The caregiving relationship under stress: foster carers’ experience of loss of the sense of self

This paper is an account of a piece of research which involved interviewing six foster carers who had ended a placement with a child under the age of five with an early experience of abuse and neglect. The paper describes one of the themes that emerged from the data analysis, the loss of the sense of self in the foster carers, and argues that the experience of attempting to provide care for these children led to internal shifts in the carers that reverberated throughout the network around the child. The paper suggests that knowing about the external reasons for placement breakdown is not enough without taking into account the impact on the internal world of the foster carers and the emotional impact of attempting to provide care for a child who has experienced abuse and neglect.     

Selling Innovations Like Soap: The Interactive Systems Framework and Social Marketing

Despite the popularity and noted utility of Wandersman and colleagues' (2008) Interactive Systems Framework, the literature currently provides a primary focus on delivery organizations’ and supportive stakeholders’ capacities and strategies to implement innovations, presenting a critical gap in understanding. Unfortunately, reflective of a larger void in community dissemination and implementation efforts, there is a more limited focus on the dissemination of innovations. This paper presents the social marketing literature as a supplement to the Prevention Synthesis and Translation System (PSTS), the system responsible for dissemination. The study and practice of innovation synthesis and translation is examined in the literature; and based on the conclusions drawn, social marketing theory is used to provide a systematic approach to improving dissemination within the Interactive Systems Framework. Specifically, three gaps related to the PSTS are identified in the literature that align with and can be filled using social marketing. Social marketing is defined and presented as a supplement by providing theory and practices, within a systems context, for effectively communicating and influencing change. By blending social marketing with the Interactive Systems Framework, the aim is to improve the understanding of strategic communication and its role in the effective dissemination, and subsequent implementation, of innovations.     

母亲积极养育行为对儿童顺从行为的早期预测与双向作用:从婴儿到学步儿

顺从是儿童早期重要的社会化成就。传统理论关注父母控制策略对顺从的作用,但实证结果表明其解释率有限;当前理论更加关注积极养育行为在顺从发展中具有发展适宜性的作用机制。本研究采用追踪设计考察了84个家庭从儿童6个月到3岁时母亲的敏感性和鼓励自主两种积极养育行为与学步儿顺从发展的关系。结果表明:(1)1岁前母亲敏感性对学步儿2岁时的合作性顺从有正向预测作用,对2岁到3岁合作性顺从的变化没有预测作用;(2)1岁前母亲敏感性对学步儿2岁时的情境性顺从和2岁到3岁的情境性顺从的变化均有负向预测作用;(3)在2岁到3岁期间,母亲的鼓励自主与学步儿的合作性顺从水平有双向正向预测作用,但与情境性顺从不存在双向预测关系。     

Good looks and good practice: the attitudes of career practitioners to attractiveness and appearance

Empirical evidence attests the impact that career image has on objective career success, yet little is known of how career practitioners conceptualise and operationalise this information. This article presents the quantitative findings of an online survey of career practitioners (n?=?399, 74% female, 89% white and 75% from the U.K.) exploring their attitudes and practices towards issues of appearance and attractiveness. Career practitioners who participated in this survey acknowledged that beauty, self-presentation and interpersonal skills influence career success, and 96% of them considered conversations about career image as part of their professional remit. The career practitioners felt relatively comfortable and well informed in their discussions in this arena, but would welcome further guidance and training to inform their practice. Ethical and practical implications for the profession are considered.     

Shedding Dialectical Tiers: A Social-Epistemic View

Is there a duty to respond to objections in order to present a good argument? Ralph Johnson argues that there is such a duty, which he refers to as the “dialectical tier“ of an argument. I deny the (alleged) duty primarily on grounds that it would exert too great a demand on arguers, harming argumentation practices. The valuable aim of responding to objections, which Johnson 's dialectical tier is meant to satisfy, can be achieved in better ways, as argumentation is a social-epistemic activity.     

关于全科医学兴起和发展的哲学审视

全科医学的兴起已经成为"必然",当今医学科学的发展应该对这种"必然"做出理性的思考.全科医学的兴起和发展隐含着对现代医疗中失人性化倾向的反动,揭示了人道主义精神在现代医疗中的回归.全科医疗与专科医疗是一种互补关系,共同丰富和完善医疗卫生服务体系.     

社会实践在卫生法教学中的应用

在卫生法教学中采用社会实践的方法尤为重要,通过开展社会调查等实践活动,有利于激发学生的积极性和创造性,提高学生的创新能力、实践能力,提高学生的素质.从而为社会提供合适的人才,满足社会的需要.     

Psychologists in Academic Health Settings: Key Contributors to Dynamic Interplay Among Research, Clinical Practice, and Policy Domains

Psychologists in academic health systems are in a unique position to impact the dynamic interplay among research, clinical practice, and policy domains. In addition to their specialty expertise in psychopathology, particular types of physical illness and disease, and health promotion, psychologists have substantial knowledge of human behavior, refined scientific skills, knowledge and experience in the effective delivery of clinical services, strengths in written expression, and a collaborative orientation. This combination of strengths makes psychologists extremely well-suited for (a) interdisciplinary efforts to develop and implement evidence-based assessment and intervention strategies with biological, psychological, behavioral, and social components, and (b) leadership and advocacy efforts that impact the quality and availability of health care services.     

肝癌基础研究如何向临床转化

肝癌基础研究在过去数十年取得了长足的进步,而肝癌临床研究则相对滞后,二者间存在巨大的反差。如何将基因组时代发现的大量有重要意义的基础研究成果及时有效地转化为临床可用的技术方法,以进一步提高肝癌治疗效果是亟待解决的难题。转化医学研究为其搭建了一条重要桥梁。     

Treatment manuals: use in the treatment of bulimia nervosa

As psychology has moved toward emphasizing evidence-based practice, use of treatment manuals has extended from research trials into clinical practice. Minimal research has directly evaluated use of manuals in clinical practice. This survey of international eating disorder professionals examined use of manuals with 259 clinicians’ most recent client with bulimia nervosa. Although evidence-based manuals for bulimia nervosa exist, only 35.9% of clinicians reported using a manual. Clinicians were more likely to use a manual if they were younger; were treating an adult client; were clinical psychologists; were involved in research related to eating disorders; and endorsed a cognitive-behavioral orientation. Clinicians were less likely to use a manual if they provided eclectic psychotherapy that incorporated multiple psychotherapeutic approaches. We conclude that psychotherapy provided in clinical practice often does not align with the specific form validated in research trials, and “eclecticism” is at odds with efforts to disseminate manuals into clinical practice.