Family therapy in primary health care: Skills training and outcome evaluation

Some of the theoretical tenets of family therapy such as emphasis on the activation and utilization of existing family resources and the importance it accords to context appear to have a good fit with primary health care's commitment to empowering individuals in their struggle against ill health and the circumstances in which it occurs. This paper explores the possibility of teaching a problem-solving approach to family therapy to nurses in a South African primary health care system. Training consisted of conceptual, pragmatic, and self-growth exercises, and trainees' conceptual and performance skills were compared to the skills of a group of untrained nurses.We thank Bukelwa Selema, co-trainer on the program, for her contributions to joining effectively with the nurses and enriching the experiential process. We also thank Dr. P.J. Beukes, Dr. J.H. Olivier, Dr. G.M. Louw, Matron L.C. Langley and other staff in the Soweto primary health care system for their support. In particular, we are grateful to nursing sisters Martha Nkoane and Millicent Matomela, who roleplayed clients on the videotaped training modules. We are also grateful to Edcent Williams, who was one of the videotape raters, and Mike Spruce, Ricky Snyders, Nico Cloete, Ricky Mauer, and Brenda Radebe for their inputs at various stages of designing and implementing the programme.     

Experienced closeness and distance among family members

This study looks at experienced emotional closeness among family members using a projective measure, the Family Paper Sculpture. Results support the hypothesis that, in a non-clinical population, experiences of extreme closeness and extreme distance may be different manifestations of the same underlying process. Some support is found for the hypothesis that families in which relationships are experienced as very close or very distant at one point in time may experience those same relationships as extreme in the opposite direction at another point in time. Global coding of taped family interactions supports the hypothesis that extremes of experienced closeness are associated with more conflict, less ability to resolve differences, and less warmth and support among family members. It is suggested that the experience of being very close, varying through time with the experience of being very distant, may be associated with disappointed attempts to achieve closeness with autonomy.worked on this research while a graduate student in psychology at the University of Houston-Clear Lake.David C. Bell, PhD, completed work on this report while at Texas A & M University. He is presently working on a book about connection and dependency.The studies reported here were supported by grants from the National Institute for Mental Health and the Hogg Foundation for Mental Health. The authors would like to thank David Gutterman, Sheila Jones, Judy Nunn, and Theresa Rourke for coding the global scales.     

学习效能感、自我决定动机对学业期望的作用:基于统合模型的分析

研究整群抽样山东某高中高二学生500人,通过统合模型分析自我决定动机在学习效能感预测学业期望中的作用.结果表明,学习效能感—自我决定动机—学业期望的模型与数据拟合良好,学生的学习效能感可以通过自我决定动机,正向预测其学业期望,自我决定动机在学习效能感和学业期望中起中介作用,非自我决定动机不能预测学业期望.说明学习效能感...     

自我损耗降低决策理性:心理机制与边界条件

处于自我损耗状态时, 个体在意愿上偏好即时利益和目标, 并且会做出许多非理性决策行为。在梳理自我损耗对行为决策的影响基础上, 指出自我损耗降低决策理性的注意机制和执行机制:一方面, 损耗使个体注意力更容易为即时利益所捕获, 进而重视短期利益而忽视长远利益, 即降低个体关注未来的能力; 另一方面, 损耗导致个体缺少计划性和行为实施的执行力, 即降低个体坚守未来的能力。此外, 损耗对决策理性的影响存在个体和情境两个方面的重要边界。未来可结合眼动技术验证损耗降低决策理性的注意机制, 进一步探究潜在边界条件以及寻找助推理性决策的方法。     

Geophysical variables and behavior: XCVII. Increased proportions of the left-sided sense of presence induced experimentally by right hemispheric application of specific (frequency-modulated) complex magnetic fields

12 young men and women who were not aware of the stimulus order were exposed to 8 configurations of weak 1 microTesla) magnetic fields for 5 min. each, applied primarily over the right parietotemporal region. The numbers of sensed presences along the left side, right side, or front/back, as inferred by button presses at the time of the experience, were recorded. There were significantly (eta2= .37) more experiences along the left side than the right side during the presentations of a frequency-modulated (Thomas) pattern with 3-msec. point durations compared to the presentation of its temporally reversed structure or to patterns that were more or less complex. 40% of all left-sided presences occurred during the 5-min. presentation of this specific frequency-modulated pattern. These results suggest that the subjective lateralization of a sensed presence to the left during right hemispheric stimulation by weak magnetic fields is enhanced by the specific temporal structure of the applied field.     

