Toward a Public Mental Health Approach for Survivors of Terrorism

Abstract

Although most people exposed to bioterrorism or mass casualties will be extremely distressed during the immediate aftermath, only a minority (approximately 30%) will develop clinically significant psychiatric disorders. From a public mental health perspective, the challenge is to provide both preventive programs for the entire population and early detection and intervention for those at greatest risk for PTSD or other post-traumatic psychiatric disorders. Both individual and soci-etal preventive and early intervention approaches are reviewed. Utilization of the media, especially television, is presented as an example of one of many potential community/societal public mental health approaches.     

Public Health Communication Theory and Strategies for Interpersonal Violence Prevention

ABSTRACT

The article reviews experience and lessons learned from public health communication to identify promising strategies for interventions seeking to promote interpersonal violence prevention. A public health perspective highlights multiple levels of analysis in tandem with concomitant communication theory invoking social, institutional, community, and individual change processes. Points of emphasis include a long-term perspective for social change and the importance of achieving high levels of exposure to communication efforts. Alternative communication strategies such as social mobilization, the use of local media, and media advocacy may foster incremental legal reform and service provision, as well as transformed social expectations and norms.     

Walking the Walk or Just Talk?: A Global Examination of Men’s Intentions to Take Violence Preventative Action

Given the increasing prominence of both bystander-based approaches to gender-based violence (GBV) prevention and of proactively engaging men and boys to join efforts to end GBV, understanding the factors that support men’s antiviolence bystander behavior is important. This study examined correlates of willingness to engage in violence preventative bystander behavior in a global sample of 299 adult men engaged in GBV prevention events or work. Participants came from over 50 countries and provided data via an online, anonymous survey available in English, Spanish, and French. Path analysis was used to model participants’ willingness to engage in a variety of violence-preventative behaviors in the future, with variable selection guided by the Theory of Planned Behavior (TPB) and by research implicating gender-related attitudes in bystander willingness and behavior. Findings suggest that bystander willingness was supported by past bystander behavior, self-efficacy to engage in bystander behavior, positive beliefs about the contributions of antiviolence involvement, and by an awareness of male privilege. Social network support for GBV prevention work, and support for gender equity were not significant correlates of bystander willingness in the full path model. These findings held across participants from the Global North and Global South, suggesting that self-efficacy, an awareness of male privilege, and positive attitudes toward antiviolence work are factors which may support men’s violence preventative actions across broad regional contexts.     

肺癌防治三层一体整合医疗体系的建立

探索建立肺癌防治整合医疗模式的具体实施方案并对其效果进行评估.在大港医院建立肺癌防治整合医疗模式：由通科人才管理治疗患者、专科人才会诊治疗患者、健康管理师追踪管理患者的管理方式.把肺癌患者的诊断治疗分为三个层次,即对肺癌患者的癌症诊断治疗、宿主管理、危险因素调控三个层面的关注、管理和治疗,三个层面成为统一整体同时或序贯实施,即建立＂肺癌防治三层一体整合医疗体系＂.新的肺癌防治整合医疗模式作为整合医疗模式的具体体现,设计完整,已经形成体系.＂肺癌防治三层一体整合医疗体系＂设计合理,容易实施,可以推广.     

自杀高危人群的识别及预防研究

自杀是由严重心理危机导致的行为.通过描述自杀高危人群存在的时代状况,从社会学与心理-精神病学的维度分析了高危人群的自杀成因,进而对其自杀前的异常言行表现、自杀的方式及当前各种预防措施进行讨论.同时,对中国文化语境下的自杀及其预防展开了反思与展望.     

关怀哲学视阈下的自杀防控探究

自杀问题是当下社会中存在的精神卫生症候之一,从关怀哲学的视角探究自杀防控理念的历史源流、现实境遇、临床困境与价值诉求,经由医患关怀的和谐转化,医务人员可以在防控自杀病人的进程中达到“关怀”与“防控”的知行统一,一方面为自杀病人提供文化关怀的防控脉相,另一方面为医护人员在自杀防控的实践运用层面提供参考.     

整合临床医学的必要性、可行性及途径——以睡眠呼吸暂停防控为例

长期以来以专科划分为主的医疗发展方式确实促进了现代医学的进步.然而,人是一个整体不应该被割裂对待.所以,这种医学发展趋势应该加以控制,否则必然会阻碍医学事业的健康发展.另外,如果只关注局部治疗想要取得突破已经越来越难.因此,整合临床医学势在必行.本文分别从阻塞性睡眠呼吸暂停的病因、临床表现(包括合并症)及诊断和治疗三个方面阐述了只有全面进行医学整合才能提高阻塞性睡眠呼吸暂停的整体防控水平.     

Should We Approach Approach and Avoid Avoidance? An Inquiry from Different Levels

Abstract

Approach motivation (striving for desired end-states, eagerly focusing on where one wants to be) is often held up as the best type of motivation: It feels good and is associated with many positive outcomes. Indeed, a common perception is that regulation in terms of approach motivation is almost always better than regulation in terms of avoidance motivation. However, as we discuss, this conclusion is worthy of a deeper look. We consider how approach and avoidance motivation manifest at different levels in a self-regulatory hierarchy and how this can help us understand the upsides and downsides of both approach and avoidance motivation. In other words, approach motivation is not always beneficial and avoidance motivation is not always problematic. Understanding these trade-offs involves a consideration of which level in the hierarchy approach or avoidance is manifested, what types of outcomes are being examined (the experience of regulation vs. performance), and how the approach or avoidance regulation fits or does not fit with an individual’s broad concerns or specific situational demands. Furthermore, a hierarchical approach helps make sense of behaviors that reflect simultaneous approach and avoidance tendencies, such as tactical approach to remove (avoid) a threat, providing a dynamic and nuanced view of motivation.     

Understanding Psychopathology: Cybernetics and Psychology on the Boundary between Order and Chaos

Abstract

We have argued for a balanced perspective on the relative benefits and costs of approach and avoidance motivation, and that thinking hierarchically about these motives contributes to a better understanding of goal pursuit. Having received several scholarly commentaries on these primary claims, in this reply, we further clarify the roles of regulatory fit and intelligibility in goal pursuit, examine surviving and thriving at different levels of the motivational hierarchy, and demonstrate that thinking hierarchically about approach and avoidance motivation provides a wealth of opportunities for additional research into the dynamics of motivation.     

Conceptualizing stress to study effects on health: Environmental,perceptual, and emotional components

Abstract

Stress has been operationalized in numerous ways across studies of physical and mental health, raising questions about the appropriate definition of stress and the construct validity of stress measures. The present paper discusses the theoretical and operational strengths of three prominent approaches to stress definition and then attempts to integrate them into a comprehensive and robust multidimensional definition of stress. In a study of socioeconomically disadvantaged pregnant women, structural equation modelling techniques were used to test whether a single latent construct underlies environmental, perceptual, and response-based indicators of stress. Results suggested a two-factor, rather than a single-factor, model of stress. Stress perception and emotion were part of a single underlying latent factor, a phenomenological stress construct, whereas environmental conditions in the form of major life events represented a second and distinct component of stress. Failure to find a single latent stress construct is interpreted as evidence for the importance of individual perception or appraisal as a mediator of response to difficult environmental conditions. The findings suggest that multidimensional models of stress are theoretically justified and that enhancement of stress measurement in this manner may enable researchers to better identify health effects of stress.