Shared health governance

Health and Social Justice (Ruger 2009a ) developed the "health capability paradigm," a conception of justice and health in domestic societies. This idea undergirds an alternative framework of social cooperation called "shared health governance" (SHG). SHG puts forth a set of moral responsibilities, motivational aspirations, and institutional arrangements, and apportions roles for implementation in striving for health justice. This article develops further the SHG framework and explains its importance and implications for governing health domestically.     

凝聚“共有价值理念”的特殊方法论原则

凝聚"共有价值理念",既是建设社会主义核心价值体系的重要任务,也是建设中华民族共有精神家园的内在要求,同时又是实现二者统一的中介和桥梁.方法论原则的探讨和建构,是形成"价值共识"的基本前提和根本基础.凝聚中华民族共有价值理念的特殊方法论原则,主要包括:"现实困境"与"理想超越"的否定统一原则;"民族使命"和"成员责任"的彼此关照原则;"传统"、"现代"、"未来"之间的相互协调原则.     

Perception of danger signals: the role of control

How does the perceptual system process stimuli that signal aversive outcomes or dangers? Considering the functional links between perception, attention, and action regulation, we posit that when people can avoid the aversive consequences, sensitivity of the perceptual system to danger signals should be enhanced, whereas it should be reduced when there is no such option. To test this prediction, we used a search task in which tachistoscopically presented conjunctions of features had to be detected. Parameters of sensitivity and response bias were analyzed drawing on procedures from signal detection theory. Although the experimental procedure rewarded correct responses, the predicted asymmetry emerged. For stimuli that were linked to a negative consequence (loss of points in the experimental game), perceptual sensitivity was enhanced when participants had the opportunity to neutralize the loss in a second task; an opposite pattern emerged when they had no such opportunity.     

On the danger of half-truths

Criteria of approximate scientific success are defined within a formal paradigm of empirical inquiry. One consequence of aiming for less than perfect truth is examined.     

The family experience of "sudden health": the case of intractable epilepsy

This article reports the experience of "sudden health" among six families who participated in an exploratory qualitative study of families with a member who elects to have corrective surgery for intractable epilepsy. Families were interviewed pre- and post-surgery (6-8 months) and the interviews were analyzed using a constant comparative methodology. Findings indicated that (1) families were organized in two primary ways (nesting and crisis) to deal with epilepsy and the aftermath of surgery and (2) "sudden health" had differing effects on these families depending on their organizational style, emotional communication process, and developmental dynamics.     

Beyond "healthy eating" and "healthy weights": harassment and the health curriculum in middle schools

In this paper we use data from interviews conducted with grades 7 and 8 girls to explore connections between body-based harassment and girls’ body modification practices. We discuss how the elementary health curricula fail to consider harassment and other cultural factors that influence the body modification practices and eating patterns of diverse girls. More specifically, we argue that the “healthy eating, healthy weights” approach of the grades 7 and 8 Ontario health curriculum has five limitations: (1) it sends contradictory messages; (2) it increases anxieties about body weight; (3) it ignores the multiple causes of eating problems; (4) it marginalizes issues most relevant to racialized girls; and (5) it ignores dilemmas associated with physical development. We conclude with suggestions for developing a curriculum on body dissatisfaction and eating disorders prevention that considers the various socio-cultural factors influencing the range of body monitoring and modifying practices taken up by girls.     

Pointing with the eyes: the role of gaze in communicating danger

Facial expression and direction of gaze are two important sources of social information, and what message each conveys may ultimately depend on how the respective information interacts in the eye of the perceiver. Direct gaze signals an interaction with the observer but averted gaze amounts to "pointing with the eyes", and in combination with a fearful facial expression may signal the presence of environmental danger. We used fMRI to examine how gaze direction influences brain processing of facial expression of fear. The combination of fearful faces and averted gazes activated areas related to gaze shifting (STS, IPS) and fear-processing (amygdala, hypothalamus, pallidum). Additional modulation of activation was observed in motion detection areas, in premotor areas and in the somatosensory cortex, bilaterally. Our results indicate that the direction of gaze prompts a process whereby the brain combines the meaning of the facial expression with the information provided by gaze direction, and in the process computes the behavioral implications for the observer.     

