关于一种新疾病"外伤后细菌性致死性肉芽肿"的研究

外伤后细菌性致死性肉芽肿(FBGT)是一种新发现的疾病,该病的研究没有成熟的思路可供借鉴.我们从该病的临床表型出发,通过综合分析,推测该病属于细菌感染性疾病,并成功分离、鉴定了该病的病原菌;为研究该病的发病机制,依据该病的临床特点,确认患者对病原菌易感是该病发生的主要因素;在充分借鉴他人的研究成果的基础上,我们提出了IFN-γ相关分子基因多态性是FBGT发病的主要机制的假说,最终通过实验证实了该假说.     

一种“分析自我”的心理治疗模型及其质性研究的框架

基于心理治疗实践提出了以“分析自我”为核心的心理治疗模型。模型假设心理治疗需要整体地分析自我,包括从需要、能力、感受和交互角色等不同角度的自我分析。提出了对该治疗模型的基于认知任务分析方法的过程性质性研究框架,以促进理论与实践的相互提升。     

中青年脑卒中患者创伤后成长质性研究

为深入了解中青年脑卒中患者创伤后成长的真实体验,运用现象学研究方法,选取10例受访者进行深度面对面半结构化访谈,访谈资料采用Colaizzi现象学分析法进行整理分析。提炼主题可归纳为中青年经历脑卒中后的心理痛苦、中青年患者创伤后成长促进因素及中青年患者创伤后成长体验三个部分。中青年脑卒中患者存在创伤后成长这一积极心理体验,为临床心理护理干预提供新的切入点。临床医护人员应关注患者早期创伤反应及压力源,从促进因素入手,激发中青年患者的潜能和力量,充分利用其心理资源以达到身心适宜的状态。     

读“关于教会的入世性”后感

捧读《中国天主教》2003.5刊载刘元仁主教的“关于教会的人世性”一文后,深有感触。 刘主教高度概括了我教会从古至今由主内到主外面貌的全盘素描,导言简洁明析,引人人深,发人省醒,导人奋进,教会如此,联想到天主教徒亦如此。仅就天主教信友的人世与出世表达肤浅之见感慨之     

家属ICU后综合征症状体验的质性研究

探讨了ICU患者家属在亲人入住ICU期间的真实体验,通过对18位家属进行半结构式访谈,运用主题分析法提炼出3个主题：家属存在多层面家属ICU后综合征（post-intensive care syndrome-family,PICS-F）症状感知（心理层面、生理层面、社会层面）;家属在PICS-F症状认知方面存在不足（自我忽视、健康过度关注）;家属在面对PICS-F症状时的应对方式多样（以情绪为中心型应对、以问题为中心型应对、回避型应对）。研究建议医务人员应深入关注这些症状的本质,提升家属PICS-F症状的认知水平,帮助他们改善应对方式,以有效缓解ICU后综合征相关症状,改善家属的整体健康状况。     

结直肠癌患者术后寻求中医药治疗的质性研究

为了解结直肠癌术后患者寻求中医药治疗的目的、体验、信念.采用目的抽样的办法,选取18位结直肠癌术后患者进行个人深入访谈.发现结直肠癌术后的患者,选择中医药治疗的目的主要有以下几个方面：减轻放、化疗的不良反应,使身体尽快恢复,提高生活质量,防止复发转移等.随着治疗的进行,患者对中医的认识逐步提高.中医药的疗效主要体现在各种症状及客观指标的改善上,近期良好的治疗体验使患者对实现远期目标更具信心.     

一种"分析自我"的心理治疗模型及其质性研究的框架

基于心理治疗实践提出了以"分析自我"为核心的心理治疗模型.模型假设心理治疗需要整体地分析自我,包括从需要、能力、感受和交互角色等不同角度的自我分析.提出了对该治疗模型的基于认知任务分析方法的过程性质性研究框架,以促进理论与实践的相互提升.     

论中国佛教的“心”、“性”概念与“心性问题”

由于佛教各宗各派对于“心”与“性”的理解各别,所持的理论立场也互不相同,因此对心性的阐述便呈现出非常复杂的形态。本文既对心”、“性”两个范畴的含义进行了诠释,又对佛教心性论所涉及的主要问题作出了归纳。     

国外“毛主义”与“后毛主义”关系研究评析

毛主义与后毛主义的关系是国外当代中国研究中的重要问题之一,经历了一个持续发展的过程,形成了割裂对立论和继承发展论两类观点。继承发展论既看到二者的共同点,也分析了二者的差异。割裂对立论则只看到二者的差异,割裂了二者的联系。国外研究坚持文本研究与实际考察相结合、心理分析与背景分析相结合、结构研究与案例解剖相结合、现代化与中国传统文化相结合的研究方法,这是值得借鉴的。     

时限性自我调节理论:健康行为研究的一种新取向

时限性自我调节理论是在“意图-行为”模型基础上,强调时间、行为优势和自我调节能力对健康行为共同影响的新理论.该理论认为一致性观念和时限性效价影响行为意图,行为优势和自我调节能力调节“意图-行为”联系的强度或直接影响行为.与其他健康行为模型的主要区别在于加入了影响行为的自我调节能力和时间因素.未来研究应进一步明确针对健康行为的干预措施,给予行为优势合理的定位.     

