An educational program to overcome language and cultural barriers to genetic services

Providing genetic services to families who do not speak English and whose cultures are quite diverse presents a unique challenge to genetic specialists. One approach that is being employed successfully is the use of specially trained genetic assistants to provide outreach, case finding, referral, support, interpretation, advocacy, and follow-up counseling. A basic genetic assistant training program for five bicultural/bilingual Southeast Asian case managers is described. The course syllabus can be used to train health workers who represent a variety of cultures and languages.     

An ecological approach to child and family clinical and counseling psychology

The ecological model of child and family clinical and counseling psychology considers mental health service delivery within a health maintenance framework, approaching the complexity of children's behavior in a systematic and organized fashion using science-based intervention practices. The service delivery framework integrates assessment, intervention, and motivation at all phases of an intervention. Assessments enhance the participants' and professionals' appraisal, which in turn impact motivation to change. Interventions are sensitive to assessment-based targets and participant motivation. A menu of interventions range from assessment, feedback, and brief interventions to more extensive mental health services, potentially integrated with other community agencies and school settings. The ecological model suggests revisions in the conceptualization of child and adolescent psychopathology, training for mental health professionals, and strategies for the design and testing of interventions. In general, a reformulation of mental heath services for children and families within an ecological framework enhances the potential for integrating science and practice.     

Child abuse and neglect by parents with disabilities: A tale of two families

Two families, in which the children had been placed in foster care due to abuse and neglect by parents who had disabilities, were studied. In the first case, the mother was instructed in skills that our assessment suggested were important for her child's survival. The mother readily acquired and applied these skills, a fact reflected both in changes in her behavior and in changes in the child's well-being. In the second case, the parent's incremental resumption of child custody was made contingent upon completion of relevant parenting tasks. Initially, improvements in the completion of such tasks were evident, but over time and with the onset of militating factors, no further progress was made and all parental rights were terminated. The implications of these cases for behavior analysis and the effort to reunite and preserve families are discussed.     

Problems in Psychiatric Genetic Research: A Reply to Faraone and Biederman

This article examines evidence cited in favor of the operation of genetic factors in attention-deficit hyperactivity disorder (ADHD). Like other psychiatric conditions, a belief in the genetic basis of ADHD is derived from the results of family, twin, and adoption studies. Because family studies are widely believed to be confounded by environmental factors, primary emphasis is placed on twin and adoption studies. ADHD twin studies depend on the validity of the equal environment assumption (EEA), which holds that the environments of identical (MZ) and fraternal (DZ) twins are the same. Here it is argued that however the EEA is defined, it cannot be accepted. Therefore, the greater similarity or concordance of MZ twins when compared to DZ twins is plausibly explained by environmental factors. Adoption studies constitute a third method for investigating the role of genetic factors in ADHD. It is argued that these studies are greatly flawed by factors including non blinded diagnoses and the failure to study the biological relatives of adoptees. After an examination of the total weight of evidence in favor of a genetic basis or predisposition for ADHD, it is concluded that a role for genetic factors is not supported and that future research should be directed toward psychosocial causes     

The human genome project: A public forum. Report on a model conference for genetics professionals and consumers

This paper reports on the rationale, objectives, and outcome of a conference titled The Human Genome Project: A Public Forum. One of the distinguishing features of this conference was that it included both genetics professionals and consumers of genetics services in a dialogue about the potential ethical, legal, and social implications of learning more about one's genes. The conference was planned to yield two products: (1) a set of recommendations for planners of future educational, research, and public policy efforts related to the Human Genome Project; and (2) an assessment of participants' pre- and post-conference knowledge and opinions about the Human Genome Project.     

《来复铭》新解

《来复铭》是目前所知最早由宗教学者所撰写的汉文伊斯兰教碑文,自碑文披露以来颇受学界关注。本文在前人研究的基础上,试对其内容从伊儒会通的角度给予新的解读,认为《来复铭》主旨在于运用儒学话语论述苏非哲学的"来复"理论,堪称"伊儒会通"的先驱。     

基层医院口腔科如何构建和谐医患关系

基层医院口腔科容易引起医患纠纷,本文从基层医院口腔科以及口腔医生的角度谈谈如何构建和谐的医患关系。基层医院口腔医生要掌握扎实的专业理论知识和操作技能以及加强自身修养,并进行良好的医患沟通;基层医院口腔科要营造舒适的就医环境,合理收费,严格的消毒灭菌。构建和谐医患关系在口腔治疗中的起重要作用。     

实施人类辅助生殖技术如何维护医患权益

根据卫生部有关法规,结合我院实施人类辅助生殖技术中维护患者知情同意权的做法、认识和体会,探讨了医患双方的基本权利和义务、特殊项目的知情同意以及在实施辅助生育过程中应处理好的几个关系.     

A Narrative Approach to Child and Family Therapy in Africa*

Professional family therapy in Africa is heavily influenced by theories and principles of Western family practice. Its practice structure and philosophies are however grounded on African family values and the principles and orientations of traditional African psychology. This paper presents a clinical report that illustrates adaptations we make to incorporate compatible aspects of narrative family practice in African and Western cultures. A summary of African family values and child psychology intended as a background perspective is provided. The paper is significant against the background of the current need for forging multiculturally relevant healing methods that fit well with the globalized nature of the contemporary world. Augustine Nwoye, PhD, is Associate Professor and Chairman, Department of Psychology, Kenyatta University, Nairobi, Kenya (amnwoye@avu.org). Professor. Nwoye has developed an African paradigm for mental health and, in particular, for family and couple therapy. He also has experience in dealing with stress and multiple losses, especially surrounding HIV/AIDS within an African context. *An earlier version of the paper was presented to the members of staff and students of the Faculty of Education, University of Cambridge, England, UK, and the initial version was presented to the members of the Family Therapy Program of the Faculty of Medicine of the University of Calgary, Calgary, Canada. I wish to thank Dr. Colleen McLaughlin (University of Cambridge) and Professor Karl Tomm (University of Calgary) for their invitation, assistance, time, attention, and suggestions.     

