narratives

叙事
  • 文章类型: Journal Article
    背景:围绕医疗人工智能(AI)的论述通常集中在炒作技术潜力或预测反乌托邦未来的叙述上。人工智能叙事对研究方向有重大影响,资金,和公众舆论,从而塑造医学的未来。
    目标:本文旨在对人工智能叙事进行批判性反思,特别关注医疗人工智能,并提高人们对使用医疗人工智能的人如何谈论人工智能并履行他们的“叙事责任”的认识。“
    方法:对来自不同学科的41名参与者进行了定性半结构化访谈,这些参与者在其职业中接触过医学AI。该研究代表了使用主题叙事方法对数据的二次分析。分析得出了两个主要主题,每个都有2个其他子主题。
    结果:关于AI-医师互动的故事描述了竞争或合作的关系。一些参与者认为人工智能可能会取代医生,因为它比医生表现得更好。然而,其他人认为,医生不应该被取代,人工智能应该帮助和支持医生。讨论了过度技术推迟和自动化偏差的想法,强调“失去”决策权的风险。人工智能可以减轻医生的倦怠,并允许他们花更多的时间与病人在一起。最后,一些参与者报告了对医学人工智能的极其乐观的描述,大多数人批评这种类型的故事。后者感叹医学AI的“神奇理论”的存在,确定了技术解决方案的立场。
    结论:大多数参与者报告了对技术的细微看法,认识到它的好处和挑战,避免两极分化的叙述。然而,一些参与者确实助长了围绕医疗人工智能的炒作,将其与人类能力进行比较,并将其描述为卓越。总的来说,大多数人同意医疗人工智能应该帮助而不是取代临床医生。该研究得出的结论是,平衡的叙述(侧重于技术的现有能力和局限性)对于充分实现医疗AI的潜力是必要的,同时避免不切实际的期望和炒作。
    BACKGROUND: The discourse surrounding medical artificial intelligence (AI) often focuses on narratives that either hype the technology\'s potential or predict dystopian futures. AI narratives have a significant influence on the direction of research, funding, and public opinion and thus shape the future of medicine.
    OBJECTIVE: The paper aims to offer critical reflections on AI narratives, with a specific focus on medical AI, and to raise awareness as to how people working with medical AI talk about AI and discharge their \"narrative responsibility.\"
    METHODS: Qualitative semistructured interviews were conducted with 41 participants from different disciplines who were exposed to medical AI in their profession. The research represents a secondary analysis of data using a thematic narrative approach. The analysis resulted in 2 main themes, each with 2 other subthemes.
    RESULTS: Stories about the AI-physician interaction depicted either a competitive or collaborative relationship. Some participants argued that AI might replace physicians, as it performs better than physicians. However, others believed that physicians should not be replaced and that AI should rather assist and support physicians. The idea of excessive technological deferral and automation bias was discussed, highlighting the risk of \"losing\" decisional power. The possibility that AI could relieve physicians from burnout and allow them to spend more time with patients was also considered. Finally, a few participants reported an extremely optimistic account of medical AI, while the majority criticized this type of story. The latter lamented the existence of a \"magical theory\" of medical AI, identified with techno-solutionist positions.
    CONCLUSIONS: Most of the participants reported a nuanced view of technology, recognizing both its benefits and challenges and avoiding polarized narratives. However, some participants did contribute to the hype surrounding medical AI, comparing it to human capabilities and depicting it as superior. Overall, the majority agreed that medical AI should assist rather than replace clinicians. The study concludes that a balanced narrative (that focuses on the technology\'s present capabilities and limitations) is necessary to fully realize the potential of medical AI while avoiding unrealistic expectations and hype.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:新冠肺炎大流行期间施加的社会限制导致工作家庭角色和社会界限的戏剧性重新配置,导致工作妈妈们寻找在线网站作为情感支持和调节的空间,在那里他们可以发泄情绪,分享他们的担忧和悲伤,并寻求建议。它们也成为互动空间,在那里,妈妈的相关身份被重新评估和制定,因为它们旨在平衡工作与家庭的角色并改善他们的福祉。本文探讨了在全球斗争时期,工作妈妈如何在在线支持论坛中对自己的多重身份进行辩论,这些身份结构如何反映工作-家庭冲突(WFC)的领域,以及工作妈妈如何看待这些身份与他们的心理健康有关。
    方法:分三个阶段分析了2020年上半年在公共在线支持论坛上为工作妈妈收集的127篇智利工作妈妈帖子。第一个涉及主题分析,以确定与数据中的工作妈妈身份建构相关的主题和子主题。第二阶段涉及对工作妈妈进行叙事分析,以确定由这些工作妈妈精心制作的主叙事,以及竞争和顺应母性的意识形态,在其他人中。最后,第三阶段涉及对最具代表性的摘录进行细粒度的语篇分析,这些摘录说明了工作妈妈的身份协商。
    结果:社会语言学分析表明,工作妈妈的话语表现出自我反省的三个主题,即,自我保健的减少,重新评估他们的自我,通过自我保健增强自我。讨论并对每个主要主题的与身份相关的子主题进行了辩论和分析。强调了两个要点:(1)在工作妈妈的话语中最突出的身份是他们的个人身份(而不是工作-家庭角色和身份),(2)微论允许工作妈妈挑战围绕其身份和工作家庭角色的主导话语的霸权力量。
    结论:研究表明,探索工作妈妈身份协商的社会语言学方法有助于强调妈妈对工作-家庭角色的二元假设以及需要重新考虑工作妈妈的生活领域,以便它们反映工作妈妈的实际身份需求和生活经历。概述了未来的研究方向。
