Widows, women, and the bioethics of care.

Widows, women, and the bioethics of care must be understood within an authentic Christian ontology of gender. Men are men and women are women, and their being is ontologically marked in difference. There is an ontology of gender with important implications for the role of women in the family and the Church. The Christian Church has traditionally recognized a role for widows, deaconesses, and female monastics, which is not that of the liturgical priesthood, but one with a special relationship to care and therefore with particular implications for health care and a Christian bioethics of care in the twenty-first century. In the shadow of early male mortality, women as wives should turn to support their husbands and as widows to support those in need. Widows, in becoming authentic Christian monastics, can bring into the world an icon of rightly ordered women providing rightly ordered Christian care for those in need. They can enter the moral vacuum created by misunderstandings of the place of women and the service vacuum created by a disappearance of religious nuns in Western health care facilities with a presence that is at one with the Church of the Fathers.     

对不同所有制卫生服务提供者评价的国际导向

不同所有制并存是世界范围内卫生系统共有的特征.随着不同所有制在卫生系统中份额的增加,尤其是私立卫生服务提供者的引入,如何对他们提供的服务和产生的影响进行评价,越来越引起研究者的关注.阐述了对不同所有制提供者进行评价的背景,呈现了目前对私立卫生服务提供者评价的不同观点,并介绍了国际实证研究的结果.     

The spiritual well-being questionnaire: Testing for model applicability, measurement and structural equivalencies, and latent mean differences across gender

Fisher (1998) proposed a spiritual well-being model, comprising primary factors for the domains of personal, communal, environmental and transcendental well-being, that cohere to form a single higher order or global spiritual well-being dimension. In line with this model, Gomez and Fisher (2003) published the Spiritual Well-Being Questionnaire (SWBQ), with scales for measuring personal, communal, environmental and transcendental spiritual well-being. This study used multi-group confirmatory factor analysis (CFA) to examine gender equivalencies of the measurement and structural models of the SWBQ, and the latent mean in the four SWBQ factors. A total of 3101 females and 1361 males, with age ranging from 15 to 32 years, completed the SWBQ. The statistical fit results supported the invariance of the measurement model, and some aspects of the structural model. The practical fit indices results provided support for the invariance of both the measurement and structural models. The results also showed little gender differences. Together, these findings support gender equivalencies for the SWBQ.     

终末期癌症病人诊治中的心理特征与人文关怀

在诊治终末期癌症病人过程中不仅要关心他们的躯体方面,更要关心他们的心理方面,在诊治过程中要根据他们的独特的心理特征来进行人文心理关怀,维持生命质量和保证他们应有的人格尊严.     

A Standard of Care for the Assessment of Suicide Risk and Associated Treatment: The Florida State University Psychology Clinic as an Example

The Florida State University has established a set of guidelines to be used as a standard of care for suicide. This standard of care guides therapists through a suicide risk assessment that focuses on key variables related to suicidal behavior that are among the best predictors of completed suicide. This standard of care includes necessary components of suicide risk assessment, critical steps to follow to ensure the safety of suicidal patients, treatment recommendations, and guidelines for minimizing the legal risk of the therapist. Though this standard of care was developed in a research and training clinic, these principles may be applied to all clinicians offering psychological services to patients, regardless of the nature of the clinic or setting.     

Social disadvantage and neglectful parenting as precursors to the development of antisocial and aggressive child behavior: Testing a theoretical model

The present study tested a theoretical model advanced to understand the direct and mediated effects of social disadvantage, neglectful parenting, and punitive parenting in the developmental trajectory of aggressive and antisocial behavior in young school‐aged children. To test the model, families of 310 first grade children and 361 fifth grade children, participating in a universal prevention trial in high‐risk areas of a medium‐sized metropolitan area, provided data. Multi‐method and multi‐source indices of the four predictive constructs (Social Disadvantage, Denial of Care Neglect, Supervisory Neglect, and Punitive Discipline) were obtained at the time of enrollment. Multi‐method and multi‐source indices of the criterion construct (Aggression and Antisocial Behavior) were obtained at the time of enrollment and at a five year follow‐up. Based on structural equation modeling, the results established care neglect as a mediator of social disadvantage, and the importance of care neglect to both punitive discipline and antisocial outcomes in the first‐ and fifth‐grade cohorts. Supervisory neglect, however, was important in the antisocial outcome of the fifth‐grade cohort only. Overall, the results established the importance of distinguishing between two subtypes of neglect and the need to consider the role of discipline in concert with neglect when attempting to understand the impact of parenting on the development of antisocial behavior. Aggr. Behav. 30:187‐205, 2004. © 2004 Wiley‐Liss, Inc.     

医疗保健政策与医患关系

医疗保健政策深刻地影响着医患关系,并左右着医患关系的发展与变化.在实行"以公平为主,兼顾效益"的福利性的医疗保健政策时期,我国的医患关系是和谐的.但自从医疗保健政策向"经济导向型"方向转变之后,国家大幅度减少了对卫生事业的投入,医院必须从病人身上取得卫生发展必要的资金,医药费用上涨是必然的,也失去了公平和公正,并最终导致医患关系的恶化.调整医患关系不能仅从医、患两方面着手,建立符合医学伦理的卫生政策,才是问题的关键.     

关于功利、理性或关怀--不同理论在评价人类基因组研究中的差异

从功利主义的角度审视治疗性克隆,治疗性克隆研究能够为人类造福,是可以得到辩护的.义务论认为,胚胎不能作为试验的客体,反对治疗性克隆研究.而关怀理论学家则不支持治疗性克隆研究.     

关于孔子梦见周公的几个问题

孔子梦见周公确有其事。宋儒认为此梦的原因是孔子早年志在推行周公之道 ,但对此梦的发生机制不甚清楚。孔子仍然受到梦魂观念的影响 ,实际认为此梦意味着周公之灵对他特别青睐和有所启示 ,并在内心里把它作为天命在身的重要根据。孔子梦见周公的历史意义 ,主要在于中国文化的传承 ,并在后世演变成文化传承的一个精神符号。     

Parent-School and Community Partnerships in Children's Mental Health: Networking Challenges, Dilemmas, and Solutions

Inter-agency collaboration, service coordination, and the creation of successful partnerships among parents, teachers, and human services professionals continues to be a challenge for the development of responsive community-based systems of care for at-risk youth and their families. We explore how one inner-city neighborhood struggles to create successful community partnerships through traditional networking strategies. Our findings identify networking strategies that appear to work and those that do not. Recommendations for improving communication are provided.