Comparison of the Effects of Telephone Suicide Prevention Help by Volunteers and Professional Paid Staff: Results from Studies in the USA and Quebec,Canada

Research since the 1960s has consistently found that lay volunteers are better at helping suicidal callers than professionals. Yet, professional degrees are increasingly becoming requirements for helpline workers. In our first study, we conducted post hoc comparisons of U.S. helplines with all professional paid staff, all lay volunteers, and a mix of both, using silent monitoring and standardized assessments of 1,431 calls. The volunteer centers more often conducted risk assessments, had more empathy, were more respectful of callers, and had significantly better call outcome ratings. A second study of five Quebec suicide prevention centers used silent monitoring to compare telephone help in 1,206 calls answered by 90 volunteers and 39 paid staff. Results indicate no significant differences between the volunteers and paid employees on outcome variables. However, volunteers and paid staff with over 140 hours of call experience had significantly better outcomes. Unlike the United States, Quebec paid employees were not required to have advanced professional degrees. We conclude from these results and previous research that there is no justification for requiring that suicide prevention helpline workers be mental health professionals. In fact, the evidence to date indicates that professionals may be less effective in providing telephone help to suicidal individuals when compared to trained lay volunteers.     

为医学"会诊”-当代医学的主要缺憾

现代医学发展迅速,方兴未艾,由于技术主义抬头,认识局限与医学发展水平的制约。出现某些缺憾性倾向。主要有：破足的医学、分裂的医学。被动的医学、治标的医学、人性淡漠的医学、不公正的医学等。在对上述进行分析与评论的基础上,对医疗服务变革真挚进行了预测与展望。     

相对熟悉度和同音线索在谐音型歇后语理解中的作用

谐音型歇后语是汉语特殊的语汇表达形式, 对其加工常常需要通达后一语节的同音线索来完成语音、语义隐喻映射。本研究通过2个实验探讨相对熟悉度和同音线索类型对谐音型歇后语加工的作用。实验1结果表明, 在高熟悉度条件下, 被试对语汇的加工策略取决于歇后语的同音线索类型。当后一语节为同音字时, 加工较为快速; 当后一语节为谐音字时, 通达歇后语隐喻意义的路径受阻。对熟悉度较高的谐音型歇后语进行加工, 语义通达表现出预存性; 在缺乏同音线索的条件下, 语料加工时间较长, 反应准确率较低, 支持概念隐喻模型和概念合成假说。而对熟悉度较低的歇后语进行加工, 被试更倾向于采用即时(on-line)策略, 支持概念合成理论和基于心理模型的语用推理假说。实验2结果表明, 呈现“错误同音”线索对歇后语的加工形成干扰, 不支持概念合成理论和基于心理模型的语用推理理论。总的结果表明, 相对熟悉度和同音线索类型影响谐音型歇后语的通达, 谐音歇后语加工需要同时激活语音和语义两条通道。     

辱虐管理与员工创造力：心理契约破坏和中庸思维的不同作用

近年来, 辱虐管理与员工创造力的关系受到越来越多研究者的关注。在以往研究的基础上, 本研究构建了一个有调节的中介作用模型, 以探讨中国文化情境下辱虐管理影响员工创造力的中介心理机制及边界条件。采用多阶段-多来源的策略, 以93名主管和369名员工为对象, 通过多水平结构方程建模技术对三阶段主管-员工配对调查所获取的数据进行分析, 结果表明：主管的辱虐管理行为会通过心理契约破坏的中介作用, 对员工创造力产生间接的消极影响; 但该负向的间接关系的强度对高中庸思维者而言较弱。本研究有助于揭示辱虐管理影响员工创造力的心理机制及边界条件, 研究结果对企业员工创造力及创新行为的管理实践也有一定启示。     

Advocacy processes in mental health: a qualitative study

Advocates perform an important role in representing the rights of mental health consumers, especially since mental health consumers are often marginalized. Little is known about the processes advocates use to assist mental health consumers in navigating the health care system. This study details the manner in which advocates work together with mental health consumers and health professionals through presenting a qualitative synthesis of 60 case records. Four main themes emerged: negotiating on behalf of consumers during meetings with health professionals; liaising between consumers and health professionals outside of meetings; supporting consumer decision making without the involvement of health professionals; and involvement in legal processes. The findings of this study demonstrated that advocates were primarily oriented toward the protection of negative rights, but they also promoted positive rights.     

