Occupational Therapists' Perception of the Tree Theme Method™ as an Intervention in Psychosocial Occupational Therapy

This study investigated how occupational therapists experience utilization of the Tree Theme Method, an intervention based on creative activities and life-story telling and making. The Tree Theme Method is comprised of five sessions in which the therapist asks the client to paint symbolic trees, with specific themes representing their present life situation, childhood, adolescence, adulthood, and the future. Nine occupational therapists in mental health care were asked about their experiences when using the Tree Theme Method. The informants formed two focus groups and each group was interviewed twice. Qualitative content analysis was used to identify five categories including: (1) therapeutic frames, (2) therapist requirements, (3) client requirements, (4) the therapeutic relationship, and (5) the Tree Theme Method as a multi-dimensional process. Overall the informants were satisfied with the intervention with some variation as to therapists' perception about the helpfulness of the tool. The Tree Theme Method was experienced as a structured method of starting a therapeutic process and initiating a therapist–client relationship. The therapeutic attitude, self-knowledge, and expert knowledge seemed to be important prerequisites for the therapists when using the Tree Theme Method intervention.     

The Importance of Religious Orientation and Purpose in Life for Dying Well: Evidence from Three Case Studies

ABSTRACT

As older adults approach the end of their lives, it is not uncommon to find a decrease in subjective well-being. However, a number of studies have indicated that elders with an intrinsic rather than extrinsic religious orientation often are able to keep a high level of subjective well-being even if they are close to death. In a previous quantitative study, only intrinsic religiosity was indirectly and positively related to subjective well-being in a sample of 103 relatively healthy older adults and 19 hospice patients (aged 61 +), mediated by shared spiritual activities and purpose in life. Extrinsic religiosity, by contrast, was indirectly and negatively related to subjective well-being. To explore in greater depth how religious orientation might influence subjective well-being at the end of life, we used the method of objective hermeneutics to examine semi-structured qualitative interviews with three older male hospice patients (aged 79, 80, and 98) on religion/spirituality and attitudes about death and dying. Results of the analyses revealed that the intrinsically religious respondent maintained his sense of cosmic purpose in life, which continued to be a source of satisfaction for him, unaffected by his terminal illness. The two extrinsically religious respondents, however, did not find solace in their religion and, hence, were unable to cope with their physical and emotional dependence and vulnerability. The findings suggest that an intrinsic religious orientation is most likely to be related to a cosmic sense of purpose in life, which facilitates subjective well-being even in the face of death.     

从医疗活动的特点谈医患法律关系

医疗活动具有独特的特点,这就决定了医患双方会形成独特的法律关系.在诊疗康复关系和强制性的预防保健关系中,医患双方不能以合同关系论处,而在自愿性预防保健关系和特殊服务关系中,双方却只能用合同来调整.     

Ecological validity of the German Bruininks-Oseretsky Test of Motor Proficiency – 2nd Edition

The diagnosis of Developmental Coordination Disorder (DCD) is based on poor motor coordination in the absence of other neurological disorders. In order to identify the presence of movement difficulties, a standardised motor assessment is recommended to determine the extent of movement problems which may contribute to deficits in daily task performance. A German version of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (German BOT-2) was recently published. This study aimed to determine the ecological validity of the German BOT-2 by considering the relationship between assessment of fundamental motor skills with the BOT-2 and performance of everyday motor activities as evaluated by parents. This study used data obtained from the German BOT-2 standardisation study (n = 1.177). Subtests were compared with theoretically corresponding tasks via parental ratings of overall fine and gross motor abilities and performance in six typical motor activities. Non-parametric Jonckheere Terpstra test was used to identify differences in ordered contrasts. Subtests reflecting ‘Strength’, ‘Running Speed and Agility’, ‘Upper-Limb Coordination’, ‘Balance’, and ‘Fine Motor Precision’ were associated with parental evaluation of gross motor skills (p < 0.001). The subtest ‘Fine Motor Integration’ significantly correlated with parental ratings of females’ fine motor skills. Parental ratings of males’ fine motor skills were associated with three further subtests. Regarding everyday motor activities, the first three fine motor BOT-2 subtests were associated with parent evaluations of drawing, writing and arts and crafts (p < 0.001). Gross motor subtests of ‘Bilateral Coordination’ and ‘Balance’ showed no relationship to bike riding or performance in sports. Subtests of ‘Upper-Limb Coordination’ and ‘Strength’ showed significant correlations with sports, ball games and cycling. The results of this study suggest that the closer the proximity in the nature of the motor skills assessed in the German BOT-2 to daily motor tasks, the stronger the relationship between the clinical test and parental report of everyday performance of their child. The body functions tested in the German BOT-2, and hypothesized to underpin certain skills, were not automatically relevant for specific activities undertaken by German children. Future research should investigate the relationships of the various BOT-2 constructs for diagnosis of DCD.     