A Child Trauma Treatment Pilot Study

We examined outcomes of a promising 21-session trauma treatment model for children aged 3 to 17 and their caregivers. All children in treatment had experienced at least one traumatic event. The treatment intervention was rooted in theories of trauma and attachment and combines parent training with cognitive behavioral therapy to form a comprehensive trauma treatment program. We report on 27 families who completed the program. Results reflect significant reductions in conduct disorder, problems in social relations, and caregiver depression at an average of a one-year post-treatment follow-up. Results from our preliminary study offer support for further evaluation of the model.     

Alexithymia Predicts Posttraumatic Growth and Distress After Trauma

The present study sought to investigate how alexithymia (a deficit in identifying and describing emotions) may hinder the development of posttraumatic growth (PTG) and contribute to ongoing distress. Participants were 250 undergraduate college students who had experienced a highly stressful event in the past six months. Regression analyses were conducted to examine how alexithymia contributes to PTG and distress in addition to other known predictors. Analyses revealed that alexithymia was a significant negative predictor of PTG, and a significant positive predictor of distress. It was also found that Difficulty in Identifying Feelings was the alexithymia component that best predicted PTG and distress.     

Existential Trauma Therapy with Men After a Heart Attack

An existential trauma therapy treatment approach with men who are recovering from a heart attack is described as well as the treatment elements within the approach. Single-subject design case material is provided to evaluate and illustrate the described treatment approach.     

A National Survey of Trauma Training in Psychology Internships

Directors from psychology internship programs across the United States were asked to participate in a survey regarding their sites’ provision of services to traumatized populations and didactic and supervisory training offered to interns. All totaled, 259 training directors completed the survey. Using a point system, an impact score of training saturation was determined based on the content and frequency of training offered in didactic, supervision, or combined formats. Of these, all reported at least one trauma training opportunity in either didactic or supervision format. More than half indicated that they offered at least 1 to 3 hours of didactics on trauma per week (62.2%) and slightly less offered supervision-specific training opportunities (54.5%). However, only 30.8% identified training opportunities in trauma/posttraumatic stress disorder that reached a high level of saturation in training, meaning they offered training activities above the median impact score. The most commonly reported barrier to offering trauma training was related to being busy meeting other specialty or program requirements. Findings provide a preliminary overview of current training practices that can be useful to students seeking trauma internship placements and administrators and faculty who are looking to revise their curriculum.     

A Mixed Methods Study of the Stages of Implementation for an Evidence-Based Trauma Intervention in Schools

A mixed methods study was conducted to examine the implementation process of 26 urban school-based mental health clinics that took part in a training and implementation support program for an evidence-based school trauma intervention. Implementation process was observed using the Stages of Implementation Completion (SIC) measure. Qualitative interviews were conducted with clinic leaders in order to gain insight into clinic processes related to the SIC. Results showed that almost all of the clinics engaged in some activities related to pre-implementation (engagement, feasibility, and readiness), but only 31% of the sites formally started delivering the program to youth. Completing more pre-implementation activities, particularly those related to readiness, predicted program start-up. Qualitative analysis comparing those that implemented the program to those that did not revealed critical differences in decision-making processes, leadership strategies, and the presence of local champions for the program. This study documented the patterns of clinic behavior that occurs as part of large-scale training efforts, suggests some unique challenges that occur in schools, and highlights the importance of engaging in particular implementation activities (i.e., readiness planning, stakeholder consensus and planning meetings) as part of program start-up. Findings indicate that pre-implementation and readiness-related consultation should be employed as part of broad-scale implementation and training efforts.     

Trauma and psychosis: A review and framework for psychoanalytic understanding

Empirical research substantiates Ferenczi's conception of the etiological importance of early neglect and abuse in the development of psychosis. Abuse can derail the development of language, identity, and social relationships that are intrinsic to schizophrenia, possibly through undermining secure attachment relationships. The Lacanian emphasis on language and early proto-dialogues with the Other can be useful in understanding this process. Some therapeutic implications for psychoanalytic approaches to the treatment of psychosis are proposed.     

The Antinomies of Collective Political Trauma: A Pre-Theory

Prime Minister Yitzhak Rabin's assassination has less of a lasting impact on the Israeli public's political values, beliefs and attitudes than might have been anticipated from the magnitude of the event and intensity of the immediate responses. Why did the assassination have such a short-lived effect? This article considers the puzzle as a specific case of the broader phenomenon of collective political trauma and its consequences for values, beliefs and attitudes held by the mass public toward issues that it associates with the traumatic event. The article offers six deductively inferred hypotheses that describe, explain and link affective, cognitive and behavioral aspects of collectively experienced trauma. These hypotheses form a pre-theory explaining the perseverence of core political cognitions, even in the face of a considerable challenge to their validity and relevance.     

Trauma, Shame, and Group Psychotherapy: A Self Psychology Perspective

This paper attempts to define trauma from a self psychology/intersubjective perspective and explores shame as a basic aspect of trauma. Self psychologically oriented group therapy is examined as an effective treatment modality for dealing with issues of shame as well as the after effects of trauma.     

A Voice Crying out from the Wound—with or without Words: On Trauma,Speech, and Silence1

Drawing on memory and trauma studies, psychotherapeutic research, and Holocaust testimonies (in particular those of Wiesel, Semprun, Kulka, and Appelfeld), this article explores the role of speech and silence in the process of working through severe trauma. That which seems “incommunicable” will be considered in regard to the limits of linguistic representation and the problems of communication caused by the interlocutors’ avoidance of the past. How can one ensure that recounting traumatic memories does not become an extra risk rather than a remedy?