现代城市灾难结构与心理反应特点

城市灾难在给现代城市带来巨大破坏和影响的同时,对人们心理的冲击也是巨大的。本文分析了现代城市灾难的结构、阶段以及与之相对应的群体心理特征,以近年来国内外发生的城市危机案例为佐证,说明了心理干预在灾难应对中的重要作用,并提出3点启示:(1)政府部门要建立一套权威信息预警、发布机制;(2)增强民众素质,减少盲目从众心理;(3)重视社会力量在心理干预中的作用。     

Placing Age Differences in Cultural Context: A Comparison of the Effects of Age on PTSD After Disasters in the United States, Mexico, and Poland

Criterion symptoms of posttraumatic stress disorder (PTSD) were measured 6–12 months after Hurricane Andrew in the United States (non-Hispanic n = 270), Hurricane Paulina in Mexico (n = 200), and the 1997 flood in Poland (n = 285), using English, Spanish, and Polish versions of the Revised Civilian Mississippi Scale. The samples ranged in age from 18 to 88. Linear and quadratic effects of age were tested by using hierarchical multiple regression, with the effects of gender, trauma, and education controlled. Among Americans, age had a curvilinear relation with PTSD such that middle-aged respondents were most distressed. Among Mexicans, age had a linear and negative relation with PTSD such that younger people were most distressed. Among Poles, age had a linear and positive relation with PTSD such that older people were most distressed. Thus, there was no one consistent effect of age; rather, it depended upon the social, economic, cultural, and historical context of the disaster-stricken setting.     

Some Must Die

The transplantation and procurement of human organs has become almost routine in American society. Yet, organ transplantation raises difficult ethical and psychosocial issues in the context of “controlled” death, including the blurring of boundaries between life and death, self and other, healing and harming, and killing and letting die. These issues are explored in the context of the actual experiences of organ donors and recipients, brain death, the introduction of non‐heartbeating donor protocols, and the increasing reliance on living donors. The author draws on a thematic analysis of the way that organ transplantation is presented in the media, films, and science fiction and on his clinical experience as a psychiatrist working with transplant patients, their families, and the nurses and physicians who care for them.     

自然灾难后身心反应的影响因素:研究与启示

所有经历自然灾难的人都会出现应激反应。随着时间的推移, 这些反应或消退, 或转化为一种创伤后成长(PTG), 或恶化为创伤后应激障碍(PTSD)等。根据危险因素模型, 这一过程受三类因素影响:(1)前灾难因素, 如性别、年龄等;(2)当下灾难因素, 如创伤暴露程度等;(3)后灾难因素, 如社会支持、复原特征等。其中, 后灾难因素得到了更多的关注。在危险-保护因素模式及机体主动模式的基础上, 分析了后灾难因素的作用机制, 通过研究的整合, 探讨了其对于灾后研究和干预的启示。     

《周易》三才之道的神话意蕴

“三才”一词始见于《易传》,但“三才”观念在远古神话就已诞生,从原始墓葬可见之．三才之道中数字“三”具有“圣数”(Sacret Number)或“神秘数字”(Mystic Number)之属性,“三才”之“才”则代表着原始、初始之意．“才”又有“存在”之意,天地是一个存在的“场”,人是“在场”之物,人生天地间,必有内忧外患,故《周易》一书饱(?)浓重的忧患意识．古时王者多具有巫师的职能,巫是沟通天人之中介,故从贯通三才之道的“王”入手,揭示王/巫合一的神话属性,从而阐发天、地、人生生不息的“三才”观之神话意蕴．     

Group Therapy in Israel

This paper is an analysis of the group therapy and the group work phenomena in Israel as a microcosm of the Israeli society and culture. We discuss the structure of Israeli society and its features, identify the key norms and myths that express the social unconscious, and pinpoint events that mark critical points of change. Drawing on these, the paper then describes some examples of the influence of Israeli identity on participants' and group therapists' behavior, and on current training programs.