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Attempts to define professionalism and humanism suggest that qualities such as compliance to values, patient access, doctor-patient relationship, demeanor, professional management, personal awareness, and motivation are prominent thematic components. In this communication, we present a method for instruction in the values of humanism that may help to overcome the "curricular inertia that plagues medical education." Our approach is structured around a technique of testimonial-commentary as a novel approach to teaching humanism that does not rely upon the traditional role-modeling format. To develop effective medical school curricula for teaching humanism, we cannot rely upon the textbooks of normal and abnormal human anatomy and physiology. We must delve into the "unscientific" realms of human identity ranging from sensuality to brutality: self-preservation to sacrifice. Underneath it all, we must acknowledge that there are the ties that bind us together as people. The Seminar on Human Suffering challenges medical school educators to work with the community at large to insure that physicians will be able to serve those that seek their counsel.  相似文献   
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We presented a scenario in which a protagonist saw an object in Location A but later heard a message saying it was in Location B. Participants judged where the protagonist believed the object was. In one condition, participants had additional information that the message was true. Those from an individualistic subculture tended to judge that the protagonist believed the message when they (the participants) knew it was true but disbelieved the message when they had no additional information. In contrast, participants from a collectivist subculture tended to judge that the protagonist believed the message in both circumstances. The results suggest that culture is related with subtle aspects of understanding the mind and especially how people evaluate messages. Copyright © 2006 John Wiley & Sons, Ltd.  相似文献   
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Between 1982 and 2011, four Israeli governmental reports addressing ostensible dangers from “cults” (new religious movements, or NRMs) were issued. The 1980s reports use a collectivist discourse, in which the state sees itself as defending the collective's borders from external threats and representing various sectors while seeking consensual values. The 1990s report marks an interim stage in which the state tries to balance individual liberties with sectoral interests. The 2011 report focuses solely on harm to individuals and is the harshest of the four. The reports reflect milestones in three processes of change that have taken place in Israeli society: from a collectivist‐hegemonic ethos to a multisectoral one; from a focus upon society to a focus on the individual; and from nationalistic values to universalistic ones. At every point in time, NRMs represented a different perceived threat to Israeli society. We explain how multisectoralism brings about both tolerance toward new religious phenomena and fierce anti‐cultic activity.  相似文献   
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Concreteness ratings are frequently used in a variety of disciplines to operationalize differences between concrete and abstract words and concepts. However, most ratings studies present items in isolation, thereby overlooking the potential polysemy of words. Consequently, ratings for polysemous words may be conflated, causing a threat to the validity of concreteness‐ratings studies. This is particularly relevant to metaphorical words, which typically describe something abstract in terms of something more concrete. To investigate whether perceived concreteness ratings differ for metaphorical versus non‐metaphorical word meanings, we obtained concreteness ratings for 96 English nouns from 230 participants. Results show that nouns are perceived as less concrete when a metaphorical (versus non‐metaphorical) meaning is triggered. We thus recommend taking metaphoricity into account in future concreteness‐ratings studies to further improve the quality and reliability of such studies, as well as the consistency of the empirical studies that rely on these ratings.  相似文献   
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Market-based freedom of choice and user autonomy occupies a prominent position on the policy-maker agendas in many countries, increasingly more so than equity of access or equality of opportunity. The essay discusses how the introduction of market logic and consumerism in public health care services relies on, and taps into, unconscious dynamics and fantasies of invincibility while ignoring precariousness of life and our infinite potential to experience vulnerability. This creates toxicity in organisations and corrupts the moral institutional fabric. Drawing on psychosocial approaches inspired by various strands of psychoanalysis, and the theory of affective attachments to social norms offered by Judith Butler, I propose an ethics of relationality and compassionate care for the unknown ‘other’, as a way of counteracting these developments.  相似文献   
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Patients with multiple sclerosis (MS) engage in various coping behaviours in order to manage their disease. The aim of this study is to find out if the self-esteem of patients is associated with coping strategies – problem-focused (e.g. making a plan of action when confronted with a problem); emotion focused (e.g. get emotional support from community); and focused on stopping unpleasant emotions and thoughts (e.g. keeping oneself from feeling sad), and if it can enhance or hinder coping efforts in the disease management. We collected data from 155 consecutive MS patients who completed the Coping Self-Efficacy Scale (CSE) and the Rosenberg Self-esteem Scale (RSE). Explained variance for problem-focused coping, emotion-focused coping, and coping focused on stopping unpleasant emotions and thoughts was 33, 24, and 31%, respectively. Self-esteem seems to be associated with coping strategies indicating that feelings of self-worth are linked with the ability to handle difficult life situations and can be helpful in chronic disease management.  相似文献   
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Among a sample of 196 participants, small differences in holistic client functioning, as measured by standardized Adult Needs and Strengths Assessment (Lyons & Walton, 1999) and symptom severity scores, emerged across 3 diagnostic categories of serious mental illness (SMI; i.e., depression, bipolar disorder, and schizophrenia). However, sizable variations in symptom severity were evident across diagnoses of SMI, despite study participants receiving a similar configuration and intensity of recovery-oriented usual-care services. These results may evidence previous concerns surrounding the transdiagnosis of SMI, overlapping criteria and symptomatology among disorders in the Diagnostic and Statistical Manual of Mental Disorders, and mental health treatment and service practices in the United States. Implications for counselor practice are discussed.  相似文献   
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