医患关系的博弈分析

医患关系是医疗中最基本最重要的关系,也是最复杂的人际关系,建立良好的医患关系是保证医疗工作顺利进行的必备条件.但是这种关系从开始就是有矛盾的,在信息不对称的情况下分析医患关系的博弈情况及其原因,发现医患关系的核心是信任,它为创造和谐医患关系提出对策,并能促进构建和谐医患关系.     

医患沟通模式的比较研究

医患关系是医疗人际关系中最重要最具特点的关系,和谐医患关系是一切医疗活动的基础,也是建构和谐社会的基本条件.而医患沟通是良好医患关系的最基本、最主要的因素之一.本文就长期以来形成的医患沟通的五种理论模式进行简单论述和评论,主要强调各个模式医患沟通目标的不同、各个模式中医生的职责和患者价值在其中的作用以及各个模式的优缺点及临床应用与实践.其目的在于通过评价和对比来为我国和谐的医患关系推荐一个比较好的医患沟通模式.     

和谐医患关系的心理机制及其促进技术

基于群体心理研究的相关理论和方法, 通过整合医患关系的结构表征与动态建构过程, 提出和谐医患关系的心理机制综合模型, 主张和谐医患关系的结构可以医疗满意度、医患信任以及医疗方案服从性作为基本的观测指标; 和谐医患关系的动态建构过程经由就医前零接触的群际医患关系和医患互动过程中即时性的人际医患关系两大递进性成分相互作用后逐步形成。其中, 群际层面和谐医患关系的建构主要受到医患舆情传播、医疗制度信任以及医患群际关系因素(如群际认知偏差、群体认同等)的影响, 人际层面和谐医患关系的建构主要受到医患人际信任水平和医患沟通模式(包括信息互动模式与沟通交往模式)的影响。在此基础上, 验证并提出和谐医患关系的促进策略。     

借鉴韩非法治观构建和谐医患关系

近年来医院暴力愈演愈烈,医疗索赔越来越高,防御性医疗越来越明显,如何建立和谐的医患关系已成为一个亟待解决的社会问题。阐述韩非以法为治,定分止争,重刑止奸,法不阿贵和布之于百姓在医事立法与构建和谐医患关系中的借鉴作用,探讨如何通过建立法律化、规范化医患关系来缓解医患冲突,改善医患关系。     

发展和谐医患关系与医疗秩序重构

发展和谐医患关系是保持正常医疗秩序的重要前提,而目前的医疗秩序重构又是发展和谐医患关系的必然。和谐医患关系的基础是医疗卫生服务价值理念的普遍公正合理,它要求以”以人为本”作为价值取向,以“人人享有”作为目标模式,以“医疗公平”作为基本理念,以“利益平衡”作为政治前提,以“规范监管”作为制度保障,以“诚信互动”作为必要条件。     

创伤外科医患冲突原因分析及换位思考的应用

医患关系是医疗人际关系中的关键。当今医患关系不和谐的现象时有发生,创伤外科领域尤甚,医患双方缺乏相互之间的沟通、交流与理解、信任是导致不和谐的主要因素,当今社会因素和媒体的影响也在一定程度上激化了医患之间的矛盾。如果在矛盾发生时,医患双方能够进行适时的角色互换,诸多医疗纠纷将迎刃而解,医患关系也将更加和谐。     

创伤外科医患冲突原因分析及换位思考的应用

医患关系是医疗人际关系中的关键.当今医患关系不和谐的现象时有发生,创伤外科领域尤甚,医患双方缺乏相互之间的沟通、交流与理解、信任是导致不和谐的主要因素,当今社会因素和媒体的影响也在一定程度上激化了医患之间的矛盾.如果在矛盾发生时,医患双方能够进行适时的角色互换,诸多医疗纠纷将迎刃而解,医患关系也将更加和谐.     

优化医患关系的策略——医护人员主导下的医患互动双向共情

医患关系是整个医学关系中最核心的内容,也是涉及医疗质量和医疗服务水平的关键环节,紧张的医患关系已经成为社会的焦点问题,而共情被认为是构建新型医患关系的有效路径。本文对共情概念的发展史进行梳理,强调最新的四维度共情,并认为共情是医护人员主导的医患互动的、双向的共情,同时对共情的临床意义及四维度概念指导下达成共情的途径进行阐述,以期引起医者的重视,将共情恰当地、有效地应用到临床实践中,从而促进和谐医患关系的构建。     

医疗纠纷泛化原因多视角分析

随着社会的发展,医疗纠纷日趋增多,成为各卫生部门的最大难题,是继医疗改革之后的又一备受社会各界关注的热门话题,医患关系成为社会最不和谐的声音。医患关系是在社会政治、经济、文化、法律等因素共同作用,围绕“治病”所形成的道德、诚信、契约、经济利益关系,通过分析现代医患关系的变化,探讨医疗纠纷增多的原因。     

