Medical Psychology Services in Dutch General Hospitals: State of the Art Developments and Recommendations for the Future

In this article an overview is presented of the emergence of medical psychology in the care of somatically ill patients. The situation in the Netherlands can be considered as prototypical. For 60 years, clinical psychologists have been working in general, teaching and academic hospitals. Nowadays, they are an integrated non-medical specialism working in the medical setting of hospitals in the Netherlands, and are a full-member of the medical board. This paper discusses several topics: the position of the general hospital in the health care system in the Netherlands, the emergence of medical psychology in Dutch hospitals, the role of the professional association of medical psychologists, and the characteristics of patients seen by clinical psychologists. Following the discussion about the situation of medical psychology in other countries, recommendations are formulated for the further development of medical psychology in the Netherlands as well as in other countries.     

我国伦理委员会建设和发展的若干思考

伦理委员会进入我国近二十年,发展的速度非常快,也逐渐向国际接轨。简述了我国伦理委员会的发展趋势;重点列举了在实际内部工作中以及在访问其他省市伦理委员会时遇到的一些问题,提出了相关的建议;最后在宏观层面上阐述几个热点话题,提出了更高层面发展伦理委员会的建议。     

Parental and school influences upon the career development of poor youth of color

Critical career development tasks for adolescents include developing vocational expectations and a connection to the world of work. Given the sociopolitical barriers to the career development of poor Youth of Color, it is vital to identify contextual resources facilitative of their career development. The present study examines the impact of relational and instrumental parental support and instrumental school support upon vocational expectations and work salience among poor Youth of Color. Participants from the National Educational Longitudinal Study (NELS) were examined longitudinally from 12th grade to two years after they had finished high school. The obtained structural models suggested that relational and instrumental parental support had a direct effect upon work salience and instrumental parental support a significant indirect effect two years later. Instrumental school support and relational parental support had direct effects upon vocational expectations and nonsignificant indirect effects two years later. These findings illuminate contextual factors facilitative of vocational expectations and work salience, provide support for school-based career development programs, and suggest that incorporating relational and instrumental parental support could augment intervention programs for poor Youth of Color.     

Middle school student perceptions of school climate: Examining protective functions on subsequent adjustment problems

The present study examined the roles of student perceptions of four aspects of school climate (friction, cohesion, competition among students, and satisfaction with classes) as moderators of the relations between effortful control and subsequent conduct problems and depressive symptoms. Participants were 488 10-to-14-year old students involved in two waves, with one year between each wave, of a study. Hierarchical regression analyses indicated that high levels of perceived friction predicted more subsequent conduct problems and depressive symptoms, even after baseline levels of these problems were partialled out. Low levels of effortful control also elevated risk for subsequent conduct problems. However, perceptions of the school as high in cohesion offset the risk associated with low levels of effortful control. Perceived satisfaction with classes also offset this risk, but only for females. Contrary to expectations, student perceptions of school climate did not interact with effortful control to predict subsequent depressive symptoms.     

A lost horizon: the experience of an other and school bullying

To date, research on bullying has largely employed empirical methodologies, including quantitative and qualitative approaches. Through this research we have come to understand bullying as both a dyadic and peer group phenomenon, primarily situated in the heads (thinking) of those involved, or in a lack of skill or expertise, or in the delinquency of a bully who needs to be reformed. This research has largely directed its strategies toward problem students using individual and peer group approaches. And yet school bullying continues to be a crucial educational issue affecting millions of students each year. In this project I introduce a missing philosophical perspective. Analyzing the work of Hans-Georg Gadamer I am led to conclude that typical anti-bullying strategies at times simply train bullies to be better at bullying (i.e., learning to bully more covertly, more expertly so as to inflict the same devastation without adult detection). Gadamer invites us to think about bullying in new ways. While certainly involving the thinking and skills of the bully and the victim, Gadamer contends that bullying does not fundamentally result from a problem within the participants, but is fostered by certain spaces between them; terrains that cultivate specific experiences of an "other". Generally, this project stems from an interest in the ways that domination develops in this "space between". Specifically in this paper I ask: What is the nature of "hermeneutic" experience as conceptualized by Gadamer? What kinds of experiences of an other does bullying exemplify? What kinds of experience of an other do non-bullying relations exemplify and what kinds of relational spaces foster such experience? This paper opens up significant new territory for anti-bullying work, expanding our focus to include the space between students which fosters certain inter-personal experiences - experiences situated in domination and stymied growth or, alternatively, experiences of reciprocity which open the possibility of human growth and transformation.     

