化危为机：青少年学校转折期的过渡

从生命历程的角度看, 学校过渡是青少年成长过程中的重要发展转折点, 对个体的发展轨迹具有重要影响。先前研究多基于缺陷的视角, 将学校过渡视为充满挑战和风险的危机时期, 并发现青少年在这一时期伴随着各种消极的发展结果。但从青少年积极发展的视角来看, 学校过渡可能是青少年获得适应性的、健康发展的重要机遇, 也是发展可塑性表现最为充分的时期。如果青少年的内部和外部资源能够很好的融合, 他们就有可能获得积极的学校过渡。     

How do Motor Systems Deal with the Problems of Controlling Three-Dimensional Rotations?

Rotations are fundamental to motor control, not only for orienting to stimuli but also in the joint articulations that underlie translational movements. Studying three-dimensional (3-D) rotations of the simplest joint system, the eye, has provided general insights into the neural control of movement. First, in selecting one 3-D eye orientation for each two-dimensional (2-D) gaze direction, the oculomotor system generates a behavior called Listing's law that constrains eye position to a 2-D plane, Listing's plane. This selection is made internally by an inverse kinematic transformation called the Listing's law operator. Second, the oculomotor system incorporates the inherent multiplicative relationship between rotational velocity and position to generate the 3-D movement and position commands required by Listing's law. Finally, the coordinate systems for these commands appear to align with Listing's plane rather than with anatomic structures. Recent investigations have revealed similar behavioral constraints in the orientations of the head and arm, suggesting that the neural mechanisms for Listing's law may have analogues in many motor systems.     

Editorial

With the aim of increasing knowledge about processes of change in psychodynamic individual child psychotherapy, sessions that could be called turning points were analysed.     

Eating Disorder Recovery

Abstract

Qualitative studies addressing the eating disorder recovery process from the client's point of view are notably absent in the literature. For this case study, we conducted a retrospective examination of the recovery process, as recounted by a 37-year-old female who was diagnosed with anorexia nervosa, binge eating/purging subtype at the age of 30. Two in-person interview sessions provided insight into coping skills, multidisciplinary intervention strategies, and long-term treatment challenges. In sum, the client's perspective can add new information to the understanding of eating disorder recovery from feminist and other theoretical frameworks.     

A survey of smoking status and cancer risk perceptions among participants attending a hospital-based head and neck screening program

Abstract

Screening for head and neck cancer is underutilized. Given that lack of knowledge of the risk factors may partially account for screening underutilization. we surveyed subjective risk and knowledge of risk factors for head and neck cancer among 124 individuals who attended a free. hospital-based head and neck cancer screening. Few participants were current smokers. Most attendees perceived their risk as similar to others of their age and sex. Personal health habits comprised almost all of the risk-decreasing factors, yet less than half of the risk-increasing factors. generated. Personal habits were less frequently endorsed than factors such as pollution and heredity. Those who mentioned a risk behavior, or a family cancer history, reported higher subjective risk. Those who mentioned a personal health habit reported lower subjective risk. Results highlight needed efforts to increase screening among high-risk individuals through targeted education messages.     

Changes over time in head and neck cancer patients’ and caregivers’ illness perceptions and relationships with quality of life

Objective: This study investigated changes in illness perceptions from diagnosis to six months later in patients with head and neck cancer (HNC) and their caregivers. The study also examined whether discrepancy in patient and caregiver perceptions at diagnosis predicted patient health-related quality of life (HRQL) at six months.

Design: Forty-two patient–caregiver dyads completed the Brief Illness Perception Questionnaire (Brief IPQ) at diagnosis and again six months later. Patients also completed a HRQL questionnaire at both time points. Analyses were performed using the Actor–Partner Interdependence Model.

Main Outcome Measure: Total patient HRQL assessed by the Functional Assessment of Cancer Therapy (FACT-H&N).

Results: Perceptions of emotional impact and illness concern reduced over time in patients and caregivers. Perceptions of treatment control and identity increased in caregivers only. After controlling for the effects of baseline HRQL, and the individual contribution of patient and caregiver illness perceptions, greater discrepancy in perceptions of timeline, personal control, and illness identity among dyads at diagnosis predicted lower patient HRQL at six-month follow-up.

