The occupation of funeral director: A research note on work orientations

Factor analysis of responses of funeral directors to work orientation items is interpreted first as specifying major orientational themes and second as to how well the theoretical value components of professionalism and a business orientation hold together empirically. The analysis revealed that the professionalism model as operationalized in this study has no single underlying dimension which would define this orientation. It is thus suggested that the meaning of professionalism be altered to refer only to involvement in the occupational structure and not include service and autonomy. The business orientation model, however, appears to be fairly well supported by the data.     

Trainees with Competence Problems in the Professionalism Domain

Increasingly, professionalism has been recognized as a core competency for health service professionals and is the domain in which vexing competence problems are observed in trainees. We begin by describing manifestations of problems of professionalism in accord with the values that fall within the rubric of this multifaceted construct. We provide an approach for evaluating problems of professionalism and discuss intervention for trainees with mild, moderate, or severe problems in this domain. We propose implications for training focused on enhancing the culture of programs; bolstering the education, guidance, and mentoring provided related to professionalism; and encouraging best practices for addressing trainees with problems of professionalism. We conclude by sharing ideas about defining professionalism, identifying problems of professionalism, strengthening our approach to assessing professionalism and intervening when problems are evident, developing strategies for preventing professionalism problems, and ensuring that psychologists take seriously their responsibility to address professionalism concerns with colleagues.     

Occupational Therapy Treatment Goals,Objectives, and Activities for Improving Low Self-Esteem in Adolescents with Behavioral Disorders

This paper examines the concept of self-esteem: its definitions and the association between low self-esteem and adolescents with behavioral disorders. It also provides goals and objectives for OT intervention based upon the taxonomy in the affective domain (Krathwohl, Bloom, & Masia, 1964) and suggests activities integrated into the Model of Human Occupation (Kielhofner, 1985). Finally, a scheme organizing the goals, objectives, and activities is offered to occupational therapists which can be used in the treatment planning process.     

UCLA's Career Counseling Center: A Dialogue About a Unique Service

In this interview, two counseling psychologists describe aspects of a relatively unique career counseling service that has been validated by 40 years of success in the marketplace. Composed of 3 intensive individual interviews and 15 to 25 hours of educational and psychological testing, the service assists clients in identifying and beginning pursuit of suitable educational and occupational goals. The counselors describe how they organize and sift through test results to formulate recommendations for a client's unique career circumstances, why they accept responsibility for developing and presenting concrete recommendations, and what the changes in their clients' concerns suggest about the evolution of work in the United States. Their specificity and professionalism will help counselors understand the craft of career counseling.     

关于医学专业精神的几个问题

职业与专业有所不同。医学专业精神基于医学专业的特点而产生,起着维护医学专业的社会责任和规范医疗行为的作用。医学专业的核心理念是病人健康利益高于一切,且具有历史的继承性与时代性的特点。医疗自治权的获得是医学专业形成和医学专业精神从自发走向自觉的标志。医学专业精神首先依赖医生的自律,但同时也需要来自外界的社会调控。     

Short-Term Psychiatric Treatment

With the increasing prevalence of short-term psychiatric hospitalization, brought about in part by reduced inpatient insurance coverage, decisions must be made concerning both the nature of treatment and who will provide services. The impracticality of traditional rehabilitative services in these settings has serious implications for the future role of occupational therapists in psychiatric health care. It is proposed that necessary modifications to treatment approaches must and can be made without abandoning fundamental theories of practice. Recommendations are made to upgrade the current level of practice via improved communication of information concerning short-term methodologies, to develop long-range plans to strengthen professionalism, and to make greater use of community-based alternatives for the delivery of services no longer practical in short-term treatment settings.     

医学生对医师责任和伦理修养若干问题的认知

为了探索以患者为中心的医学生医师职业精神教育,本研究调查了四川大学医学生对医师职业精神中的“伦理修养”（“保密与尊重”和“知情同意”）和“医师责任”两方面的认知,并将其与患者认知进行比较。笔者分析了医学生和患者认知差异,并对医学生医师职业精神的影响因素进行探讨。结果显示,医学生对医师职业精神的认识停留在比较肤浅的层面,未能发自内心地把患者的利益放在首位,最重视的仍然是临床技能的提高。研究提示医学生医师职业精神教育需要增强感染力和实践性。     

医学专业精神的初步研究

由于历史和社会文化的差异,中西方对医学专业精神有着不同的理解。在中西不同语境下,分析了“Profession”和“Professionalism”这两个核心概念的涵义,并从中西对比的视角,对中西方医学专业精神所面临的几个共同问题进行了初步研究,包括医学专业核心道德价值观念、利益冲突、行业自治等。在此基础之上,还对我国医学专业精神的发展提出建议。     

Professionalism: A Competency Cluster Whose Time Has Come

Despite the burgeoning literature on professionalism in other health professions, psychology lags behind in the level of attention given to this core competency. In this article, we review definitions from other health professions and how they address professionalism. Next, we review how this competency evolved within health service psychology (HSP), and we propose a definition. We offer an approach for assessing professionalism within HSP. Consideration is given to strategies and methods for providing effective education and training in this multifaceted competency. Finally, recommendations are made for creating a culture of professionalism within HSP and honoring psychology’s social contract with multiple publics.     

Occupational expectations and the hypothesis of increasing realism of choice

A two-wave analysis of the dynamics of occupational expectations in a rural youth panel generally failed to support the hypothesis of ‘increasing realism of choice.’ An analysis of four multiple regression equations indicated (1) that Black youth tended to lower their levels of occupational expectations over time and (2) that occupational expectations tended to vary with changes in occupational aspirations and educational expectations. However, family SEI, perception of occupational goal blockage, three measures of self image and change in perception of occupational goal blockage, were not found to be associated with the dynamics of occupational expectation. Two alternate explanations for the findings were presented.     

