农村健康保障制度与反贫困

从我国农村健康保障现实出发,认为建立农村健康保障制度是反贫困的迫切要求和重要组成部分,并提出了一些政策建议,如树立公共健康投资理念、政府职能转变与市场机制结合等.     

Fear of Infection or Justification of Social Exclusion? The Symbolic Exploitation of the Ebola Epidemic

Public discourse in Western countries on the 2014 Ebola epidemic provided a unique natural opportunity to study the relationship between a disease's sociocultural representation and health policy support. Our main prediction stated that among Western citizens, support for restrictive health policies (e.g., mandatory quarantining) would be determined more through preexisting prejudice towards African immigrants than fears of Ebola infection. A questionnaire study with time‐lagged measurement of predictor and criterion variables employing a German sample (N = 218) that was heterogeneous in terms of gender, age, profession, political orientation, and income level provided clear support for this assumption. Although variables related to fear‐of‐infection were significant predictors, prejudice‐related variables explained several times more variance in participants’ support for restrictive policies. Moreover, the degree to which participants adopted prevalent beliefs regarding the sociocultural origins of Ebola (e.g., eating bushmeat) further intensified the impact of prejudice‐related variables.     

Deterrence and Coercive Diplomacy: The Contributions of Alexander George

Alexander George was a towering figure who made path breaking and enduring contributions to political psychology, international relations, and social science methodology. I focus on George's closely related research programs on deterrence and coercive diplomacy, with special attention to the importance of the asymmetry of motivation, strategies for "designing around" a deterrent threat, the controllability of risks, images of the adversary, signaling, the sequential failure of deterrence, the role of positive inducements along with coercive threats, and the need for actor-specific models of the adversary. In the process, I highlight other elements of George's theoretically and methodologically integrated research program: his conceptions of the proper role of theory; his emphasis on the infeasibility of a universal theory and the need for conditional generalizations that are historically grounded, sensitive to context, bounded by scope conditions, and useful for policy makers; and the indispensability of process tracing in theoretically driven case studies.     

Elliott’s Ethics of Expertise Proposal and Application: A Dangerous Precedent

In a recent paper in Science and Engineering Ethics (SEE) Elliott proposed an ethics of expertise, providing its theoretical foundation along with its application in a case study devoted to the topic of hormesis. The application is based on a commentary in the journal Nature, and it includes assertions of ethical breaches. Elliott concludes that the authors of the commentary failed to promote the informed consent of decision makers by not providing representative information about alternative frequency estimates of hormesis in the literature, thereby hindering the capacity of the scientific community to promote informed consent relating to chemical regulation. This paper argues that Elliott should have incorporated due process into his system of evaluation. His argument is also seriously deficient technically, in that it misinterprets the toxicological issues, misrepresents the scientific literature with respect to the frequency of hormesis, and incorrectly assesses the extent to which the Nature paper revealed opposing/alternative views on hormesis. Given the seriousness of assertions of noncompliance to ethical norms, there must be procedures to protect those whose ethics were called into question, to fairly evaluate the technical justification for an assertion, and to enable corrections in the event of errors. If a journal is willing to publish assertions that individuals acted in an ethically questionable way, it should be guided by a documented code of ethics and meet a standard of responsibility far greater than normal peer-review processes for papers that do not entail such ethical judgments.     

Effects of norms and norm-violations on inhibition and instigation of aggression

It was hypothesized that in a competitive interaction in which an opponent first used threats and fines a) subjects would use the highest level of coercion that could be justified by the available norms, b) subjects would be inhibited by a norm that justified using only low levels of coercion, but c) when the opponent used a magnitude of coercion which exceeded the norm, subjects would also violate the norm and retaliate with an equally high magnitude of coercion, and d) subjects would use the maximum levels of coercion when engaging in a competitive game without norms. These hypotheses were examined in a 3 × 2 factorial experiment in which the amount of coercion allowable by a norm (Low Norm, High Norm, and No Information) and the level of coercion (Low or High) were manipulated. As predicted, aggressive reactions by subjects were inhibited when the provoker conformed to a low norm by using a low level of coercion. On the other hand, subjects retaliated by using a high level of coercion when the level of coercion used by a provoker violated the norm. Subjects who could justify their behavior by the availability of a high punitive norm tended to use all of the coercive power available to them even when the provoker used a low level of coercion. © 1996 Wiley-Liss, Inc.     

