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.     

Financial aspirations,financial success,and overall life satisfaction: who? and how?

Nickerson et al. (2003, Psychological Science 14, pp. 531–536) demonstrated in a longitudinal study that the negative relation between aspirations for financial success and subjective well-being found by other researchers was mitigated by high household income. The present study first refined the analysis in Nickerson et al. (2003) and then explored two additional issues: (a) who aspires to financial success? and (b) how is financial success achieved? Analysis indicated that individuals with strong financial aspirations are socially inclined, confident, ambitious, politically conservative, traditional, conventional, and relatively less able academically, but not psychologically distressed. Financial success is achieved via the job and, for women only, via marriage. Financial aspirations influence job income both by influencing choice of occupation and by influencing job income within occupation; however, achieving financial success depends on having the personal resources to do so. Women with strong financial aspirations tend to marry for money (or money-making potential) regardless of their work status; men with strong financial aspirations do not.     

麻醉方式的临床决策

外科手术的进步离不开麻醉的配合,麻醉方式的抉择非常重要。如果麻醉达不到预期效果,不仅可以导致手术失败、也会给患者的身心带来伤害、甚至会由此引起医疗纠纷。科技进步、社会发展应运而生微创医学、医学人文学,这是社会的进步和必然趋势,也是麻醉方式选择的理论依据。