Psychoanalysis is becoming an impossible profession within the public welfare system in Sweden

Abstract

The preconditions for psychoanalytic practice within the Swedish public welfare system are analyzed in this article. Psychoanalysis remains a one-to-one treatment and relies on the analyst's capacity to use his or her own subjective response. The development of the psychoanalytic process is dependent on unconscious reality, making it impossible to work with a model that has a strict relation between diagnosis, treatment method, and result. Objectivity and the desire to predict treatment outcomes characterize the immanent logic in the complex system of laws and recommendations that affects most practices within the field of medicine. As a consequence of this development, psychoanalysis and psychodynamic therapy are marginalized, since our treatment methods are not adapted to the present industrialization and economization of the medical health sector, with the result that the preconditions for psychoanalytic training have changed dramatically. The exclusion of psychoanalysis from the national health insurance scheme is a demanding challenge at a time when the Swedish welfare model is undergoing fundamental changes.     

Career practitioners' conceptions of competency for social media in career services

This article reports findings from a phenomenographic investigation into career practitioners' understanding of competency for social media in career services. Sixteen Danish and Finnish practitioners with experience using social media in career services were interviewed in focus groups. Competency for social media in career services was conceived as (i) an ability to use social media for delivering information, (ii) an ability to use social media for delivering career services, (iii) an ability to utilise social media for collaborative career exploration and (iv) an ability to utilise social media for co-careering. The findings can be used to develop pre-service and in-service training of career practitioners and support for the deepening of their competency, using the critical aspects that were identified.     

ICT – the new frontier? Pushing the boundaries of careers practice

Much progress has been made in integrating information and communications technology (ICT) into careers practice, but there is still room for improvement. An international lens is adopted to examine some key elements that contribute to the successful integration of ICT into careers practice. We start by exploring the role of policy, using the UK as a case study. Next, the perceptions that Finnish career practitioners have of ICT are reviewed using research findings into the different ways they think about social media and its purpose in career services. Finally, lessons learned from the design and integration of online services within career development programming in Canada are discussed that ensure accessibility both to practitioners and their clients.     

Friendship Work on Facebook: Young Adults' Understandings and Practices of Friendship

Young adults use social networking sites (SNSs) such as Facebook to engage as friends, yet there has been little systematic research that has investigated their sense‐making of friendship in relation to their uses of Facebook, as well as how Facebook as a socio‐technical system interacts with their friendship practices. Twelve friendship discussion groups were conducted in urban and non‐urban New Zealand, with 26 women and 25 men aged 18–25 years, in same and mixed‐gender groups. Our social constructionist thematic analysis showed the young adults made sense of friendship through themes of ‘fun times together’, an ‘investment’, ‘protection’ and ‘self‐authenticity’, and these meanings were enacted in particular ways within Facebook. This SNS was used primarily for enjoying friendship and ‘investing in’ friendships, and friendship protection was required to maintain friends' online privacy. Facebook provided a way to demonstrate self‐authenticity within friendship relationships through censored ‘show off’ self‐displays and favoured friendship activities. Facebook supported, disrupted and modified these particular friendship understandings by broadening the audience for friendship actions and intensifying friends' responses through 24/7 accessibility and instantaneous activity notifications. These interactions between friendship understandings and Facebook as a socio‐technical system demonstrate how friendship was reinforced, negotiated and re‐worked through this online context. Copyright © 2014 John Wiley & Sons, Ltd.     

Cross-generational acceptance of and interest in advanced vehicle technologies: A nationwide survey

The number of older drivers on the roadways is increasing; at the same time, technology in the automotive environment is rapidly evolving. To investigate the potential impact of these converging changes, this study used a cross-generational approach to compare driver attitudes toward advanced automotive technologies. Approximately 1000 drivers between the ages of 18 and 85 located across the United States responded to a survey about their opinions regarding general technology, advanced in-vehicle technology, and near-horizon connected vehicle systems. Participant responses were categorized using a generational construct, sorting responses not only by age but by shared life experiences (e.g. economic circumstances, involvement in wartime activities, cultural movements, etc.). The oldest generation (the “Silent” generation) exhibited the least interest in and comfort with advanced technology, although they owned and used advanced in-vehicle technology at approximately the same rates as the two middle generations. The youngest generation (the “Millennial” generation) was most likely to be interested in and comfortable with technology, but was least likely to own vehicles with advanced technology. All participants expressed interest in safety-related connected vehicle systems, but less so in infotainment applications. Reservations regarding data security and system cost were shared across generations. These findings are framed in the context of an aging population with unique driving and vehicle needs, and provide information that may assist both with vehicle technology design aspects and the proposed large-scale implementation of connected vehicle systems, including considerations for seniors and emphasis on safety systems and data security.     

