吸毒者心理社会生活质量分析

本研究旨在考察吸毒者的心理社会生活质量。云南地区194名吸毒者和198名正常被试参与了此项研究。结果表明：1)吸毒者和正常人在幸福感、自尊感、社会交往焦虑感、无力感、无意义感等方面都有显著差异,吸毒者的心理社会生活健康质量较差;2)不同性别、从事不同工作、兄弟姐妹数目和父母教育水平不同的吸毒者的心理社会生活质量不同;3)首次吸毒和复吸的大多数原因是心理因素。本研究对有关结果对吸毒者戒毒及教育的指导意义进行了讨论。     

海洛因成瘾者复吸倾向的研究

目的：探讨海洛因成瘾者复吸倾向的影响因素。方法：采用“复吸倾向问卷”对289名戒毒劳教人员进行测评。结果：发现戒毒意愿、将来环境、身心状态、物质替代和社会支持是影响复吸倾向的五个因素。这个结果提示在海洛因成瘾者的康复治疗中应该采用“药物——心理——社会”模式。     

戒毒人员戒毒动机对复吸倾向的影响:有调节的中介作用

目的:考察强制戒毒人员的戒毒动机对于复吸倾向的影响机制。方法:使用强制戒毒者复吸倾向性心理调查表、戒毒动机量表、心理韧性量表和情绪调节自我效能感量表对710名强制戒毒人员进行调查。结果:(1)强制戒毒人员戒毒动机负向预测复吸倾向;(2)情绪调节自我效能感中介了戒毒动机和复吸倾向的关系;(3)心理韧性调节了情绪调节自我效能感的中介效应。结论:戒毒动机不仅直接影响强制隔离戒毒人员的复吸倾向,也通过情绪调节自我效能感间接影响强制隔离戒毒人员复吸倾向,心理韧性增强了情绪调节自我效能感对复吸倾向的影响。     

甘肃省204例强制隔离戒毒人员调查分析与对策探微

为了解吸毒人员的特点,积极探索符合强制隔离戒毒特点的工作模式与方式方法,同时为戒毒管理工作提供现实依据,对204名强制隔离戒毒人员(男性103名)采用自编问卷进行调查,对26名戒毒人员进行深度访谈。结果显示,18岁之前接触毒品的占12.7%,初次吸食毒品因为"好奇心"占47.1%,复吸的占77%,心瘾难除者占65.7%,戒毒人员出所后1~3个月复吸人员比例高达66%,保持操守关键因素中选解决就业、远离毒友和建立良好的家庭关系的占41.2%。最后提出相应对策:要从源头上防范和遏制毒品问题的滋生;转变戒毒理念,发展矫治能力;强化心理管理,工作突破创新;动员社会力量,加强项目研究;加强帮教,促进场所戒毒人员尽快融入社会。     

论新戒毒模式的人文内涵

中国的毒品使用问题有着深刻的历史根源.数十年来,人们都在进行着艰苦卓绝的研究探索和哲学思辨,以期找到一种有效的戒毒方式帮助吸毒者戒除毒瘾.以社区戒毒为基础的新戒毒模式正是在视吸毒者为病人的新理念的基础上形成,并体现了社会对吸毒者基本权利的尊重,体现了我国传统文化的中庸思想,同时也要求戒毒者形成严格的道德自律,这一模式有着丰富的人文内涵.     

戒毒者复吸的根本原因及综合治疗模式的构想

造成戒毒者复吸的真正原因是戒毒人员已经改变的神经生化机制,不稳定的心理行为调节模式,以及吸毒的生活环境与生活方式等。解决复吸的问题应整合医疗卫生系统、公安强制戒毒管理系统、司法劳动教养系统以及教育科研系统等多种资源,构建脱毒、治疗、康复、教育、生产与劳动训练等统一的综合戒毒康复模式。     

戒毒者复吸的根本原因及综合治疗模式的构想

造成戒毒者复吸的真正原因是戒毒人员已经改变的神经生化机制,不稳定的心理行为调节模式,以及吸毒的生活环境与生活方式等.解决复吸的问题应整合医疗卫生系统、公安强制戒毒管理系统、司法劳动教养系统以及教育科研系统等多种资源,构建脱毒、治疗、康复、教育、生产与劳动训练等统一的综合戒毒康复模式.     

