关注热点挑战现实--迎接新的1000年

当这一期《医学与哲学》杂志呈现在亲爱的读者面前的时候 ,我们已经告别了一个世纪 ,迈进了一个全新的纪元。新旧世纪的交替 ,给予了我们许许多多的思绪 ,或追忆走过的路 ,反思我们的得与失 ;或畅想我们的未来 ,探索将要走的路。以医学科学发展理论层面的探索为己任的《医学与哲学》杂志 ,更应该进行这种梳理。回首我刊已走过的 2 0年的历程 ,应该说 ,她深深得益于我国的改革开放 ,也深深得益于中外大融合所形成的中国医学的崭新格局 ,更深深得益于广大编委、作者、读者的支持和厚爱。正是在这种前所未有的浓烈的学术氛围中 ,我们对国内外医…     

Infant mental health home visiting therapists’ reflective supervision self-efficacy in community practice settings

In recent years, there has been an increase in the research on reflective supervision, including the development of tools designed to measure reflective practice in the context of reflective supervision. The Reflective Supervision Self-Efficacy Scale for Supervisees (RSSESS) is a self-report measure that has been used in previous evaluations and is designed to assess perceived reflective practice self-efficacy for Infant Mental Health-Home Visiting (IMH-HV) therapists. Properties of the RSSESS including factor structure and reliability are explored in a first study that lays the foundation for the use of the RSSESS in an IMH-HV evaluation in the State of Michigan. IMH-HV therapists completed the RSSESS at 4 time points over a 12-month period and also completed a Clinician Profile Form that included questions about their IMH background and their work experience, including job satisfaction and burnout. Results indicated that the RSSESS is a reliable tool to measure change in reflective practice skills. IMH-HV therapists demonstrated growth in their use of reflective practice skills with families and their observational skills over the 12-month period. In addition, results indicated correlations between reflective supervision self-efficacy and job satisfaction as well as burnout.