    BACKGROUND: The dramatic reconfigurations of work-family roles and social boundaries resulting from the social restrictions imposed during the Covid-19 pandemic led working mums to look for online sites as spaces of emotional support and regulation where they could vent their emotions, share their concerns and griefs, and seek advice. They also became interactional spaces where mums\' relevant identities were reassessed and enacted as they aimed to balance work-family roles and improve their wellbeing. The paper explores how working mums discursively negotiated their multiple identities in an online support forum during times of global struggle, how these identity constructions reflect the domains of Work-Family Conflict (WFC) and how working mums perceived these identities are related to their mental health.
    METHODS: 127 posts of Chilean working mums published in a public online support forum for working mums collected during the first half of 2020 were analysed in three phases. The first one involved a thematic analysis to identify themes and subthemes related to working mums\' identity construction in the data. The second phase involved conducting a narrative analysis of working mums\' microstorias in order to identify a master narrative crafted by these working mums, and contesting and conforming ideologies of motherhood, among others. Finally, the third phase involved a fine-grained discourse analysis of the most representative extracts illustrating working mums\' identity negotiation.
    RESULTS: The sociolinguistic analysis showed that working mums\' discourses displayed three themes of self-reflection, namely, diminishing self-care, reassessing their self, and enhancing self through self-care. Identity-related sub-themes for each main theme are discussed and discursively analysed. Two main points are emphasised: (1) the identity that was most salient in working mums\' discourse was their personal identity (rather than work-family roles and identities), and (2) microstorias allowed working mums to challenge the hegemonic power of dominant discourses around their identities and their work-family roles.
    CONCLUSIONS: The study shows that a sociolinguistic approach to the exploration of working mums\' identity negotiation is useful to highlight the ways in which mums contest binary assumptions of work-family roles and the need to reconsider working mums\' life domains so that they reflect working mums\' actual identity needs and lived experiences. Future lines of research are outlined.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    确定有效的干预措施以促进儿童接种疫苗的接受对社区的健康和福祉至关重要。可以实施许多干预措施,以提高父母对疫苗接种益处的认识,并积极影响他们对疫苗和疫苗接种服务的信心。一种潜在的方法是使用叙述作为干预。本研究旨在评估基于叙事的干预对父母态度和疫苗接种意向的影响。在事后实验中,从在线泛加拿大小组招募的2,000名幼儿父母随机接触了三个视频中的一个,该视频提供了促进儿童疫苗接种的叙述,或有关儿童体育锻炼的重要性和益处的控制条件视频。事后措施显示,这些叙述对父母的态度和为孩子接种疫苗的意图产生了相对适度但积极的影响。结果还表明,与更真实的叙述相比,具有更多情感内容的叙述在积极影响疫苗态度方面可能更有效。使用叙述促进疫苗接种可以积极影响父母对儿童疫苗的观点和意图,但仍需要研究以确定此类干预措施的最佳组成部分。
    Identifying effective interventions to promote children\'s vaccination acceptance is crucial for the health and wellbeing of communities. Many interventions can be implemented to increase parental awareness of the benefits of vaccination and positively influence their confidence in vaccines and vaccination services. One potential approach is using narratives as an intervention. This study aims to evaluate the effects of a narrative-based intervention on parents\' attitudes and vaccination intentions. In a pre-post experiment, 2,000 parents of young children recruited from an online pan-Canadian panel were randomly exposed to one of the three videos presenting narratives to promote childhood vaccination or a control condition video about the importance and benefits of physical activity in children. Pre-post measures reveal a relatively modest but positive impact of the narratives on parents\' attitudes and intention to vaccinate their child(ren). The results also suggest that narratives with more emotional content may be more effective in positively influencing vaccine attitudes than the more factual narrative. Using narratives to promote vaccination can positively influence parents\' views and intentions toward childhood vaccines, but research is still required to identify the best components of such interventions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目前医疗保健的趋势是让患者积极参与自己的治疗;然而,在实践中,医疗保健提供者可能会坚持家长式的观点,这可能不符合与患者参与相关的理想。当提供者谈论他们所经历的交互麻烦的服务遭遇时,这种紧张关系可能变得可见。在这项实证定性研究中,我们利用Bamberg的叙事定位分析来探索医疗保健提供者如何在关于这种令人不安的交流的叙述中构建患者的角色。数据包括对医疗保健提供者的20次录音采访。我们发现了两种类型的叙述,其中医疗保健提供者对相互困扰的患者交流的看法与他们对患者的内隐评估始终相关。在第一,活跃的病人被认为是理想的,有问题的病人是被动的。在第二个,患者的过度活跃被认为会干扰医疗服务的提供。虽然提供者对患者被动性的抱怨是从患者参与理想的角度毫无问题地提出的,关于患者过度活跃的抱怨很难解释,因为他们固有的家长式的内涵。因此,我们得出的结论是,需要培训和干预措施,旨在培养医疗保健提供者对转变文化模式的关键意识,包括患者的参与理想和提供者反映家长式倾向的能力。