The danger of Durkheim: Ambiguity in the theory of social effervescence

The purpose of this article is to shed light on an ambiguity in Émile Durkheim's theory of social effervescence. Durkheim's failure to distinguish two kinds of effervescence at the heart of the religious rite has left a dangerous legacy in the study of religion. If his work is read, however, in light of René Girard's theory of the violent origins of religion, his analysis of la société can retain the distinction between the effervescence of the crowd in scapegoating and the effervescence of protecting the victims of scapegoating. This thesis is tested by briefly comparing some contemporary essays on Durkheim.     

Beyond IQ: broad-based measurement of individual success potential or "emotional intelligence"

Individual-difference correlates of life success were studied using 302 participants aged 17-46 years (107 men, 195 women) and 31 individual-difference measures. Factor 1 (Relaxed Temperament) included Trait Pleasure-Displeasure (+), Anxiety (-), Depression (-), Optimism (+), Self-Esteem (+), Covert Index of Employee Reliability (+), and Functional Flexibility (-). Positively loading scales on Factor 2 (Arousable Temperament) were Trait Arousability, Emotional Empathy, Emotional Thinking, and Affiliative Tendency. Factor 3 (Disciplined Goal Orientation) included Delay of Gratification (+), Impulsivity (-), Procrastination (-), Patience (+), Integrity (+), Adaptive Coping (+), and Intelligence (+). Positively loading scales on Factor 4 (Dominant Temperament) were Trait Dominance-Submissiveness, Social Competence, Achieving Tendency, and Self-Actualization. Factors 1, 3, 4, and intelligence exhibited positive relations with all peer-rated criterion measures of life success. Trait Arousability, representing Factor 2, correlated negatively with relationship, physical, work, and overall success. Physical attractiveness correlated positively with all success measures except emotional success. When success measures were regressed against intelligence and personality scales or factors, intelligence did not account for variance beyond that explained by personality.     

Visual search of driving situations: danger and experience

Previous research on visual search in driving suffers from a number of problems: small sample sizes, a concentration on mundane situations, and a failure to link results to more general psychological theory. The study reported in this paper addresses these issues by recording the eye movements of a large sample of drivers while they watched films of dangerous driving situations and comparing the findings with those from more general studies on scene perception. Stimuli were classified according to the types of road shown and the degree of danger present in the scenes. Two groups of subjects took part, fifty-one young novice drivers who had just gained a full driving licence and twenty-six older more experienced drivers. Dangerous situations were characterised by a narrowing of visual search, shown by an increase in fixation durations, a decrease in saccade angular distances, and a reduction in the variance of fixation locations. These effects are similar to the concept of 'attention focusing' in traumatic situations as it is described in the literature on eyewitness memory. When road types are compared, the least visually complex rural roads attracted the longest fixation durations and the shortest angular saccade distances, while the most visually complex urban roads attracted the greatest spread of search but the shortest fixation durations. Differences between the groups of subjects were also present. Novices had longer fixation durations than experienced drivers, particularly in dangerous situations. Experienced drivers also fixated lower down and had less vertical variance in fixation locations than novices.     

Out of the Blue: Reflections on a Shared Trauma

Richard Almond’s paper challenges us to think deeply about the analyst’s impactful desires on the patient. My discussion considers different aspects of this impact: phallic, maternal, ethical. Specifically, I assert that Almond’s position in relation to the female patients he describes is more maternal, or “matricial,” than phallic. Chetrit-Vatine’s concept of matricial space is used to elucidate this point. Further, Almond’s paper asks us to consider seriously psychoanalysis as an ethics regarding responsibility for desire as it relates to countertransference and enactment. The specific desire I focus on is Almond’s desire for his patients’ love. Such as desire involves inherent clinical difficulties.