Conclusion: Patients’ and their caregivers’ perceptions of HNC are dynamic over time. Greater discrepancy between patients’ and caregivers’ illness perceptions at diagnosis predict poorer subsequent patient HRQL.     

On the examination couch: the relationship between the egocentric perspective and the attentional focus

Determined by anatomical characteristics, the binocular visual field has an elliptical shape. Whereas the focus of attention – that area of the visual field in which objects can be consciously perceived – is significantly smaller, its shape is not necessarily dependent on the same factors. Indeed, it is yet unknown if the maximum extents of the attentional focus’ meridians are dimensionally stable or adapt to the egocentric perspective. In this study, we intended to measure the expansion up to which peripheral stimuli can still be perceived while participants were sitting and lying on the left and on the right body side. Results demonstrate that contrary to the visual field the maximum extents along the attentional focus’ meridians remain stable across different head positions with a greater horizontal than vertical alignment. This indicates that the expansion ratios of the meridians of the attentional focus are not dependent on the egocentric perspective. Rather, they appear stable in space and gravity-based. Findings are discussed in terms of our visual environment and current as well as alternative interpretations are weighed against each other.     

班主任教师班级管理效能感对学生学习态度及其与学业效能间关系的影响

研究目的在于验证班主任教师的班级管理效能感对学生学习态度等方面有正向预测作用及其对学生学业效能和学习态度间的关系具有调节作用的假设。通过对109个班级的班主任教师和3066名三到六年级的小学生进行问卷调查,多层线性模型(HLM)分析结果表明:(1)在控制学生性别影响时,学生的学习态度、学习方法和学习技术存在显著的班级水平差异;学生学业效能对学生学习态度、学习方法和学习技术有显著的预测作用,且这一影响强度存在显著的班级水平差异。(2)在控制教师所教年级的影响下,班主任教师班级管理效能的高低对学生学习态度、学习方法和学习技术的班级差异具有显著的预测作用,班主任教师班级管理效能感高的班级,学生学习态度越积极;(3)班主任教师班级管理效能感对学生学业效能与学生学习态度和学习方法之间的关系具有显著的调节作用,班主任教师班级管理效能感越高,学生学业效能对学习态度和学习方法的影响越弱,反之班主任教师管理效能感低的班级,学生学业效能感对学习态度的影响较大。     

辩证思维在头颈肿瘤诊治过程中的应用

辩证思维贯穿于整个临床诊疗过程中,每位医师在做出临床决策时,均自觉或不自觉地遵循着该原理。在头颈肿瘤的临床实践中,也应始终遵循辩证思维,使哲学思维和科学思维密切结合。合理、正确地运用辩证思维方法有助于深入认识头颈肿瘤疾病的发生、发展及演变过程,从而采取合理、有效的治疗措施。     

The reality of the other: Dreaming of the analyst1

The author discusses the obstacles to symbolization encountered when the analyst appears in the first dream of an analysis: the reality of the other is represented through the seeming recognition of the person of the analyst, who is portrayed in undisguised form. The interpretation of this first dream gives rise to reflections on the meaning of the other’s reality in analysis: precisely this realistic representation indicates that the function of the other in the construction of the psychic world has been abolished. An analogous phenomenon is observed in the countertransference, as the analyst’s mental processes are occluded by an exclusively self‐generated interpretation of the patient’s psychic world. For the analyst too, the reality of the other proves not to play a significant part in the construction of her interpretation. A ‘turning‐point’ dream after five years bears witness to the power of the transforming function performed by the other throughout the analysis, by way of the representation of characters who stand for the necessary presence of a third party in the construction of a personal psychic reality. The author examines the mutual denial of the other’s otherness, as expressed by the vicissitudes of the transference and countertransference between analyst and patient, otherness being experienced as a disturbance of self‐sufficient narcissistic functioning. The paper ends with an analysis of the transformations that took place in the analytic relationship.