Rawlsian Justice and the Social Determinants of Health

In this article, we suggest that the evidence regarding the social determinants of health calls for a deep re‐thinking of our understanding of distributive justice. Focusing on John Rawls's theory of distributive justice in particular, we argue that a full reckoning with the social determinants of health requires a re‐working of Rawls's principles of justice. We argue first that the social bases of health – a Rawlsian conception of the social determinants of health – should be considered a social primary good. We argue second that including the social bases of health as a social primary good would lead the parties to the original position to choose an additional principle of justice and assign it lexical priority over Rawls's second principle. According to this principle, inequalities in people's share of the social bases of health are to be arranged so as to improve the health status of those least advantaged on the social health gradient.     

社会因素对心理健康的影响研究进展

国内外有关民族、文化、生活环境、社会支持、社会阶层、经济收入不均、社会资本等社会因素对心理健康影响的相关研究表明这些社会因素都与心理健康之间有明显关联,不同的社会因素对心理健康的影响程度各不相同.有关社区环境因素与心理健康之间的关系正成为国外社会流行病学的研究热点,国内这方面研究较少,值得深入探索.     

和谐社会卫生观论纲

和谐社会卫生观是在卫生事业的发展中人与自然;人与社会;卫生事业与社会;卫生事业内部子系统;卫生政策主体与客体处于一种互动共生的观念.和谐社会卫生观的基本内涵是:有序、平衡、协调、良性运行与发展.和谐社会卫生观既是一种世界观,也是一种方法论.在卫生领域,是一种卫生观.     

New Constitutionalism and the Social Reproduction of Caring Institutions

This essay analyzes neo-liberal economic agreements and legal and political frameworks or what has been called the “new constitutionalism,” a governance framework that empowers market forces to reshape economic and social development worldwide. The article highlights some consequences of new constitutionalism for caring institutions specifically, and for what feminists call social reproduction more generally: the biological reproduction of the species; the reproduction of labor power; and the reproduction of social institutions and processes associated with the creation and maintenance of communities. New constitutional governance frameworks fundamentally reshape conditions under which the care of human beings takes place. Caring institutions once governed by enabling professions geared to universal care are now determined increasingly by market values and private forces, and driven directly by the profit motive. This is one of the reasons why neo-liberalism is increasingly contested in both the North and the global South.     

Some Concerns About Nel Noddings’Caring

Nel Noddings argues that hers is not an ethics of agape. 1 want to argue, on the contrary, that it is, and that this is a problem. My central thesis is that the unidirectional nature of the analysis of one-caring reinforces oppressive institutions.     

Developmental and Social Determinants of Religious Social Categorization

The purpose of this study was to assess developmental and social determinants of the age at which children become aware that the social environment can be marked by categorization into religious groups and that those groups are associated with different religious beliefs. The results show that middle childhood is a critical period for this religious social categorization. Moreover, social factors play a role in the development. Religious categorization is likely to appear sooner in children attending heterogeneous schools than in those at homogeneous schools, and children from the minority religious group in the country understand religious categorization earlier than children from the majority group. However, no relation was found between the age at which religious categorization was understood and parents’ religious socialization practices. This study is of both theoretical and practical interest: It complements what is already known about gender, race, and ethnic categorization by integrating developmental and social frameworks, and it can serve as a guideline for educational programs.     

Caring,Social Policy,and Homelessness

Care theory offers a way to overcome a weaknessof liberalism – its reluctance to intervene inthe private lives of adults. In caring for thehomeless, we must sometimes use a limited formof coercion, but our intervention is alwaysinteractive, and the process of finding asolution is one of negotiation between theneeds expressed by the homeless and the needswe infer for them.     

Randomized Controlled Trial of a Multilevel Intervention to Address Social Determinants of Refugee Mental Health

Understanding processes that support the well-being of the unprecedented numbers of forcibly displaced people throughout the world is essential. Growing evidence documents post-migration stressors related to marginalization as key social determinants of refugee mental health. The goal of this RCT was to rigorously test a social justice approach to reducing high rates of distress among refugees in the United States. The 6-month multilevel, strengths-based Refugee Well-being Project (RWP) intervention brought together university students enrolled in a 2-semester course and recently resettled refugees to engage in mutual learning and collaborative efforts to mobilize community resources and improve community and systems responsiveness to refugees. Data collected from 290 Afghan, Great Lakes African, Iraqi, and Syrian refugees at four time points over 12 months were used to test the effectiveness of RWP to reduce distress (depression and anxiety symptoms) and increase protective factors (English proficiency, social support, connection to home and American cultures). Intention-to-treat analyses using multilevel modeling revealed significant intervention effects for all hypothesized outcomes. Results provide evidence to support social justice approaches to improving refugee mental health. Findings have implications for refugees worldwide, and for other immigrant and marginalized populations who experience inequities in resources and disproportionate exposure to trauma/stress.     

Social Cognitive Determinants of Blood Donation

This article reports two studies designed to test a theory of planned behavior-based model of blood donation. In Study 1 ( n = 136), self-efficacy and self-identity accounted for unique variance in behavioral intention. Study 2 ( n = 172) extended Study 1: self-efficacy, perceived control over behavior (PCB), self-identity, and moral norm were all independently predictive of intention; behavioral intention predicted a proxy measure of behavioral enaction. Both studies provided evidence to support a distinction between self-efficacy and PCB, and for the inclusion of self-identity and moral norm into the model. Belief-based measures discriminated intenders from nonintenders, and beliefs that accounted for unique variance in self-efficacy and PCB were identified. The findings are discussed in relation to using models such as the theory of planned behavior to intervene in social and health behaviors.     

Determinants of Children's Primary Health Care Use

We review factors that influence children's use of primary health care services. Predictors of pediatric health care use include child health status, child mental health, parent and family functioning, demographic characteristics, and access to health care services. Health services research is marked by inconsistencies due to varying approaches to measurement, population sampling, and analysis, and models that do not incorporate situational factors. We present recommendations for practicing clinicians and discuss suggestions for future research to help identify additional factors that may influence a parent's decision to seek help from pediatric physicians. Health care use is determined by multiple factors, and complex models will lead to improved strategies for maximizing health status and establishing optimal pediatric care.     

社会判断的选择通达理论

比较是社会判断的核心过程。近期,Mussweile提出了选择通达理论模型,该模型区分了比较中两个基本的假设过程,整合了比较中的多种结果,为人们更好地理解判断的本质提供了一个新视角。本文主要介绍了选择通达的过程、结果及其存在的普遍性,并讨论了参照点运用和选择通达机制之间的区别和联系。     

英国心理健康护理的问题与思考

1　引言　　由于心理医院的病人数量急剧增长和医务人员数量相对不足的危机倍受关注 ,加之医院治疗存在种族歧视、性别差异和等级观念 ,早在 195 9年 ,英国就通过了“心理健康条例”(TheMentalHealthAct) ,而且得到了所有党派的支持。根据这一条例 ,只有极少数病人在精神病院接受强制性治疗 ,而绝大多数病人则接受非正式治疗。尽管“心理健康条例”强调了社区照料的作用 ,但它没有规定有关地方政府开展社区心理健康服务的特定的财务条款。2 0世纪 6 0年代是英国心理健康护理发展史上最重要的一个时期之一。当时 ,反传统精神病治疗运动正值…