卓越医学之医药专业质素:中国传统医患关系之现代功能

从中国传统之医疗专业和医患关系发掘出中国医药所具有的一种视医疗为仁术、视病犹亲的医患关系,合理回应中国传统社会特别重视的医师与病人和病人家属所结合成的亲密关系,重修医患与家属互相信任的方向,即建立一种家人之间的内在的信任关系,让病患与家属感受到医护人员的真诚和专业的服务.最后建议医院方面提高专业质素的具体表现,使病人有回家的感受,提升医疗的质量.     

改变“低挫折容忍度”的心理干预及效果评估 —— 一位奥运银牌运动员的个案研究

研究目的是描述对一名奥运选手L在奥运会前一年中进行的心理干预,以改变其“低挫折容忍度”的过程,以及评价这一理性情绪行为疗法与心理技能训练相结合的心理干预的效果。在不同的时间点采用各种评估方法对干预效果进行评估,主要的评估方法包括采用目标获得评价表进行的运动员L自我评估和教练员评估,运动员L、教练员、及搭档的“阶段性总结”评价,以及对L比赛行为的录像资料分析。通过各种评估方法所获得的结果的一致性证明了该干预方法在改变运动员的问题行为方面是有效的。通过对运动员L的问题行为的改变,提升了他在比赛中的运动表现,该运动员与其搭档在2004年雅典奥运会乒乓球男子双打项目上获得了银牌     

Utilizing Family Strengths and Resilience: Integrative Family and Systems Treatment with Children and Adolescents with Severe Emotional and Behavioral Problems

Community mental health agencies are consistently challenged to provide realistic and effective home-based family-centered treatment that meets local needs and can realistically fit within available budget and resource capabilities. Integrated Family and Systems Treatment (I-FAST) is developed based on existing evidence-based approaches for working with at-risk children, adolescents, and families and a strengths perspective. I-FAST identified 3 evidence-based, core treatment components and integrated them into a coherent treatment protocol; this is done in a way that builds on and is integrated with mental health agencies' existing expertise in home-based treatment. This is an intervention development study in which we conducted an initial feasibility trial of I-FAST for treating families with children at risk of out-of-home placement. The outcomes of the study provide initial empirical evidence that supports the effectiveness of I-FAST. Findings indicate that there were significant improvements in child behavior, significant increases in parental competency, and significant increases in the level of cohesion and adaptability in these families. All observed changes were significant from pre- to posttreatment with the families able to maintain these positive changes at 6-month follow-up. A more rigorous and robust research design, however, will be needed to establish definitive evidence of the effectiveness of I-FAST.     

Women and Career Competence: A Theoretical and Experiential Model

The authors describe an experiential workshop, developed to help women with career difficulties, that emphasizes freedom and responsibility for choice.     

Guidance Services for Children and a Right to Education Law: Results of a Longitudinal Study

A sizeable proportion of elementary school children studied received guidance services for emotional and behavioral problems. Differences emerged between children with transitory and persistent problems.     

Philosophy and Counseling: A Metatheoretical Analysis

This article deals with the relationship between philosophy and counseling theory as outlined in a metatheoretical model. The model's implications for comparing theories and value orientations are also reviewed.