Medicine as business and profession

This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business.     

The relationship between qualitative and quantitative research: Lessons from feminist psychology

The dominant methodological approach in psychological research has involved the use of quantitative methods within a positivist framework. In this article we argue that both qualitative and quantitative methods have their strengths and limitations, depending on the research question under investigation. We examine some of the advantages of qualitative methods, paying particular attention to the value of such methods for feminist researchers. We challenge the positivist assumption that all research should be apolitical and value-free, arguing that the political context in which all research studies take place plays an important role in decisions about the appropriate research methods to use. Despite the value attached to qualitative methods by feminist researchers, there may be projects for which quantitative methods, or a combination of qualitative and quantitative techniques, are more suitable. We draw on examples from our research on the transition from school to the job market for young people, and a study of 16- to 19-year-old first time mothers to illustrate these points, examining the practical implications of our arguments for applied social psychology research.     

Semantic differential studies of children's language development: Some methodological problems

A semantic differential study of development of antonym meanings revealed methodological problems (e.g., concept-scale interaction and developmental changes in scale-checking style) not fully considered in previous semantic differential investigations of child language development. Twenty adjectives were rated on 10 scales by subjects from grades K to 5 (approximately 6 through 11 years old) and adults. Analyses by means, polarity ratings, and average sums of squared differences failed to yield consistent developmental trends. Subjects' choices of scale ratings did show clear age-related differences: Grades K and 1 chose extreme ratings almost exclusively; grades 2 through 4 showed an increase in neutral choices and decreases in extreme ratings; grades 4 and 5 and adults chose extreme ratings least often, neutral choices most often, and more intermediate ratings than any younger subjects. Results show that scale choice is a crucial factor in designing semantic differential studies with children, there is a low correlation between mean scores and ratings given by individual children, and shifts in scale-checking style should be considered when interpreting apparent developmental changes in children's semantic differential ratings.     

Concurrent validity of the WISC-R factor scores

This study investigated the efficacy of predicting academic achievement as measured by the Wide Range Achievement Test using the factor scores of the Wechsler Intelligence Scale for Children-Revised as potential predictors. Both instruments were administered to 200 school children referred for psychological evaluations. Factor scores for the WISC-R were computed according to equations provided by Gutkin (1978). These factor scores then were regressed in a stepwise manner on the Reading, Spelling, and Arithmetic standard scores from the Wide Range Achievement Test. Stepwise regressions also were performed using the traditional Verbal and Performance IQs as the potential predictors. A comparison was made between the results obtained by use of the factors or the more common scores. The results indicated that the Freedom From Distractibility factor score significantly aided in the prediction of Reading and Spelling achievement and was of primary importance in predicting Arithmetic achievement. When the stepwise results using the different scores were contrasted, the factor scores accounted for appreaciably more variance in Arithmetic than did the traditional Verbal and Performance IQs. Derived regression equations are reported along with a discussion of the interpretability of the Freedom From Distractibility factor.     

Neutralizing sexist titles in Holland's Self-Directed Search: What difference does it make?

Sex-role stereotyping in the linguistic structure of Holland's Self-Directed Search (SDS) was examined. A revised SDS was constructed involving the removal of all masculine-toned terminology from the items and test-taking instructions, as well as the affixing of the letters M/F and F/M to all occupational titles and terms commonly perceived as gender specific. Subjects were 266 lower division female students at a large state university; 133 subjects completed the standard SDS and 133 completed the revised form. Following SDS assessment, subjects rated their inventory with respect to perceived sexual equality. Comparison variables included: daydreams, occupations' scores, summary codes, and subsequent occupational choices. Occupational choices at each stage of the assessment process were classified as nontraditional or traditional choices for women. Results indicated that across all indices derived from the standard and revised versions of the SDS, there were no significant differences in these subjects' performance. The subjects did perceive the two inventories differently, with subjects completing the standard SDS viewing it as slightly less equitable.     

医疗社会工作：现实意义和发展趋向

医疗社会工作是社会工作专业的重要实务领域之一,在西方发达国家的医疗事业中扮演着不可替代的角色,具有解决患者及其家属问题、处理医患关系,并促进公共卫生政策的改善等多种功能。从我国目前的发展来看,尚处于起步阶段,还有诸多需要努力的方面,包括完善相关政策、提高服务质量、修正教育模式、突出中国特色等。     

Classroom effects on student motivation: Goal structures, social relationships, and competence beliefs

Psychologists and educators have often conceptualized motivation as an individual difference variable, something that some students simply have more of than other students. This view of motivation can underestimate contextual influences. In this article we consider how characteristics of the school and classroom may influence student motivation, as well as the role of educators in shaping school and classroom climate. We describe three motivational perspectives: achievement goal theory, self-determination theory, and social-cognitive theory. The effects on motivation of social relationships with teachers and peers are also considered.     

学校归属感与学生发展的探索研究

采用问卷调查法探讨中小学生的学校归属感与学校适应、自我概念、同伴关系及班级环境的关系。结果表明:1)学校适应、自我概念、同伴关系和班级环境与中小学生的学校归属感有密切的关系;2)学校归属感能有效的预测学生的自我概念;3)师生关系和同伴关系对学校归属感有重要影响,是学校归属感显著的预测变量;4)学校类型对学校归属感有显著的影响,重点中学学生的学校归属感显著高于其他类型学校的学生。     

孔子是怎样解释《周易》的

孔子与《易》是有密切关系的,抛开《史记》和帛书的记载不言,仅就《论语》中两条最直接的材料来看确实如此。"加我数年……"当为孔子五十之前所说。五十之前,孔子也曾学《易》,而孔子认为知天命之年尤需学《易》。"不占而已"表明孔子解《易》以德,判定吉凶不需要占筮,而是取决于人的德性。孔子以"生生之德性"解《易》,以"道德必然性"解"天命",通过揭去《周易》的神秘外衣,发掘并发展其天人之学,将隐微难言的性与天道托诸于显著的人道德性,发展出天人合一的德性学说。     

Holland high point social types: Is consistency related to persistence and achievement?

This study concerns Social personality types and assesses the relationship of Holland's secondary construct of consistency to persistence in college and academic achievement. The sample consisted of 211 Social subjects who completed the Self Directed Search (SDS) as college freshmen in 1970. Evidence of persistence/nonpersistence and cumulative grade point averages were determined from college records. Hypotheses concerned the relationship of consistency to (a) termination status (persistence/nonpersistence), and (b) cumulative grade point average, for both persisters and nonpersisters. Results indicate that the relationship between consistency and termination status was significant, with high- and medium-consistency subjects persisting in college at a higher rate than low-consistency subjects. The relationship between consistency and CGPA was also significant. Results indicate that for both persisters and nonpersisters in college, subjects with higher levels of consistency achieve higher CGPAs than do subjects with lower levels of consistency. Implications of these findings for academic retention and counseling, as well as for future research, are indicated.