A Guide to Women in Management

The majority of occupational therapists are female clinicians who tend to be motivated by human service. They do not tend to be motivated by administrative or managerial responsibilities beyond those essential to local disciplines functions. More occupational therapists may become interested in management once they are aware of sociocultural assumptions and prejudices as well as the specific qualifications and competencies involved. Sex role stereotyping and some roles are reviewed. Assertiveness training and basic management competencies are listed as pertinent skill acquisitions.     

试论骨科辐射效应的线性与非线性关系

放射界对于辐射效应一直沿用线性无阈理论,但近年来,低剂量辐射效应却让其表现出非线性特征。而且对于骨折以及骨科其他疾病来说不同剂量辐射所产生的效应是不同的,即其在骨科中也存在线性与非线性的对立统一,只有认清这两者的辩证关系,才能抓住其本质,最终产生深远的意义和临床应用。     

Changes in personality in pre‐ and post‐dialectical behaviour therapy borderline personality disorder groups: A question of self‐control

Dialectical behaviour therapy (DBT) is an evidence‐based therapy for people with borderline personality disorder (BPD). Past research has identified behavioural changes indicating improved functioning for people who undergo DBT. To date, however, there has been little research investigating the underlying mechanism of change. The present study utilised a between‐subjects design and self‐report questionnaires of Self‐Control and the five factor model of personality and drew participants from a metropolitan DBT program. We found that pre‐treatment participants were significantly lower on Self‐Control, Agreeableness and Conscientiousness when compared to both the post‐treatment assessment and the norms for each questionnaire. Neuroticism was significantly higher both before and after treatment when compared to the norms. These findings suggest that Self‐Control may play a role in both the presentation of this disorder and the effect of DBT. High levels of Neuroticism lend weight to the Linehan biosocial model of BPD development.     

体外循环在气管内肿瘤治疗中的应用与思考

近年来体外循环技术已经不仅仅用于心脏手术,还广泛应用于非心脏手术。应用体外循环技术切除气管内肿瘤比常规气管插管全身麻醉扩大了手术适应征,但是也附加了相应的手术并发症。临床医生应有系统的观点,以循证医学模式为指导,坚持以人为本,个性化地将这项技术应用于患者。     

Certainty,reasonableness and argumentation in law

This paper defends a position that parts ways with the positivist view of legal certainty and reasonableness. I start out with a reconstruction of this view and move on to argue that an adequate analysis of certainty and reasonableness calls for an alternative approach, one based on the acknowledgement that argumentation is key to determining the contents, structure, and boundaries of a legal system. Here I claim that by endorsing a dialectical notion of rationality this alternative account espouses an ambitious approach to reasoning in law and conceives of the theory of legal argumentation as the vantage point from which to analyze legal systems and tackle the main problems connected with their existence. Next, I look at what this alternative approach does for the way we should go about treating certainty and reasonableness, considered singularly as well as in their reciprocal relationship. I conclude on this basis that when argumentation receives its due emphasis in law we have to redefine certainty and reasonableness and recast their connection as non-conflictive.     

Efficacy of dialectical behaviour therapy for adolescents

The current review provides a qualitative assessment of the efficacy of dialectical behaviour therapy (DBT) as adapted for adolescents. The aim was to assess the efficacy of DBT compared to usual methods in the treatment of adolescent mental health symptoms, inclusive of suicidal ideation and self‐harm. Computerised databases including Medline and PsycINFO were accessed and knowledgeable informants in the area of DBT were contacted. Inclusion criteria required the studies to be clinical trials on DBT provided to adolescents. Due to the requirements on research design only three studies were appropriate for review. The review focused on quality assessment of the current data, including investigation into the effects of selection bias, confounding variables, outcome measures and measurement errors. The data suggest that there is some evidence for DBT being effective in reducing symptoms of mental health, especially those consistent with borderline personality disorder. The resultant data, however, are of very poor quality, and as such the review addresses ways to improve the quality of research and offers suggestions for future research.     

The Vicious Circle Theorem – a Graph-Theoretical Analysis of Dialectical Structures

This article sets up a graph-theoretical framework for argumentation-analysis (dialectical analysis) which expands classical argument-analysis. Within this framework, a main theorem on the existence of inconsistencies in debates is stated and proved: the vicious circle theorem. Subsequently, two corollaries which generalize the main theorem are derived. Finally, a brief outlook is given on further expansions and possible applications of the developed framework.     

The HoST programme: A pilot evaluation of modified dialectical behaviour therapy with female offenders diagnosed with borderline personality disorder

The Holloway skills therapy programme (HoST) at Her Majesty’s Prison and Young Offenders’ Institution Holloway is provided to women who, because of problematic behaviour associated with borderline personality disorder, are often excluded from treatment in prison and in the community. HoST addresses issues of offending behaviour, self-harm, suicidality and indiscipline, through a modified evidence-based treatment modality, dialectical behaviour therapy (DBT), which is a form of cognitive behaviour psychotherapy. This paper will outline the possibility of a modified DBT approach to working with female offenders in the prison setting. A pilot evaluation of female prisoners who received the treatment is also presented through a range of quantitative measures. In turn, positive outcomes with regard to reduction in time spent on the assessment and care in custody teamwork process, reduction in adjudications and improved overall mental health are presented. These findings are discussed along with the implications for clinical practice in the prison setting. The need for future structured research is also discussed.     

Education for Vocation in Public Life USA1

Abstract : The Lutheran sensibility is that life is a paradox, a dialectical tension, in the midst of which one must act and live. This sensibility informs an open and dialectical educational model for liberal arts education, which encourages a dynamic interaction of faith and learning. It supports a vocational understanding of public life that cultivates critical analysis while seeking to encourage citizenship for the common good.