Applying the Lifestyle Routine Activities Theory to Understand Physical and Nonphysical Peer Victimization

Peer victimization is a serious problem, and understanding where, with whom, and how long victims spend their time is important. Applying the lifestyle routine activities theory (LRAT), this study examines the association between 4 components of LRAT and physical and nonphysical peer victimization. Using the 2007 National Crime Victimization Survey, we examined Poisson and negative binomial regression models to explain whether physical and nonphysical peer victimization was affected by measures of routine activities. Our findings indicate that students’ exposure and proximity to motivated offenders, school environment, capable guardianship, and target attractiveness were associated with risk of peer victimization. Findings also reveal that risk factors varied depending on the type of victimization.     

Teaching Helping Skills Courses: Creative Activities to Reduce Anxiety

Helping skills courses play a vital role in counseling curriculum, but also tend to bring excessive anxiety for students, to the point of impeding their ability to successfully implement skills. This article describes specific creative and experiential activities, aimed at reducing anxiety in a helping skills course for counselors-in-training.     

休闲活动对我国老年人认知功能的影响

本文通过分析中国老年健康影响因素跟踪调查(CLHLS)2011年的数据,研究了参与休闲活动对老年人认知功能的影响。研究发现,参与各项休闲活动比例较高的老年人,其认知功能缺损的比例相对较低。回归分析结果表明,当控制了样本的人口特征(包括年龄、受教育程度、性别、居住地)、社会经济地位、健康状况、以及生活习惯等变量以后,参与社交类、益智类、以及轻度户外活动的程度越高,我国老年人认知功能缺损的可能性就越低。这些发现鼓励我国老年人在晚年积极参与上述几类休闲活动从而降低其认知功能衰退的风险。     

How generative drawing affects the learning process: An eye‐tracking analysis

Generative drawing is a learning strategy in which students draw illustrations while reading a text to depict the content of the lesson. In two experiments, students were asked to generate drawings as they read a scientific text or read the same text on influenza with author‐provided illustrations (Experiment 1) or to generate drawings or write verbal summaries as they read (Experiment 2). An examination of students' eye movements during learning showed that students who engaged in generative drawing displayed more rereadings of words, higher proportion of fixations on the important words, higher rate of transitions between words and workspace, and higher proportion of transitions between important words and workspace than students given a text lesson with author‐generated illustrations (Experiment 1) or students who were asked to write a summary (Experiment 2). These findings contribute new evidence to guide theories for explaining how generative drawing affects learning processes.     

Life Satisfaction After Spousal Loss: The Potential Influence of Age,Gender, and Leisure

Life satisfaction is considered an important part of successful aging. The purpose of this study was to examine how age, gender, and participation in leisure activities influence the life satisfaction of widowed older adults. Results suggest that age, gender, and changes in physical activity participation are possible predictors of widowed older adults’ life satisfaction. Implications for practice and suggestions for future research are discussed.     

经济活动中的道德理性

经济活动不仅是人们的物质生产活动,也是人们“理性化”的认知活动和实践活动。它既体现了人类主体对技术、工具手段的认知理性,又体现了人类主体“合理性”、“合目的性”的价值理性。而道德价值理性是一切合理有序的经济活动的价值标矢和理性基础。