Client Aggression Towards Therapists: Is It More or Less Likely with Transgendered Clients?

ABSTRACT

It is well known that clients occasionally threaten or assault their therapists. No studies to date have attempted to systematically measure client aggression by transgender patients towards clinicians. One of the major questions of this study was to determine if clients with gender dysphoria have greater levels of aggression towards therapists than non-gender dysphoric clients. One hundred and fourteen professional therapists who are members of the Harry Benjamin International Gender Dysphoria Association responded to a questionnaire that addressed aggression by both transgender and non-transgender clients. Transgender clients were shown to commit significantly less acts of aggression than did non-transgendered clients (p = 0.0094). Within the relatively small subgroup of transgender clients that did commit acts of aggression, male-to-female transgender clients were significantly more likely to do so than female-to-male clients (p = 0.002). While the transgendered client undergoes significant suffering in violating inviolable gender boundaries, this suffering, in general, does not translate into acting out behaviors directed towards their therapists.     

Faceted Classification: Management and Use

The paper discusses issues related to the use of faceted classifications in an online environment. The author argues that knowledge organization systems can be fully utilized in information retrieval only if they are exposed and made available for machine processing. The experience with classification automation to date may be used to speed up and ease the conversion of existing faceted schemes or the creation of management tools for new systems. The author suggests that it is possible to agree on a set of functional requirements for supporting faceted classifications online that are equally relevant for the maintenance of classifications, the creation of classification indexing tools, or the management of classifications in an authority file. It is suggested that a set of requirements for analytico-synthetic classifications may be put forward to improve standards for the use and exchange of knowledge organization systems.

从中外医学教育标准的差异看医学生的人文素质培养

通过中外医学教育标准在知识目标、技能目标、职业价值观上的若干差异的比较,探讨人文素质,包括医生职业价值观念、医学人文知识、“批判性思维”能力和交流技巧、沟通能力的培养等在国际医学教育标准的重要地位,并对改进我国医学教育的人文内涵提出建议。     

Succession and survival in psychotherapy organizations

Abstract: This paper examines the world of psychotherapy by applying a systemic and psychodynamic understanding of the family business as a way of understanding the dilemmas and challenges of leadership succession. Oedipal factors are explored as an important theme within the succession process. This exploration is set within the context of what function psychotherapy has performed in society over the last thirty years. The hypothesis is that the first generation of leaders aimed to provide containment for the individual citizen at a time of failed dependency in society. The suggestion is that this gave way to the primary task for the second generation, which has been to focus on the therapist in training. The challenge for the third generation is to develop a meaningful role for psychotherapy today and to ensure survival at a time when other shorter therapies such as CBT are gaining ascendancy over longer term psychoanalytic psychotherapy.     

Epistemic comparative conditionals

The interest of epistemic comparative conditionals comes from the fact that they represent genuine ‘comparative epistemic relations’ between propositions, situations, evidences, abilities, interests, etc. This paper argues that various types of epistemic comparative conditionals uniformly represent comparative epistemic relations via the comparison of epistemic positions rather than the comparison of epistemic standards. This consequence is considered as a general constraint on a theory of knowledge attribution, and then further used to argue against the contextualist thesis that, in some cases, considering a new counter- possibility can raise the epistemic standard of knowledge attribution. Instead, the paper shows that considering a new counter-possibility can only lower the epistemic position of a putative knower. Moreover, since the comparison, by the nature of conditionals, is free from any commitment to the truth-values of specific knowledge attributions, my conclusion is free from the debate between contextualism and invariantism on whether the truth-value of a knowledge attribution can actually vary with context.     

Biomedicine: an ontological dissection

Though ubiquitous across the medical social sciences literature, the term “biomedicine” as an analytical concept remains remarkably slippery. It is argued here that this imprecision is due in part to the fact that biomedicine is comprised of three interrelated ontological spheres, each of which frames biomedicine as a distinct subject of investigation. This suggests that, depending upon one’s ontological commitment, the meaning of biomedicine will shift. From an empirical perspective, biomedicine takes on the appearance of a scientific enterprise and is defined as a derivative category of Western science more generally. From an interpretive perspective, biomedicine represents a symbolic-cultural expression whose adherence to the principles of scientific objectivity conceals an ideological agenda. From a conceptual perspective, biomedicine represents an expression of social power that reflects structures of power and privilege within capitalist society. No one perspective exists in isolation and so the image of biomedicine from any one presents an incomplete understanding. It is the mutually-conditioning interrelations between these ontological spheres that account for biomedicine’s ongoing development. Thus, the ontological dissection of biomedicine that follows, with particular emphasis on the period of its formal crystallization in the latter nineteenth and early twentieth century, is intended to deepen our understanding of biomedicine as an analytical concept across the medical social sciences literature.

The “Manifesto” of New-Confucianism and the revival of virtue ethics

In 1958, a group of New-Confucians issued “A Manifesto for a Re-Appraisal of Sinology and Reconstruction of Chinese Culture.” Equally in 1958, the British philosopher Elizabeth Anscombe published her classical paper “Modern Moral Philosophy.” These two papers have the same target — modern Western morality — and the solutions they proposed respectively. Yet Anscombe’s paper did not mention Confucianism, and the “Manifesto” ignored Aristotelian tradition of virtue. Furthermore, from 1960s to 1990s, the revival movement of Confucianism and the revival movement of Aristotelian ethics have not had much dialogue. This paper seeks to explain this phenomenon by comparing these two historically important documents. In particular it tries to understand why the “Manifesto” fails to see the similarities between Aristotle and Confucius. Translated by Lei Yongqiang and polished by Yu Jiyuan from Shandong Daxue Xuebao 山东大学学报 (Journal of Shandong University), 2007, (1): 1–9     

The Sociocultural Attitudes Towards Appearance Questionnaire-3: a confirmatory factor analysis

The Sociocultural Attitudes Towards Appearance Questionnaire-3 measures awareness and endorsement of societal appearance standards. The instrument has been subjected to exploratory factor analyses but to date no studies have reported a priori tests of its hypothesized factor structure using confirmatory factor analysis (CFA). The aim of the present study was to subject the SATAQ-3 to a CFA. Results from a non-clinical convenience sample of 369 women revealed an adequate fit of the model according to conventional criteria. However, detailed residual analysis indicated a significant lack of fit which was explainable by one mis-specified item and shared method variance due to similarities in item content. It was concluded that, with the removal of the mis-specified item, the degree of misfit was tolerable and the intended four-factor solution provides a satisfactory and parsimonious representation of the data.