Representing diabetes: ‘Brightside’ and ‘chaos’ in autobiography

This paper examines six autobiographical sources written by people with type 1 diabetes. In seeking to improve the understanding of diabetic lifeworlds; some of the autobiographies present heroic stories of ‘overcoming’ diabetes while others present a more ‘chaotic’ narrative. Regardless of their form, all the autobiographies highlight how the everyday problems and concerns associated with diabetes can be hidden and silenced. Therefore, I ask the question of how to use autobiographies as sources of evidence, being aware of the power constructs that may have directed their form. Despite this question, I argue that autobiographies remain crucial sources for exploring the experience of everyday life and much of the silencing in the texts reflects spatial and emotional challenges faced by the authors. I also consider the limitations of representation in the autobiographies calling for an understanding that the experience of diabetes carries with it feelings, emotions and affects that are non-representable and so never entirely knowable. Thus, this paper builds on recent geographical research on emotion and ‘contested’ illnesses, especially those that are not obviously visible or are easily hidden.     

La décision médicale et la relation médecin–patient en oncologie

The announcement of the cancer diagnosis and his treatment is an important moment in the set up of the doctor–patient relationship. The law of contracts has long governed the relationship between the doctor and the patient. But the legislature clearly demonstrated its will to consider the patient as full actor of his health, leaving the regime of medical decision, the shared decision. This shared decision is based on an obligation to inform the patient on his health and knows many exceptions (minor patients or adults under guardianship, emergency). In Oncology, the medical decision is a decision coordinated between doctors in the multidisciplinary consultation meetings. This decision is considered as a guarantee of the quality of the medical care. It does not preclude the time of the doctor–patient relationship.     

Finding new ways to practise critically: applying a critical reflection model with Australian health promotion practitioners

Greater support is required in health promotion for practitioners to adopt critical approaches to their practice. Despite recognition of the role that critical reflection can play in supporting critical practice, it is underdeveloped in health promotion. This pilot study aimed to explore the use of critical reflection with health promotion practitioners. Critical postmodernism provided the theoretical perspective and critical reflection methodology guided the study. The data collection method involved the application of a critical reflection model via in-depth semi-structured interviews with two health promotion practitioners who were recruited using purposive sampling. Critical postmodernism and critical health promotion values and principles were the thematic frameworks used to analyse the data. Four types of assumptions were identified across both participants’ narratives: binary opposites and dichotomous thinking; identity and othering; professionalism; and power. Two key themes that evidenced these assumptions were conceptualising power as a commodity, and identity in the Aboriginal and Torres Strait Islander context. Both traditional and critical health promotion practice approaches were evident in participants’ practice. The process of engaging in critical reflection resulted in positive outcomes for the practitioners, including the identification of new, more critical ways of practising. Critical reflection provides a process for developing critical health promotion practice. The designation of critical reflection as a core health promotion competency may enhance the development of critical health promotion. Further research is needed to develop and test a critical reflection model incorporating the values and principles of health promotion with a larger sample of practitioners.     

Facial gender confirmation surgery—review of the literature and recommendations for Version 8 of the WPATH Standards of Care

Facial gender confirmation surgery (FGCS), also popularly known and referred to in the scientific literature as facial feminization surgery (FFS), was previously treated as a collection of aesthetic procedures complementing other aspects of gender-confirming surgery. Recent literature on quality-of-life outcomes following FGCS has supported the substantial impact these procedures have on overall well-being and reduction of psychosocial sequelae in patients. The World Professional Association for Transgender Health Standards of Care, Version 7 (WPATH SOC 7), did not deem FGCS a medical necessity. Based on these new studies, increasing evidence points to the need to include FGCS among medically necessary gender-confirming surgeries, though more-prospective studies are needed. Updates to the WPATH SOC 8 are proposed based on available quality of life studies.     

