Intuitionistic uniformity principles for propositions and some applications

This note deals with the prepositional uniformity principlep-UP: p x N A (p, x) x N p A (p, x) ( species of all propositions) in intuitionistic mathematics.p-UP is implied by WC and KS. But there are interestingp-UP-cases which require weak KS resp. WC only. UP for number species follows fromp-UP by extended bar-induction (ranging over propositions) and suitable weak continuity. As corollaries we have the disjunction property and the existential definability w.r.t. concrete objects. Other consequences are: there is no non-trivial countable partition of;id is the only injective function from to; there are no many-place injective prepositional functions; card () is incomparable with the cardinality of all metric spaces containing at least three elements.     

Service planning for chronic mental patients: some principles

Services for chronic mental patients in this era of deinstitutionalization present a major challenge to clinicians and planners alike. The complexity of these patients' clinical and other programmatic needs requires that an array of viable comprehensive services be made available to them. Following certain established principles of service planning will help facilitate patients' longitudinal, psychological, financial, and geographical access to care.     

Nursing: Significance for spiritual care

Nurses can be seen to contribute significantly to the spiritual objectives and programs in hospitals and other health agencies under religious auspices. One impressive example is nursing involvement with and cooperation in the pastoral care program at North Carolina Baptist Hospital in Winston-Salem. At this hospital the nurse is both an assistant to and a coworker with the chaplain and functions in many ways as facilitator and supporter in his spiritual mission.     

Linking level of care to level of need. Assessing the need for mental health care for nursing home residents

What are the mental health status and active treatment needs of nursing home residents? A stratified random sample of 828 residents in 25 facilities serving Medicaid recipients was assessed for levels of physical and psychosocial functioning. Although 91.2% had sufficiently high levels of medical and physical care needs to justify nursing home placement, 79.6% also had moderate to intense needs for mental health care. Older residents, relative to their younger counterparts, had more intense medical and mental health care needs. It was also found that psychiatric diagnosis was a poor indicator of mental health service needs, particularly among elderly individuals.     

Apparitions and possessions as boundary objects: an exploration into some tensions between mental health care and pastoral care

Apparitions and possessions can be taken as genuine spiritual events or as symptoms of psychopathology. We focus upon occasions when the two seemingly conflicting “interpretations” co-exist in order to explore these phenomena as kinds of boundary objects—polymorphous realities stable and graspable enough, yet belonging to different worlds at once. Related diagnostic knowledge is often uncertain and always incomplete. Yet it enables authoritative and effective professional interventions. We conclude by discussing the relevance of such a view for contemporary efforts to validate patients’ spiritual experiences within mental health care.     

Research on black women college administrators: Descriptive and interview data

The article summarizes the results of a survey and follow-up interview of black women college administrators, at predominantly white colleges, in selected positions, such as president, vice-president, dean, director, department chairperson, and the assistants and/or associates to the aforementioned positions. The author gives a profile of a middle-management group of women who are at different colleges in the City University of New York system. Also included are a review of the literature and recommendations for both the University and black women seeking careers in college administration.     

Deliverance,demonic possession,and mental illness: some considerations for mental health professionals

This paper outlines an unconventional treatment for mental illness, the exorcism or deliverance ritual used by Pentecostals and some other charismatic Christians. Deliverance beliefs and practices are based on the assumption that both mental and physical ills result from possession of the sufferer by demons, and are to be treated by the expulsion of those demons. Deliverance practitioners claim to treat schizophrenia, ADHD, and Reactive Attachment Disorder, and believe that these problems are related to sins either of the person in treatment or of an ancestor. Clinicians and counsellors dealing with clients who partially or completely espouse deliverance beliefs may need to understand their worldviews and to discuss their belief system before managing to engage them in conventional mental health treatments. Unusual ethical problems may also be met in the course of such work.     

Migrant mental health: a model for indicators of mental health and health care consumption.

OBJECTIVE: This study explores the relationship between mental health and health care consumption among migrants in the Netherlands. DESIGN: Samples of the Turkish (n = 648), Moroccan (n = 102), and Surinamese (n = 311) populations in Amsterdam were examined. The study tested a hypothesized model of risk factors for psychiatric morbidity, indicators of well-being, and indicators of health care consumption. The model was specified on the basis of information from earlier research on the sample and literature on the topic. The model was tested and refined using structural equation modeling. MAIN OUTCOME MEASURES: Psychiatric morbidity and well-being measures were assessed with the CIDI 1.1 and MOS-sf-36 subscales, respectively. Health care consumption was assessed by the question "Have you ever consulted one or more of these professionals or health care facilities with respect to mental health problems or problems related to alcohol or drugs usage?" RESULTS: The primary result of this study was the confirmation that health care consumption among migrants is predicted by need and predisposition factors, such as health condition and sociodemographic characteristics. In addition, mental health care consumption of migrants is predicted by acculturation characteristics. This result suggests an effect of cultural and migrant-specific factors in help-seeking behavior and barriers to mental health care facilities. CONCLUSIONS: Findings confirm the existence of migrant-specific mechanisms in health care consumption. Mental health care professionals should be aware of these. However, ignoring common ground for interventions unnecessarily creates distance between migrant groups and between migrant and indigenous Dutch groups.     

