Nyapati R. Rao 《International Journal of Applied Psychoanalytic Studies》2007,4(2):128-143

Culture is ubiquitous and fundamental to the practice and learning of psychiatry. Its influence on psychiatric residency training assumes greater significance in the context of the current workforce dynamics in psychiatry, where 40% of residents are foreign‐born, with a preponderance of them emigrating from Asian cultures. Using the Asian‐Indian international medical graduate (IMG) as an example, the educational challenges faced by IMGs in learning psychiatry are reviewed. These difficulties are traced to the significant psychological impact of migration on IMGs, IMGs' cultural conflicts in using English as a second language, and to the differing attitudes towards mental illness in Eastern and Western cultures. To further delineate the Asian‐Indian IMGs cultural hurdles in learning psychiatry, the impact of the Hindu world view on their individual psychologies and their interpersonal relationships is discussed. It is argued that the instructors involved in training IMGs must be conversant with these core‐cultural differences of their trainees in order to better discharge their roles as teachers. An example from a psychotherapy training session of a resident is offered to highlight the issues raised in this paper. Copyright © 2006 John Wiley & Sons, Ltd.  相似文献   

    

Alisoun Milne  Christina Chryssanthopoulou 《Journal of community & applied social psychology》2005,15(5):319-337

Despite the increased prevalence of dementia little work has been done to explore the extent and nature of care‐giving in black or Asian‐UK populations. Evidence that does exist suggests that the consequences of care‐giving are significant but different from those experienced by white carers and are mediated by a number of culture‐related factors. These include: ethnically specific conceptualisations of dementia; expectations of family duty; religiosity; the adoption of positive re‐appraisal strategies, and beneficial outcomes. Present approaches to research are narrow, do not take account of cultural dimensions and employ terminology and care‐giving frameworks which are of limited relevance. That the evidence base is characterised by small‐scale studies, and weak methodology further undermines its validity. Research deficits are systemic and fundamental and are both conceptual and methodological. A key contribution would be the development of a multi‐dimensional theoretical model that takes account of the role played by culture, ethnicity and structural inequality in shaping care‐giving experiences and profiles. Incorporating the perspectives of black and Asian carers, and the influence of the life course of individuals and communities and employing qualitative methods would also influence the direction of research, improve its quality and generate knowledge in this underdeveloped field. Copyright © 2005 John Wiley & Sons, Ltd.  相似文献   

    

Liliana Sousa  Carla Eusbio 《Journal of community & applied social psychology》2005,15(5):353-367

Every intervention process can be thought of as a journey of partnership between people, as well as an intellectual journey of ideas and an emotional journey of relationships. This exploratory study aims at reaching a better understanding of three questions: (i) What values do individual heads of multi‐problem poor households and practitioners show regarding their relationship? (ii) How might those values inform the interaction between them, in positive and/or negative ways? (iii) What might the value system which organizes the interaction between the participants be? This study was carried out using a critical incidents technique and was based on a sample comprising two sub‐groups: 100 heads of multi‐problem poor families and 97 professionals. Findings reveal the following individual values: heads of multi‐problem poor families value instrumental support, relationships and effectiveness; while professionals' appreciate relationships, obedience to their own instructions and (in)effectiveness. These value systems seem to frame the interaction in games of responsibility avoidance that lead to the individuals' disempowerment, disguised in an aura of ‘adequate impotence’. Copyright © 2005 John Wiley & Sons, Ltd.  相似文献   

    

Jonathan Baron  Zhijun Wu  Dallas J Brennan  Christine Weeks  Peter A Ubel 《决策行为杂志》2001,14(1):17-34

Subjects judged the disutility of health conditions (e.g. blindness) using one of them (e.g. blindness+deafness) as a standard, using three elicitation methods: analog scale (AS, how bad is blindness compared to blindness+deafness?); magnitude estimation (ME, blindness+deafness is how many times as bad as blindness?); and person trade‐off (PTO, how many people cured of blindness is as good as 10 people cured of blindness+deafness?). ME disutilities of the less bad condition were smallest, and AS was highest. Interleaving PTO with ME made PTO more like ME. AS disutilities were inconsistent with direct judgments of differences between pairs of conditions. ME and PTO judgments were internally inconsistent: e.g. the disutility of one‐eye‐blindness relative to blindness+deafness was larger than predicted from comparison of each to blindness. Consistency training reduced inconsistency, increased agreement between AS and PTO, and transferred from one method to the other. The results support the use of consistency checks in utility elicitation. Copyright © 2001 John Wiley & Sons, Ltd.  相似文献   

    

Damian O'Neill  Mandy Morgan 《Journal of community & applied social psychology》2001,11(4):263-275