Development of child autonomy in eating and toilet training: One- to three-year-old Japanese and French children

This study analyses the interface between children's culture and their development as they learn to perform the daily activities of eating and toileting in culturally appropriate ways. Thirty-three Japanese and 36 French children 12-31 months of age and adults' interventions were observed in public day care centres in Tokyo and in Paris. Within the same time frame, a survey was conducted among the adults (parents and nursery staff) to examine their developmental expectations for children. Observations reveal differences between children's learning in the two countries. Toilet training begins at a later age in Japan and is learned more quickly, whereas learning to eat alone begins earlier than in France but is acquired at a slower pace. The analysis of the surveys shows some discrepancy between adults' conceptions and actual interactions. In both countries, the developmental decrease in physical intervention corresponded with the progress of the child, but adult interventions and strategies varied according to the different cultures. The presence of Japanese adults is greater than those in France, but this does not mean that they intervene physically more often. Finally, instrumental independence begins slightly earlier in Japan.     

孔子与泰德·本顿的生态观之比较

20世纪后半期,人类面临的最突出的问题就是全球性的生态危机和环境问题。摆脱人类生存的困境,走向具有生态持续性的文明社会是中国现代化实践面临的严峻挑战。本文试将孔子和泰德·本顿的生态观加以比较,求同存异,发掘其中蕴含的积极因素。两者在对自然的解读上,强调自然的客观实在性,重视自然的内在价值和对自然规律的遵循;在人与自然的关系上,阐发人与自然的息息相关性和密不可分性,强调二者相互作用。相互影响;在对自然资源的利用上,强调合理地支配和有限地利用自然,承认自然的极限。这些思想为我国生态文明建设提供了有益的借鉴。     

基于社会文化规范下的自我调控过程的中日比较

该研究通过个体对社会规范的积极性认同态度与行动意向的关联程度,建立自我调控过程中社会文化性差异的假设模型。对日本大学生（305人）、中国大学生（384人）、中国大学生父（或母,329人）进行社会规范认同态度及行动意向问卷调查,利用AMOS软件进行了多组比较的结构方程模型的协方差结构分析,结果显示：1）在血缘关系性社会规范方面,日本大学生、中国大学生、中国大学生父母三群体积极性认同态度对行动意向影响无显著差异;2）在社会职责性社会规范方面,日本大学生、中国大学生、中国大学生父母三组间的积极性认同态度与行动意向关联差异显著。日本大学生对于社会职责性社会规范进行更有效的自我调控;3）除两国间文化差异以外,中国大学生与其父母间对于（最初预想以外的第三因素）自我付出性社会规范的自我调控过程也呈现显著差异。     

A case study approach to delivering and evaluating services by a school psychologist

Two interrelated problems in delivering school psychological services by one school psychologist acted as a motivating force behind this study: the problem of how to plan and render services to a school system where the ratio of students to school psychologists is high, and the problem of how to determine the degree of effectiveness of these services. This study describes an approach which consisted of three distinct services rendered by a school psychologist. Evaluative measurements of the services were made in two areas: the effect of the services on the ongoing operations of the system, and the evaluation of the services by school personnel exposed to the services directly or indirectly. The relative merits and the limitations of such an approach are discussed.     

A Probabilistic and Individualized Approach for Predicting Treatment Gains: An Extension and Application to Anxiety Disordered Youth

The objective of this study was to extend the probability of treatment benefit method by adding treatment condition as a stratifying variable, and illustrate this extension of the methodology using the Child and Adolescent Anxiety Multimodal Study data. The probability of treatment benefit method produces a simple and practical way to predict individualized treatment benefit based on pretreatment patient characteristics. Two pretreatment patient characteristics were selected in the production of the probability of treatment benefit charts: baseline anxiety severity, measured by the Pediatric Anxiety Rating Scale, and treatment condition (cognitive-behavioral therapy, sertraline, their combination, and placebo). We produced two charts as exemplars which provide individualized and probabilistic information for treatment response and outcome to treatments for child anxiety. We discuss the implications of the use of the probability of treatment benefit method, particularly with regard to patient-centered outcomes and individualized decision-making in psychology and psychiatry.     

A differentiated approach to the link between positive emotion,motivation, and eudaimonic well-being

Many studies have highlighted the role that positive emotions play in promoting eudaimonic well-being, yet often fail to differentiate between discrete positive emotions (e.g. gratitude, compassion, pride, and contentment). As such, potential functional differences among positive emotions in contributing to eudaimonic well-being may have been overlooked. The present study (N = 273) differentiated communion from agency motivation as well as other-focused from self-focused eudaimonic well-being. In line with a hypothesized model, pride contributed positively to self-focused eudaimonic well-being indirectly via agency motivation, and contentment was directly linked positively to self-focused eudaimonic well-being. Compassion contributed positively to other-focused eudaimonic well-being indirectly via communion motivation and gratitude was directly linked positively to other-focused eudaimonic well-being. While several other links were observed, hypothesized links were generally stronger. These findings highlight the potential utility of adopting approaches that differentiate among positive emotions in applied and theoretical work in the field of positive psychology.