关于手术戒毒规范化开展的思考

吸毒成瘾是严重的医学和社会学问题.国内、外对吸毒成瘾采取的治疗方案由脱毒、防复吸和回归社会三个相互关联的方法构成.但收效甚微,复吸率居高不下.西安第四军医大学唐都医院神经外科在动物实验和借鉴以往经验的基础上,将立体定向技术用于毁损脑内与毒品心理依赖密切相关的关键位点的异常部分,对其异常功能进行调整,从而达到彻底戒毒的目的,取得了良好的疗效.本文介绍了手术戒毒在我国的发展历史,提出了规范化开展手术戒毒的建议.     

论新戒毒模式的人文内涵

中国的毒品使用问题有着深刻的历史根源。数十年来,人们都在进行着艰苦卓绝的研究探索和哲学思辨,以期找到一种有效的戒毒方式帮助吸毒者戒除毒瘾。以社区戒毒为基础的新戒毒模式正是在视吸毒者为病人的新理念的基础上形成,并体现了社会对吸毒者基本权利的尊重,体现了我国传统文化的中庸思想,同时也要求戒毒者形成严格的道德自律,这一模式有着丰富的人文内涵。     

关于手术戒毒规范化开展的思考

吸毒成瘾是严重的医学和社会学问题。国内、外对吸毒成瘾采取的治疗方案由脱毒、防复吸和回归社会三个相互关联的方法构成。但收效甚微,复吸率居高不下。西安第四军医大学唐都医院神经外科在动物实验和借鉴以往经验的基础上,将立体定向技术用于毁损脑内与毒品心理依赖密切相关的关键位点的异常部分,对其异常功能进行调整,从而达到彻底戒毒的目的,取得了良好的疗效。本文介绍了手术戒毒在我国的发展历史,提出了规范化开展手术戒毒的建议。     

网络相关文字刺激和压力对网络成瘾者线索诱发渴求的影响

渴求感特别是线索诱发渴求是成瘾行为维持和戒断失败的主要原因。本研究通过两个实验分别探讨了网络相关文字刺激和压力对网络成瘾者线索诱发渴求的影响。研究一以25名网络成瘾大学生为被试,以网络相关和中性词语为实验材料,采用线索暴露范式（Cue-reactivity Paradigm）的研究发现,只有网络相关文字刺激能显著诱发网络成瘾者的渴求感。在此基础上,研究二以40名网络成瘾大学生为被试,以公开演讲范式为压力诱发情境,以网络相关词语和中性词语为实验材料,采用线索暴露范式（Cue-reactivity Paradigm）的研究发现,在压力条件下,网络相关文字能诱发网络成瘾者更为强烈的渴求感。本研究深化了对网络成瘾形成维持心理机制的研究,也为网络成瘾的干预矫正提供了思路。     

吸毒者法律定位的伦理学基础——《禁毒法》引发的思考

全国人大常委会通过了酝酿已久的《禁毒法》,对吸毒者的身份采取了定位为违法者、病人和受害者的意见,但是社会各界的争论与思考仍没有停止。归纳了有关吸毒者法律定位的各种观点,并从应然角度讨论其背后的伦理学基础,以期为今后更好的救助吸毒者和不断完善禁毒法律体系提供理论依据。     

时间洞察力对成瘾行为的影响及其机制

成瘾行为给个体和社会带来了严重的危害。对成瘾人群时间洞察力的研究成为探讨成瘾行为产生和发展的一个新的视角。过去消极、现在享乐和现在宿命时间洞察力取向的个体更可能出现成瘾行为, 而未来时间洞察力取向则是成瘾行为的一个保护性因素, 它不仅可以减少成瘾行为的发生, 也有利于成瘾行为的康复。从自我调节, 冲动性决策等行为机制和前额叶的神经机制方面可以帮助我们深入理解时间洞察力对成瘾行为的影响。未来研究可以进一步探讨不同成瘾行为者时间洞察力的一致性与特异性; 采用纵向研究方法探讨成瘾者时间洞察力的动态变化过程; 对成瘾者的洞察力进行干预, 增加成瘾者的未来时间洞察力, 减少其过去消极和现在时间洞察力取向来帮助成瘾者实现时间洞察力的平衡, 从而提高其戒断效果。     

奖赏和损失情境下男性海洛因戒断者的风险决策缺陷

摘 要 采用修改版的多伦多赌博任务考察决策情境对海洛因戒断者风险决策的影响。研究结果主要发现,海洛因戒断者在损失情境下的风险寻求决策比率与吸毒年限显著正相关,这种相关提示了风险决策背景下海洛因成瘾者持续使用毒品与其较低的损失敏感性之间的复杂交互作用。其次,海洛因戒断者在做出风险决策后收到消极反馈时的风险规避倾向可以负向预测其风险寻求决策比率,这可能进一步反映了海洛因戒断者风险感知的钝化或其对消极反馈信息的整合加工存在异常。     

