心理健康服务的文化胜任力：理论取向与实践策略

心理健康服务的文化胜任力随着欧美对多元文化群体的重视而逐渐发展起来。该领域存在两种不同的理论取向及相应的实践策略。内容取向关注静态的、结构化的文化胜任力; 过程取向则关注动态的、非结构化的文化胜任力。两种取向的异同体现了文化胜任力的研究和实践中对文化特异性和普遍性因素的平衡。在此基础上, 本文最后讨论了如何参考国外经验, 立足中国现实问题和加强社会心理服务体系建设的大背景, 来发展中国的文化胜任力。     

人口统计学特征对公共服务动机有什么影响?来自元分析的证据

采用元分析方法探讨人口统计学特征与公共服务动机之间的关系。经筛选, 共纳入138篇492个独立样本(N = 1078442)。结果发现, 性别、年龄、教育程度、组织任期、工作任期、职位等级和收入与公共服务动机之间均呈显著的正相关关系, 且与公共服务动机不同维度之间的关系均存在差异, 婚姻状况与公共服务动机间不存在显著的相关关系。此外, 公共服务动机测量工具、测量时间点和文化背景对部分人口统计学特征与公共服务动机之间的关系有调节作用。研究结果为人口统计学特征如何影响公共服务动机提供了较为精确的估计, 对于发展公共服务动机理论, 激励员工工作积极性, 提高公共部门服务水平都有重要意义。     

文化刻板印象、父母孝道相似性对孝道代际传递的影响

配对调查了591户家庭的亲子被试,考察了文化刻板印象、父母孝道相似性对孝道代际传递的影响。结果显示：（1）假定父子女和假定母子女两种孝道的皮尔逊相关（r）和轮廓相似性（q）都不显著,真实父子女和母子女之间都显著正相关,假定亲子两种孝道绝对差异分数（d）处于中等水平,但假定亲子的绝对差异分数显著高于真实亲子;（2）控制了文化刻板印象影响的条件下,父亲和母亲的权威性孝道和互惠性孝道能分别正向预测子女的权威性孝道和互惠性孝道;（3）控制了文化刻板印象影响的条件下,父母互惠性孝道相似性仅能正向预测子女互惠性孝道,但父母权威性孝道相似性对子女的权威性孝道和互惠性孝道预测都不显著。据此研究结果,文化刻板印象对亲子孝道相似性的影响效应较小,但亲子真实的孝道代际传递效应较高,以及父母互惠性孝道相似性有利于子女互惠性孝道形成。     

Evolution of Destructive Aggression

Aggression is defined as a mechanism of spacing by means of force or displays. It has evolved independently in different animal groups. The mechanisms underlying it are therefore not homologous throughout the animal kingdom. The phenomenon of aggression is so widespread, however, that strong selection pressures must be responsible for its development along analogous lines. Its most obvious functions are in competition for mates, natural resources, and territories, and in the preservation of group identity in many gregarious species. Aggression is often ritualized so that no damage is done to conspecifics. This ritualization may appear as modification of fighting into a tournament, or as the development of submissive postures which block further aggression in the opponent shortly after the onset of a potentially damaging fight. Animal aggression is preprogrammed by phylogenetic adaptation in well-defined ways, but can be modified by experience. The inborn programs involve motor patterns, innate releasing mechanisms, releasers, motivating mechanisms, and learning dispositions specific for the species. Aggression on this biological level can be observed in humans as intragroup aggression. Certain motor patterns and signals which lead to the release of aggression are universal. Some can even be found in deaf- and blind-born people, proving their innateness. A number of patterns of aggression in man are highly ritualized and - in a way analogous to that found in many animals - mechanisms of control have evolved inhibiting the killing of a conspecific. There are strong indications of the existence of motivating mechanisms within the brain, e.g., in the form of neuronal circuits, that show a degree of spontaneity. The type of destructive aggression which we call war, is a product of cultural evolution. War takes advantage of the given motivational structure of man, including his fear of strangers, which develops in every baby independently of experience and makes men inclined to form closed groups and causes them to be wary of or hostile to strangers. Based on these tendencies, man underwent a process of cultural subspeciation. Groups demarcated themselves from others by custom, erecting communication barriers. The development of languages demonstrates how fast and efficient this process is. Members of the same group, during this process, were defined as the “real man,” outsiders often were to be valued less -or even considered nonhuman. On the basis of this self-indoctrination, cultural codes of conduct developed, which allowed members of other groups to be killed when groups competed for resources. A cultural fiiter of norms was established which demanded killing under defined conditions, and was superimposed upon the biological filter of norms which inhibits the killing of a human being. This results in a conflict of norms, which is universally felt as guilt, since the biological filter of norms, though superimposed, is nonetheless working, particularly in the circumstance of a personal encounter. The more advanced the technique of armament, which allows fast and distant killing, the less the inhibitions are activated. Nonetheless, ritualizations occur on the cultural level. Warfare is sometimes ritualized and conventions are developed to prevent escalation into massacres, or the wholesale destruction of the subjugated enemy. To a great extent, this is certainly a result of our inborn moral code, If nothing like this were given to man our situation would be disastrous indeed. Whether cultural evolution will, in the future, be guided by moral maxims in accord with our human nature is a deeision men must make rationally. Although a ruthless ethnocentrism may bring advantage to a warring group, this may eventually prove fatal to mankind as a whole. In the escalating competition mankind runs the danger not only of exhausting its resources, but of destroying itself with its new weapons. If the outcome were not selfdestruction but domination by one group it would impoverish the diversity of human cultures, and thus seriously cut down man's spectrum of adaptability. War fulfills certain functions, similar to those found in animals. It is mainly a mechanism for preserving and extending one's territory, and a means of getting access to scarce resources. It is therefore dangerous to consider war merely as a pathological form of human behavior because this may distract our attention from the fact that, h order to overcome war, the functions of war have to be fulfilled by nonviolent means. Cultural evolution phenocopies biological evolution, due to similarities in the selection pressures shaping its course. This allows us to define the point of the evolutionary spiral we are at currently and to predict our future course.     

