Quality and Individualization in Wraparound Team Planning

In children’s mental health, collaborative, team-based individualized service planning is most commonly known as wraparound, and has become one of the primary strategies for improving services and outcomes for children with the highest levels of need. We report on analyses of data gathered at 72 wraparound team meetings from communities around the United States. We describe the composition of the teams and the quality of the planning process they engaged in, and explore the extent to which these factors were associated with team member satisfaction and the individualization of plans. Teams in our study were numerically dominated by professionals. Parents attended a large majority of meetings, participation by youth and family advocates was frequent, participation by other family members infrequent, and participation by other members of the family’s informal or natural support networks rare. Observed teams varied considerably in the quality of their planning process and the degree of individualization of plans. Higher-quality planning was significantly associated with increased individualization of plans and with team member satisfaction with meeting productivity.     

老年高血压治疗决策的个体化和系统化

高血压是严重危害老年人健康的常见病,老年人高血压临床症状及特点与中青年高血压有显著不同,在诊断治疗中应注重老年人血压升高的病理生理特点及机制,在老年高血压的治疗决策中运用个体化和系统论的原则,选择个体最优化综合治疗决策,启思和引导老年高血压研究水平的纵深发展,积极有效地改善老年人的生活质量.     

老年高血压治疗决策的个体化和系统化

高血压是严重危害老年人健康的常见病,老年人高血压临床症状及特点与中青年高血压有显著不同,在诊断治疗中应注重老年人血压升高的病理生理特点及机制,在老年高血压的治疗决策中运用个体化和系统论的原则,选择个体最优化综合治疗决策,启思和引导老年高血压研究水平的纵深发展,积极有效地改善老年人的生活质量。     

The Shooting-Room Paradox and Conditionalizing on Measurably Challenged Sets

Synthese - We provide a solution to the well-known “Shooting-Room” paradox, developed by John Leslie in connection with his Doomsday Argument. In the “Shooting-Room”...     

慢性房颤导管消融策略的原则和个体化治疗

目前,慢性房颤导管消融的成功率及复发率均不尽人意。由于缺乏统一术式,慢性房颤消融采用的是肺静脉隔离、电图靶向消融及线性消融等多术式综合策略。在房颤消融策略上,既要坚持肺静脉电隔离原则,又要体现消融术式选择和实施的个体化,阶梯消融综合术式的推出就是这种思维方法的具体运用。     

分化型甲状腺癌的风险评估和个体化治疗策略

甲状腺癌是内分泌系统最常见的恶性肿瘤,它的发病率正逐年增加,其中90％是分化型甲状腺癌,分化型甲状腺癌诊治方面存在很多争议,如分化型甲状腺癌的原发癌症的切除范围、是否行淋巴结清扫及清扫范围.根据甲状腺癌的风险评估实施个体化治疗,是分化型甲状腺癌未来的治疗方向.     

降压达标治疗中的个体化原则与优化治疗

为了提高高血压患者的降压达标率、最大程度地降低靶器官损伤,一方面应强化生活方式的改变,包括戒烟限酒、低盐饮食、减轻体重和适量运动,另一方面,由于原发性高血压的发病是由多种复杂因素的不同组合引起,应根据不同个体的高血压发病机制及病因的差异,在指南的指导下,应用不同种类抗高血压药物(单用或联合用药),采用针对个体的优化治疗,才能更有效地使降压治疗达标。     

个体化进程中生平模式的转变及其制度化

围绕身份或认同这一当代人必须处理的重大问题,以吉登斯、贝克、鲍曼为代表的当代学者探讨了社会结构变迁所带来的个体化及生平模式的转变。虽侧重点不一,但他们都同意现代性晚期个体稳定而连贯的角色和地位的瓦解。在第一现代性中,身份相对稳定,人们基于历史上既有的行为形式和解释模式来理解自己的经历,因此生平遵循一种可预测的标准模式。在第二现代性中,个人从既定的和集体的身份中解放出来,所有人都必须亲自制作、演示、拼凑自己的生平,这涉及个人的决策,同时也意味着风险和责任。个体化所带来的是有限的自由,生平仍然受结构性力量的制约。     

Individualization,singularization and e-ducation (between indifference and responsibility)

It is commonly supposed that acting and judging ought to rest on a community-wide, binding definition of what is right and respectable, that is, a substantial consensus. Such consensus is thought possible only when we engage shared values and criteria, when we use knowledge and abilities appropriated through education. On this view, education deals with the reproduction of consensus and, hence, with the passing on of traditions and norms. On my view, we need to question the framework in which the debate over social erosion takes place. I take a cue from remarks of Hannah Arendt and question the presupposition that acting and judging in a right way requires both common values and the appropriation of what we call knowledge of criteria and principles. I do not suggest that knowledge has nothing to do with acting and judging. Rather, I wish to draw attention to (Arendt's concept of) thinking as a condition for acting and judging. Here, thinking has nothing to do with knowledge or with appropriation. Rather, it has to do with living-together with somebody. Educa-tion for thinking is, then, a public thinking which leads out of the serf and into communal responsibility. On this treatment, the educator is to be a faithful guardian of this calling out into responsibility.     

