性朴欲恶心虑论——荀子人性论思想再辨

目前荀子的人性论思想是学界探讨的热点话题,但“性”与“心”之间的关系、“性”与“恶”之间的联系、“性”与“善”之间的关联等问题仍有进一步研究的必要。“性朴”是荀子对“人性”总的定义和说明,其内容主要包括“天官”和“天情”。由于“官能”生而带有“欲望”,而且“欲望”必然导致“恶”的结果,所以起初人类面临“争夺”“暴乱”和“相亡”的局面。“心”不仅具有“好利”的本能,而且它还具有“思虑”的能力,“思虑”必然有“思虑”的材料,“争夺”“暴乱”和“相亡”就是“思虑”的材料。“圣人”通过“积思虑”和“习伪故”的方式扭转了“争夺”“暴乱”和“相亡”的局面,并且制作“礼乐”和“刑法”来规范人的行为。

中医临床证治系列讲座第8讲贫血

中医临床证治系列讲座第８讲贫血宋祚民，李建，宋文芳北京中医医院（１０００１０）贫血是临床常见病。以皮肤、粘膜、爪甲颜色发白，伴见头晕、目眩、乏力、心悸等为主要临床特征。祖国医学无贫血病名，本病可归属“血虚”“虚劳”范畴。笔者依据贫血的临床表现，将其中...

Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery： a contemporary and practical review

Research to date indicates that the number of coronary artery bypass graft （CABG） surgery patients affected by depression （i.e., major, minor, dysthymia） approximates between 30% and 40% of all cases. A longstanding empirical interest on psychosocial factors in CABG surgery patients highlights an association with increased risk of morbidity in the short and longer term. Recent evidence suggests that both depression and anxiety increase the risk for mortality and morbidity after CABG surgery independent of medical factors, although the behavioral and biological mechanisms are poorly understood. Though neither depression nor anxiety seem to markedly affect neuropsy- chological dysfunction, depression confers a risk for incident delirium. Following a comprehensive overview of recent literature, practical advice is described for clinicians taking into consideration possible screening aids to improve recognition of anxiety and depression among CABG surgery patients. An overview of contemporary interventions and randomized, controlled trials are described, along with suggestions for future CABG surgery research.

Foreign Language Enjoyment and Anxiety:Associations With General and Domain-Specific English Achievement

Recent research has confirmed the predictive effect of general foreign language(FL) achievement on Foreign Language Enjoyment(FLE) and Foreign Language Classroom Anxiety(FLCA).However,few studies have examined the effect of domain-specific language achievement in shaping FL learning emotions.The present study thus aims to examine how FLE and FLCA are linked to overall FL achievement and self-perceived achievement in six different domains across listening,speaking,reading,writing,vocabulary,and grammar.A total of 1,415 Chinese senior secondary students participated in the questionnaire survey.Regression analyses showed that 1) both FLE and FLCA were predicted more by self-perceived general English proficiency,while less by actual English achievement;2) perceptions of speaking and grammar competence were significant predictors of both emotions;3) perceived reading competence predicted FLE significantly but not FLCA;and that 4) perceptions of listening,writing,and vocabulary competence predicted neither FLE nor FLCA.The implication is that domain-specificity should be taken into consideration in future explorations of FL emotions.

Psychological controversies in gastroparesis: A systematic review

To systematically review literature addressing three key psychologically-oriented controversies associated with gastroparesis.METHODSA comprehensive search of PubMed, CINAHL, and PsycINFO databases was performed to identify literature addressing the relationship between gastroparesis and psychological factors. Two researchers independently screened all references. Inclusion criteria were: an adult sample of gastroparesis patients, a quantitative methodology, and at least one of the following: (1) evaluation of the prevalence of psychopathology; (2) an outcome measure of anxiety, depression, or quality of life; and (3) evidence of a psychological intervention. Case studies, review articles, and publications in languages other than English were excluded from the current review.RESULTSPrevalence of psychopathology was evaluated by three studies (n = 378), which found that combined anxiety/depression was present in 24% of the gastroparesis cohort, severe anxiety in 12.4%, depression in 21.8%-23%, and somatization in 50%. Level of anxiety and depression was included as an outcome measure in six studies (n = 1408), and while limited research made it difficult to determine the level of anxiety and depression in the cohort, a clear positive relationship with gastroparesis symptom severity was evident. Quality of life was included as an outcome measure in 11 studies (n = 2076), with gastroparesis patients reporting lower quality of life than population norms, and a negative relationship between quality of life and symptom severity. One study assessed the use of a psychological intervention for gastroparesis patients (n = 120) and found that depression and gastric function were improved in patients who received psychological intervention, however the study had considerable methodological limitations.CONCLUSIONGastroparesis is associated with significant psychological distress and poor quality of life. Recommendations for future studies and the development of psychological interventions are provided.

