发挥中医药学优势,构建和完善小康社会卫生服务体系

全面分析和阐述了中医药学在我国社区卫生服务体系的理论建设和医疗实践中所具有的作用、意义和优势.提出利用中医药学优势,将促进社区卫生服务,确保小康社会卫生服务体系的完善.     

People with intellectual disability as neighbours: Towards understanding the mundane aspects of social integration

Although people with intellectual disabilities (ID) are increasingly expected to relocate from traditional institutional care to ‘regular’ neighbourhood housing facilities and socially integrate in these neighbourhoods, little is known about how they are perceived and appreciated as neighbours. This paper reports on interviews carried out with 30 neighbours without ID who were neighbours of small‐scale care facilities for people with ID. Interviews addressed the neighbours' everyday experiences of neighbouring in general, and neighbouring people with ID in particular. Neighbouring, for these informants, called for a fine balance between friendliness without over‐involvement. While they were generally positive about their interactions with their neighbours with ID, it emerged that the formal nature of the care facility and the interaction style of some of the neighbours with ID often contravened informants' assumptions about neighbouring. Informants expressed concern about a possible lack of appropriate distance, reciprocity and accountability among their neighbours with ID. The nature of the care facility, with paid staff, often group activities, formal means of achieving the everyday small tasks which neighbours sometimes do for each other, and a high turnover of residents, all undermined the possibility of a typical neighbourly relationship. In conclusion, we suggest that integration of people with ID into everyday neighbouring relationships raises complex challenges for care organizations that need to find a balance between supporting the needs of people with ID they care for, adequate support and mediation for other neighbours when necessary, and all the while avoid becoming overly involved in neighbouring as a formal partner. Copyright © 2010 John Wiley & Sons, Ltd.     

Researching the reintegration of formerly abducted children in northern Uganda through action research: Experiences and reflections

This paper presents experiences and reflections on the use of a participatory research methodology under the difficult conditions of a war situation in northern Uganda. We draw from two complimentary approaches in action research to explain our methodology while doing research on the reintegration of formerly abducted children. First, the experience oriented approach, which emphasizes the need to articulate experience as a basis for learning and knowledge. Second, the exemplary participatory approach which highlights the importance of enhancing empowerment and the need to find solutions for social problems. We find these two approaches useful for doing action research in a conflict area because of their emphasis on experience and empowerment respectively. In our research, experience is important because of the children's encounter with the Lord's Resistance Army (LRA) rebels that both needs to be understood and justifies reintegration. On the otherhand, empowerment is important for our assumption that the children's experience and encounter with the LRA has disempowering effects on them. We demonstrate the use of the approaches in our research by enhancing participation, balancing power relations and being aware of ethical issues while at the same time attempting to make the research valid inspite of the challenges. Copyright © 2010 John Wiley & Sons, Ltd.     

Local communities responding to ecological challenges—A psycho‐social approach to the Natura 2000 Network

The institutionalization of biodiversity conservation through legal instruments has led to mixed reactions at both the individual and community levels, with conflict and resistance co‐existing with support. The overall purpose of this paper is to describe how rural communities living in areas included in the Natura 2000 Network of protected sites, where local practices of land use are regulated by new legal directives, receive biodiversity conservation goals. Previous studies suggest that this reception is strongly shaped by place identification, but their contradictory results demand further clarification. This study examines the role of psycho‐social variables identified by previous studies as potentially relevant moderators of identification: (a) Vested interest in natural resources, (b) evaluation of the designation process of protected areas and (c) institutional trust. It further extends previous research by analysing the support given to contextually relevant ecological practices. Results reveal a positive link between place identification and attitudes in the high vested interest condition and show that support for conservation practices is better predicted in the high vested interest and low trust conditions. The discussion focuses on the relevance of analysing contextually relevant psycho‐social moderators when attempting to understand how local communities' relation with biodiversity conservation is affected by legislative innovation. Copyright © 2009 John Wiley & Sons, Ltd.     

