System-of-Care Practice Review Scores as Predictors of Behavioral Symptomatology and Functional Impairment

The longitudinal comparison study of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program assesses factors in service delivery systems that may shape the impact of systems of care. We evaluated the extent to which services embodying the principles of a system of care, as measured by the System-of-Care Practice Review (SOCPR), affect clinical outcomes for children being served in federally-funded systems of care and matched comparison communities. The participants included 75 children and families selected for participation in the SOCPR. Results indicated that experience of services embodying system-of-care principles at a high level was associated with lower symptom and impairment scores one year after entry into services. Children in systems of care were rated to have experienced high levels of system-of-care principles implemented within their services, and their symptom severity and functional impairment did not vary as a function of their experiences. Children in matched comparison communities had more variable rated experiences of system-of-care principles within their services, and their symptom severity and functional impairment decreased as their experiences of the principles increased.     

家长式领导与员工价值取向关系实证研究

家长式领导是华人企业管理本土化研究的热点问题,然而国内这方面的实证研究并不多见。本研究通过实证研究,探讨了员工价值观不同,对家长式领导的接受程度的影响,并认为,家长式领导模式要有效,必须考虑员工价值观状况和员工对组织和领导的依赖程度。     

论中国古代儒家哲学的价值取向

儒家哲学是中国古代哲学的重要门派 ,其内容博大精深 ,影响广泛而久远 ,其基本精神和价值取向可归纳为“内圣外王之道”。对儒家“内圣外王”思想的阐释在古代和近代有所不同 ,涉及内修与外用、中学与西学等关系。“内圣外王”作为价值观 ,其本体论依据为天人关系论中的“天道”或“人道”本体论 ,其认识论依据为内在超越思路和“知行合一”观念。     

Self Psychology and End of Life Pastoral Care

This paper explores salient concepts of Heinz Kohut's self psychology in relation to pastoral caregiving with dying persons and family members. Examination of a principle case study and other relevant clinical examples illumines the discussion. It is argued that the principles of Kohut's psychology can critically inform pastoral theological reflection. Strengths and limitations are considered throughout the analysis, and gestures are made toward beneficial end of life pastoral theological practices for clients and practitioners.     

Perceived Group Status Differences and the Effects of Gender, Ethnicity, and Religion on Social Dominance Orientation

Social dominance orientation (SDO) is a measure of general desire for group-based dominance. According to social dominance theory, the higher the status of one's group, the higher one's level of SDO should be. This study examined the extent to which between-group differences in SDO increase as the size of the perceived status gap between the groups increases. Data were collected in Israel, Northern Ireland, and the United States. In agreement with expectations, differences in SDO between arbitrary-set groups (e.g., ethnic and religious groups) were found to be greater when the status gap between the groups was perceived to be larger. In contrast, gender differences in SDO did not vary as a function of the size of the perceived status gap between men and women: Men had higher levels of SDO than women even when the gender status gap was perceived to be very small. These findings highlight the effects of perceived group status on SDO and the degree to which these effects vary depending on whether the salient group distinction is based on gender, ethnicity, or religion.     

The Performance of Authenticity: Ordination and Profession in Pastoral Care

Quite a few pastors experience a feeling of inauthenticity when performing their duties. Trying to fulfill the wishes and needs of those of the congregation who ask for their help, they feel like an impostor. The discrepancy between act and experience causes a serious problem in identity. However when authenticity is not considered to be an individual experience and a personal dilemma but as a relational characteristic, the concept of play may be usefully engaged to explain the dramaturgical essence of pastoral performance. The success of pastoral performance depends on maintaining the right aesthetical distance in the drama enacted, so that some form of catharsis might be effected. That distance is found in introducing the concept of ordination where the relation between pastor and congregation is concerned, and it is to be found in the concept of profession where pastors perceive and evaluate their own role performance. Both ordination and profession act as distancing devices enabling the pastor to play the right role rightly. Acting as if, the pastor may be experienced as authentic, as a real pastor.     

Ideological Orientation and Political Transition in Hong Kong: Confidence in the Future

In the two-component model of ideological orientation, a person's ideological position is jointly influenced by attitudinal and affective components. The present study adopted this conceptual model to predict confidence in the future of Hong Kong. Questionnaire responses were collected from 395 adults (56.8% men and 43.2% women) in Hong Kong in April 1995, some 2 years before its transfer from British to Chinese control. The results show that the level of confidence in Hong Kong was related to both attitudinal and affective identification with Hong Kong and China. These findings suggest that the transfer of government may have brought to the surface a collision of the divergent political cultures of Hong Kong and mainland China, resulting in two antagonistic political orientations that predicted confidence in the future of Hong Kong.     

A Decade of Clinical Psychology in Medical Settings: The Short Longer View

The progress and accomplishments of psychology in medical settings over the past decade since the publication of the Handbook of Clinical Psychology in Medical Settings (J. J. Sweet, R. H. Rozensky, & S. M. Tovian, 1991) and the subsequent founding of the Journal of Clinical Psychology in Medical Settings (JCPMS) in 1994 are highlighted. Areas of progress and accomplishments reviewed include professional developments with our field, roles and services provided by psychologists, education, training and research issues, and program administration in medical settings. The current status of, and possible changes in, medical settings is identified. Future challenges and opportunities for the profession are discussed.     

A Behavioral Health Screening Measure for Use with Young Adults in Primary Care Settings

Many healthcare professionals argue that mental health assessment should be routinely incorporated into young adults' medical health care. This project is an evaluation of the Behavioral Health Screening Measure (BHSM) that could be integrated into a primary healthcare setting to aid in the identification of mental illness in young adults. First, Receiver Operating Characteristics analysis was used to calculate a cutoff score that distinguishes a sample of 134 young adult outpatients and 233 young adult nonpatients. Second, a sample of 120 young adults that completed BHSM was divided into two groups by using the cutoff score. Analyses suggested that the two groups had significantly different scores on various measures of depression, anxiety, and general well-being. Results suggest that BHSM would be a valid screening instrument for detecting emotional problems in young adults.     

A Developmental Framework for Collaboration in Child-Serving Agencies

Collaboration for the purpose of interdependent problem solving represents a fundamental reform of services for children with serious emotional disturbance and their families, which have typically been categorical, poorly coordinated, costly, overly restrictive, and frequently provided outside of the children's home communities. This article presents a developmental framework for collaboration that is based on the experience of families, service providers, administrators, and community members who have been involved in local collaborative processes in their own communities. The framework provides those interested in building collaboration a clear identification of the stages of collaborative development, defining characteristics of each stage, collaborative activities typical of that stage, and identification of the catalyst for change to the next stage. The results of this project indicate that while well-developed professional collaboration is a necessary component of collaboration, it is not sufficient in and of itself. The sites participating in this project related their experiences in building collaborative processes to both the development of strong interagency collaborations and the development of family participation. Their experience indicates that these two processes must be fully developed and woven together to achieve the goal of true collaboration.