关注健康公平,保障健康权益

在卫生改革与发展的过程中,健康公平与健康权益的问题不断引出争论,而且,出现的许多新问题也都与健康公平相关.获得基本医疗服务对于全体居民来说,并不仅仅具有提高劳动力素质的意义,而且还是人们充分发挥自身潜力的一个前提,是人们参与社会经济政治决策过程的一个前提,有着超出个人投资回报的社会效益.因此,在卫生改革过程中应该关注健康公平,合理保护居民的健康权益.     

Self-construal as a predictor of communal and exchange orientation in Taiwan and the USA

Based on a three-dimensional model of self-construal (independent, collective interdependent, and relational interdependent self-construal), the present study investigated whether self-construal systematically related to exchange and communal orientation with data (357 participants) collected in Taiwan ( N  = 178) and the USA ( N  = 179). United States participants scored significantly higher on all scales except for relational interdependent self-construal. Females exhibited significantly higher scores for relational interdependent self-construal and communal orientation. As predicted, independent self-construal was related to exchange orientation and relational interdependent self-construal was related to communal orientation. However, in contrast to what was expected, collective interdependent self-construal was only marginally related to communal orientation. The findings for scales revised for validity were compared with scales including all items. This comparison disclosed differences for exchange orientation.     

Dweck成就目标取向理论的发展及其展望

简单介绍了Dweck成就目标取向理论的形成过程,以突出其理论的主要价值。文章重点分析了国内外研究者对目标取向理论的发展,主要体现在两方面：一是对目标取向模型本身的探讨,二是目标取向的动态调节作用。在此基础上,文章指出Dweck理论的精髓在于能力观,而能力观培养是目前研究所欠缺的,应成为未来研究的一个重要方向。该文分析了能力观培养的可能途径,并指出应从儿童自身发展的角度探索能力观的培养方法。     

Performance goals: The moderating roles of context and achievement orientation

Past research has yielded mixed findings for performance achievement goals. To help resolve this inconsistency, two experiments explored the moderating role of context and individual differences in achievement orientation. Participants in Study 1 pursued either a performance goal or no goal while solving enjoyable puzzles. They did so within either an evaluative or non-evaluative context, and received positive feedback after task completion. Results show that performance goals did not affect performance on the puzzles and undermined interest only when pursued within evaluative contexts by people low in achievement orientation. Study 2 replicated Study 1 and extended it by manipulating outcome feedback valence. Negative feedback given in an evaluative context undermined interest for people high in achievement orientation, but had no effect on those low in achievement orientation. The findings are related to classic achievement motivation findings and current approach-avoidant models of achievement goal theory.     

Customer Service Orientation in Managerial and Non-Managerial Employees: An Exploratory Study

The customer service orientation of managerial and non-managerial employees from a large financial services organization were compared using the Customer Service Skills Inventory (CSSI). The results indicated that, in comparison to non-managerial employees, managers scored significantly higher on Pressure Tolerance, Independent Judgment, and Responsiveness, and significantly lower on Realistic Orientation.     

Effects of initial choices in the prisoner's dilemma

In the two‐person prisoner's dilemma game (PDG), there is considerable evidence that the tit‐for‐tat (TFT) strategy is most effective in inducing the other person to cooperate. One of the important features of the TFT strategy is that it cooperates on the first trial. We varied the initial choices of a simulated other, and tested the effects of (a) initial choices (cooperation or defection), and (b) persistence of initial choices: unilateral cooperation (or defection) on the first trial, first two trials, or first four trials. Results showed that a cooperative strategy—one that starts with cooperative choices—induced greater cooperation than a strategy that started with defections. The results of this study clearly show that (a) a cooperative strategy—one that initiates unilateral cooperation at the outset and then adopts a TFT strategy—is very effective in inducing subsequent cooperation from the other party, (b) the effectiveness of a cooperative strategy varies directly with the cooperative orientation of the other party (a cooperative strategy is more effective against a cooperative than a competitive person), and (c) initial cooperation is more effective if it is repeated more than once. Copyright © 2002 John Wiley & Sons, Ltd.     