    The current trend in healthcare is to actively involve patients in their own treatment; however, in practice, healthcare providers may adhere to paternalistic views, which may not align with ideals related to patient involvement. This tension may become visible when providers talk about service encounters that they experienced as being interactionally troubling. In this empirical qualitative study, we utilize Bamberg\'s narrative positioning analysis to explore how healthcare providers construct patients\' roles in narratives about such troubling exchanges. Data consist of 20 audio-recorded interviews with healthcare providers. We found two types of narratives in which healthcare providers\' perceptions of interactionally troubling patient exchanges were consistently related to their implicit evaluations of patients along a continuum of activeness versus passiveness. In the first, an active patient was considered ideal, and the problematic patient was one who is passive. In the second, a patient\'s over-activeness was thought to interfere with the healthcare delivery. While providers\' complaints about patient passiveness were unproblematically presented from the perspective of the patient participation ideal, complaints about patient over-activeness were difficult to account for due to their inherent connotations with paternalism. Thus, we conclude that there is a need for training and interventions aiming to develop healthcare providers\' critical awareness of shifting cultural models, including patient involvement ideals and providers\' capacity to reflect paternalistic tendencies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Case Reports
    这项研究探索了武汉2名护士和2名医生对抗2019年冠状病毒病(COVID-19)的第一人称生活经历,中国。深入访谈显示,前线医疗专业人员出现恐惧症状的风险很高,焦虑,抑郁症,压力,孤独,和倦怠。对感染的恐惧和隔离病房的繁重工作量是一线卫生工作者心理问题的主要危险因素。必须提供全面的援助和社会支持,以解决他们的心理健康问题。
    This study explored the first-person lived experiences of 2 nurses and 2 doctors combating coronavirus disease 2019 (COVID-19) in Wuhan, China. The in-depth interviews indicated that frontline healthcare professionals were at high risk of developing symptoms of fear, anxiety, depression, stress, loneliness, and burnout. The fear of being infected and the heavy workload in the isolation ward are the main risk factors for frontline health workers\' psychological problems. Comprehensive assistance and social support must be provided in order to resolve their mental health issues.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    数字分类器及其相关的句法结构的获取已在典型发展(TD)的年轻说话者中以广泛的东亚和东南亚语言进行了记录和研究。然而,很少有研究考虑发育性语言障碍(DLD)儿童如何获得分类器。本文比较和分析了一组越南语使用者中数字分类器模式的发展,TD和DLD,学习了三年多,从幼儿园到二年级。调查强调了TD和DLD儿童的表现差异,并描述了分类器使用的领域,这似乎是最具挑战性的。DLD的儿童在幼儿园产生了更多的分类器遗漏错误,以表示形式显示出更多的随机交替,以及三元素分类器结构开发的延迟。在研究具有DLD的越南语使用者的分类器使用方面,讨论了研究结果。
    The acquisition of numeral classifiers and their associated syntactic structures has been documented and studied in a broad range of East and Southeast Asian languages among typically-developing (TD) young speakers. However, little research has considered how classifiers are acquired by children with developmental language disorder (DLD). The current paper compares and analyzes the development of numeral classifier patterns among a set of Vietnamese speakers, TD and DLD, studied over three years, from kindergarten to second grade. The investigation highlights differences in the performance of children with TD and DLD and describes the areas of classifier use that seem to be most challenging. Children with DLD produced more errors of classifier omission in kindergarten, showed more random alternations in representational forms, and delays in the development of three element classifier structures. Findings are discussed in terms of future directions in the study of classifier use in Vietnamese speakers with DLD.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    许多人类行为和大脑成像研究都使用了叙述性结构化的刺激(例如,writed,音频,或视听故事)以更好地模仿实验室中的现实世界体验。然而,叙述是一种特殊的现实世界体验,很大程度上是由它们在时间上的因果联系来定义的。许多当代神经科学研究没有考虑到这一关键属性。我们回顾了行为和神经科学工作,这些工作讲述了因果结构如何塑造对叙事的理解和记忆。我们进一步在这项工作和强化学习之间建立联系,强调叙述如何帮助将复杂环境中的原因与结果联系起来。通过纳入行动类别和结果之间因果关系的合理性,强化学习模型可能会变得更具生态有效性,同时阐明叙事的价值。
