The Primary Care Health System as a Core Resource in Response to Terrorism

Abstract

Living through a terrorist event or under threat of attack affects both mental and physical health. A nation's primary care system plays a critical role under such circumstances. This article reviews the American experience after September 11, 2001 and advocates for integration of mental and physical health services in primary care settings as a key counter-terrorism strategy. Americans put their trust in primary care providers. The nation's healthcare system must develop and implement a strategy that informs and supports primary care providers in meeting the mental health needs of a nation confronted by terrorism.     

Working in the hidden economy: Associations with the latent benefits and psychological health

Hidden economy working can provide income and cushion the financial hardship during unemployment; can it also substitute for some latent functions of regular employment? According to Jahoda's theory, the latent functions include the time structure, regular shared experience, information about personal identity, a link with the collective purpose, and enforced regular activity. This article explores whether the undeclared working reduces the degree of deprivation of these functions during unemployment and, consequently, improves the psychological health of a person. The data were collected from a sample of unemployed persons (N = 1138) registered with the Croatian Employment Bureau. A series of questions about their day-to-day activities were used to estimate the amount of undeclared working, an ad hoc developed scale to assess the extent of their latent deprivation, and the SF-36 Health Survey to measure their psychological health. The ANCOVA revealed that the participants who were often engaged in the hidden economy working exhibited reduced latent deprivation and improved psychological health compared to those who were sometimes engaged. Hierarchical regression analysis indicated that their better psychological health was partially mediated through reduced latent deprivation. However, the unemployed who were never engaged in undeclared working exhibited a relatively high psychological health as well.     

Karma accounts: supplementary thoughts on Theravāda,Madhyamaka, theosophy,and Protestant Buddhism

This article supplements Jens Schlieter's discussion of the cognitive metaphor of a karmic bank-account, adding selected points on karma monetary/fiscal metaphors as preserved chiefly in Pāli and Sanskrit sources. It explores various strands of the history of South Asian religions where distinct economic metaphors for karma come closer to the late ‘bank-account of karma’: i.e., the Vedic ‘three debts,’ a Hindu concept of God as accountant, the varieties of weighing the (mis)deeds, the Buddhist monastic status of debt and fiscal transactions, the equivalence of karma and debt as discussed by Madhyamaka thinkers, and others. While endorsing Schlieter's point, it also takes into account such modern Western sources as early theosophical discourse and ‘Protestant Buddhism.’     

Assessing Needs and Developing Interventions with New Populations

ABSTRACT

The predominance of chronic and lifestyle-induced conditions has emphasized the need for greater access to health care in the community. A corresponding concern is educating practitioners so they are equipped to assume positions in the community at graduation. Lack of preparation to work in the community has led to reluctance on the part of practitioners to pursue positions in the community (Walens et al., 1998). However, the current climate of health care creates many opportunities for practitioners and educators who are willing to make a commitment to work collaboratively with agencies in the community for a common good. The purpose of this paper is to broaden understanding of community built practice by sharing a collaborative process in fieldwork education that was undertaken by faculty at the University of Illinois at Chicago.     

Affective economies of Beyoglu in Istanbul: The construction of ‘Disgust’ and ‘Fear’ in neoliberalization of nightlife

This study contributes to understanding neoliberalism in Beyoglu, by examining how neoliberal discourses create and circulate normative meanings in nightlife. I suggest that neoliberal discourses and practices inform a value structure in everyday life which identifies subject positions in terms of affiliation and marginalization in Beyoglu's nightlife scene, based on the affective economies of Beyoglu. Affiliation/marginalization distil through moments of contact, imbued with various affective dispositions. I argue that spaces of affiliation shape and are shaped by the affective dispositions of (middle-)classed night-time euphoria. Conforming to norms of desirability, attractiveness and safety, they present a cultural and economic model attuned to neoliberal rationalities. Two dominant stereotypes of ‘undesirability’ emerge in affective terms: (i) those of ‘ineligible’ dispositions which produce emotions of ‘disgust’, and (ii) those of ‘fearful’ bodies constantly moving across the night-time leisure places of Beyoglu. By examining the relationship between neoliberalism and affective economies in Beyoglu's nightlife, this study contributes to research on night-time leisure places, providing insight into linkages between emotional subjectivities and rational thinking.     

Concessive and semifactual interpretations during reasoning with multiple conditionals

The present research evaluates how people integrate factual ‘if then’ and semifactual ‘even if’ conditional premises in an inference task. The theory of mental models establishes that semifactual statements are represented by two mental models with different epistemic status: ‘A & B’ is conjectured and ‘not-A & B’ is presupposed. However, following the principle of cognitive economy in tasks with a high working memory load such as reasoning with multiple conditionals, people could simplify the deduction process in two ways, by discarding: (a) the presupposed case and/or (b) the epistemic status information. In Experiment 1 and Experiment 2, we evaluated each of these hypotheses. In Experiment 1, participants make inferences from two conditionals: two factual conditionals or one factual and one semifactual, with different representations. In Experiment 2, participants make inferences with a factual conditional followed by two different semifactual conditionals that share the same representations but differ in their epistemic status. Accuracy and latency data suggest that people think of both the conjectured and the presupposed situations, but do not codify the epistemic status of either when the task does not require it. The results are discussed through theoretical predictions about how people make inferences from different connected conditionals.     

Can We Consume Our Way Out of Climate Change? A Call for Analysis

The problem of climate change is analyzed as a manifestation of economic growth, and the steady-state economy of ecological economics is proposed as a system-wide solution. Four classes of more specific solutions are described. In the absence of analysis, cultural inertia will bias solutions in favor of green consumption as a generalized solution strategy. By itself, green consumption is a flawed solution to climate change because it perpetuates or even accelerates economic growth that is incompatible with a sustainable culture. Addressing climate change requires an integration of regulatory, energy efficiency, skill-based, and dissemination solutions. Behavioral scientists are encouraged to work with others in ecological economics and other social sciences who recognize cultural reinvention as a means of achieving sustainability.     

创造力研究的新领域:合作创造力

创造力研究已经从重视个体创造力逐渐走向重视具有复杂互动功能的合作创造力。本文首先论述了合作创造力研究的产生及特点,然后总结了合作创造领域目前研究的主要问题,如个体与群体同一性、个体与群体动机以及有助于创造的个体及环境因素,并指出合作创造力研究领域需要解决的问题,认为应在重视合作创造过程与机制研究的基础上,建构系统的合作创造力理论,同时注重研究合作创造力的支持环境与支持技术,并且发展出合作创造力的评估体系。