Retrospective analysis of exercise capacity in patients with coronary artery disease after percutaneous coronary intervention or coronary artery bypass graft

Objectives:To describe the current state of exercise capacity as well as to identify its predictors in patients with coronary artery disease (CAD) following percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) in the mainland of China.Methods:A retrospective study design was employed.We evaluated 230 CAD patients following PCI or CABG in a cardiac rehabilitation center from January 2019 to October 2019.The patients were referred to undergo incremental cardiopulmonary exercise testing with a cycle ergometer.The Zung Self-Rating Anxiety Scale and the Zung Self-Rating Depression Scale were used to evaluate patients' mental health.Statistical analysis was performed using the chi-square test,Fisher's exact test,t-test,Mann-Whitney U test,and binary logistic regression.Results:Among the 230 patients,223 patients demonstrated reduced exercise capacity.Resutlts of the logistic regression analysis showed that anxiety (OR =1.13,95% CI 1.01-1.32,P =0.029) was an independent risk factor for reduced exercise capacity in patients following the PCI or CABG.Conclusions:Exercise capacity of Chinese CAD patients after PCI or CABG was relatively poor.Alleviating symptoms of anxiety and making exercise prescriptions according to the results of the cardiopulmonary exercise test should be considered during the intervention to improve CAD patients' exercise capacity.

A Different Kind of Tension:Foreign Language Anxiety From a Positive Psychology Perspective

This study investigates anxiety in foreign language learning from a positive psychology perspective,and in doing so,it considers some of the ways in which anxiety can interact with other aspects of language learner psychology to contribute to improved learning outcomes and improved learner well-being.The paper reports on a small-scale mixed-method study of English learners at a university in northern Japan.It shows how for many learners some of the most anxiety-provoking episodes were also the most rewarding and enjoyable,suggesting a need to reconsider simplistic accounts that present anxiety as an impediment to successful language learning.This is done by shifting to a positive psychology perspective.The paper concludes with a tentative model of how anxiety,when reframed as tension,can function as a core component of a more productive language learning experience.

The Research On Competitive Cognitive Trait Anxiety Of China＇s Young Female Volleyball Athletes

This paper makes a research on competitive cognitive trait anxiety of China＇s female volleyball reserve athletes using the Psychological Measurement, studying the differences between different groups, sport time and sport grades. The results show that the Failure Anxiety of China＇s young women＇s volleyball athletes is less than that of the norm, while the other kinds of anxiety are more. The athletes whose sports time is more than seven years have a higher level of Injury Anxiety, so is the anxiety when preparing for matches of Three Stage Athletes than One Stage Athletes and Two Stage Athletes. In comparison with Level Two Stage Athletes and Level Three Stage Athletes, Level One Stage Athletes＇ ability anxiety is higher. The anxiety of fonts＇ playing competitive level is more than setters. Based on different athletes, we should take different measures, in order to improve their psychological resilence through training and increase their tolerance when facing difficulty through matches.

Clinical Study on Combined Acupuncture and Psychological Desensitization Therapy for Anxiety due to Heroin Addiction

Objective： To observe the clinical efficacy of combined acupuncture and psychological desensitization therapy for anxiety in those with heroin addiction. Methods： All 90 cases were randomly allocated into a treatment group （45 cases） and a control group （45 cases）. Cases in the treatment group received 30 min of combined acupuncture and psychological desensitization therapy for each treatment, twice a week and 8 weeks in total, whereas cases in the control group received no treatment. After that, the anxiety score and state were observed. In addition, the mental state prior to and after cue-elicited heroin craving was evaluated. Results： The total and standard scores of anxiety in the treatment group were significantly reduced compared to the control group （P〈0.05）, coupled with a significant reduction of heroin craving （P〈0.01）. Conclusion： Combined acupuncture and psychological desensitization can alleviate anxiety and inhibit the short-term heroin craving.