关于二类疫苗医疗损害责任类型化的思考

基于法的规范分析,二类疫苗预防接种损害责任的法律关系及性质比较复杂,体现了违约与侵权责任的竞合,兼具一般医疗技术损害责任和医疗产品责任的双重性质,由此导致其损害责任的构成要件、案由选择、法律适用及救济路径也各不相同。二类疫苗预防接种技术损害责任采用过错归责原则,而二类疫苗的产品损害责任适用无过错归责原则,疫苗的产品责任属于不真正连带责任。深入分析二类疫苗损害责任的性质,有助于厘清其损害责任的承担,促进其损害救济体系的完善。     

心理治疗的消极后果

心理治疗消极后果是指由于心理治疗本身直接导致的来访者病情恶化。消极后果表现形式多样,对其测量应全面而仔细确证。消极后果的影响因素众多,包括来访者中有人格病理诊断、人际功能障碍、他评病情严重、对治疗期望不正确和动机低下;治疗师缺乏共情、对来访者出现负性反移情、低估来访者病情和错误使用治疗技术;潜在有害疗法。对其预防包括治疗前对治疗师和疗法进行规范和治疗中采用聚焦来访者的研究减少消极后果发生率。最后提出目前研究中存在测量、研究单位选择和伦理等难题,未来研究应全面呈现研究数据、采用RCT研究确定消极后果发生率、用交互作用研究模式寻找消极后果影响因素以及对中介变量的研究探询消极后果发生机制。     

Correlates of Adolescent Cyberbullying in South Korea in Multiple Contexts: A Review of the Literature and Implications for Research and School Practice

Cyberbullying is rapidly increasing in South Korea. The present article reviews research on factors associated with cyberbullying perpetration and victimization in South Korea. Study findings suggest a number of factors within individual, family, peer, and school levels. Relations with parents, parental verbal abuse, and a lack of attachment are related to perpetration. Delinquent peer association is positively associated with perpetration and victimization, and students’ school satisfaction is negatively associated with this victimization. Adolescents’ use of social networking sites and social media and lack of rules in cyberspace are found to increase perpetration and victimization. Research and practice implications are discussed.     

The usefulness of the story recall test in patients with mild cognitive impairment and Alzheimer's disease

ABSTRACT

Background: The story recall test (SRT) is one of the most reliable neuropsychological assessments for evaluating verbal memory function in order to distinguish between individuals with normal aging, mild cognitive impairment (MCI), and Alzheimer's disease (AD). The SRT is analogous to the logical memory test in Wechsler Memory Scale-III, which has recently been developed and standardized to apply to older adults in Korea. The purpose of this study was to examine the usefulness of the SRT and its ability to discriminate between normal cognitive aging and patients with MCI or AD. Methods: One hundred and twelve patients with MCI, 97 patients with AD, and 53 healthy elderly adults participated in this study. The SRT was compared with the Clinical Dementia Rating (CDR), Global Deterioration Scale (GDS), Korean version of the Mini Mental State Examination (K-MMSE), and the Korean version of the Hopkins Verbal Learning Test (K-HVLT). Results: The SRT was well-correlated with the dementia rating scales and the K-HVLT. However, the sensitivity and specificity of the SRT was greatly influenced by the level of education of the subjects. Conclusions: The SRT is a sensitive measurement of verbal memory function that can be used in clinical settings to discriminate between normal memory functioning and the very early and moderate stages of AD in a Korean population. Moreover, it is important to recognize that the SRT is more appropriate for subjects with a high level of education rather than a low level of education to differentiate normal cognitive aging from MCI or AD.