Multidimensional Family Therapy HIV/STD Risk-Reduction Intervention: An Integrative Family-Based Model for Drug-Involved Juvenile Offenders

Drug and juvenile justice involved youths show remarkably high rates of human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk behaviors. However, existing interventions aimed at reducing adolescent HIV risk behavior have rarely targeted these vulnerable young adolescents, and many approaches focus on individual-level change without attention to family or contextual influences. We describe a new, family-based HIV/STD prevention model that embeds HIV/STD focused multifamily groups within an adolescent drug abuse and delinquency evidence-based treatment, Multidimensional Family Therapy (MDFT). The approach has been evaluated in a multisite randomized clinical trial with juvenile justice involved youths in the National Institute on Drug Abuse Criminal Justice Drug Abuse Treatment Studies ( http://www.cjdats.org ). Preliminary baseline to 6-month outcomes are promising. We describe research on family risk and protective factors for adolescent problem behaviors, and offer a rationale for family-based approaches to reduce HIV/STD risk in this population. We describe the development and implementation of the Multidimensional Family Therapy HIV/STD risk-reduction intervention (MDFT-HIV/STD) in terms of using multifamily groups and their integration in standard MDFT and also offers a clinical vignette. The potential significance of this empirically based intervention development work is high; MDFT-HIV/STD is the first model to address largely unmet HIV/STD prevention and sexual health needs of substance abusing juvenile offenders within the context of a family-oriented evidence-based intervention.     

仁者仁医 世之楷模——著名医学家裘法祖院士的行医之道

2004年12月6日,中国科学院院士、著名外科学家、华中科技大学教授、博士生导师、中共党员、同济医学院创始人裘法祖被授予“人民医学家”荣誉称号,这是湖北省人民政府在裘教授迎来九十华诞暨从医65周年之际送给他的一份精美礼物。这位医术精湛、医德高尚、为我国医学事业做出了杰出贡献的著名医学家,受到了人民群众的高度评价和尊重,也为广大的科技工作者,尤其是医学教育和医疗卫生工作者,树立了光辉的榜样。裘教授从医60多年来,不仅以其精湛的医术点燃了无数人的生命之灯而享誉海内外,他的高尚医德同样也赢得了社会的普遍赞誉而成为世之楷模。     

Preliminary support for the use of a hierarchical mapping technique to examine attachment networks

In 2 studies, we investigated the validity and usefulness of a bull's eye hierarchical mapping measure to examine the content and structure of attachment networks. The bull's eye identified network differences between people of different attachment styles and between different ages. Attachment networks varied in the number of members and their hierarchical organization as a function of attachment style. Secure individuals included a higher number of secure relationships in their networks and placed them closer to the core self than their insecure relationships, as well as closer than did dismissing‐avoidant individuals. The bull's eye also allowed for the observation of meaningful interrelations between network members. Study 2 utilized a cross‐sectional design by which we observed network fluidity from mid‐ to late‐adolescence in addition to attachment style differences. One important finding was that late‐adolescents placed their friends closer to the core self than did midadolescents, reflecting increased use of peers as close attachment figures.     

As the Twig Is Bent? The Myth of Child-Rearing Influences on Personality Development

Social scientists and laypersons alike believe that child-rearing styles and family environments are formative of personality traits such as shyness and activity level, intellectual traits such as IQ, and psychopathology. After 100 years of behavioral genetic research, however, including new studies of twins raised apart and together, little factual support for this “common sense” proposition can be found. Nonintellectual traits seem to be determined instead by genetic influences and by relatively specific environmental influences, most of which are not particularly tied to the family or parental treatments. Intellectual traits show modest family environmental influence, but that influence may diminish in importance after childhood. I conclude that parents should be given less credit for children who turn out well and should take less blame for children who turn out poorly. Counselors who blame parents less for children's behavioral outcomes—especially extreme traits and psychopathology—may find those parents to be more willing helpers in those intervention processes that have been shown to work.     