Eschatology: some Muslim and Christian data

The introduction discusses briefly the usage and the meaning(s) of the term ‘eschatology’, the affirmation of the finality of the revelation granted and the reality of the ‘not yet’, and the recognition of the interrelatedness of eschatology and ethics. A short survey follows of some regularly recurring topics in Islamic eschatological literature, with a few cross‐references to Christian data: barzakh, the coming reign of justice and peace, and the bliss of the Garden. More substantial cross‐references are found in the discussion of the relation between individual and collective eschatology, of the anticipation of the ultimate realization of God's intentions for the whole universe, and of the question of how far both traditions postulate a ‘final exclusivism’. The essay ends with some remarks on God's justice and mercy, with brief comments on the notion of theodicy and the testimony that ‘mercy prevails over wrath’.     

Transforming mental health care for children and their families

In April 2002, the President's New Freedom Commission on Mental Health was created by executive order to study the mental health care delivery system in our nation and to make recommendations for improvements so that individuals with serious mental disorders can live, work, learn, and fully participate in their homes and communities. In its report, "Achieving the Promise: Transforming Mental Health Care in America," the commission provided strategies to address critical infrastructure, practice, and research issues. This article focuses on the work of the commission's Subcommittee on Children and Families, describing its vision for mental health service delivery for children and providing suggestions for strengthening community-based care for youths with or at risk of behavioral health disorders. Training, research, practice, and policy implications for psychologists are discussed.     

Mothers' attachment representations and choice of infant care: center care vs. home

In the debate concerning the effects of day care on infant development, insufficient attention has been paid to the potential relationship between pre‐existing emotional differences among mothers and the type of care they choose for their infants. To shed light on this issue, this study examines the attachment representations of mothers who choose day‐care centres as opposed to mothers who choose to remain at home with their infants. Participants were 76 primiparous mothers. Mothers' attachment classifications were assessed by the Adult Attachment Interview [AAI; Main M, Kaplan N, Cassidy J. 1985. Security in infancy, childhood, and adulthood: a move to the level of representation. In Growing Points of Attachment Theory and Research. Monograph of the Society for Research in Child Development, 50, (1–2, serial no. 209), Bretherton I, Waters E (eds); 66–104]. Results indicate that more Day‐care than Home‐Care mothers are classified as insecurely attached. These results highlight the contribution of maternal emotional characteristics to the effects of diverse child care arrangements on infant development. Copyright © 2001 John Wiley & Sons, Ltd.     

临床共情与护理技术结合:人性化的护理

临床共情是一种能体验患者内心世界的能力,通过患者的言语和非言语表达,觉察和认识患者情感和情绪需求,并对其做出恰当的回应.临床共情具有科学的理论和实践基础,具有缓解患者心理上的痛苦,改善护患关系,促进患者康复等作用.在当今复杂的医疗环境下,务必要重视共情培养,适时运用临床共情.然而,我们强调临床共情的重要作用,并不能忽视护理技术的根本作用,根除躯体上的病变仍有赖于护理技术的有效性.在临床护理实践中,坚持共情与护理技术的有机结合,推进人性化的护理构建.     

Nursing and genetic health care

Advances in DNA technology are leading to major developments in nursing practice in clinical genetics, including the creation of new roles for nurses who care for people with genetic conditions. Application of genetic information and testing is moving genetics into the mainstream of health care. Therefore, it is anticipated that nurses in all areas of practice will become involved in the provision of information about genetic testing and assisting individuals and families in decision making and adjustment to new genetic information. This article provides an overview of the profession of nursing which may be useful to genetic counselors in the development of collaborative relationships between the two professions.     

Lies,lies, and more lies: A plea for propositions

To resolve putative liar paradoxes it is sufficient to attend to the distinction between liar-sentences and the propositions they would express, and to exercise the option of turning would-be deductions of paradox (of contradictions) into reductios of the existence of those propositions. Defending the coherence of particular resolutions along these lines, leads to recognition of the non-extensionality of some liarsentences. In particular, it turns out that exchanges of terms for identicals in the open-sentence — does not expression a true proposition are not invariably truth-preserving because they are not invariably proposition-expression preserving. All of this recommends propositions as fruitful subjects of interesting renewed research.     

Accents in Business Communication: An integrative model and propositions for future research

Today's business interactions are characterized by encounters between people with diverse language backgrounds. This article examines how, why and under what circumstances regional or foreign speech patterns affect consumer judgments and reactions. Building on a synthesis of accent research and theories, including the work of related disciplines such as linguistics and social psychology, this article suggests an integrative model that helps to understand accent effects in business contexts. The model disentangles the effects of social categorization, stereotype activation, and speech processing that jointly influence different business-related outcomes. The model highlights three categories of factors that moderate these accent effects, namely sender, receiver, and communication variables. The paper further identifies several issues which remain unresolved and which require continued research. An agenda for future research sets out several propositions to help researchers approach regional and foreign accents in business environments.