灾后心理危机干预的个体化和动态性

人们对重大灾难的心理应激反应有一定的规律性和普遍性,但又有复杂性和特殊性.要根据应激反应的不同阶段和不同人群产生的不同心理问题采取相应心理危机干预措施,做到具体问题具体分析.对灾后人群进行心理危机干预的过程中,要采取系统性、动态性原则,从而达到个体最优化,消除或减少心理问题及心理因素相关生理问题,尽早恢复社会功能.     

降压达标治疗中的个体化原则与优化治疗

为了提高高血压患者的降压达标率、最大程度地降低靶器官损伤,一方面应强化生活方式的改变,包括戒烟限酒、低盐饮食、减轻体重和适量运动,另一方面,由于原发性高血压的发病是由多种复杂因素的不同组合引起,应根据不同个体的高血压发病机制及病因的差异,在指南的指导下,应用不同种类抗高血压药物(单用或联合用药),采用针对个体的优化治疗,才能更有效地使降压治疗达标.     

The Paradigm Challenged A New Analysis of the Origin of Diakonia 1

The classical paradigm saw the apostolic and biblical age as a special moment for the diaconal ministry. The important role of the diaconal ministry continued for just a few centuries and finally withered. According to this study, the traditional outline is not historically true, or at least we need new evidence in order to argue for the biblical origin of a social-caritative diaconal ministry. Following the interpretation of New Testament texts by Luther and Calvin, the 19^th century diaconia movement projected its own life setting into the ancient texts. Thus the return to the biblical ministry of diaconia actually turned out to be a reinterpretation of biblical and early church writings. The ministry of diakonos in the early church was not invented by the modern movement, but it gave a totally new meaning to the ancient Greek concept and also launched a new way to use diakonia-derivative vocabulary.     

To Be the Eye Within the Storm,I Am Challenged Not Stressed

Via the lens of Cognitive Activation Theory of Stress (Ursin & Eriksen, 2004) we explored the stress experience in seven Olympic Norway coaches. We present elements that impact their stress experience. The phenomenological analysis of the semistructured interviews helped us identify that their expectancy to cope with the situational demands and specific defense mechanisms filtered the evaluation of stressors that were interpreted as manageable challenges. To nurture these 2 filters, the coaches used their confidence and engaged in systematic reflection and learning. These findings are related to the existing literature, practical applications, limitations, and future research.     

Challenged Expectations: Mere Exposure Effects on Attitudes About Transgender People and Rights

Social categorization processes may be initiated by physical appearance, which have the potential to influence how people evaluate others. Categorizations ground what stereotypes and prejudices, if any, become activated. Gender is one of the first features people notice about others. Much less is known about individuals who may transgress gender expectations, including people who are transgender. Using an experiment, this study investigates whether the attitudes that people have about transgender people and rights are influenced by information and facial images. We hypothesize that mere exposure to transgender people, via information and images of faces, should be a source of prejudice reduction. We randomly provide participants with vignettes defining transgender and also randomize whether these vignettes come with facial images, varying the physical features of gendered individuals. We find our treatments have lower levels of discomfort and transphobia but have little effect on transgender rights attitudes. We further find that the impacts are stronger among Democrats than among Republicans. Our findings support the argument that people are in general unfamiliar with transgender people, and the mere exposure to outgroups can be a source of prejudice reduction.     

On Changing the Subject

Sticking to the point is thought to be a good thing. Changing the subject, by contrast, is regarded as a sign of a wandering mind if it is unintentional and as a sign of duplicity if it is intentional. Yet, as I shall show, interpreters regularly replace an initial object of interpretation with a new object, thus "changing the subject." They do so in one of four ways: idealization, resegmentation, reconception, and recovery. Far from being symptomatic of either intellectual weakness or a desire to hide something, however, these processes are an intrinsic part of that most central of human intellectual endeavors, interpretation, and they contribute to its positive value.     

The Ethical Subject and Willing Subject in the Tractatus: an Alternative to the Transcendental Reading

Philosophia - The Transcendental Reading of the Tractatus argues that Wittgenstein endorses, under the notion of ‘metaphysical subject’, the existence of a willing subject as a...