舞动治疗：一种自下而上的精神分裂症干预探索

皮层-基底节-丘脑网络与脑岛网络属于感觉运动相关网络, 这两个网络的改变可能是导致精神分裂症的重要原因。目前主流研究与临床干预聚焦于患者的高级脑区异常, 对感觉运动系统的关注不足。对健康个体的研究发现舞蹈训练对感觉运动相关脑网络具有显著提升作用, 并自下而上地促进高级功能。以上研究提示舞蹈训练可能是干预精神分裂症、改善患者认知功能的新途径。本研究拟借助多模态磁共振成像技术, 以精神分裂症感觉运动相关网络为着力点, 通过分析精神分裂症患者在舞蹈训练前后的脑影像、临床症状及认知行为的改变, 揭示舞蹈训练临床干预的神经机制。     

从诺贝尔生理与医学奖提名看亚洲的医学地位

诺贝尔生理与医学奖是生命科学领域声誉最高的一个奖项,获得者的多少常被作为衡量一个国家科技实力的一项指标.至今,亚洲的科学家仅有1人获得了该项荣誉,但是已经有多名科学家获得了提名,通过描述从1901年到1951年之间诺贝尔生理与医学奖的提名情况来评价亚洲的医学地位.     

Repeated priming of attachment security influences later views of self and relationships

Research shows that priming attachment security results in positive relationship expectations and affect (Rowe & Carnelley, 2003). We examined whether repetitive priming of attachment security (e.g., experimentally activating cognitive representations of attachment security) would have more lasting effects on relationship‐ and self‐views. Participants provided baseline measures at Time 1. On 3 occasions (across 3 days), we primed participants with attachment security or a neutral prime (Times 2–4). Two days later (Time 5), participants completed trait‐level measures not preceded by a prime. As expected, those repeatedly primed with attachment security reported more positive relationship expectations, more positive self‐views, and less attachment anxiety at Time 5 than at Time 1; those primed with neutral primes showed no change with time. These priming effects last longer than those typically found.     

父母教养方式与幼儿焦虑关系的三水平元分析

以0~7岁学前儿童为样本,采用元分析方法考察父母教养方式（积极和消极）与幼儿焦虑之间的关系。通过文献检索,共获得26项研究,含136个独立效应量,被试总数达13565名。由于部分研究中存在多个效应量,当前研究针对两种教养方式分别构建了三级元分析模型。主效应检验发现,父母积极教养方式与幼儿焦虑呈显著负相关,而父母消极教养方式与幼儿焦虑呈显著正相关。调节效应检验发现,父母积极教养方式与幼儿焦虑之间的相关受到父亲受教育水平和幼儿生活质量的调节,但不受幼儿性别、母亲受教育水平和焦虑测量工具类型的影响。此外父母消极教养方式与幼儿焦虑之间的相关受到焦虑测量工具类型的调节,但这一相关不受幼儿性别、生活质量和父母受教育水平的调节。上述结果表明,父母教养方式与幼儿焦虑之间的关系密切,也指出了将来的研究过程中要关注父亲受教育水平、幼儿生活质量和焦虑测量工具类型在两者关系中的作用。     

早期胃癌直径、淋巴结微转移与组织E1AF、MMP-7mRNA表达临床研究

早期胃癌内镜下切除的安全性取决于严格的术前分期、肿瘤直径及有无淋巴结转移。研究证实早期胃癌组织分型、肿瘤直径、淋巴结微转移与E1AF、MMP-7mRNA表达具有相关性,并使其具有侵袭转移的生物行为。根据临床病理特征及相关组织内E1AFmRNA、MMP-7mRNA表达选择治疗方式,以获取更好疗效。     

早期胃癌直径、淋巴结微转移与组织E1AF、MMP-7mRNA表达临床研究

早期胃癌内镜下切除的安全性取决于严格的术前分期、肿瘤直径及有无淋巴结转移.研究证实早期胃癌组织分型、肿瘤直径、淋巴结微转移与E1AF、MMP-7mRNA表达具有相关性,并使其具有侵袭转移的生物行为.根据临床病理特征及相关组织内E1AFmRNA、MMp-7mRNA表达选择治疗方式,以获取更好疗效.