The spirituality of people with late-stage dementia: a review of the research literature,a critical analysis and some implications for person-centred spirituality and dementia care

If spirituality is fundamental to personhood, it must be as integral to the life of a person with dementia as to any other person. In this paper, the author uses a three-stage process to explore the features, meanings and significance of spirituality in late-stage dementia. First, a critical literature review is undertaken to evaluate the present state of research and its methodological limitations. The second stage of the argument comprises a critical analysis of the available models of how spirituality may persist beyond the loss of cognitive and communicative capacity, leading the elucidation of two dimensions to spirituality (duration over time and the role of social space) that can sometimes be overlooked. Finally, these findings are brought to bear on wider questions of how person-centred spiritual care may be offered to people with dementia and the role of shared social values in building spiritual resilience.     

The beneficial effect of Tai Chi on self‐concept in adolescents

Previous research has documented the beneficial effect of Tai Chi, but most of the studies focused on elders and patients with specific health conditions. The aim of the study was to test whether Tai Chi can help to improve self‐concept in adolescents with a longitudinal study. The sample comprised 160 students from a Chinese middle school; half of students formed the experimental group and the rest formed the control group. A 1‐year Tai Chi intervention was delivered in 60‐minute sessions, five times a week. Both groups were instructed to complete the measure of self‐concept at the beginning and end of the intervention. Statistical analysis shows the significant reduction of good behaviour, intellectual and school status, popularity and anxiety in the experimental group compared with the control group. The results suggest that the Tai Chi intervention could improve self‐concept in adolescents.     

Who Is This God of Whom You Speak? Counseling Students' Concept of God

Many clients bring a belief in God or a Higher Power into counseling sessions. What is less clear, however, is how counselors conceptualize “god,” which may affect how spirituality is integrated in the counseling process. To explore this question, the authors conducted a concept map study of god images among counseling students. Results suggest that students harbor broad and diverse conceptualizations of god, which may affect the counseling process.     

基于文本阅读的间接接触也可改善公众对残疾人的态度

以镶嵌残疾人图片的正性行为描述性信息为文本阅读材料,以大学生为被试,采用概念启动范式,考察了健全人对残疾人态度改善的可能性.研究结果表明,阅读残疾人正性行为描述性材料不仅可以降低健全人对残疾人的负性认知评价,而且可以提高其对残疾人的钦佩感和减弱其对残疾人的嫌弃感,同时也可提高健全人对该类人群的积极趋近行为和减弱对该类人群的消极趋近和消极回避行为,从而证明基于文本阅读的间接接触可改善公众对残疾人的负性态度的假设.因此,创造条件鼓励残疾人尽力发挥其积极的社会功能,引导和塑造其身残志不残的品质,有助于改善健全人对该类人群的消极态度.     

Treatment Adherence Among War Veterans with Posttraumatic Stress Disorder: A Concept Analysis

Aim: This study was made to analyze the concept of treatment adherence among war veterans who suffer posttraumatic stress disorder.

Methods: This concept analysis was done using Walker and Avant’s concept analysis model. Online English and Persian databases were searched using keywords such as “posttraumatic stress disorder,” “mental disorder,” “compliance,” and “adherence.” Finally, 11 eligible documents were included in the analysis. The retrieved articles were perused word-by-word, line-by-line, and paragraph-by-paragraph in order to arrive at an in-depth understanding about their contents. Then, the obtained excerpts from the articles, which were relevant to the study subject matter, were coded. The codes were then grouped into the antecedents, consequences, and attributes of the concept.

Findings: In total, 122 primary codes, 19 subcategories, 8 main categories, and 4 main themes were extracted. The main antecedents of the treatment adherence concept are patients’ personal health background and the attributes of posttraumatic stress disorder and its treatments while its main outcome is the changes in the quality of life. Moreover, the main attribute of adherent veterans is that they take responsibility for their own health and subsequently attempt to plan for health promotion.

Conclusion: The concept of treatment adherence among war veterans who suffer from PTSD is a complex and relative concept which depends on patients’ personal health background as well as the attributes of the afflicting disorder and its treatments. The concept is manifested by patient’s attempts to plan for receiving or parting with treatments and can result in changes in health-related quality of life.     

非目标工作记忆表征下颜色关联和抽象关联的注意捕获和抑制

采用工作记忆—视觉搜索双任务范式,探讨在非目标工作记忆表征下,颜色关联和抽象关联干扰子的注意捕获和抑制现象。实验1结果发现,颜色关联干扰子在快速反应阶段捕获注意,随后被成功抑制;抽象关联干扰子仍能捕获注意。实验2消除知觉凸显后,结果发现颜色关联条件的抑制消失,干扰子重新捕获注意。结果表明,有效抑制策略受不同关联干扰子加工先后顺序的影响,选择性抑制颜色关联干扰子,而颜色特征的凸显有助于抑制策略形成。     

试论张仲景辩病结合辩证的辨证论治方法的先进性

张仲景辩病结合辩证的辨证论治方法,与现代医学认识疾病的思想非常近似,通过比较现代医学认识疾病思想与张仲景疾病认识概念在疾病诊治过程中的相似性,为研究<金匮要略>古代疾病与西医现代病的对应性结合、提高病证结合论治在临床的效验,有很大意义.