中国大学生对艾滋病知识的了解以及对艾滋病患者的反应

本研究区分艾滋病知识的两个不同侧面: 对艾滋病的误解和对艾滋病的正确认识, 并第一次在中国探讨这两个不同侧面的知识对艾滋病患者的认知、情感、行为反应的不同预测作用。119名(31男, 88女)来自上海、132名(59男, 73女) 来自广州的大学生参加了本调查。结果发现被调查的大学生: 1) 普遍对艾滋病存在误解, 即认为艾滋病可以通过日常的一般接触传染, 并且, 这种误解和对艾滋病的正确认识相互独立; 2) 都表达了对艾滋病患者的厌恶情感、与艾滋病患者接触的不舒服感; 3) 尽管如此, 但都不支持对艾滋病患者采取强制措施, 也不认为艾滋病患者感染艾滋病是他们自己的责任。研究还发现, 和来自广州的大学生相比, 来自上海的大学生对艾滋病有着更多的了解, 对艾滋病患者有着更少的负性情感、更少的消极态度、他们也更少地把感染责任归结到患者本身。特别有趣的是, 本研究发现, 对艾滋病患者的负性反应具有显著预测能力的是对艾滋病患者的误解而不是正确认识, 即误解越多, 负性反应越多。这些发现提示, 中国未来的艾滋病防治工作应该继续大力加强对艾滋病相关知识的宣传教育, 不仅要让人们知道艾滋病是通过什么途径传染的, 还要特别消除他们对艾滋病的许多误解, 从而减少或消除对艾滋病患者的许多歧视性反应, 营造一个良好的艾滋病防治环境; 同时, 中国的艾滋病防治还应该注意地区差异, 不同地区的防治力度和采取的策略应该和各地的实际疫情相适应。     

Confidentiality, privacy, and the facilitating role of psychoanalytic organizations

Burgeoning external threats to confidentiality by claims to clinical information create unprecedented challenges for psychoanalysts. Internal threats arise from the use of clinical material for educational, scientific and historical purposes. Traditionally, confidentiality is considered a patient's right and an analyst's obligation; privacy is not usually stated as a professional requirement. Little consideration has been given to the impact of the confidentiality and privacy dilemmas that analysts encounter throughout their careers. There has been no systematic examination of the confidentiality policies of psychoanalytic organizations, nor has their role in facilitating maintenance of patient confidentiality and analysts' privacy been made explicit. The research reported here was undertaken to address these issues and to obtain baseline information about the current confidentiality policies and practices of psychoanalytic organizations in three English-speaking countries (Britain, Canada and the USA). The author discusses survey results in the light of the challenges which arise at each phase of the analytic career. She makes suggestions as to how psychoanalytic organizations can and should facilitate analysts' resolutions of contemporary confidentiality and privacy dilemmas.     

Asians as the model minority: Implications for US Government's policies

Asian Americans are often perceived as a 'model minority'– an ethnic minority that are high achieving, hardworking, self-reliant, law-abiding, as well as having few social and mental health problems. Although the impact of the model minority image on the US government's redistributive policies is a widely contested topic in public discourses, there has been little research on the association between the model minority image, people's worldviews, and attitudes towards the US government's redistributive policies. In an experiment that measured American participants' worldviews and manipulated the salience of the model minority image, we have demonstrated that those who believed in a malleable social reality were relatively unsupportive of government policies that help the Asian American ( vs African American) communities. Theoretical and practical implications of this finding are discussed.     

Gender differences in burnout: A meta-analysis

The literature on male-female differences in burnout has produced inconsistent results regarding the strength and direction of this relationship. Lack of clarity on gender differences in organizationally relevant phenomena, such as work burnout, frequently generates ungrounded speculations that may (mis)inform organizational decisions. To address this issue, we conducted a meta-analysis of the relationship between gender and burnout using 409 effect sizes from 183 studies. Results challenge the commonly help belief that female employees are more likely to experience burnout than male employees, revealing instead that women are slightly more emotionally exhausted than men (δ = .10), while men are somewhat more depersonalized than women (δ = −.19). Although these effects are small, they are practically noteworthy when translated into a percent overlap statistic. Moderator analyses further revealed some intriguing nuances to the general trends, such as larger gender differences in the USA compared to the EU. In contrast, gender differences did not vary significantly in male-typed vs. female-typed occupations. Our analyses also suggest discontinuation of the use of overall burnout measures because they are highly consistent with the emotional exhaustion dimension of burnout only.     

The governance of religious diversity in stateless nations: the case of Catalonia

Academic literature dealing with the governance of religious diversity in Europe has gained saliency in recent years. However, most existing research is based on state-level policies, while the role of regional government is receiving far less attention. To address this lacuna, this article focuses attention on the role of the regional government in the regulation of religious diversity in Catalonia. The article reflects on the increasing relevance of religious affairs in the Catalan policy agenda and examines the emergence and configuration of a specific, distinct and prominent regional policy programme on religious diversity. The case of Catalonia is especially relevant since its ongoing nation-building project bestows additional complexity and strategic relevance on the policy approach towards religious issues.