论中西医结合的过程与层次

中西医结合是一个长期困扰人们的难题。中医理论研究人体外部现象的变化规律,以古代哲学思想为指导,具有整体联系、动态把握的合理内核。而目前现代医学对人体结构和功能的认识,并不能完全揭示生命现象本质,因而也不能完全解释中医现象。这种认识有一个不断发展和深化的过程,自然辩证法观点认为层次越低、结合越紧密。分子导次是具有生物意义的最低层次。人类“基因组”计划的实现可能在一个新的高度阐明人体本质,也使中医现象     

Who wrote that? Automaticity and reduced sense of agency in individuals prone to dissociative absorption

Dissociative absorption (DA) is a tendency to become completely immersed in a stimulus while neglecting to attend to one’s surroundings. Theoretically, DA implies automatic functioning in areas that are outside the focus of attention. This study examined whether high absorbers indeed act more automatically, i.e., with decreased meta-consciousness for, and therefore poor memory of, their own actions, along with reduced sense of agency (SoA). High and low absorbers (N = 63) performed three DA-promoting tasks: choice-reaction time (CRT), Tetris, and free writing. Participants were tested on memory of task details and self-reported their state SoA. As hypothesized, trait DA was correlated with impaired autobiographical memory for self-generated writing. However, DA was not related to episodic memory disruptions in externally-generated content tasks (Tetris, CRT). In most tasks, DA was associated with decreased SoA. Absorbers’ specific difficulty in identifying self-generated content suggests that their memory failures stem from reduced accessibility to self-actions and intentions.     

Hyperarousal and dissociation: a study of novice skydivers

Peritraumatic dissociation describes alterations in awareness that occur during or immediately after a trauma. This study investigated a simulated form of peritraumatic dissociation by indexing the responses of skydivers (N=100) who were participating in their first skydive. Prior to jumping, participants completed the Beck anxiety inventory, the Tellegen absorption scale, and ratings of predictability and uncontrollability. Immediately after the jump, they completed the peritraumatic dissociative experiences questionnaire and the physical reactions scale. Responses indicated that the skydive elicited extreme anxiety, hyperarousal, and peritraumatic dissociation in a significant proportion of skydivers. Multiple regression analyses indicated that hyperarousal, and to a lesser extent anxiety, were strongly predictive of peritraumatic dissociative reactions. These results are discussed in terms of proposals that peritraumatic dissociation is mediated by hyperarousal.     

Dimensions of control: Mediational analyses of the stress–health relationship

Multiple dimensions of control are examined in relations with stress and physical health outcomes. Factor analysis of six measures of control from 187 elderly individuals yielded two factors: Self-Efficacy, people’s beliefs about their ability to exercise control over themselves and their environment, and Need for Power and Autonomy, the desire to control others and exercise self-determination. Various hypotheses regarding the process by which control impacts the relationship between stress and health were then tested. Self-Efficacy partially mediated and moderated the relationship between stress and physical health, whereas the Need for Power and Autonomy served neither function. Self-efficacy appears to be a lens through which older adults view stress, affecting the way it is interpreted and managed, ultimately impacting health outcomes.     

Interactivism: A manifesto

The interactivist model has grown over the last several decades from a narrower initial beginning into an evolving systematic theory and underlying philosophy. It has been induced to do so because the underlying assumptions that framed the beginnings of the model were fundamentally different from those that are dominant throughout psychology, cognitive science, and philosophy. Consequently, the model faced multiple instances of attempting to integrate with literature in neighboring fields, discovering that such integration was not possible because the basic assumptions were not compatible, and having to either give up on the model thus far constructed, or else extend it in a way consistent with those assumptions into those neighboring (and foundational) domains. This manifesto outlines the resultant interactivist framework, presents some of the arguments for its underlying assumptions, and argues that these avoid problems that are fatal for many standard approaches in the literature.     

The effects of team strategic orientation on team process and information search

We tested the effects of team strategic orientation on team member perceptions, work strategy and information search. In Experiment 1, 80 teams worked on a hidden profile decision-making task. A defensive team strategic orientation increased members’ perceptions of the problem’s scope, leading to a more process-focused work strategy and broader information search compared to an offensive team strategic orientation. When teams needed critical information from the environment, defensive teams outperformed offensive teams; offensive teams performed better when critical information resided within the team. In Experiment 2, these findings were replicated with 92 teams performing a different decision task. When making a second decision, half of the teams were led to change their strategic orientation; teams shifting from offense to defense altered their information search behavior more readily than did teams shifting in the opposite direction, suggesting an asymmetric adaptation effect.     

Using self-determination theory to promote adolescent girls' physical activity: Exploring the theoretical fidelity of the Bristol Girls Dance Project

ObjectivesTo report the theory-based process evaluation of the Bristol Girls' Dance Project, a cluster-randomised controlled trial to increase adolescent girls' physical activity.DesignA mixed-method process evaluation of the intervention's self-determination theory components comprising lesson observations, post-intervention interviews and focus groups.MethodFour intervention dance lessons per dance instructor were observed, audio recorded and rated to estimate the use of need-supportive teaching strategies. Intervention participants (n = 281) reported their dance instructors' provision of autonomy-support. Semi-structured interviews with the dance instructors (n = 10) explored fidelity to the theory and focus groups were conducted with participants (n = 59) in each school to explore their receipt of the intervention and views on the dance instructors' motivating style.ResultsAlthough instructors accepted the theory-based approach, intervention fidelity was variable. Relatedness support was the most commonly observed need-supportive teaching behaviour, provision of structure was moderate and autonomy-support was comparatively low. The qualitative findings identified how instructors supported competence and developed trusting relationships with participants. Fidelity was challenged where autonomy provision was limited to option choices rather than input into the pace or direction of lessons and where controlling teaching styles were adopted, often to manage disruptive behaviour.ConclusionThe successes and challenges to achieving theoretical fidelity in the Bristol Girls' Dance Project may help explain the intervention effects and can more broadly inform the design of theory-based complex interventions aimed at increasing young people's physical activity in after-school settings.