Social support, sense of community in school, and self-efficacy as resources during early adolescence: an integrative model

Influences of different sources of social support (from parents and friends), school sense of community, and self-efficacy on psychosocial well being (as measured by self-reported life satisfaction and psychological symptoms) in early adolescence were investigated in an integrative model. The model was tested using structural equation modeling. Multi-group comparisons were used to estimate differences between sex and age groups. The survey sample was composed of 7,097 students in Northern Italy (51.4% male) divided into three age cohorts (equivalent to 6th, 8th, and 10th grades with median ages of 11, 13, and 15). Findings obtained using SEM were consistent with self-efficacy and school sense of community mediating effects of social support on psychosocial adjustment. The multi-group comparison indicates a need for more complex developmental models and more research on how changing forms of support interact with each other as their effects also change during this important stage of the life. Implications for primary prevention and cross-cultural comparisons are discussed.     

The impact of hope, self-esteem, and attributional style on adolescents’ school grades and emotional well-being: A longitudinal study

We examined the distinctiveness of three “positive thinking” variables (self-esteem, trait hope, and positive attributional style) in predicting future high school grades, teacher-rated adjustment, and students’ reports of their affective states. Seven hundred eighty-four high school students (382 males and 394 females; 8 did not indicate their gender) completed Time 1 measures of verbal and numerical ability, positive thinking, and indices of emotional well-being (positive affect, sadness, fear, and hostility), and Time 2 measures of hope, self-esteem, and emotional well-being. Multi-level random coefficient modelling revealed that each positive thinking variable was distinctive in some contexts but not others. Hope was a predictor of positive affect and the best predictor of grades, negative attributional style was the best predictor of increases in hostility and fear, and low self-esteem was the best predictor of increases in sadness. We also found that sadness at Time 1 predicted decreases in self-esteem at Time 2. The results are discussed with reference to the importance of positive thinking for building resilience.     

中学生适应取向的心理健康结构初探

在文献综述的基础上,建构了适应取向的中学生心理健康的理论模型,并对中学生和中学教师进行开放式问卷调查,再参考同类量表,拟定了中学生心理健康量表的题项。经对1,567名中学生进行测试,结果表明:适应取向的中学生心理健康包含生活幸福、乐于学习、人际和谐、考试镇静、情绪稳定等五个维度,本研究所编制的中学生心理健康量表具有良好的信效度。     

Privacy in the Shadow of Nanotechnology

One of the more salient concerns about nanotechnology is the fear that it will harm privacy by collecting personal information and distributing it. This sentiment is complicated by the fact that the specific nanotechnologies that might affect privacy are located more in the near future than in the present, so our knowledge of them is more speculative than empirical. To come to terms with these issues, we will need both knowledge of the science – what is realistic and what is not – and a sense of the on-going discourses on privacy and technology that are likely to frame feelings about nanotech.     

宋儒张载"以易为宗"思想探析

张载是宋代理学的奠基者,也是四大学派之一--关学的开创者.他的成就得到理学家们的肯定,如程颢、程颐将他与孟子、韩愈相比;朱熹于<伊洛渊源录>中,将其与周敦颐、邵雍、二程并列;<近思录>也选录许多张载言论,以为门生弟子进学之助.而后代统治阶层的重视,也可看出他的影响宋理宗封他为郿伯,从祀孔庙.元代赵复立周敦颐祠,以张载与程、朱配食.<宋史道学传>为他立传,颂扬他的德业.他的著作在明、清二代是开科取士的必读书目,并于清初编入御纂<性理大全>和<性理精义>中,可见张载在理学发展上的贡献与地位.