社区卫生服务机构实施品牌战略的构想

"看病难"、"看病贵"两大问题,阻碍和谐社会建设、影响人民群众生命健康。大力发展社区卫生服务,将成为在城市缓解老百姓"看病难"、"看病贵"问题的重要举措,但由于种种问题与困难,降低了老百姓对它的信任度。在社区卫生服务机构实施品牌战略,塑造品牌形象,无疑是提升老百姓信任度的一剂良方,社区卫生服务必将迎来飞速发展。     

Mothers', fathers' and children's perceptions of parents' expectations about children's family obligations in nine countries

Children's family obligations involve assistance and respect that children are expected to provide to immediate and extended family members and reflect beliefs related to family life that may differ across cultural groups. Mothers, fathers and children (N = 1432 families) in 13 cultural groups in 9 countries (China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand and United States) reported on their expectations regarding children's family obligations and parenting attitudes and behaviours. Within families, mothers and fathers had more concordant expectations regarding children's family obligations than did parents and children. Parenting behaviours that were warmer, less neglectful and more controlling as well as parenting attitudes that were more authoritarian were related to higher expectations regarding children's family obligations between families within cultures as well as between cultures. These international findings advance understanding of children's family obligations by contextualising them both within families and across a number of diverse cultural groups in 9 countries.     

The Costs of Hiding and Faking Emotions: The Case of Extraverts and Introverts

The present study examined the moderation effects of extraversion on the relationships between hiding and faking emotions, perceived satisfaction from intimate relationships, and reported physical health concerns. Four hundred and four Israeli participants, who were all involved in intimate relationships at the time of the study, responded to the Extraversion scale from the Big-Five Inventory, the DEELS to measure hiding and faking emotions, the SELF to assess physical health concerns, and the short version of the ENRICH to evaluate perceived satisfaction with intimate relationships. The mean age was 32.3 years (SD = 8.2); and the average length of time as a couple was 7.8 years (SD = 8.2). Of the participants, 198 were married (48.5%). The findings indicate that the effect of hiding negative emotions was stronger for perceived satisfaction with intimate relationships and physical health concerns than that for faking positive emotions. Extraverts who showed a higher frequency of hiding their negative emotions were significantly less satisfied with their relationships than introverts and they also tended to report more concerns with their physical health. These results were not found when extraverts reported a high frequency of faking positive emotions. These results are discussed in the context of the trait-behavior-concordance model and stress the importance of distinguishing faking from hiding.     

Free love? On the relation between belief in free will,determinism, and passionate love

Is love possible if we are not free? Some philosophers consider that true love is necessarily free, while others think that the nature of love makes it incompatible with a certain type of freedom. Here, we explored the relationship between feelings of passionate love, belief in free will and determinism across three online studies. In Study 1 (N = 257), participants who believed strongly in free will (or determinism) expressed stronger passionate love. In Study 2 (N = 305), we again found a positive association between belief in free will (or determinism) and passionate love, although the passionate love-determinism relationship seems more conditional. Finally, Study 3 (N = 309) confirmed the relationship between belief in free will and passionate love but not between belief in determinism and passionate love. These findings, along with a meta-analysis, suggest that both beliefs in free will and determinism are compatible with passionate love.     

Intergenerational Transmission of Trauma-Related Distress: Maternal Betrayal Trauma,Parenting Attitudes,and Behaviors

The purpose of this study was to elucidate mechanisms involved in the intergenerational transmission of trauma-related distress. This study investigated whether betrayal trauma (BT; abuse by a person close to the victim) and specific parenting attitudes and behaviors among mothers with child abuse histories predicted internalizing and externalizing symptoms in their children. Mothers and children (ages 7–11) were recruited for a project on parenting and stress (N = 72). Maternal betrayal trauma predicted both internalizing (β = 0.33, p < .01) and externalizing symptoms (β = 0.25, p < .05) even when controlling for mothers’ trauma-related symptoms. Negative attitudes toward limit setting predicted externalizing symptoms (β = ?0.33, p < .05). Poorer communication (β = ?0.39, p < .05) but higher parenting satisfaction (β = 0.38, p < .01) predicted internalizing symptoms. These findings demonstrate the importance of assessing maternal trauma and parenting characteristics as part of interventions with symptomatic children.     

Critical reflection in midwifery practice: the protection motivation theory

Background: The aim of this paper is to shed light on the notion of fear and inter-personal working relationships, and to promote safe midwifery practice, by critically reflecting on our practice and being aware of fear appeals and the protection motivation theory (PMT).

