Conceptual issues in network therapy

This paper presents three concepts developed within the context of a project to study and conduct network therapy. The concepts discussed are: (1) the need for balance in participant composition, specifically in terms of support systems for core members, and the participant levels of affective involvement; (2) the therapeutic use of polarization of the network members against the therapist; and (3) the shared leadership role within the team of therapists. Case illustrations are included to demonstrate the concepts presented; and other areas for future study are suggested.     

Transformative experience and the shark problem

Philosophical Studies - In her ground-breaking and highly influential book Transformative Experience, L.A. Paul makes two claims: (1) one cannot evaluate and compare certain experiential outcomes...     

The interplay between psychological need satisfaction and psychological need frustration within a work context: A variable and person-oriented approach

A plethora of empirical data support a positive (or “brighter”) pathway to optimal human functioning as specified within Basic Psychological Needs Theory (Ryan and Deci in Psychol Inq 11(4):319–33, 2000). Yet, far less is known about the negative (or “darker”) pathway, a process evoking of human dysfunction and ill-being (cf. Vansteenkiste and Ryan in J Psychother Integr 23(3):263, 2013). Further, debate surrounds the independence and interplay between psychological need satisfaction and psychological need frustration and how these dynamic constructs are experienced within individuals. In this work, variable and person-oriented analyses were employed to: (i) investigate the relationships between the basic psychological needs and symptoms of stress, depression and anxiety as well as with life satisfaction; and (ii) identify different psychological need profiles and their relationship with psychological function. Participants (N?=?2236; M Age?=?42.16 years; SD?=?7.8) were UK-based operational firefighters who completed an online survey. Results of regression analyses showed a moderating effect of psychological need satisfaction on the relationship between need frustration and negative psychological symptoms. Latent profile analyses revealed five distinct basic psychological need profiles that carry implications for human psychological functioning. Some support for an asymmetrical relationship between need satisfaction and need frustration emerged (Vansteenkiste and Ryan in J Psychother Integr 23(3):263, 2013), yet, examples of above average need satisfaction and frustration scores were also observed. Worker profiles where psychological need frustration prevailed over need satisfaction had the poorest psychological health.

     

Correction to: Is it still worth it? Applying expectancy-value theory to investigate the intraindividual motivational process of forming intentions to drop out from university

Motivation and Emotion - An amendment to this paper has been published and can be accessed via the original article.     

Reliance on God’s Help as a Measure of Intrinsic Religiosity in Healthy Elderly and Patients with Chronic Diseases. Correlations with Health-Related Quality of Life?

Within the context of coping, we analyze whether Reliance on God’s Help, as a measure of intrinsic religiosity, is associated specifically with SF-12’s health-related quality of life. Data of 5,248 individuals (63.1 ± 10.6 years; 14% chronic diseases, 16% cancer, 8% had experienced acute diseases, and 62% healthy elderly as a control group) were enrolled. Although about half of the individuals had a strong belief that God will help and prayed to become healthy again, Reliance on God’s Help was not generally associated with better physical or mental health-related quality of life. Just in distinct subgroups we found some marginal associations. Regression analyses confirmed that physical or mental health were not among the predictors of Reliance on God’s Help. Nevertheless, intrinsic religiosity was utilized by several individuals, particularly by patients with higher age and cancer. It should be regarded as a resource to cope (meaning-focused coping) rather than an independent contributor to health-related quality of life.     

香港医疗制度与改革

香港的医疗制度由一个"二元医疗体系"组成,在体制模式、融资制度及服务规管三方面的安排都有其独特之处,为香港七百多万人提供了一个全民医疗安全网,能够达到公平、有效、可及性高及质素佳的要求.但是这个医疗系统也存在不少问题和隐忧,需要有效的改革,包括管治、管理、服务安排和融资模式改革等.