儒家文化与中国人健康心理的交互建构

中国传统文化的主体是儒家文化,文化与健康心理之间存在着相互作用、相互建构的关系。儒家文化与中国人的健康心理的交互建构作用主要表现在三个方面:一是心理问题躯体化,即文化心理与躯体症状的交互建构; 二是心理问题道德化,即文化心理与德行标准的交互建构; 三是心理问题生活化,即健康心理与伦理规范的交互建构。它们既是中国人健康心理与行为的典型表现特征,也是儒家文化与中国人的健康心理和行为交互建构的结果。心理健康、道德健康、伦理健康三者之间是一个相互作用、相互建构、协调发展的完整体系。中国心理健康服务要充分发挥心理健康理论的建构特性和行动特征,促进心理健康服务理论与实践协调发展。     

Philosophy of medicine in China (1930–1980)

This is a review of the literature in the philosophy of medicine published in China from 1930 to 1980. The topics dealt with include the relationship between medicine and philosophy, the basic concepts of medicine, etiology and causality, the bearing of psychology on physiology and pathology, epistemology in diagnostics, methodology of medical sciences, philosophical and methological problems in traditional Chinese medicine, philosophical problems in health policy, and medical ethics.     

The role of attitudes and beliefs in differential health care utilisation among Chinese in Singapore

Abstract

One hundred and twenty-eight Chinese patients at two Western medical practices and two Chinese medical practices in Singapore completed a questionnaire regarding perceptions of illnesses. Health beliefs and attitudes towards different medical practitioners. Results indicate significant differences between those who consult only allopathic physicians (Western doctors) and those who consult both practitioners of traditional Chinese medicine (sinsehs) and Western doctors. Individuals consulting both Western doctors and sinsehs perceived a smaller proportion of “general” illness attributes (those found in both Western and Chinese medicine) to be relevant to specific diseases and showed greater endorsement of Chinese health beliefs than did individuals seeking help only from Western doctors. Also individuals consulting both types of practitioners expressed less satisfaction with the doctor's treatment than did those consulting only Western doctors and also rated sinsehs as more concerned with patient well-being and as listening more to their patients.     

中医骨科小夹板的现状及今后发展的思考

小夹板固定技术是中医骨科外固定的精华,面对日益发展的西医接骨学,中医小夹板技术在近些年的发展相对滞后。小夹板的发展存在经济,政策及骨折治疗的医学指南本身诸多问题的困扰;如何进一步改进中医小夹板的舒适性与匹配性,收集小夹板治疗的循证医学证据,系统科学评价小夹板的疗效,为今后骨折治疗指南等提供依据。寻求适当的政策支持及医保...     

<Emphasis Type="Italic">Recta Ratio Agibilium</Emphasis> in a medical context: the role of virtue in the physician-patient relationship

Acting for the good of the patient is the most fundamental and universally acknowledged principle of medical ethics. However, given the complexity of modern medicine as well as the moral fragmentation of contemporary society, determining the good is far from simple. In his philosophy of medicine, Edmund Pellegrino develops a conception of the good that is derived from the internal morality of medicine via the physician-patient relationship. It is through this healing relationship that rights, duties, and privileges are defined for both physicians and patients. Moreover, this relationship determines the characteristics or virtues that are necessary to engage in the medical telos. This paper addresses the role of the moral virtues in clinical medicine and the physician-patient relationship. First, it provides a brief background of the Aristotelian foundations of virtue-ethics. Second, it delves into Pellegrino’s philosophy of medicine understood as a practice oriented towards a teleological goal. Third, it relates the telos of medicine to the notion of the medical community as a fundamentally moral community. Finally, it concludes with a section that creates a dialogue between virtue ethics and principlism.     