    Many human behavioral and brain imaging studies have used narratively structured stimuli (e.g., written, audio, or audiovisual stories) to better emulate real-world experience in the laboratory. However, narratives are a special class of real-world experience, largely defined by their causal connections across time. Much contemporary neuroscience research does not consider this key property. We review behavioral and neuroscientific work that speaks to how causal structure shapes comprehension of and memory for narratives. We further draw connections between this work and reinforcement learning, highlighting how narratives help link causes to outcomes in complex environments. By incorporating the plausibility of causal connections between classes of actions and outcomes, reinforcement learning models may become more ecologically valid, while simultaneously elucidating the value of narratives.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    酒精使用障碍(AUD)的问题受到了极大的关注,主要关注直接受该疾病折磨的个体。这种广泛的关注,虽然必要,经常忽略AUD对家庭单位的深刻影响,特别是在应对和恢复的动态中发挥关键作用的配偶。然而,在研究和治疗干预措施中,AUD患者的妻子所遇到的心理社会和情感挑战在很大程度上被忽视.这种监督不仅将他们的痛苦降至最低,而且忽视了他们对恢复进程的潜在贡献,强调需要采取更具包容性的方法来理解和解决AUD。在这个基础上,当前的研究探讨了患有AUD的个人的妻子所承受的心理社会和情感后果的探索较少的领域。通过强调这些妇女在家庭动态中发挥的关键作用,它试图揭示他们参与支持团体的变革效应,旨在展示这些网络如何促进复原力,赋权,为妇女和她们的家人疗伤,从而为澳元对社会的影响提供了更全面的视角。采用定性叙事研究设计,这项研究利用目的性抽样从北方选择了36名参与者,南方,喀拉拉邦中部地区,印度。数据收集是通过使用半结构化访谈指南进行的深入访谈进行的。采访,最初以当地语言进行,被转录成英文,并使用恒定的比较法进行分析,确保在整个研究过程中坚持伦理考虑。研究结果阐明了AUD患者的妻子所面临的多方面挑战,包括财政负担,家庭暴力,婚姻不和谐,和心理社会问题。值得注意的是,参与者报告说,在他们参与支持小组后,他们的生活发生了显著的积极变化,体验增强的精神平静和安宁。这种转变使一些参与者能够恢复他们的教育,作为榜样和领导者与社区接触,重建他们的生活。大多数参与者将他们的支持小组的参与视为他们生活中恢复希望的关键时刻。该研究揭示了将文化敏感的支持机制纳入受AUD影响的家庭的康复计划的必要性,倡导更广泛地采用支持团体,以适应受影响社区的特定社会文化动态。
    The issue of alcohol use disorder (AUD) has received significant attention, with a primary focus on individuals directly afflicted by the disorder. This extensive focus, while necessary, often overlooks the profound impact that AUD has on the family unit, particularly on spouses who play a crucial role in the dynamics of coping and recovery. However, the psychosocial and emotional challenges encountered by wives of those with AUD have been largely neglected in both research and therapeutic interventions. This oversight not only minimizes their suffering but also overlooks their potential contribution to the recovery process, underscoring the need for a more inclusive approach to understanding and addressing AUD. Building upon this foundation, the current study delves into the less explored terrain of the psychosocial and emotional ramifications borne by wives of individuals suffering from AUD. By highlighting the pivotal role that these women fulfil in family dynamics, it seeks to shed light on the transformative effects of their engagement in support groups, aiming to demonstrate how these networks promote resilience, empowerment, and healing for both the women and their families, thus offering a more comprehensive perspective on AUD\'s impact on society. Employing a qualitative narrative research design, the study utilized purposive sampling to select 36 participants from the northern, southern, and central regions of Kerala, India. Data collection was conducted through in-depth interviews using a semi-structured interview guide. The interviews, conducted initially in the local language, were transcribed into English and analyzed using the constant comparative method, ensuring that ethical considerations were upheld throughout the research process. The results of the