Contesting a Pandemic: The WHO and the Council of Europe

Contemporary risks are often understood as fundamentally uncertain. This uncertain status can be mobilized within political debates surrounding risks. Such a challenge serves to destabilize scientific claims. The World Health Organization’s (WHO) management of the 2009/10 spread of the H1N1 virus became a site of one such contestation. Debate within the Council of Europe particularly served to criticize the action of the WHO. This resulted in a definitional and policy contestation between the two institutions. The WHO accounted for its actions through allusions to (seemingly stable) scientific facts, using epidemiological evidence of influenza and its management based on normal science. In contrast, in criticizing public expenditure and panic, the Council of Europe critics problematized the stability of the science employed by the WHO. This included fundamental aspects of scientific knowledge such as the measurability of morbidity and mortality caused by H1N1 and the effect of vaccination against influenza viruses. This criticism relied upon the ability to destabilize the WHO’s scientific knowledge, a process made possible through understandings of the uncertain nature of the science of risk (post-normal science). The case study illustrates that potential for previous-established and seemingly stable scientific facts to become destabilized and problematized during contestations of risk management.     

藏族学生控制源、社会支持与心理健康的研究

目的探讨玉树民族中学藏族学生控制源、社会支持与心理健康的关系。方法采用心理健康、内外控制源和领悟社会支持量表。结果①不同性别学生心理健康总分差异显著,社会支持和控制源得分差异不显著。②不同年级学生在控制源差异显著,其余变量差异不显著。③除家庭支持外,心理控制源、社会支持及其各维度与心理健康显著相关。④控制源和朋友支持对心理健康有很好的预测作用。结论控制源和社会支持在一定程度上对心理健康有预测作用。     

国外精神性研究述评

随着精神性对社会的意义越来越被人们所重视,心理学对精神性的讨论也越来越热烈。本文从精神性的研究历程将其分为宗教的精神性、人文的精神性以及科学的精神性,同时对目前国外科学精神性的相关研究和方法进行阐述,最后对精神性研究存在的问题加以总结述评并对今后研究提出展望。     

印象管理与心理健康表现之相关

本研究旨在考察中国人印象管理与心理健康表现的相关.研究采用印象管理问卷和一般健康问卷,对某石油国企员工进行调查,发现印象管理程度越高的人,其心理健康程度越差;自我推销和威胁策略与焦虑失眠呈正相关;迎合策略与躯体化症状呈正相关,但和严重抑郁呈负相关;示弱策略与社交障碍呈正相关;做秀策略与心理健康各维度均没有显著相关.结果表明不同的印象管理策略对心理健康有不同的影响.     

小学青年教师社会支持与心理健康的相关研究

目的:探讨小学青年教师社会支持与心理健康之间的关系。方法:采用社会支持评定量表(SSRS)与症状自评量表(SCL-90),对296名小学青年教师进行心理健康、社会支持及其相关调查。结果:发现(1)SCL-90各个因子上小学青年男女教师均无显著差异。(2)在支持利用度得分平均数方面男教师低于女教师,差异达到极其显著的水平(P<0.01)。(3)支持总分的平均得分上男教师也显著低于女教师(P<0.05)。结论:小学青年教师的社会支持与其心理健康水平成正相关,不完善的社会支持与其心理健康水平成负相关。     

Substance Use and Health and Safety among Homeless Youth

This study examines how substance use is associated with the health and safety of homeless youth using cross-sectional, self-report data from 285 homeless adolescents. Path models were used to examine concurrent relationships between youth’s substance use and multiple aspects of their health and safety, including measures of psychological distress, housing risk and instability, and medical problems. Substance use was examined with both global (i.e., a composite of days of use across various drugs and alcohol) and specific (i.e., rates of use of specific drugs, injection drug use) measures. After controlling for demographic and historical variables, number of days of use was significantly related to psychological distress, whereas injection drug use was significantly related to housing risk. Examination of specific drugs revealed relationships between psychological distress and the use of alcohol, cocaine, and amphetamines, and a specific relationship between housing risk and the use of heroin. None of the measures of substance use was significantly related to youth’s medical problems. Implications for interventions with homeless adolescents are discussed.