中国背景下自我效能感与心理健康的元分析

社会认知理论指出自我效能感对心理健康具有重要意义,但两者的关系在以往的研究中尚不一致。当前研究采用元分析技术分析自我效能感对心理健康影响的主效应,并重点考察各调节变量在两者关系中的调节效应。通过文献检索和筛查,最终符合元分析纳入标准的文献有117篇。结果表明,自我效能感与心理健康积极因素呈显著正相关,而与心理健康消极因素呈显著负相关。此外自我效能感与心理健康的关系受自我效能感层级、社会发展和性别的调节;而年龄阶段仅调节了自我效能感与心理健康积极因素的关系。以上结果说明,高自我效能感个体的心理健康水平更高,同时还要考虑年龄阶段、自我效能感层级、社会发展和性别在两者关系中的作用。     

医疗腐败的市场根源：儒家思想的角度

中国的医疗腐败问题成为社会关注的热点,其中一个重要的原因就是市场化过程中,一些不恰当的政策导致了医疗服务腐败的现象。核心就是忽视了中国传统的儒家思想对维护和改善医患关系的积极作用。应当重视儒家道德思想,并在此基础上重塑医学伦理。     

Indigenous Healing Practices in Malawi

One of the most important areas of African culture in which the significant presence of traditional beliefs can be seen is through sickness and healing. In many traditional cultures, illness is thought to be caused by psychological conflicts or disturbed social relations that create a disequilibrium expressed in the form of physical or mental problems. In Malawi, traditional healing has been practised for centuries even before colonialisation. It is said that about 80 per cent of the population utilise traditional healers and medicine for their health needs. This paper sets out several of the issues and controversies that surround traditional healing and medicine in Malawi. An overview of the traditional Malawian theory of illness, the diversity of healing practices for somatic and psychosocial disorders, the socio-cultural context of healing and cultural interpretations of disease and intervention are provided. The problem of efficacy and scientific validation of traditional medicine is discussed.     

传统医学教育人文精神的缺失及对策

20世纪以来,医疗秩序格局受到严峻的挑战,传统医学教育在指导思想上、教育理论上、实践及环境中人文精神严重缺失。究其原因,我们认为这是技术时代科学与人文严重分离的必然结果、中西医学内在冲突的必然反映、市场化过程中负面影响的衍生品。转变传统医学教育人文精神缺失这一走各的关键在于：医学教育中要创造性的继承和发展中国传统文化中的人文精神,不断追求实现科学和真正意义上的中西医结合,积极引入价值观的建设和反思。     

The Worldviews of Healing Traditions in the East and West: Implications for Psychology of Religion

This article will compare the worldviews of psychotherapy traditions in Eastern and Western culture, particularly the therapeutic factors and principles indigenous to the Chinese culture. The author will first define the meaning of culture and psychotherapy from a postmodern anthropological approach. By referring to history and literature in the study of cultural psychology, a comparison will be made between the value systems lying behind therapeutic methods used in the East and West. This includes the worldviews on the body and mind, the self, mental health, relationship, community, healing, and spirituality. Lastly, a famous Chinese legend will be used as an example to illustrate how worldview differences between the East and West determine the goals and process of psychotherapy. It is hoped that psychology of religion would be sensitive to the underlying worldviews across different cultures, without imposing its definition of “mental health” and method of “healing,” as different religions embody different cultural traditions as well. It is argued that whether spirituality or religion is helpful to the wellbeing of local people, it should be defined by the local persons and expressed in their mother tongue. Hence a psychology of religion for Chinese people should respect its customs of healing and particular set of worldviews.     

Toward a reconstruction of medical morality

At the center of medical morality is the healing relationship. It is defined by three phenomena: the fact of illness, the act of profession, and the act of medicine. The first puts the patient in a vulnerable and dependent position; it results in an unequal relationship. The second implies a promise to help. The third involves those actions that will lead to a medically competent healing decision. But it must also be good for the patient in the fullest possible sense. The physician cannot fully heal without giving the patient an understanding of alternatives such that he or she can freely arrive--together with the physician--at a decision in keeping with his or her personal morality and values. In today's pluralistic society, universal agreement on moral issues between physicians and patients is no longer possible. Nevertheless, a reconstruction of professional ethics based on a new appreciation of what makes for a true healing relationship between patient and physician is both possible and necessary.     

