse prevention training programs for 10-year-olds when the programs did not involve an active rehearsal component and when the program focused on abuse perpetrated by a stranger rather than a known individual.     

A Child Trauma Treatment Pilot Study

We examined outcomes of a promising 21-session trauma treatment model for children aged 3 to 17 and their caregivers. All children in treatment had experienced at least one traumatic event. The treatment intervention was rooted in theories of trauma and attachment and combines parent training with cognitive behavioral therapy to form a comprehensive trauma treatment program. We report on 27 families who completed the program. Results reflect significant reductions in conduct disorder, problems in social relations, and caregiver depression at an average of a one-year post-treatment follow-up. Results from our preliminary study offer support for further evaluation of the model.     

The Role of Professional Training Experiences and Manualized Programs in ABA Providers’ Use of Parent Training With Children With Autism

Parent training, in which providers teach parents intervention strategies to promote their children’s skill acquisition and/or behavior management, is considered a best practice in the treatment for children with autism spectrum disorder (ASD) and yet is underutilized in community settings. The present study examined the role of training experiences and manual use in promoting the use of parent training by community providers who serve children with ASD. Applied behavior analysis (ABA) providers (N = 1,089) from across the United States completed self-report questionnaires online. The total number of professional training experiences related to parent training significantly predicted the extensiveness of providers’ use of parent training. Receiving supervision in parent training, being trained in a specific parent training approach, taking a course related to parent training, and participating in self-guided learning (e.g., webinar) were unique predictors of parent training extensiveness. While only 15% of ABA providers used manualized parent training programs, using a manual was also a unique predictor of parent training extensiveness. Parallel multiple mediator analyses demonstrated that family-, provider-, and organization-level barriers all partially mediated the relationship between number of training experiences and parent training extensiveness; only provider- and organization-level barriers mediated the relationship between manual use and parent training extensiveness. Recommendations for training and supporting providers at the pre-service and in-service levels are discussed as a means of increasing access to parent training for children with ASD in community settings.     

Psychiatry Residents' Attitudes on Ethics and Professionalism: Multisite Survey Results

Recent studies show that psychiatry residents express a relatively greater need for ethics curricula than their colleagues in other specialties. Such studies have been limited in their generalizability because they were conducted at one site. This study of 151 psychiatry residents at seven U.S. psychiatry programs aims to address that limitation. Residents were surveyed on issues pertaining to ethics and professionalism education. Participants were found to support such curricula during training and to value its relevance to the practice of psychiatry. Gender differences and the influence of the “hidden curriculum” on such results merit further study.     

Evidence-Based Practice in Psychology: An Ethical Framework for Graduate Education,Clinical Training,and Maintaining Professional Competence

Evidence-based practice is often acknowledged as the future state of psychology, yet those graduate students who will soon be applying such practices tend to hold several misconceptions about the major components within this framework. This review highlights implications for graduate education, clinical training, and professional competence in light of the movement toward evidence-based practice in psychology. These implications are discussed in relation to the close parallel between the major components of the evidence-based framework and the current Ethical Principles of Psychologists and Code of Conduct. The evidence-based framework is discussed as an ideology that promotes lifelong learning and best prepares graduate students for ethical clinical practice throughout their careers as psychologists.     

The relationship between n-back performance and matrix reasoning — implications for training and transfer

We have previously demonstrated that training on a dual n-back task results in improvements in fluid intelligence (Gf) as measured by matrix reasoning tasks. Here, we explored the underlying mechanisms of this transfer effect in two studies, and we evaluated the transfer potential of a single n-back task. In the first study, we demonstrated that dual and single n-back task performances are approximately equally correlated with performance on two different tasks measuring Gf, whereas the correlation with a task assessing working memory capacity was smaller. Based on these results, the second study was aimed on testing the hypothesis that training on a single n-back task yields the same improvement in Gf as training on a dual n-back task, but that there should be less transfer to working memory capacity. We trained two groups of students for four weeks with either a single or a dual n-back intervention. We investigated transfer effects on working memory capacity and Gf comparing the two training groups' performance to controls who received no training of any kind. Our results showed that both training groups improved more on Gf than controls, thereby replicating and extending our prior results.     

思维策略训练对高中生化学问题解决能力影响的实验研究

研究思维策略训练对于高中生解决化学计算问题的有效性。被试为1616名高中学生,训练由经过培训的17名高中化学教师承担,时间为10周,实验采用自编的《高中生化学计算问题解决思维策略训练教程》及《自我提示卡》,在真实的课堂教学情境和正常的教学秩序下进行,以探索化学学科问题解决思维策略训练的有效性。结果表明：思维策略训练能显著地提高高中生的化学计算问题解决能力,且普通中学高中生的训练效果明显优于重点中学。