The professionalism movement: can we pause?

The topic of developing professionalism dominated the content of many academic medicine publications and conference agendas during the past decade. Calls to address the development of professionalism among medical students and residents have come from professional societies, accrediting agencies, and a host of educators in the biomedical sciences. The language of the professionalism movement is now a given among those in academic medicine. We raise serious concerns about the professionalism discourse and how the specialized language of academic medicine disciplines has defined, organized, contained, and made seemingly immutable a group of attitudes, values, and behaviors subsumed under the label of "professionalism." In particular, we argue that the professionalism discourse needs to pay more attention to the academic environment in which students are educated, that it should articulate specific positive behaviors, that the theory of professionalism must be constructed from a dialogue with those we are educating, and that this theoretical and practical discourse must aim at a deeper understanding of social justice and the role of medicine within a just society.     

医师职业素养评测体系构建的研究进展

随着我国社会经济的发展,医疗体制的改革,医师职业素养的培养成为当今医疗体制下医学在校教育、住院医生培养、医疗卫生管理中必须关注的内容。目前国外对医师职业素养的培养做了大量的工作,也取得了较好的效果,但是对于职业素养的培养不仅需要理论教学的改革,更需要相应评估机制的建立。本文对国外医师执业素养评估的最新进展进行介绍,分析各种方法的优劣,以期为国内医学教育建立统一的、具有广泛公认度的测评体系提供参考。     

Occupational classification in terms of interest patterns

This study was designed to identify the important clusters of occupational groups identifiable from an analysis of the dimensions accounting for similarity in profile shapes among a set of 28 new vocational interest measures. A total of over 47,000 individuals belonging to 189 particular occupational groups have completed the Strong Vocational Interest Blank and had their data summarized in the form of group profiles. The matrix of 189 occupational group profiles of the 22 SVIB Basic Scales was analyzed by a series of multivariate procedures designed to predict group profiles on the Jackson Vocational Interest Survey (JVIS). Predicted JVIS profiles were obtained using an intercorrelation matrix of 548 males who had completed both the SVIB and the JVIS. Predicted JVIS profiles were subjected to a form of transpose factor analysis to obtain clusters of similar occupations. A total of 23 distinct occupational clusters were obtained, ranging from military officers to salesmen, and were interpreted as representing the major groupings of occupations defined by similar patterns of vocational interest.     

Father identification,achievement, and occupational behavior of rural youth: 10-year follow-up

Males from rural economically deprived school districts, who had previously been surveyed as high school seniors, again 1 year after graduation, and again 5 years after graduation, were surveyed a fourth and final time 10 years after high school graduation concerning their occupational status and aspirations, their marital status, their spouses' educational and occupational achievements, the importance of life roles, and their occupational and personal satisfactions. In the original study the participants had been divided into two groups, low-identification males (LIM) and high-identification males (HIM) based on independent evaluators' judgments of the adequacy of their fathers as identification models. Each group's responses to the survey were compared. The results indicate that there were no statistically significant differences between the two groups on the variables of optimism about the future, spouses' occupational achievements, role importance, occupational satisfaction, and personal satisfaction. There were statistically significant differences on the variables of occupational status, occupational aspirations, educational achievements, educational plans, marital status, and spouses' educational achievements. The results are discussed in the context of the three previous surveys. Over the 10-year period the occupational and educational achievements and aspirations have been significantly higher for the HIM group than for the LIM group. Equally consistent is the finding that over the 10-year period there has been no differences between the two groups in satisfaction with status.     

职业紧张因素的结构关系分析

运用经修订的库珀职业紧张量表对不同职业和性别的我国职工的职业紧张作了研究,发现不同职业和性别对于职务感受和个人因素解释及身体健康状况等各有显著影响,通过对量表的结构关系分析后认为目标要求、应付工作压力的策略和职工的内部控制感是影响职业紧张的深层原因。从而对现今国外有关职业紧张的理论提出了新的看法,为今后的研究与应用提供了理论根据和实践指导。     

Professional Education and Professional Ethics Right to Die or Duty to Live?

Despite the undeniable ethical dimensions of paid occupations — trades and services — other than the traditional professions, it is still natural to associate courses of professional ethics with medicine, law, nursing or teaching, rather than auto-repair, supermarket assistance or window-cleaning. Indeed, it seems plausible to hold that if there is anything more to the traditional distinction of professions from trades or other services than considerations of social and economic status, it might well reside in the distinctive ethical or moral character and implications of such occupations as medicine, law and education. This paper undertakes to explore, via examination of some of the commonly suggested criteria of professionalism, the nature of such implications and the extent to which they justify continued deployment of a distinctive occupational category of 'profession'. On the assumption that they do, however, the paper is also concerned to examine critically the consequences for education in professional ethics of any such distinctive ethics of profession.     

Distinctive self and occupational member concepts in different occupational preference groups

This investigation attempted to test and extend selected aspects of Super's self-concept theory of career development. Four hundred twenty-eight male college student subjects, representing 39 college majors, selected their most-preferred occupational interest areas from a list of 14 factorially separable areas. The students described both themselves and their most-preferred occupational member concepts with Adjective Check List items. Individuals with demonstrably different self-concepts and occupational preferences displayed differences in the concepts that they held of members of their preferred occupational areas. Relatively distinct dimensions of similarity of self and occupational member concepts among students who preferred the same occupational area were also found.