Beauty and Healing: Examining Sociocultural Expectations of the Embodied Goddess

Studies indicate mental health improvement can occur via religious communities offering social support and other resources. Many people from many cultures regard medicine as a supernatural or magical treatment that can somehow lead to a better state of living. In medical advertising, female role portrayal involves the blending of beauty, ritual and attractiveness in combination with the best product image. A Chinese saying suggests that, “A girl will doll herself up for him who loves her.” Female role attraction is a very important ethical subject in gender issues. Moving forward in time, female role visualization and consumption in medical advertising reveal depictions that encouraged women to do some self-searching and find, or develop, inner strength. This study is designed to examine female role portrayals in a restricted patriarchal society. The results indicate that the ideology of motherhood is an accepted social orientation that the public readily identifies with. Results further indicate that beautification through medical products incorporates an emotional element of religious healing and that the objectification of beauty in the media reveals a possible neglect of women’s internal beauty.     

“It’s only ‘madness’ that I know”: analysis of how mental illness is conceptualised by congregants of selected Charismatic churches in Ghana

In Ghana, many individuals employ traditional and faith healing for treating illnesses. Although attitudes and knowledge of laypeople on mental illness have been explored, little is known about Christians’ knowledge and how the church influences such knowledge. The present study explored knowledge on definition, types and symptoms of mental illness, church teachings on mental illness and the influence of such teachings on the mental well-being of 86 congregants of six Charismatic churches in Ghana. Through in-depth interviews, focus group discussions and observations, we found that knowledge surrounded psychotic disorders with a few citing other DSM/ICD categories. Regarding church teachings, some churches provided education and spiritual healing, and others emphasised non-existence of, and immunity from, mental illness. Findings showed the “double-edged” role of religion in enhancing and hindering congregants’ mental well-being. The paper concludes with an argument for psycho-education on mental illness and collaboration between churches and mental health practitioners.     

Toward a reconstruction of medical morality

At the center of medical morality is the healing relationship. It is defined by three phenomena: the fact of illness, the act of profession, and the act of medicine. The first puts the patient in a vulnerable and dependent position; it results in an unequal relationship. The second implies a promise to help. The third involves those actions that will lead to a medically competent healing decision. But it must also be good for the patient in the fullest possible sense. The physician cannot fully heal without giving the patient an understanding of alternatives such that he or she can freely arrive—together with the physician—at a decision in keeping with his or her personal morality and values. In today's pluralistic society, universal agreement on moral issues between physicians and patients is no longer possible. Nevertheless, a reconstruction of professional ethics based on a new appreciation of what makes for a true healing relationship between patient and physician is both possible and necessary.     

大学生情绪智力与心理健康的关系:社会支持的中介作用和手机依赖的调节作用

以621名大学生为被试,采用情绪智力量表、心理症状自评量表、青少年社会支持评定量表、手机依赖指数量表为研究工具,探讨情绪智力与心理健康之间的关系,并在此基础上构建一个有调节的中介模型,探究社会支持的中介作用以及手机依赖在这一中介过程中的调节作用。结果发现：（1）情绪智力对心理健康的影响显著,社会支持在其中起部分中介作用,即情绪智力既可以直接影响心理健康,还可以通过社会支持的中介作用间接影响心理健康;（2）手机依赖调节了情绪智力通过社会支持影响大学生心理健康的中介过程的后半路径,相对于低手机依赖的大学生,高手机依赖大学生的社会支持对心理健康的影响更为显著。关注大学生心理健康,不仅要重视个体因素、生态环境因素的单独影响,更要重视这些因素的联合作用。     

Toward a Reconstruction of Medical Morality

At the center of medical morality is the healing relationship. It is defined by three phenomena: the fact of illness, the act of profession, and the act of medicine. The first puts the patient in a vulnerable and dependent position; it results in an unequal relationship. The second implies a promise to help. The third involves those actions that will lead to a medically competent healing decision. But it must also be good for the patient in the fullest possible sense. The physician cannot fully heal without giving the patient an understanding of alternatives such that he or she can freely arrive—together with the physician—at a decision in keeping with his or her personal morality and values. In today's pluralistic society, universal agreement on moral issues between physicians and patients is no longer possible. Nevertheless, a reconstruction of professional ethics based on a new appreciation of what makes for a true healing relationship between patient and physician is both possible and necessary.     