地方本科院校新建专业教育教学改革的必要性——以宿州学院服装设计与工程专业教育教学改革为例

伴随着国家普通本科高校学历教育结构体系的改革浪潮,宿州学院服装设计与工程专业教育教学改革是向应用技术型高校转型的需要;是服务于宿州经济建设发展的需要;是提升人才培养质量和专业建设水平的需要,同时也是我国服装产业转型升级与高等教育衔接的需要。     

应用烧伤整形外科技术治疗大面积皮肤撕脱伤

探讨大面积皮肤撕脱伤的治疗方法。分析总结大面积皮肤撕脱伤及合并损伤17例,根据伤情综合应用清创撕脱皮肤缝合、带蒂真皮下血管网皮瓣回植、撕脱皮肤反取皮回植、组织瓣转移修复、游离皮片移植、头皮取皮术、异体／异种皮移植、创面持续负压吸引VSD等治疗方法,观察创面修复、肢体外观及功能恢复情况。结果17例患者经综合治疗后创面均愈合。功能部位均予全层皮片或皮瓣修复;19处创面有深部组织外露,予皮瓣或肌瓣修复;随访6个月～3年,所有肢体功能良好。根据皮肤软组织损伤情况而综合运用多种烧伤整形外科技术修复大面积撕脱伤可缩短疗程,并最大可能保留受伤区域的功能与外观,改善患者生活质量。     

临床共情与护理技术结合:人性化的护理

临床共情是一种能体验患者内心世界的能力,通过患者的言语和非言语表达,觉察和认识患者情感和情绪需求,并对其做出恰当的回应.临床共情具有科学的理论和实践基础,具有缓解患者心理上的痛苦,改善护患关系,促进患者康复等作用.在当今复杂的医疗环境下,务必要重视共情培养,适时运用临床共情.然而,我们强调临床共情的重要作用,并不能忽视护理技术的根本作用,根除躯体上的病变仍有赖于护理技术的有效性.在临床护理实践中,坚持共情与护理技术的有机结合,推进人性化的护理构建.     

辅助生殖技术的现代性反思——基于传统儒家文化的视角

在现代性语境中,对辅助生殖技术引发的医学现代性危机进行反思无疑具有重要意义.从本质上而言,辅助生殖技术所产生的一系列问题与挑战,深刻地反映出人与自然、人与人、人与社会之间内在的冲突与矛盾.基于传统儒家文化的视角,寻求现代生命技术与传统儒家文化之间相互冲突、交汇、融合、嵌入的对接点,并有针对性地提出应战机制,从而进一步探讨现代性与传统之间的绵延不断的相互作用,深入挖掘传统中蕴含的现代性因素,现代性中间的传统,以更为开放包容的心灵,重视传统与现代性的结合,让科技为人类造福.     

PATERNITY BETWEEN LAW AND BIOLOGY: THE RECONSTRUCTION OF THE ISLAMIC LAW OF PATERNITY IN THE WAKE OF DNA TESTING

Abstract: The discovery of DNA paternity tests has stirred a debate concerning the definition of paternity and whether the grounds for such a definition are legal or biological. According to the classical rules of Islamic law, paternity is established and negated on the basis of a valid marriage. Modern biomedical technology raises the question of whether paternity tests can be the sole basis for paternity, even independently of marriage. Although on the surface this technology seems to challenge the authority of Islamic law in this area, the paper argues that classical Islamic rulings pertaining to paternity issues continue to hold higher authority even in cases of conflict with modern technology‐based alternatives. Through closer analysis, the paper traces the emergence of a differentiation in the function of DNA tests between identity and paternity verification. While the former is accepted without reservation, the latter is approved only when it does not violate the rulings of Islamic law.