临床思维学的教学实践与理论探索

思维是人类理性活动的基本方式,思维能力是最具人类特色的能力,临床思维能力的培养是一个非常重要、然而又常为人们所忽视的问题,主要介绍临床思维学的课程设置、主要内容、教学目的和教学效果,通过对教学实践的阶段性总结,对理论体系进行初步的探索,以推动临床思维学的普及和发展,提高临床诊断治疗水平。     

Rule Violations in Intercollegiate Athletics: A Qualitative Investigation Utilizing an Organizational Justice Framework

Cheating and rule violations in intercollegiate athletics continue to be relevant issues in many institutions of higher education because they reflect upon the integrity of the institutions in which they are housed, causing concern among many faculty members, administrators, and trustees. Although a great deal of research has documented the numerous rule violations in NCAA intercollegiate athletics, much of it has failed to combine sound theory with practical solutions. The purpose of this study was to examine the possible extensions of the organizational justice framework to the problem of rule violations in intercollegiate athletics. In doing so, the current study examined (a) perceived areas of injustice among coaches at NCAA Division I institutions, (b) avenues by which coaches resolve these injustices, and (c) potential solutions for resolving injustices in an attempt to reduce NCAA violations. Six NCAA Division I basketball coaches from various parts of the country (four from men's teams and two from women's teams) were interviewed using a semi-structured format. Despite the NCAA's efforts to create parity, results showed that coaches perceived several areas of inequities in recruiting, including financial resources and academic standards. The interviewed coaches described several means that are currently used to resolve these inequities and offered recommendations for changes to reduce injustice in the future.     

The Role of School-based Group Mentoring in Promoting Resilience among Vulnerable High School Students

This study examined the role of participation in a year-long school-based group mentoring program, Project Arrive (PA), on increasing resilience during the first year of high school among students identified as being at high risk for school dropout. Participants were 114, ninth grade students taking part in one of 32 PA mentoring groups, and 71 statistically matched comparison students (53% male, 75% eligible for free/reduced-price lunch, 62% Latinx). Using a propensity score with inverse probability of treatment weighting (IPTW) to reduce selection bias, and a multi-level model to account for non-independence of data within mentoring groups, we examined changes from pre-test to program exit on seven external resilience resources (developmental supports and opportunities) and four internal resilience assets (personal strengths). At program exit, PA participants had higher adjusted means than comparisons on six external resources, including school support, school belonging, school meaningful participation, peer caring relationships, prosocial peers, and home meaningful participation. PA participants also had higher adjusted means on one internal asset, problem solving. Results point to the promise of group mentoring as an approach for increasing resilience among academically vulnerable adolescents.     

A validation of the five-factor model of personality in academically talented youth across observers and instruments

Four instruments—the NEO-Five-Factor Inventory (NEO-FFI), the Adjective Check List (ACL), the Myers–Briggs Type Indicator (MBTI) and the California Child Q-Set (CCQ)—and two data sources—self reports and parental ratings—were used to assess personality dimensions according to the five-factor model of personality in 870 academically talented youth (mean age = 13.77) from the U.S.A. Data from the parents of 565 of these children were also analysed. The factor structure of the self and parent reports, the convergence between the two sources of reports and the correlations of the adjectives in the ACL with the scores on the NEO-FFI were all consistent with previous results obtained from adults. The findings largely support the notion that the five-factor model as derived from data from adults is applicable to academically talented youth.     

The association between stress,self‐esteem and depressive symptoms in adolescents

This cross‐sectional study investigated gender and age differences on domains of stress, self‐esteem and depressive symptoms, as well as the association between those domains using a sample of Norwegian adolescents (N = 1,239). The data was analysed using Pearson product moment correlation, t‐tests, and hierarchical multiple regression analyses. The results showed significant differences between genders. Girls scored higher on five of seven stressor domains comprising peer pressure, home life, school attendance, school/leisure conflict and school performance as well as depression, while boys scored significantly higher on self‐esteem. The hierarchical multiple regression analysis showed that higher stress from school performance and school attendance related significantly to more depressive symptoms in both genders. Additionally, stress of home life significantly related to more depressive symptoms in girls, whereas stress of peer pressure was significant in association with depressive symptoms in boys. A strong, inverse association was found between self‐esteem and depression controlled for stress, especially in girls. Self‐esteem was not found to be a moderator of any stressor‐depression interactions. In conclusion, the results give support for the significant role of stress and self‐esteem on the experience of depressive symptoms in adolescents.     

