临床经验对诊断的双重作用及改造

文中用辩证唯物主义的观点,阐述了临床经验的定义、来源及指导实践过程中的意义,指出其具有促进诊断和引起误诊的双重作用,并用临床病历例子详细说明其双重作用的形式、导致结果及产生的原因。指出临床经验的双重作用在临床工作中的重要性及局限性,提出对经验的改造完善途径,以能充分表现出其促进诊断的作用,而最大限度降低其导致误诊的程度,发挥在临床工作中的良性作用。     

The impact of cognitive functioning on driving performance of older persons in comparison to younger age groups: A systematic review

Older drivers are at a severely higher risk for motor vehicle crash involvement. Due to the global aging of the population, this increased crash risk has a significant impact on society, as well as on an older individual’s quality of life. For this reason, there is a need for understanding how normal age-related changes in cognition and underlying brain dynamics impact driving performance to identify the functional and neurophysiological biomarkers that could be used to design strategies to preserve or improve safe driving behavior in older persons. This review provides an overview of the literature on age-related changes in cognitive functioning and brain dynamics that impact driving simulator performance of healthy persons. A systematic literature search spanning the last ten years was conducted, resulting in 22 eligible studies. Results indicated that various aspects of cognition, most importantly executive function, complex attention, and dual tasking, were associated with driving performance, irrespective of age. However, there was a distinct age-related decline in cognitive and driving performance. Older persons had a more variable, less consistent driving simulator performance, such as more variable speed adaptation or less consistent lane keeping behavior. Only a limited number of studies evaluated the underlying brain dynamics in driving performance. Therefore, future studies should focus on implementing neuroimaging techniques to further unravel the neural correlates of driving performance.     

演绎推理的形式和内容启动加工

聚焦推理加工初期,研究通过指导语操控主观加工倾向,考察不同指导语条件下内容可信度和形式有效性对演绎推理结果的影响,检验内容和形式两类加工过程的启动加工动态变化性。结果表明,指导语条件显著影响推理初期加工。在无提示指导语和形式判定指导语条件下,推理结果受到了形式有效性和内容可信度的影响;内容判定指导语下只受到了内容可信度的影响。证明主观加工倾向影响了内容和形式的启动加工关系,支持了动态变化性的假设。     

社会认识的悖论分析

本文论为社会认识是一种特殊的认识,其特殊性表现为它是一种自认识,或者说是“悖论式”的认识,本文提出“双重角色悖论”、“视交叉悖论”、“纽康悖论”和“价值关涉悖论”,就社会认识的悖论现象作哲学分析,试图揭示社会认识活动的特殊性和规律性。     

What's working in working memory: a role for the Central Executive

Two experiments are reported which seek to explore the nature of the Central Executive of Baddeley's (Baddeley and Hitch, 1974) model of working memory. Experiment 1 uses a dual task methodology to compare performance on two storage tasks, making use of the two slave systems, the Phonological Loop (PL) and the Visuo-Spatial Scratch Pad (VSSP). Results suggest that storage can be thought of as based on the use of slave system independent resources. Experiment 2 uses a similar approach to compare performance on 2 processing tasks, again one PL based, the other VSSP based. These results suggest that processing is based on a central, shared set of resources. The two experiments support both a multiple resources model of working memory and more specifically identify a role for the Central Executive.     

The cortical organization of lexical knowledge: a dual lexicon model of spoken language processing

Current accounts of spoken language assume the existence of a lexicon where wordforms are stored and interact during spoken language perception, understanding and production. Despite the theoretical importance of the wordform lexicon, the exact localization and function of the lexicon in the broader context of language use is not well understood. This review draws on evidence from aphasia, functional imaging, neuroanatomy, laboratory phonology and behavioral results to argue for the existence of parallel lexica that facilitate different processes in the dorsal and ventral speech pathways. The dorsal lexicon, localized in the inferior parietal region including the supramarginal gyrus, serves as an interface between phonetic and articulatory representations. The ventral lexicon, localized in the posterior superior temporal sulcus and middle temporal gyrus, serves as an interface between phonetic and semantic representations. In addition to their interface roles, the two lexica contribute to the robustness of speech processing.     

E pluribus unum: Dual identity and minority group members' motivation to engage in contact, as well as social change

Recent work on social change illustrates that disadvantaged-group members are sometimes less influenced by prejudice-reduction strategies than are advantaged-group members, and interventions to improve intergroup relations (e.g., commonality) can sometimes have the unintended consequence of reducing social-change motivations among members of disadvantaged groups. Focusing on disadvantaged groups' (i.e., racial/ethnic minorities) orientations toward advantaged groups, the present research experimentally investigated the potential of dual, relative to common, identity to produce greater willingness to engage in contact, while maintaining social change motivation. Relative to common identity, dual identity produced not only greater willingness to engage in contact, which was mediated by perceptions of shared values, but also greater social change motivation, mediated by decreased optimism about future relations. Thus, for dual identity, enhancing approach motivation (willingness for contact) does not necessarily undermine social change motivation. Implications for intergroup relations and more broadly social change are discussed.     

Assessing miserly information processing: An expansion of the Cognitive Reflection Test

The Cognitive Reflection Test (CRT; Frederick, 2005) is designed to measure the tendency to override a prepotent response alternative that is incorrect and to engage in further reflection that leads to the correct response. It is a prime measure of the miserly information processing posited by most dual process theories. The original three-item test may be becoming known to potential participants, however. We examined a four-item version that could serve as a substitute for the original. Our data show that it displays a .58 correlation with the original version and that it has very similar relationships with cognitive ability, various thinking dispositions, and with several other rational thinking tasks. Combining the two versions into a seven-item test resulted in a measure of miserly processing with substantial reliability (.72). The seven-item version was a strong independent predictor of performance on rational thinking tasks after the variance accounted for by cognitive ability and thinking dispositions had been partialled out.     

Response to Algarabel et al., 2012 “Recognition memory deficits in mild cognitive impairment”. Reconsidering claims of familiarity disruptions in mild cognitive impairment

There is some debate over the relative impairment of recollection and familiarity in mild cognitive impairment (MCI). A recent publication by Algarabel et al. (2012, Recognition memory deficits in mild cognitive impairment, Aging, Neuropsychology, and Cognition, 19, 608–619) claims to undermine previous studies reporting preserved familiarity in patients with MCI. Here, we respond to their main criticisms, concluding that they are not sufficiently supported by the data presented. The role of recollection and familiarity in MCI remains unresolved and further work will be required to disentangle the mixed literature.     

State‐Trace Analysis: Dissociable Processes in a Connectionist Network?

Some argue the common practice of inferring multiple processes or systems from a dissociation is flawed (Dunn, 2003). One proposed solution is state‐trace analysis (Bamber, 1979), which involves plotting, across two or more conditions of interest, performance measured by either two dependent variables, or two conditions of the same dependent measure. The resulting analysis is considered to provide evidence that either (a) a single process underlies performance (one function is produced) or (b) there is evidence for more than one process (more than one function is produced). This article reports simulations using the simple recurrent network (SRN; Elman, 1990) in which changes to the learning rate produced state‐trace plots with multiple functions. We also report simulations using a single‐layer error‐correcting network that generate plots with a single function. We argue that the presence of different functions on a state‐trace plot does not necessarily support a dual‐system account, at least as typically defined (e.g. two separate autonomous systems competing to control responding); it can also indicate variation in a single parameter within theories generally considered to be single‐system accounts.