论构建和谐医患关系的社会责任

围绕近年来备受社会关注的医患关系,对当前医患关系不和谐的社会失责进行了分析,认为造成这种失责原因是医疗体制不合理、社会卫生保障制度不完善、医疗卫生改革滞后、医药市场存在严重弊端、医学人文教育不尽人意等。在此基础上,明确提出构建和谐医患关系的社会责任是要建立平等互惠的医患关系、完善和谐医患关系的制度建设、建立有效的社会监督体系、健全社会医疗保障体系、深化医疗卫生体制改革、加强对医患冲突的社会管理等。     

Together – apart: in touch in a time of separation

This paper explores the experience of working as a Jungian analyst through the various phases of the global COVID-19 pandemic, examining the importance of the physical containing space alongside the analyst’s internal mind and how technology can both help and hinder understanding. A number of clinical vignettes illustrate the challenge of communicating over a distance, paying particular attention to the way countertransference phenomena can become re-attuned. Reference is made to mythology and symbols of hope, and consideration given to the meaning and purpose of the pandemic.     

The Possibility of Meaning in Human Evolution

Science undermines the certitude of non-naturalistic answers to the question of whether human life has meaning. I explore whether evolution can provide a naturalistic basis for existential meaning. Using the work of philosopher Daniel Dennett and scientist Ursula Goodenough, I argue that evolution is the locus of the possibility of meaning because it has produced intentionality, the matrix of consciousness. I conclude that the question of the meaning of human life is an existentialist one: existential meaning is a product of the individual and collective tasks human beings undertake.     

Phenotypic plasticity and archetype: a response to common objections to the biological theory of archetype and instinct

Since Jung’s death in 1961, scholars have attempted to integrate growing biological science data into Jungian concepts such as the collective unconscious, instincts and the archetypes. This enterprise has been challenging due to persistent false dichotomies of gene and environment occasionally arising. Recent works by Roesler (2022a, 2022b) for example, have raised objections to the biological theory of archetypes, but the objections are plagued by such dichotomies. The concept of phenotypic plasticity, however, helps to both avoid this problem as well as bridge the gap between competing theories into a more integrated model with solid biological foundations.     

When is it time to stop? When good enough becomes bad enough

This article draws on Winnicott’s concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the ‘Casablanca dilemma’, based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann.     

Kann Es Ein Argument Für Den Skeptizismus Geben? Das Epistemische Problem Der Irrtumsmöglichkeit

Summary  Is there any argument for scepticism? The epistemic problem of the possibility of error. Arguments for scepticism rest on the assumption that knowledge claims are fallible. For this reason the concept of knowledge appears to be questionable. Since it is necessary to distinguish doubts from possible doubts, the arguments for scepticism appear to be unconvincing. If we take it into account that we know something that is immune to doubt, we should draw the conclusion that, contrary to scepticism, knowledge claims have to be compatible with being fallible. Thus any knowledge claim is capable of being doubted.     

The transcendent function in Spitteler’s Prometheus and Epimetheus

In August 2020, John Beebe and Steve Myers met via Zoom to discuss their differing interpretations of psychological typology and the different sources within Jung’s writings that influenced their books: Integrity in Depth: Energies and Patterns in Psychological Type (Beebe), and Myers-Briggs Typology vs Jungian Individuation (Myers). The discussion centred on Spitteler’s epic poem Prometheus und Epimetheus, which forms the basis of chapter V of Psychological Types. This is both the largest chapter and one of two chapters that Jung highlighted in the Argentine foreword as containing the essence of the book. Jung’s book is primarily about the transformation of personality rather than the categorization of people. Although it contains a critical psychology that deconstructs the nature of consciousness, that is only one half of the book and a stepping-stone to the other half, which is the reconciliation of opposites with particular emphasis on the relation of consciousness and the unconscious. Jung assumed that readers were already familiar with Prometheus und Epimetheus, an understanding of which sheds light on the nature of the transformation that Jung described – the development of a new attitude towards attitude itself.     

Chapter 6: Biblical Foundations for a Practical Theology of Aging

SUMMARY

This article reviews Biblical sources pertaining to the elderly, particularly the frail elderly. Founded on these sources, implications for elderly with Alzheimer's Disease and other forms of dementia are addressed through a personal perspective informed by writings of Christian mystics.     

Seeing in the Dark: A View into Dissociation and Healing

In this paper, I will explore the role of art-making, the experience of trauma and dissociation, and the process of working with self-states from an analytic and creative frame. Relevant literature on dissociation, trauma, and the use of art will be discussed. A case involving my work with an adolescent girl who had experienced sexual abuse from a family member will be shared, with an emphasis on the meaningful role images played during the therapeutic process. Both Jungian and psychoanalytic models of conceptualizing and working with dissociation are included, following Donald Kalsched’s (2013) recommendation for a “binocular stance” to treatment, including both a focus on the inner, intrapsychic world and the interpersonal, relational realm, and how art images both illuminated and expressed these realms. Within the therapeutic process, art images allowed the therapist a view into the client’s unconscious process, and created a meeting ground for dissociative barriers to be gradually seen, felt and known, by both therapist and client. The experience of dissociation, in images and in session, provided a reference point for myself and my client, Taylor, to develop a shared understanding and a framework for growth.