Integrating Care for Persons, Not Only Diseases

Integrated care is geared toward enhancing usual care and decision-making for common combinations of medical and mental health conditions, including the behavioral health and behavioral change aspects. Yet even with comprehensive and well-integrated care for health conditions and well-coordinated teamwork in place, some patients do not engage or respond to care in the way clinicians would like or predict. This troubles patients and clinicians alike and may be chalked up informally to things like medical complexity (multiple co-existing conditions), mental health conditions (that complicate care), or simply the case being considered complex or difficult. It also raises the question of how to address person-specific factors that interfere with care of whatever conditions the patient may have, and invites behavioral health clinicians in medical settings to look beyond care of conditions to the care of persons, and to look beyond disease-specific care management protocols to master generic practices of care management across whatever conditions the person may have. This person-centered emphasis is intrinsic to the concept of the “patient-centered medical home” which has burst into animated discussion and demonstration among providers, health plans, government plans, employer purchasers, and professional associations across public and private entities. This represents an opportunity for collaborative care clinicians to help shape the national state of the art in medical home and includes a range of person-oriented (rather than disease-oriented) practices for care management, including working systematically with complex patients and difficult patient–clinician relationships.     

Information-Seeking Practices during the Sexual Development of Lesbian, Gay, and Bisexual Individuals: The Influence and Effects of Coming Out in a Mediated Environment

Constructing a sexual identity is one of the major developmental tasks of adolescence. Applying the Media Practice Model, this study retrospectively examines how self-identifying lesbian, gay, and bisexual (LGB) individuals used media during the commencement of the coming-out process and the effects of media use during this pivotal time of development. Results indicate that the Internet plays a critical role in the development of LGB sexual identities. Heavy users of media during the coming-out process are significantly less likely to communicate openly with their families later in life. However, individuals’ reports of loneliness and self-esteem are not affected. Conclusions suggest that mediated forms of communication can be beneficial for sexual exploration among LGB individuals.     

Functional role theories of representation and content explanation: with a case study from spatial cognition

The aim of this paper is to show that the widespread opinion, according to which functional role theories of representation fail to account for content explanations of human and animal behaviour, cannot be confirmed with respect to each type of functional role theory. Functional resemblance theories (as referred to by O’Brien and Opie in Representation in mind, Elsevier, 2004) allow for content explanations of successfully performed cognitive abilities as much as for explanations of systematic errors resulting from misrepresentation. How functional roles do their explanatory work in actual scientific research examples is shown by a detailed exploration of model assumptions about homing performances based on path integration mechanisms in humans and animals.

Threat causes liberals to think like conservatives

In Study 1, politically liberal college students’ in-group favoritism increased after a system-injustice threat, becoming as pronounced as that of conservatives. Studies 2 and 3 conceptually replicated these results with low preference for consistency [Cialdini, R. B., Trost, M. R., & Newsom, J. T. (1995). Preference for consistency: The development of a valid measure and the discovery of surprising behavioral implications. Journal of Personality and Social Psychology, 69, 318-328.] as a dispositional measure of liberalism. In Study 2, following a mortality salience threat, dispositionally liberal students showed as much conviction in their attitudes toward capital punishment and abortion as dispositional conservatives did. In Study 3, after a mortality salience threat, liberal students became as staunchly unsupportive of homosexuals as conservatives were. The findings that political and dispositional liberals become more politically and psychologically conservative after threats provide convergent experimental support for the [Jost, J. T., Glaser, J., Kruglanski, A. W., & Sulloway, F. J. (2003). Political conservatism as motivated social cognition. Psychological Bulletin, 129 339-375.] contention that conservatism is a basic form of motivated social cognition.