study illuminate the multifaceted challenges faced by wives of individuals with AUD, including financial burdens, domestic violence, marital discord, and psychosocial issues. Notably, the participants reported a significant positive shift in their lives following their involvement in support groups, experiencing enhanced mental peace and tranquillity. This transformation enabled some participants to resume their education, engage with the community as role models and leaders, and reconstruct their lives. Most participants viewed their support group participation as a pivotal moment of hope restoration in their lives. The study reveals the necessity for integrating culturally sensitive support mechanisms into rehabilitation programs for families affected by AUD, advocating for broader adoption of support groups that cater to the specific sociocultural dynamics of affected communities.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    我们提出了一种新的方法,将预先设定的论点偏好系统地转化为虚构的叙述,可以帮助人们想象未来事件的后果,并衡量它们如何影响支付公共政策的意愿。我们应用叙事理论来构建两个描绘想象未来的简短叙事,由于气候变化或能源依赖,并通过实验表明,暴露于这些叙述会增加公共物品游戏中的贡献,作为在荷兰建造新核电站的付款。我们的结果表明,虚构的叙述可以用作(和滥用)经济政策的工具,可以向人们传达有关复杂问题的相关信息。当抽象的事实信息难以处理或理解时,我们将讨论叙事的道德使用及其透明建构对民主意愿形成和政策实施的价值。
    We propose a new methodology to systematically transform presurveyed argument preferences into fictional narratives, that can help people to imagine the consequences of future events, and measure how they impact willingness to pay for a public policy. We apply narrative theory to construct two short narratives that depict an imaginary future, bleak due to climate change or energy dependence, and show experimentally that exposure to these narratives increases contributions in a Public Goods game, framed as payments toward the construction of new nuclear plant in The Netherlands. Our results suggest that fictional narratives can be used (and misused) as a tool of economic policy that allows conveying relevant information to people about complex issues. We discuss the ethical use of narratives and the value of their transparent construction for democratic will-formation and policy implementation when abstract factual information can be difficult to process or comprehend.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    根据19世纪的性别角色和公共卫生问题成立,护理随着其他指导的发展而发展,依赖于以医生为中心的诊断,处方决定,和公共卫生进步。另一个方向的结果是,公共卫生护士从业者承受了巨大的工作压力,导致职业倦怠,特别是在COVID-19期间。为了帮助减少他们的倦怠,护士需要自我指导的发展。健康叙事研究小组(HeNReG)有可能通过鼓励自我指导的发展来减少护士从业人员的倦怠。HeNReG过程通过历史分析的文件来介绍,这些文件涉及通过发展自我指导来减少健康研究人员的倦怠,包括:(1)参与者提供的三年归档年终反馈结果,(2)存档参与者对特定HeNReG相关写作提示的响应,(3)HeNReG结果与弹性计划结果的比较。结论-HeNReG为减少健康研究人员的职业倦怠提供了一种有效的选择,有可能以弹性计划所没有的方式减少护士从业者的职业倦怠。讨论了为公共卫生护士量身定制HeNReG流程,邀请未来的研究,以减少公共卫生护士的倦怠。
    Founded in accordance with 19th century sex roles and public health concerns, nursing evolved as other-directed, dependent on physician-focused diagnosis, prescription decisions, and public health advancements. The result of this other direction is that public health nurse practitioners have endured significant workplace stress resulting in burnout, especially during COVID-19. To help decrease their burnout, nurses require development of self-direction. The Health Narratives Research Group (HeNReG) has the potential to reduce burnout in nurse practitioners by encouraging the development of self-direction. The HeNReG process is presented through historically analyzed documents regarding reducing burnout in health researchers by developing self-direction including: (1) three years of archived year-end feedback results provided by participants, (2) archived participant responses to specific HeNReG-related writing prompts, and (3) a comparison of HeNReG results with the outcomes of resilience programs. The conclusion-the HeNReG offers an effective option for reducing burnout in health researchers that has the potential to decrease nurse practitioner burnout in a way that resilience programs do not. Tailoring the HeNReG process to public health nurses is discussed, inviting future research for reducing burnout in public health nurses.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号