药物成瘾者决策缺陷的特征、机制及干预

药物成瘾者存在决策缺陷, 并表现出冲动性、风险寻求、奖赏失调、躯体内感信号缺失等特征。神经影像学研究表明药物滥用导致成瘾者背外侧前额皮层、前扣带回、眶额叶皮层、腹内侧前额皮层、杏仁核、脑岛等脑区受损, 这些损伤是引发其决策缺陷的主要原因。认知训练有利于提高个体的决策能力, 如目标管理训练和正念冥想等可以增强个体工作记忆、促进自我觉察和以目标为导向的行为; 而非侵入性脑刺激则可以直接改变与成瘾者决策相关脑区的激活状态, 从而提升与决策相关的认知功能。总体而言, 未来认知训练和非侵入性脑刺激在成瘾干预方面仍有广阔的拓展空间。     

Family Communication in Inherited Cardiovascular Conditions in Ireland

Over 100,000 individuals living in Ireland carry a mutated gene for an inherited cardiac condition (ICC), most of which demonstrate an autosomal dominant pattern of inheritance. First-degree relatives of individuals with these mutations are at a 50 % risk of being a carrier: disclosing genetic information to family members can be complex. This study explored how families living in Ireland communicate genetic information about ICCs and looked at the challenges of communicating information, factors that may affect communication and what influence this had on family relationships. Face to face interviews were conducted with nine participants using an approved topic guide and results analysed using thematic analysis. The participants disclosed that responsibility to future generations, gender, proximity and lack of contact all played a role in family communication. The media was cited as a source of information about genetic information and knowledge of genetic information tended to have a positive effect on families. Results from this study indicate that individuals are willing to inform family members, particularly when there are children and grandchildren at risk, and different strategies are utilised. Furthermore, understanding of genetics is partially regulated not only by their families, but by the way society handles information. Therefore, genetic health professionals should take into account the familial influence on individuals and their decision to attend genetic services, and also that of the media.     

The long-term risks in the short-term benefits: perceptions of potentially addictive activities.

It is generally assumed that individuals who take risks with their health either underestimate the magnitude of those risks or seek some benefit. This study assessed whether risk taking might also result from underestimating the benefits. In Study 1, lower estimates of the pleasure of drug use and risk of addiction were significantly related to increased self-reported experimentation and problems with drug use. This relationship remained significant even after controlling for preexisting psychosocial factors. In Study 2, perceptions of these "risks-in-the-benefits" were shown (a) to be distinct from perceptions of immediate benefits and (b) to serve as a protective factor against future alcohol use. Results are discussed in terms of creating improved interventions.     

Teasdale's differential activation hypothesis: implications for mechanisms of depressive relapse and suicidal behaviour

Teasdale's differential activation hypothesis (DAH) has been proposed as one account of cognitive vulnerability to depression. This view holds that important factors determining whether one's initial depression becomes more severe or persistent are the degree of activation, and content, of negative thinking patterns that become accessible in the depressed state. This phenomenon has been referred to as cognitive reactivity. Empirical support for the predictions of this model derives from a combination of cross-sectional and prospective studies. In this article, we evaluate this evidence with the goal of determining whether mood-induced cognitive reactivity can be considered a risk factor for depressive relapse/recurrence. Our review demonstrates sufficient evidence to consider cognitive reactivity as a potential causal risk factor for depressive relapse/recurrence. Furthermore, we extend the application of this model to the problem of suicidal relapse/recurrence including a review of preliminary support for this approach.     

Economic inequality enhances inferences that the normative climate is individualistic and competitive

In addition to the negative effects of economic inequality on a range of health and social outcomes, we propose that inequality should also affect how people perceive the broader normative climate in society. We predicted that people living in a more unequal (vs. equal) society are more likely to appraise the social context as one where individualism determines people's behavior. We tested this idea in three experiments by manipulating the degree of economic inequality in a fictional society. We showed that, compared to the low-inequality condition, participants in the high-inequality condition were more likely to project individualistic norms onto society. Furthermore, Experiments 2 and 3 showed that in the high- (vs. low-) economic-inequality condition, participants inferred more competition and less cooperation between people. Our results are discussed in light of the importance of the perception of a broader normative climate to explain the consequences of economic inequality.