Facial gender confirmation surgery—review of the literature and recommendations for Version 8 of the WPATH Standards of Care

Facial gender confirmation surgery (FGCS), also popularly known and referred to in the scientific literature as facial feminization surgery (FFS), was previously treated as a collection of aesthetic procedures complementing other aspects of gender-confirming surgery. Recent literature on quality-of-life outcomes following FGCS has supported the substantial impact these procedures have on overall well-being and reduction of psychosocial sequelae in patients. The World Professional Association for Transgender Health Standards of Care, Version 7 (WPATH SOC 7), did not deem FGCS a medical necessity. Based on these new studies, increasing evidence points to the need to include FGCS among medically necessary gender-confirming surgeries, though more-prospective studies are needed. Updates to the WPATH SOC 8 are proposed based on available quality of life studies.     

集体主义-个体主义文化视角下工作-家庭关系差异分析

工作-家庭关系研究是组织与管理心理学中研究的热点议题,社会文化因素是工作-家庭关系研究中的重要影响因素。本文在分析已有相关文献的基础之上,总结发现:个体主义文化下的员工工作和家庭之间的关系对等并且领域之间界限明晰,而集体主义文化下个体的工作-家庭之间的关系并非完全对等,且员工的工作和家庭之间存在更多联结。如何在现有的工作-家庭关系研究的基础上明晰适合我国文化背景的研究理论以及挖掘能够体现我国工作-家庭关系特征的研究主题是今后研究的方向与任务。     

社会公正对权威合法性的影响:社会阶层的调节作用

社会层面中的权威合法性研究是国内外学者和管理实践者近来关注的重要问题。而社会公正的两个维度——分配公正和程序公正对权威合法性的交互作用的结果并不一致。本研究基于解释水平理论,提出社会阶层能调节分配公正和程序公正对权威合法性感知的交互作用,并通过实验室研究和情境启动两种方法进行验证。结果发现对低阶层者来说,无论是否程序公正,分配公正能显著提高个体的权威合法性感知;在分配公正和多得不公条件下,程序公正显著降低权威合法性感知。对高阶层者来说,分配公正能显著提高程序公正时的权威合法性感知;程序公正能显著提高分配公正时的权威合法性感知。研究结果启示社会管理者在推行依法治国时应针对不同阶层民众的思维方式采取管理策略。     

亲子关系与青少年心理资本的关系:友谊质量的中介效应与学校联结的调节效应

该研究探讨了亲子关系与青少年心理资本的关系,并提出一个有调节的中介模型,考察友谊质量的中介效应和学校联结对该效应的调节效应。研究采用问卷调查的方式,对732名青少年进行了研究,研究工具包括亲子关系量表、心理资本量表、友谊质量量表、学校联结量表。结果表明：（1）友谊质量在亲子关系与青少年心理资本之间起中介作用,即亲子关系通过友谊质量间接影响青少年的心理资本。（2）亲子关系通过友谊质量对青少年的心理资本的间接效应受学校联结的调节,且这种间接效应在低学校联结的青少年中更显著。本研究验证了家庭系统、同伴系统和学校系统对个人系统（心理资本）的联合作用,对青少年心理资本的提高有一定的指导意义。     

图示写实性对飞机安全须知卡可理解性的影响

本研究使用眼动技术及模拟操作任务考察了图示写实性对飞机安全须知卡可理解性的影响。三组被试分别阅读写实照片、卡通插画、目标实物+其余图画的混合呈现等三种不同呈现形式的安全须知示意图,随后完成模拟操作任务。结果显示,混合组较写实组能更好地引导被试注意投放到与安全操作有关的关键区域上;混合组与写实组的模拟操作绩效均优于卡通组。基于上述结果,笔者建议使用"混合呈现方式"的飞机安全须知卡向乘客传递安全信息。