Theory: PMT provides a general account of the impact of persuasive communication, emphasising the cognitive processes that mediate behaviour change and questions whether ‘fear appeals’ could influence behaviour. Discussion: It is possible that when a midwife decides on a particular care pathway, she determines the degree and perception of the four elements of the PMT; severity, vulnerability, response-efficacy and self-efficacy. If the midwife decides that both the degree of severity and her perception of vulnerability are high, whereas response and self-efficacy perceptions are low, she will probably decide against her original care pathway. For the PMT to be used safely, an appropriate judgement call is required and is based on full understanding of the situation, effective communication with the multidisciplinary team, full knowledge of the proposed care, and competence and confidence in the proposed care. Conclusion: By critically reflecting on their practice and using the PMT, the author believes that midwives will be able to work in partnership with obstetricians to provide safe and effective care within their sphere of practice and in the absence of fear.     

Past and present,day by day: Communication with former romantic partners,relationship-contingent self-esteem,and current relationship outcomes

In an effort to illuminate factors delineating when communication with former romantic partners can be beneficial versus detrimental, this work examines how communication affects both the current and former relationships, and whether these associations vary as a function of one’s self-worth being tied to the relationship (i.e., relationship-contingent self-esteem, RCSE). Over three weeks, undergraduates in relationships who regularly communicated with a former partner (N = 46) completed nightly measures of former partner communication and satisfaction with current and former relationships. Results indicated that among those higher in RCSE, communication with former partners undermined current relationship satisfaction and bolstered former relationship satisfaction, patterns not evident among those lower in RCSE. For some, communication with former partners can be problematic for the current relationship.     

Mortality salience increases language style matching and well-being

The present research examined whether people imitate the language style of others (i.e., the use of function words) as a form of liking when mortality concerns are salient. In Study 1, participants answered questions about death or public speaking and then engaged in an instant messaging conversation with a confederate. In Study 2, participant pairs verbally discussed a news article about increasing homicide rates or the rise in academic pressure. Next, everyone completed measures of self-esteem, life satisfaction, and relationship need satisfaction. The results revealed that, in comparison to the control conditions, participants exhibited greater language style matching (LSM) following reminders of death (Studies 1 & 2). Further, mediational analyses showed that higher LSM after mortality salience was associated with better psychological and social well-being (Study 2). Although the threat of death has been shown to make people more hostile and disparaging toward dissimilar others, the present work suggests that individuals, even strangers, may feel closer through language coordination following thoughts of mortality.     

Prosociality enhances meaning in life

A central feature of meaning in life is a consideration of more than oneself. We extend this logic to suggest that altruistically motivated prosociality – acting in ways that benefit others – is a self-transcending action that may provide meaning in life. Study 1 provided evidence of a relationship between self-reported prosocial behavior and meaning in life, even after statistically controlling for personality traits and self-esteem. Study 2 provided evidence that engaging in a prosocial action, via writing notes of gratitude, increased meaning in life. Study 3 provided evidence that individuals bolster perceptions of prosociality following threats to meaning. Study 4 suggested relationship satisfaction partially mediates the link between prosocial actions and meaning in life. These studies provide initial evidence that prosociality enhances meaning in life.     

Social Anxiety Disorder and Perceived Criticism in Intimate Relationships: Comparisons With Normal and Clinical Control Groups

Individuals with social anxiety disorder (SAD) have difficulties in their romantic relationships, including decreased satisfaction and intimacy, but the reasons for these difficulties are poorly understood. Because fear of negative evaluation is a cardinal feature of SAD, perceived criticism from a romantic partner may play a central role in socially anxious individuals’ relationships. In the present study, we compared levels of perceived, expressed, and observed criticism and reactions to criticism among individuals with SAD and their partners (n = 21), individuals with other anxiety disorders and their partners (n = 35), and couples free of psychopathology (n = 30). Participants rated both global criticism and criticism during a 10-minute problem-solving task, which was also coded for criticism by observers. Individuals with anxiety disorders showed elevated levels of interaction-specific perceived criticism, expressed criticism, and upset and stress due to criticism relative to normal controls; they also reported that the interaction was more stressful. However, there were no group differences on global measures of criticism, and the two anxious groups did not differ on any measures. Findings suggest that the high levels of criticism anxious individuals perceive and their corresponding negative reactions to criticism, though not specific to SAD, may account for some of the relationship difficulties that have been identified in SAD. Results also indicate that anxious individuals may contribute to their relationship difficulties by being highly critical themselves. Overall, our findings point to the need for a clinical focus on decreasing perceived criticism among individuals with anxiety disorders.