Models of health and wholeness

A church-clinic model of the neighborhood health center, developed initially in a low-income area, has now been established over the past three years in middle- and upper-income areas. The church-clinics, called Wholistic Health Centers, are primary care medical clinics located in church buildings that utilize an interdisciplinary team in the planning for patient treatment and health education. The project integrates primary medical care with pastoral counseling services. Evaluation of the two clinics in middle-to-upper-income areas indicates that the patients are middle to upper class, well educated, and are not medically disenfranchised; their presenting problems are only slightly more often medical (58%) than psychosocial (42%).This work was conducted in part when Dr. Holinger was at the Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center, Chicago, Illinois.He is also the author ofWholistic Health.The authors gratefully acknowledge the assistance of the Rev. Granger E. Westberg, D.D., Clinical Professor, and Edward A. Lichter, Professor and Chairman, Department of Preventive Medicine and Community Health, University of Illinois at the Medical Center, Abraham Lincoln School of Medicine, Chicago, Illinois, in the preparation of this report.     

国内九个地区3—7岁儿童数概念和运算能力发展的初步研究综合报告

这个报告中的初步研究工作在做法上甚有可取之处,在收获上也令人感觉到有广阔的前途。但诚如作者自己所说,这项初步研究工作还有不少不足之处,很有待继续努大加以充实和提高。我们希望有更多同志共同探索各种做法,研究有关问题。     

Post-Adoption Services for High-Risk Families and Their Children: Preliminary Results of a State-Wide Intervention

Despite well-documented post-adoption needs of adoptive families, most states provide no or very limited post-adoption services. This study describes Right Turn® (RT), a state-wide program for strengthening adoptive families and preventing adoption dissolution. Results suggest: (a) RT is serving its targeted audience of adoptive families with challenging problems indicated by older adopted children with a history of multiple placements, extended time in social services systems, and a host of mental health challenges; and (b) adoption training, family support when navigating access to post-adoption services, and collaboration with adoption-competent therapists appeared to have helped improve program outcomes.     

选择最佳证据加强多学科协作

循证医学给医学带来了一次变革,极大地促进了医学的发展,使医生在对患者的诊治过程中有证可循,大大提高了临床诊治的准确性,也使各种诊治方法趋于规范化.循证医学首先强调的是应用当前所能获得的最好的研究证据,那么什么是最好的研究证据?如何获得最好的研究证据?又如何通过运用循证医学使患者得到最佳的治疗效果呢?本期"临床决策研究"栏目中陈懿等撰写的文章"循证医学与实事求是"对此进行了深入的探讨和评论.     

The Learning Sciences in a New Era of U.S. Nationalism

What responsibilities do researchers of learning have in the wake of Trump's election and the proliferation of far-right, populist nationalism across the globe? In this essay, we seek to prompt and engage a dialogue about the political role and responsibilities of our field at this historical moment. First, we situate the social hierarchies that were most pronounced during this election within a longer history of U.S. policies and practices. We then examine the ostensible division between research on learning and the political contexts and consequences of learning. We argue for the need to address this false chasm and build on scholarship that has demonstrated the inextricable links among learning, power, and politics. We conclude by exploring how research on learning might more meaningfully engage with the political dimensions of learning through teaching, engaged research, publishing, professional forums, and service.     

Homeless Adults’ Recovery Experiences in Housing First and Traditional Services Programs in Seven European Countries

Across Europe, as governments turn to housing-led strategies in attempts to reverse rising rates of homelessness, increasing numbers of Housing First (HF) programs are being implemented. As HF programs become more widespread, it is important to understand how service users experience them compared to the more prevalent traditional treatment-first approach to addressing long-term homelessness. Although there is a large body of research on service users’ experiences of Housing First compared to treatment-first in North American contexts, comparatively less is known about how these two categories of homeless services are experienced in the European context. In a correlational and cross-sectional study, part of a larger examination of homelessness in Europe, participants (n = 520) engaged with either HF (n = 245) or traditional services (TS; n = 275) programs in seven countries completed measures of their experiences of services (consumer choice, housing quality, and service satisfaction) and recovery (time in independent housing, psychiatric symptoms, and community integration). Across the seven countries, participants engaged with HF programs reported experiencing more consumer choice, better perceived housing quality, and more satisfaction with services than participants engaged in TS programs. Participants in HF programs also reported a greater proportion of time in independent accommodation, fewer psychiatric symptoms, and more community integration. Varying patterns of association between experiences of services and recovery outcomes were observed. Findings indicate HF consistently predicts greater recovery than TS across diverse sociopolitical and economic contexts. Implications of findings for configurations of homeless services and homeless services policy are discussed.     

Culture, emotion regulation, and adjustment

This article reports differences across 23 countries on 2 processes of emotion regulation--reappraisal and suppression. Cultural dimensions were correlated with country means on both and the relationship between them. Cultures that emphasized the maintenance of social order--that is, those that were long-term oriented and valued embeddedness and hierarchy--tended to have higher scores on suppression, and reappraisal and suppression tended to be positively correlated. In contrast, cultures that minimized the maintenance of social order and valued individual Affective Autonomy and Egalitarianism tended to have lower scores on Suppression, and Reappraisal and Suppression tended to be negatively correlated. Moreover, country-level emotion regulation was significantly correlated with country-level indices of both positive and negative adjustment.