决策渐进调整过程的个案研究

许多以全面理性为基础的决策理论都倾向于把决策者对事物的认识作为决策的前提,认为一项好的决策只有在充分认识了事物的情况下才是可能的.许多心理学的研究发现,这种假设并不符合实际的情况.本研究以"行动理性"为出发点,运用个案分析技术,深入剖析了某电子原件厂历时半年的生产经营决策过程,揭示了决策在执行的过程中逐步调整和发展的特征.研究发现,作为决策的前提的认识,实际上是在该决策的执行过程中不断发展和完善的.决策者是在决策执行结果的评价基础之上,逐步深入地认识决策的关键问题,包括(1)决策所要解决的问题,(2)决策方案会产生什么样的结果,(3)决策执行方法是否适当,(4)决策应采取什么样的程序和方法,(5)决策的形势和条件如何.正是这些"后见",使决策者能够逐步调整决策,实现决策的"渐进发展".这种行动决策的思想,把决策者的认识、决策和决策执行三者的关系看做一种循环发展的过程.     

Normalization of spatial learning despite brain damage in rats receiving ketamine after seizure-induction: evidence for the neuromatrix

The concept of the neuromatrix assumes that all behaviours are associated with complex spatiotemporal electromagnetic fields within the brain. The same complex magnetic field can be supported potentially by different mosaics of neuronal associations and result in the same behaviours. In the present study the accuracy of long-term and short-term spatial memory for rats that had been treated with 100 mg/kg of ketamine immediately after the induction of seizures by lithium and pilocarpine did not differ from normal rats despite the conspicuous multifocal neuronal loss. A 30-min. delay of treatment with ketamine resulted in significant memory impairment. Whereas deficits in short-term memory were significantly correlated with cell loss within the CA field of the hippocampus, deficits in long-term memory were related to cell loss within specific thalamic-amygdaloid structures. Implications for the concept of the neuromatrix, if valid, are discussed.     

医疗保险实施中的新课题：构建合理的利益格局

大连市实施医疗保险制度6年来,在医疗保险制度改革中医保机构、医疗机构、医药行业及参职工在利益格局调整中,出现了一些问题。从有利于医疗保险制度改革和公平、公正、客观的角度,用辩证的方法分析了医疗保险制度改革过程中的几个主要矛盾,进而从改变利益观、完善政策、加快配套改革等方面提出了相应的建议。     

青少年心理健康素质调查表的编制

本文详细阐明了心理健康素质的操作定义,介绍了《青少年心理健康素质调查表》的构建和内容,特别是调查表初步编制的过程和结果,并对调查表的各类心理测量学指标和量表编制的理念进行了详细讨论。     

初中生情绪反应、表达及其与攻击行为

运用自编的《中学生情绪评定问卷》和修订的Spielberger《状态——特质愤怒表达问卷》对833名普通中学初中生进行了测试,并用同伴提名的方法把学生分为普通组、身体攻击组和关系攻击组,探讨了初中生情绪反应、表达的特点和攻击行为学生情绪反应、表达的特点。研究结果表明:(1)初中女生报告的恐惧感、悲伤感高于男生,女生报告的愤怒表达也显著高于男生;但在特质愤怒方面,男生报告的特质愤怒水平显著高于女生。在情绪表达与反应的大多数方面不存在显著的年级差异,只在负性情绪表达方面初二女生报告了比初一、初三女生更高的负性情绪表达。(2)被同伴提名为身体攻击学生在状态愤怒、特质愤怒、愤怒表达方面显著高于普通学生,被同伴提名为关系攻击的学生在特质愤怒、愤怒表达方面也显著高于普通学生。攻击行为学生的愤怒情绪系统存在一定的缺陷。