A reflection on a humanistic approach to narrative inquiry into the lived experience of women casual academics

Qualitative research is said to add flesh to the bones of quantitative data, and narrative inquiry, more specifically, is described as emotionally comforting, reassuring and validating for participants who share their stories. But little is said of the impact of the flesh, bone and emotions of the narrative inquirer on the qualitative research process. This paper explores a humanistic approach to a narrative inquiry into the lived experience of women casual academics in Australian universities, and exposes the emotional and embodied labour involved in researching others’ stories. Through reflecting in and on her practice as a narrative inquirer, the author discusses how she was affectively and ideologically motivated to investigate the lives of women casual academics and demonstrates how her heart worked in conjunction with her head when ‘handling’ the narrative data. The author finally explores how reflecting on a humanistic approach to narrative research exposes that emotional and cognitive alignment can create research ‘flow’, and that fully embodied engagement with research aligns with ‘slow’ and feminist ‘in-the-making’ scholarship where journey and outcomes emerge and cannot be pre-determined.     

What can gender tell us about the pre-retirement experiences of elite distance runners in Finland?: A thematic narrative analysis

ObjectivesThis study explores gendered experiences of the mastery stage in endurance runners' athletic careers in terms of (a) key themes in this period of life, (b) retirement decision-making and (c) changes in athletic and runner identities.Design and methodTen male and nine female athletes aged between 25 and 62 participated in individual interviews. The data were analyzed via thematic narrative analysis.Results and conclusionGendered meanings permeate career decision-making and retirement patterns of Finnish runners. Female athletes reported many difficulties, including health problems, loneliness, societal pressure and lack of social support during the final years of their careers. These aspects were important reasons for them to start considering retirement from sport. Male athletes reported less social pressure and suggested that friendship in sport was a major reason for postponing retirement. Male athletes expressed more interest for coaching others, wherein women perceived themselves as incompetent and/or lacked time and interest for it. Running remained important for the majority of athletes after retirement and they anticipated or had continued regular running post-retirement.     

Developing a critically reflexive practice for art therapists using external perceptions of art therapy

This critical inquiry explored external perceptions of art therapy. By focusing on the organizational contexts and structures that art therapy practices are typically situated within, the purpose of the study was to understand: How the values that art therapists intrinsically hold within practice transmitted, translated, and interpreted by other mental health professionals. To gain rich and detailed views, nine mental health professionals were interviewed. Through analysis of the findings, a critically reflexive form of practice was developed to assist art therapists in substantiating their role, while strengthening a team mentality to provide better services to their clients. Study implications involve the need to further explore how art therapists can develop professionally, as well as expand on strategies for how art therapy can be further valued within mental health systems.     

A prospective multilevel examination of the relationship between cohesion and team performance in elite youth sport

The purpose of the current research was to (a) develop and establish the factor structure of the Czech and Slovak versions of the Youth Sport Environment Questionnaire (YSEQ; Eys, Loughead, Bray, & Carron, 2009) and (b) examine the relationship between team performance and cohesion with a sample of European elite youth sport teams. At time point one, with 352 elite youth athletes from 22 teams, support was obtained for a two factor structure underlying the YSEQ. Based on data collected at the second (N = 291) and third (N = 246) time points, multilevel analyses revealed that, when controlling for midseason cohesion, midseason team performance significantly and positively predicted task and social cohesion later in the season. Neither task nor social cohesion predicted team performance. In addition to adapting the YSEQ for use in a unique context, these findings reveal the nature of the cohesion-performance relationship in elite youth sport.     

Mentoring Relationship Closures in Big Brothers Big Sisters Community Mentoring Programs: Patterns and Associated Risk Factors

Previous research suggests that early mentoring relationship (MR) closures may have harmful consequences for the health and well‐being of youth participating in community‐based mentoring programs. However, knowledge of the factors that lead some MRs to close early has been slow to emerge. This study examined patterns and correlates of early versus on‐time MR closures among 569 youth participating in Big Brothers Big Sisters community mentoring programs. Thirty‐four percent of youth experienced an early MR closure prior to the end of the program's 12 month period of commitment. The probability of closure was highest at 12 months into the MR. Early closures were positively associated with youth gender (girls), behavioral difficulties, and match determination difficulties. Early and on‐time closures were associated with youth extrinsic motives for joining the program. Early MR closures were negatively associated with youth perceptions of parent emotional support, parent social support, high quality MR, weekly contact in MR, and parent support of the MR. Implications for programming are discussed.