Client Aggression Towards Therapists: Is It More or Less Likely with Transgendered Clients?

ABSTRACT

It is well known that clients occasionally threaten or assault their therapists. No studies to date have attempted to systematically measure client aggression by transgender patients towards clinicians. One of the major questions of this study was to determine if clients with gender dysphoria have greater levels of aggression towards therapists than non-gender dysphoric clients. One hundred and fourteen professional therapists who are members of the Harry Benjamin International Gender Dysphoria Association responded to a questionnaire that addressed aggression by both transgender and non-transgender clients. Transgender clients were shown to commit significantly less acts of aggression than did non-transgendered clients (p = 0.0094). Within the relatively small subgroup of transgender clients that did commit acts of aggression, male-to-female transgender clients were significantly more likely to do so than female-to-male clients (p = 0.002). While the transgendered client undergoes significant suffering in violating inviolable gender boundaries, this suffering, in general, does not translate into acting out behaviors directed towards their therapists.     

螺旋CT小肠造影及传统气钡双重对比造影检查在诊断小肠肿瘤性疾病中的价值比较

为了探讨螺旋CT小肠造影（CT enterograph,CTEG）及传统气钡双重对比造影检查在诊断小肠肿瘤性疾病中的价值。回顾性分析小肠肿瘤50例,患者先后行CTEG及传统气钡双重对比造影检查,所得图像由3位放射科医师进行评价。结果显示,50例小肠肿瘤性病变CTEG检查敏感性94％,准确性90％。传统气钡双重对比造影检查敏感性100％,准确性86％。两种方法相结合准确性98％。CTEG及传统气钡双重对比造影检查结合应用可作为小肠肿瘤诊断和评估治疗的必要的检查方法。     

Faceted Classification: Management and Use

The paper discusses issues related to the use of faceted classifications in an online environment. The author argues that knowledge organization systems can be fully utilized in information retrieval only if they are exposed and made available for machine processing. The experience with classification automation to date may be used to speed up and ease the conversion of existing faceted schemes or the creation of management tools for new systems. The author suggests that it is possible to agree on a set of functional requirements for supporting faceted classifications online that are equally relevant for the maintenance of classifications, the creation of classification indexing tools, or the management of classifications in an authority file. It is suggested that a set of requirements for analytico-synthetic classifications may be put forward to improve standards for the use and exchange of knowledge organization systems.

从中外医学教育标准的差异看医学生的人文素质培养

通过中外医学教育标准在知识目标、技能目标、职业价值观上的若干差异的比较,探讨人文素质,包括医生职业价值观念、医学人文知识、“批判性思维”能力和交流技巧、沟通能力的培养等在国际医学教育标准的重要地位,并对改进我国医学教育的人文内涵提出建议。     

Succession and survival in psychotherapy organizations

Abstract: This paper examines the world of psychotherapy by applying a systemic and psychodynamic understanding of the family business as a way of understanding the dilemmas and challenges of leadership succession. Oedipal factors are explored as an important theme within the succession process. This exploration is set within the context of what function psychotherapy has performed in society over the last thirty years. The hypothesis is that the first generation of leaders aimed to provide containment for the individual citizen at a time of failed dependency in society. The suggestion is that this gave way to the primary task for the second generation, which has been to focus on the therapist in training. The challenge for the third generation is to develop a meaningful role for psychotherapy today and to ensure survival at a time when other shorter therapies such as CBT are gaining ascendancy over longer term psychoanalytic psychotherapy.     

Epistemic comparative conditionals

The interest of epistemic comparative conditionals comes from the fact that they represent genuine ‘comparative epistemic relations’ between propositions, situations, evidences, abilities, interests, etc. This paper argues that various types of epistemic comparative conditionals uniformly represent comparative epistemic relations via the comparison of epistemic positions rather than the comparison of epistemic standards. This consequence is considered as a general constraint on a theory of knowledge attribution, and then further used to argue against the contextualist thesis that, in some cases, considering a new counter- possibility can raise the epistemic standard of knowledge attribution. Instead, the paper shows that considering a new counter-possibility can only lower the epistemic position of a putative knower. Moreover, since the comparison, by the nature of conditionals, is free from any commitment to the truth-values of specific knowledge attributions, my conclusion is free from the debate between contextualism and invariantism on whether the truth-value of a knowledge attribution can actually vary with context.     

Evaluating Corroborative Evidence

How should we evaluate an argument in which two witnesses independently testify to some claim? In fact what would happen is that the testimony of the second witness would be taken to corroborate that of the first to some extent, thereby boosting up the plausibility of the first argument from testimony. But does that commit the fallacy of double counting, because the second testimony is already taken as independent evidence supporting the claim? Perhaps the corroboration effect should be considered illogical, since each premise should be seen as representing a separate reason in a convergent argument for accepting the claim as plausible. In this paper, we tackle the problem using argumentation schemes and argument diagramming. We examine a number of examples, and come up with two hypotheses that offer methods of analyzing and evaluating this kind of evidence.     

The Sociocultural Attitudes Towards Appearance Questionnaire-3: a confirmatory factor analysis

The Sociocultural Attitudes Towards Appearance Questionnaire-3 measures awareness and endorsement of societal appearance standards. The instrument has been subjected to exploratory factor analyses but to date no studies have reported a priori tests of its hypothesized factor structure using confirmatory factor analysis (CFA). The aim of the present study was to subject the SATAQ-3 to a CFA. Results from a non-clinical convenience sample of 369 women revealed an adequate fit of the model according to conventional criteria. However, detailed residual analysis indicated a significant lack of fit which was explainable by one mis-specified item and shared method variance due to similarities in item content. It was concluded that, with the removal of the mis-specified item, the degree of misfit was tolerable and the intended four-factor solution provides a satisfactory and parsimonious representation of the data.