This paper discusses the process and merits of a post‐structuralist approach to participant observation and describes the use of this research strategy in evaluating a community based ‘stopping violence’ programme. While the participant observation research strategy is commonly employed as a ‘process evaluation’ method (Rossi and Freeman, 1993 ) it's role within a distinctly post‐structuralist programme is a novel application of a well‐established research strategy. This has significant implications for how social scientists may approach both participant observation and evaluation in the future. Copyright © 2001 John Wiley & Sons, Ltd.  相似文献   

    

Michelle L. Bell  Benjamin F. Hobbs  Emily M. Elliott  Hugh Ellis  Zachary Robinson 《Journal of Multi-Criteria Decision Analysis》2001,10(5):229-256

Those who conduct integrated assessments (IAs) are aware of the need to explicitly consider multiple criteria and uncertainties when evaluating policies for preventing global warming. MCDM methods are potentially useful for understanding tradeoffs and evaluating risks associated with climate policy alternatives. A difficulty facing potential MCDM users is the wide range of different techniques that have been proposed, each with distinct advantages. Methods differ in terms of validity, ease of use, and appropriateness to the problem. Alternative methods also can yield strikingly different rankings of alternatives. A workshop was held in which climate change experts and policy makers evaluated the usefulness of MCDM for IA. Participants applied several methods in the context of a hypothetical greenhouse gas policy decision. Methods compared include value and utility functions, goal programming, ELECTRE, fuzzy sets, stochastic dominance, min max regret, and several weight selection methods. Ranges, rather than point estimates, were provided for some questions to incorporate imprecision regarding weights. Additionally, several visualization methods for both deterministic and uncertain cases were used and evaluated. Analysis of method results and participant feedback through questionnaires and discussion provide the basis for conclusions regarding the use of MCDM methods for climate change policy and IA analyses. Hypotheses are examined concerning predictive and convergent validity of methods, existence of splitting bias among experts, perceived ability of methods to aid decision‐making, and whether expressing imprecision can change ranking results. Because participants gained from viewing a problem from several perspectives and results from different methods often significantly differed, it appears worthwhile to apply several MCDM methods to increase user confidence and insight. The participants themselves recommended such multimethod approaches for policymaking. Yet they preferred the freedom of unaided decision‐making most of all, challenging the MCDM community to create transparent methods that permit maximum user control. Copyright © 2002 John Wiley & Sons, Ltd.  相似文献   

    

Fabio B. Losa  Rob van den Honert  Alison Joubert 《Journal of Multi-Criteria Decision Analysis》2001,10(5):273-284

  相似文献   

    

Giuseppe Scannella  Michel Beuthe 《Journal of Multi-Criteria Decision Analysis》2001,10(6):287-302

This paper presents a practical implementation of multicriteria methodologies based on the UTA model by Jacquet‐Lagrèze and Siskos and Quasi‐UTA model by Beuthe and Scannella, which are specified with a non‐linear, but piecewise linear, additive utility function. In contrast with the general UTA model, the Quasi‐UTA specification structures the partial utilities as recursive exponential functions of only one curvature parameter. This allows for a reduction of the quantity of information necessary to build the utility function. The software MUSTARD implements different variants of these models. Firstly, it offers the basic deterministic UTA model of disaggregation, but also its first programmed stochastic version. In both cases, the software proceeds stepwise and interactively helping the decision maker to formulate the problem and state preferences between projects; in the stochastic case, the decision maker is even helped to build the criteria distributions. The Quasi‐UTA specification can be introduced in this disaggregation model. Secondly, the software offers an aggregation model whereby the Quasi‐UTA partial utility functions are built separately through specific questioning processes. The questions relating to deterministic criteria are of the ‘direct rating type’, while those of the stochastic criteria are either of the ‘variable probability’ or the ‘variable outcome’ type. The criteria weights can be assessed by the ‘swing weight’ method or by a UTA‐II side‐program. As an example as well as a test of the Quasi‐UTA aggregation approach, the paper presents its application to a real problem of selecting road investment projects in Belgium. Several experts and civil servants were interviewed, and their individual utility functions derived. The projects are ranked according to their rate of return, which is computed on the basis of the projects certain equivalent money value. Copyright © 2002 John Wiley & Sons, Ltd.  相似文献   

    

Margaret M. Wiecek  Wei Chen  Jinhuan Zhang 《Journal of Multi-Criteria Decision Analysis》2001,10(1):35-47

  相似文献   

    

Anne Dibley  Susan Baker 《Journal of Consumer Behaviour》2001,1(1):77-93

This paper presents empirical research which demonstrates how snacks brands can satisfy certain personal values for female 11–12 year‐old British and Spanish consumers. The qualitative research design uses a means‐end approach, based on a laddering technique, to uncover the links between brand choice and personal values. After reviewing the means‐end model and other relevant theory, the research methodology and design are presented in detail. The findings reveal significant scope for positioning snacks brands using the values of well being and fun and enjoyment (UK and Spain), while the value of friendship and belonging emerges as an extra dimension for the British respondents. Copyright © 2001 Henry Stewart Publications.  相似文献