Professing clinical medicine in an evolving health care network

Theoretical Medicine and Bioethics - For at least the past several decades, medicine has been embroiled in a crisis concerning the nature of its professionalism. The fundamental questions that...     

Brave new world revisited revisited: Huxley's evolving view of behaviorism

Aldous Huxley's Brave New World has served as a popular and powerful source of antibehavioral sentiment. Several of Huxley's works are examined in order to ascertain his true thoughts regarding behaviorism. Early in his career Huxley failed to appreciate aspects of behavioral theory (e.g., an appreciation of heredity) or the good ends to which it could be employed. Huxley's later works portrayed behaviorism in a much more positive light, and he believed that behavioral science, along with spiritual enlightenment, might help save humanity from the Brave New World he predicted.     

解构与超越--全科医学兴起的后现代哲学聚焦

全科医学与后现代哲学的思潮不仅在兴起的时间上相吻合,而且在理念上具有内在的关联.从后现代哲学的向度看,全科医学反对还原论,强调整体论;反对唯科技理性,主张人文渗透;反对统一性,注重差异性;推崇内在性,注重生活世界;解构中心,强调综合服务等.全科医学解构了专科医学所秉持的注重分析与还原的唯科学主义的认知方式,以整体论的认知方式实现了对专科医学的形而上的理念超越.     

Family therapy: An evolving story

Contemporary Family Therapy -     

Improving the efficiency of a community mental health agency: An accountant's view

American Journal of Community Psychology -     

The construction of the self: An evolutionary view

Contemporary research on the construction of the self emphasizes the products rather than the process of self-development. Borrowing from the writings of William James and contemporary views of natural selection, we propose a model ofevolutionary self-construction. Grounded in the principles of evolution and the philosophy of pragmatism, evolutionary self-construction proposes a process that guides the seeking of “truth” inpossible selves. According to this view, the self develops in response to uncertainty reduction with the “correct” self identified via the “sentiment of rationality.” Selves presently identified as correct are considered to be “instruments of action” that facilitate the interaction between an individual and the environment. Selected selves can then be developed to one’s best advantage and presented in an optimal fashion. This model helps organize contemporary frameworks around a common theme and embraces affect as a central component in the development of the self. A previous version of this paper was presented at the 98th annual meeting of the American Psychological Association, Boston, MA.     

The construction of the self: An evolutionary view

Contemporary research on the construction of the self emphasizes the products rather than the process of self-development. Borrowing from the writings of William James and contemporary views of natural selection, we propose a model ofevolutionary self-construction. Grounded in the principles of evolution and the philosophy of pragmatism, evolutionary self-construction proposes a process that guides the seeking of “truth” inpossible selves. According to this view, the self develops in response to uncertainty reduction with the “correct” self identified via the “sentiment of rationality.” Selves presently identified as correct are considered to be “instruments of action” that facilitate the interaction between an individual and the environment. Selected selves can then be developed to one’s best advantage and presented in an optimal fashion. This model helps organize contemporary frameworks around a common theme and embraces affect as a central component in the development of the self. A previous version of this paper was presented at the 98th annual meeting of the American Psychological Association, Boston, MA.     

The modern mystic: a spirituality for health care workers

In this essay the author suggests that a deepening of one's spirituality may be the nurture that is required to remain fulfilled when working in the health care professions; and she illustrates this thesis by tracing a young chaplain's deepening spiritual journey in a Clinical Pastoral Education program. As the young aspiring chaplain attempts to minister to Joe, a dying farmer, he embarks on a path that leads to a religious experience. The essay concludes by listing eight criteria or guidelines that may help pastoral caregivers realize that they themselves may be nurtured by meeting the Holy in their caregiving acts.     

Child development and pediatrics: An evolving relationship

This article comments on the role of child development in a medical context. It traces the historical evolution of pediatrics as a specialty and offers a perspective on the relationship of pediatrics and child development. It outlines some of the major premises of the biomedical model on which pediatric care has been based in the past and then points out areas in which these premises are now questioned by physicians as well as patients. As a result, the article will conclude that the time is ripe for increased exchange between the two disciplines of pediatrics and child development if both the unique contributions and limitations of each are acknowledged.     

Self-knowledge: An expanded view

This paper argues for a more extensive study of self-knowledge. From the cognitive perspective, self-knowedge is a critical component of personality. Until quite recently, however, the study of self-knowledge has been narrowly conceived, focusing primarily on how individuals describe their roles and characteristic behaviors. Yet individuals also have knowledge about their preferences and values, their goals and motives, and their rules and strategies for regulating behavior. These dynamic aspects of self-knowledge are significant because they can be importantly revealing of future behavior. The content and organization of self-knowledge is important first because it indicates which domains of behavior are regarded as the most self-relevant. It is in these domains that the strongest links between personality and behavior will be observed. Second, self-knowledge cognitively represents desired and undesired states for the self, as well as specific ideas about how to realize or avoid these states. It thus indicates the likely course of behavior in self-relevant domains. A number of recent research efforts can be intepreted as explorations of self-knowledge. These are briefly reviewed and integrated to provide a general outline for an expanded view of self-knowledge.     

The coach as sport psychologist: An alternate view

Abstract

The issue of the coach also serving as a sport psychologist for his/her team is addressed by examining the advantages and drawbacks of this dual role. Measurement considerations including the ability of the coach to isolate intervention strategies for validation, response distortion by athletes on personality inventories, and developing an objective assessment of trust are discussed and recommendations are suggested. Finally, personal and professional ramifications of this dual role relationship are explored.     

道家哲学对现代医学的启示

一、现代医学模式转型自20世纪后半叶以来,由于现代社会和医学实践的长足进展,使人类的疾病谱和死亡谱发生了根本变化。比如中国在20世纪前半叶,居于前四位的疾病是呼吸系统疾病、急性传染病、结核病和消化系统疾病,死亡率最高的也是这四种疾病;20世纪后半叶,居于头四位的疾病则是脑血管病、心脏病、恶性肿瘤和呼吸系统疾病,死亡率最高的也是这四种疾病。由于中国和世界疾病谱和死亡谱的根本变化,使传统的西方生物学医学模式不得不被现代的“生物—心理—社会”医学模式所代替,开始由单一的生物模式向综合性的医学模式转变,这是人类医学健康…     

The interpersonal and Freudian traditions: convergences and divergences

The traditional Freudian and interpersonal schools of psychoanalysis diverged during the psychoanalytic wars in New York in the 1940s. Each has developed from a different set of assumptions concerning the mind, especially the role of structure and the role of interaction. Recent developments in both schools in the last twenty years suggest a convergence and overlap in theory and technique. The relevant history of the divergence is examined and the work of three contemporary interpersonal writers explored in depth. That work is contrasted with contemporary developments in traditional Freudian psychoanalysis.