Effects of basic human values on host community acculturation orientations

Although literature provides evidence for the relationship between values and acculturation, the relationship between host community acculturation orientations has not yet been investigated. In this study we tested the effects of four high-order values (openness to change, self-transcendence, conservation, and self-enhancement, devised according to Schwartz's model) on host community acculturation orientations towards immigrants (devised according the interactive acculturation model) in the public domain of employment and the private domain of endogamy/exogamy. Participants were 264 Italian University students, who completed a questionnaire containing the Portrait Values Questionnaire, a measure of personal values, and the Host Community Acculturation Scale, aimed at measuring Italian acculturation strategies towards three groups of immigrants: Immigrants (the general category), Chinese (the valued immigrant group), and Albanians (the devalued immigrant group). Results showed that personal values are related to the adoption of acculturation orientations: In particular, the values that mostly impacted on acculturation orientations were self-transcendence and conservation. Values concerning self-transcendence encourage the adoption of integrationism, integrationism-transformation, and individualism and reduce the adoption of assimilationism, segregationism, and exclusionism. Values concerning conservation encourage the adoption of assimilation, segregation and exclusion orientations and reduce the adoption of both types of integrationism and individualism. Minor effects were found regarding self-enhancement and openness to change.     

The Imperative of Diakonia for the Church and Theological Education

This article begins by arguing that diakonia is an imperative for the church, be it at the local, national, regional, or global level. It goes on to describe how diakonia has been part of the identity of the World Council of Churches during its 70 years of existence, and highlights the struggle of diakonia and development within the fellowship and ecumenical partners. The article focuses on the document Called to Transformative Action: Ecumenical Diakonia as the most recent attempt to reflect on who we are and what we do as church. It identifies one important aspect of diakonia as reflected in the Pan‐African Women's Ecumenical Empowerment Network perspective on theological education. The article concludes by reflecting on the author's vision for a just community of women and men in prophetic diakonia.     

The Implementation of Mindfulness‐Based,Trauma‐Informed Parent Education in an Underserved Latino Community: The Emergence of a Community Workforce

In this practice‐oriented program review, a mindfulness‐based, trauma‐informed parent intervention, called Safe, Secure and Loved? (SSL), designed to strengthen nurturing parenting and children's resilience, was implemented in an underserved Latino community. Across 5 years, a volunteer community workforce of promotoras transformed an academic–community research partnership into a community‐led program partnership and established sustainable agency parent education programming. To better understand this transformation, we used a modified implementation science (IS) framework to structure interviews from members of the academic–community research partnership. Findings suggest that the commitment and cultural expertise of the volunteer community workforce acted as the major leadership drivers to create the community‐led program partnership. Employing mindfulness‐based, trauma‐informed parent education designed to promote nurturing parenting and children's resilience may be an effective training model to engage and mobilize a volunteer community workforce from an underserved community.     

Children and youth in neighborhood contexts

Neighborhoods are increasingly studied as a context where children and youth develop; however, the extent of neighborhoods' impact remains debatable because it is difficult to disentangle this impact from that of the family context, in part because families have some choice as to where they live. Evidence from randomized experiments, studies using advanced statistical models, and longitudinal studies that control for family characteristics indicates that neighborhoods do matter. In nonexperimental studies, small to moderate associations were found, suggesting that children and adolescents living in high-income neighborhoods had higher cognitive ability and school achievement than those living in middle-income neighborhoods, and children and adolescents living in low-income neighborhoods had more mental and physical health problems than those living in middle-income neighborhoods. The home environment has been shown to be partly responsible for the link between neighborhood and children's development. For adolescents, neighborhood effects are partially accounted for by community social control. Experimental studies in which families were randomly assigned to move to low-poverty neighborhoods from housing projects found larger neighborhood effects than nonexperi-mental research, particularly for boys' outcomes. Additional issues reviewed are relevant neighborhood characteristics, theoretical models explaining the pathways underlying neighborhood effects, methods for research assessing neighborhood processes, and policy implications.     

Honneth and the Communitarians: Towards a Recognitive Critical Theory of Community

This paper attempts to sketch a critical model of political community by drawing upon recent contributions to the theory of ‘recognition’, particularly in the work of Axel Honneth. The paper proceeds by, first, delineating key features shared by a range of positions associated with ‘communitarianism’, along with the limitations and problems incurred by these commitments. The second part of the paper attempts to mobilise Honneth’s theoretical work to develop a conception of community that shares a number of the basic premisesvis-á-vis political life associated with communitarianism, but which nevertheless accommodates the reservations expressed by communitarianism’s liberal and radical critics. This revised version was published online in August 2006 with corrections to the Cover Date.