SPIRIT HEALING,MENTAL HEALTH,AND EMOTION REGULATION

Abstract. Spirit healing is widespread across societies in diverse world regions. Its ritual forms appear in local, popular religions as well as a variety of organized churches. Although aspects of ritual, suchas the identification of spirits and use of symbols and paraphernalia, vary with culture and type of religion, there appear to be basic components of ritual healing process shared by its diverse forms. Using data on Spiritist healing in Puerto Rico as a case example, I first examine aspects of the interface between mental illness as defined by psychiatry and spirit healing. I then raise the question: If spirit healing is effective with some emotional disorders (as I have discussed in previous reports), how does it work? Emotional transactions could be considered foundational to most or all spirit healing rituals as they are to some psychotherapeutic and alternative‐medicine modalities. One model of emotion regulation is proposed as a lens through which to view specific processes of change in feelings and emotions in the context of culturally specified ritual structures.     

Religiousness and Mental Health: Systematic Review Study

Many people use religious beliefs and practices to cope with stressful life events and derive peace of mind and purpose in life. The goal of this paper was to systematically review the recent psychological literature to assess the role of religion in mental health outcomes. A comprehensive literature search was conducted using medical and psychological databases on the relationship between religiosity and mental health. Seventy-four articles in the English and Arabic languages published between January 2000 and March 2012 were chosen. Despite the controversial relationship between religion and psychiatry, psychology, and medical care, there has been an increasing interest in the role which spirituality and religion play in mental health. The findings of past research showed that religion could play an important role in many situations, as religious convictions and rules influence the believer’s life and health care. Most of the past literature in this area reported that there is a significant connection between religious beliefs and practices and mental health.     

气温与气温变化对心理健康的影响

气温与气温变化对心理健康的威胁和影响引起越来越多研究者的关注。气温及气温变化对情绪体验、抑郁症等情感障碍、精神分裂症、阿尔茨海默等脑器质性精神障碍、物质滥用与依赖、自杀意念与行为等心理健康指标具有直接或间接的影响。气象情绪效应、棕色脂肪组织理论和血清素理论从生理角度解释气温影响心理健康的机制, 健康保持行为理论则从行为角度解释气温与心理健康的关系。儿童青少年、老年人、工人是高温与高温压力的易感人群。气温变化对心理健康的影响还存在性别、年龄、社会经济地位等方面的差异。未来研究应进一步区分不同的气温指标, 增加对低温与心理健康关系的关注, 控制其它因素对气温与心理健康关系的干扰, 并揭示群体间差异。     

情绪劳动与心理健康的关系:工作倦怠的中介作用

主要探讨情绪劳动与心理健康的关系以及工作倦怠对二者关系的中介作用。采用情绪劳动量表、心理健康量表和工作倦怠量表对山东省5家医院的200名护士进行问卷调查。结果表明,情绪劳动与心理健康呈显著负相关,对心理健康具有显著的负向预测作用,具体表现为对躯体化、焦虑、妄想和精神病性有负向预测作用;情绪劳动与工作倦怠呈显著正相关,对工作倦怠具有显著的正向预测作用,表现在情绪衰竭和去人格化两个方面。工作倦怠是情绪劳动与心理健康关系的中介变量,工作倦怠对情绪劳动与心理健康之间的关系具有完全中介作用,情绪劳动通过工作倦怠间接影响心理健康。