Between certainty and uncertainty--observations on psychoanalysis in Russia

'Diversity', the theme of our conference, carries a subversive sub-text in totalitarian societies. This is one of the themes presented as the current revival of psychoanalysis in the more democratic post-Communist Russia is explored. The history of psychoanalysis in Russia is summarized with a focus on its politicization, which led to initial interest in its theory (by way of a misapprehension of its tenets), and then to ultimate suppression of psychoanalytic thinking as an ideology deemed antagonistic to the totalitarian regime. In contrast, features of psychoanalysis and democracy are explored for their mutual affinities. The background of the resourceful new generation of analytic therapists is discussed, especially in regard to their experience of the parallel meanings of the word 'repression' (political, psychological). There is a persistence of some traits in patients and practitioners alike that are referable to past repression, such as the newness of verbal treatments, the inhibition of psychological curiosity, the ambivalent lure of certainty, and the pressure of authoritarian introjects. It is noted that psychoanalysis has its own history of a posture opposed to pluralism and diversity, which deepens the dialogue on the mutual engagement between psychoanalysis and the vicissitudes of its history in Russian culture.     

Treating a Chronically Depressed Adolescent Female Using the Cognitive Behavioral Analysis System of Psychotherapy: A Case Study

A case is presented of an adolescent female with double depression who was treated using the Cognitive Behavioral Analysis System of Psychotherapy (CBASP). CBASP is designed to teach a social problem-solving procedure called Situational Analysis (SA). Generalized treatment effects were measured through monitoring of diagnostic status, two administrations of the Minnesota Multiphasic Personality Inventory-Adolescent, weekly administrations of the Child Depression Inventory, and acquisition performance ratings on the SA task. The results showed that CBASP appeared to be an effective treatment. The double depressive disorder remitted, and the patient learned to identify behavioral consequences as well as target and attain her interpersonal goals. CBASP can be effective for adolescents, although modifications of the adult form of the therapy may be necessary.     

Testing the ability of children with attention deficit hyperactivity disorder to accurately report the effects of medication on their behavior

Children with attention deficit hyperactivity disorder (ADHD) are often treated with central nervous system stimulants, making the evaluation of medication effects an important topic for applied behavior analysts. Because assessment protocols emphasize informant reports and direct observations of child behavior, little is known about the extent to which children themselves can accurately report medication effects. Double-blind placebo-controlled procedures were used to examine whether 6 children with ADHD could recognize the effects of their medication. The children were given math worksheets to complete for 15 min during each of 14 sessions while on medication and placebo. Children completed a self-evaluation form at the end of each session, and ratings were compared to observed behavior and academic performance. Results indicated that 3 children were able to accurately report their medication status at levels greater than chance, whereas the accuracy of reports by all children was related to dosage level, differences in behavior, and the presence of adverse effects. The implications of these results for placebo-controlled research, self-monitoring of dosage levels, and accuracy training are discussed.     

社会因素对剖宫产率的影响

近二三十年来,剖宫产率在世界范围内不断升高。究其原因,除了医学因素外,社会因素起着重要作用,从社会经济发展,社会科学文化水平、社会习俗观念、法律、医疗道德、国家计划生育政策、医学教育等多个角度分析了社会因素对剖宫产率的影响,并就如何发挥社会因素的积极作用,消除和避免其消极作用,使剖部率维持在合理的范围内进行了讨论。