Behavioral intervention to treat selective mutism across multiple social situations and community settings

We evaluated a behavioral intervention for a 9-year-old girl with selective mutism. The intervention consisted of role play and video self-modeling. The frequency of spoken initiations, responses to questions, and communication breakdowns was measured during three social situations (i.e., ordering in a restaurant, meeting new adults, and playing with new children) and in three community settings. Results demonstrated increases in spoken initiations and responses and decreases in communication breakdowns across all situations and settings.     

Community psychology in Europe: More needed,less wanted?

In this paper, we first contend that community psychology in Europe is facing a particularly challenging situation: On the one hand we witness an increase in complex social problems, which would require a community approach in order to be tackled; on the other hand socio‐economic and cultural changes in the era of globalization diminish the demand and the sources of public funding needed to promote and implement community intervention programs. We then outline the main achievements of community psychology in Europe, and discuss future challenges. Copyright © 2010 John Wiley & Sons, Ltd.     

The community substance use environment: The development and predictive ability of a multi‐method and multiple‐reporter measure

This study tested the feasibility and utility of developing a multiple‐method and multiple‐reporter measure that describes the community substance use environment. Data on community‐level norms and availability of substances were reported by 5261 students and 181 prevention‐focused community leaders (CL) involved in the 28 promoting school–university–community partnerships to enhance resilience (PROSPER) Project communities between 2002 and 2005. Additionally, locations of alcohol and tobacco outlets were geocoded. Initially, these four subscales were aggregated to measure the community substance use environment. Analyses demonstrated this measure was associated with community rates of adolescent reported cigarette use, but it was not associated with community rates of adolescent reported alcohol use. Further analyses tested the relative strength of the four different subscales in predicting rates of student use. Implications of these results for the field of community‐based prevention are discussed, as well as limitations and future directions. Copyright © 2009 John Wiley & Sons, Ltd.     

Self and Community in the Xunzi

This paper investigates Xunzi’s ideas on self and community. According to Xunzi, the origin of Confucian rituals lies in the need to nourish human desires. However, this nourishment is more than the simple satisfaction of desire. Rather, in the development of rituals, desires are evaluated and directed according to the overall good of a person in order that the person can actively pursue fulfilment and self-realization. If human beings are controlled by momentary desires, they live like beasts and cannot act as autonomous agents. Confucian rituals constitute a normative framework for human life and desires. Following Xunzi, this normative framework is based on a cultural and collective interpretation of our own nature. Through Confucian rituals a person can not only satisfy desires properly, but can also enjoy human relationships within the community. Most importantly, it is through these Confucian rituals that a person realizes himself as an agent who can control and direct his own life.     

Succeeding at succession: the myth of Orestes

Abstract: Although the myth of Oedipus seems an inevitable template for understanding succession in psychoanalysis, the myth of Orestes offers a more complex and promising view of the intergenerational transfer of leadership and authority, one that takes into account the entire community, not merely the individual leader. A closer look at the Aeschylus drama suggests three dimensions that need to be taken into account in managing succession: what are the mechanisms enabling the community to participate, what is the role of the unconscious irrational forces inevitably aroused in the process, and what are the wider social and economic issues that need to be addressed? This paper looks at the myth elaborated in the Greek drama, and then applies it to some of the current problems facing contemporary psychoanalytic institutions.     

Collaboration in Business Schools: A Foundation for Community Success

Business schools are often thought of as being accountable for the individual student’s personal development and preparation to enter the business community. While true that business schools guide knowledge development, they must also fulfill a social contract with the business community to provide ethical entry-level business professionals. Three stakeholders, students, faculty, and the business community, are involved in developing and strengthening an understanding of ethical behavior and the serious impacts associated with an ethical lapse. This paper discusses the ways the business schools may enhance the student’s ethical knowledge and understanding, and proposes a roadmap that business schools may use to develop or strengthen a strong ethical culture. The authors, Leland Horn and Michael Kennedy, are third year doctorate of management students at Colorado Technical University, 4435 North Chestnut Street, Colorado Springs CO 80907.     

Diversity Challenges in Community Research and Action: The Story of a Special Issue of AJCP

This story explores an intervention conducted in a Catholic parish community in New York City. The intervention, conducted by the author and a Jesuit priest, focused on issues of unity and diversity among the various Chinese immigrant subgroups in the parish (primarily Cantonese‐ and Mandarin‐speakers). Issues of class, power, and a history of colonialism in the Catholic Church are explored as central to the relations among culturally diverse Chinese American community members and between the members and the practitioners and the church authority. The author especially focuses on how the dynamics that played out in the intervention reflected wider issues of economics, labor practices, and political elitism in the wider Chinatown community. A central part of the author's argument is about power relationships between this parish community and Chinatown and how these power relationships are embedded within broader racial and economic oppression within the United States.     

医疗腐败的市场根源：儒家思想的角度

中国的医疗腐败问题成为社会关注的热点,其中一个重要的原因就是市场化过程中,一些不恰当的政策导致了医疗服务腐败的现象。核心就是忽视了中国传统的儒家思想对维护和改善医患关系的积极作用。应当重视儒家道德思想,并在此基础上重塑医学伦理。     

The Effects of Capitation on Outpatient Mental Health Episodes of Children

We analyzed the effects of the Colorado Medicaid Capitation Program on the duration and services of over 21,000 outpatient mental health episodes for young children. The study spanned a three year period before and after capitation was implemented, and compared episodes of outpatient care for children from 14 capitated Community Mental Health Centers (CMHCs) with those from three CMHCs that remained fee-for-service. Proportional hazards regressions revealed that capitation resulted in an increase in outpatient episode duration, over and above similar effects for the comparison fee-for-service episodes. The hypothesis that there were longer capitated episodes for children who were hospitalized was not supported. Children with behavioral and anxiety disorders had longer capitated episodes. Service intensity decreased over time in the managed care sites. Changes in case mix may have had an impact on changes in episode duration and service intensity. That outpatient episode duration increased over time while costs were lowered in the capitated agencies indicates some effects of capitation in changing patterns of care.