困境与希望：新冠肺炎疫情下的医学叙事

数月以来,新冠肺炎疫情之下的中国医务人员及患者在这场抗疫之战中形成了许多独具特色的医学叙事,其中的文本意义既具有深刻的社会属性,亦具有极强的个人属性。采用参与式观察法,收集、记录自然条件下不同的患者在疫情期间前来医院就诊的疾病故事,共计29个案例,并根据患者就诊中的不同心态将这些案例分为恐慌、无奈和乐观三类,最后尝试以医者的视角,通过三个医务人员的平行病历对疫情之下这三类不同的患者心态进行解读,借此重新审视特殊时代背景之下医者的责任和医学的意义,旨在为后疫情时期的医患关系研究提供一些理论基础和思考空间。     

关于生态医学:是补充,不是取代

生态只是影响生命和健康的因素之一,而非全部;生态有其明确的范围,不能无限扩大;生物医学是整个医学的基础;生态医学要成为科学,必须植根于生物医学的基础;生态医学很难成为一种独立的医学模式,只能是生物心理社会医学模式的补充,理想的医学模式应当是生物心理社会生态医学模式;探索生态是如何影响生命与健康,如何应对生态之于生命与健康的影响,如何调整医学理念,是生态医学面临的三项任务。     

Longitudinal Changes of Planned Happenstance Skills by Gender,Community Types,and Employment Status in a Sample of College Students in School‐to‐Work Transition

This study examined the characteristics of college students who are transitioning from school to work by measuring their mean differences on planned happenstance skills subscales at 3 separate time points. The results indicated that the mean of planned happenstance skills changed across the 3 time points and are somewhat different through demographic factors, such as gender, community types, and employment status. In addition, 2‐way and 3‐way multivariate analysis of variance results showed that the interaction effects of 3 demographic variables on 5 planned happenstance skills were not significant. Practical implications for career counselors are discussed.     

Consider the Children

Summary

In this article, we consider interventions for children exposed to family violence in light of the research on children's problems associated with witnessing family violence. Next, we review risk and protective factors related to these children's adjustment with the view that all children are not similarly affected by exposure to family violence. Against this background, we then move to consider directions for interventions from a systemic perspective. We take into account not only the exposure to interactions between their mother and father, but also children's relationships with their mother, father, and siblings, as well as within broader systems such as the peer group, the school, and the community. We consider the critical challenges within each of these important systems for children exposed to family violence, and we propose some potential interventions to address the problems. Finally, we summarize an evaluation of an intervention that incorporates some of the elements identified by a systemic perspective. The evaluation revealed a significant improvement in children's self-reports of depression and anxiety over the course of the program. Mothers rated their children as significantly improved in emotional and hyperactive behaviour problems. There was no relation between mothers' involvement in counselling and children's improvement. Overall, the results suggest that the Peer Group Counselling Program effectively provided support to children exposed to family violence. Finally, we discuss the steps necessary to support children and families in moving toward violence-free lives.     

Why Clinical Psychology Needs to Engage in Community‐Based Approaches to Mental Health

The aim of this article is to advocate for clinical psychology to engage with community‐based approaches to mental health. This engagement will be challenging given community work is antithetical to the individualism that defines much of clinical psychology. It would also result in a direct challenge to the core tenets of our profession, including an emphasis on individualism, psychopathology, and expert‐driven intervention. We need clinical psychology, however, to decolonise itself to respond to the needs of Aboriginal communities and those from non‐Western collectivist cultures. We also need clinical psychology to consider the sociopolitics of human distress and lend itself to social action for complex problems. Specific examples of community‐based practices will be provided, focusing specifically on those that relate to mental health. Implication for the reform of research methodologies and classroom pedagogies will also be discussed.     

Raising the bar on the body beautiful: An analysis of the body image concerns of homosexual men

Research suggests that gay men are at particular risk for body image dissatisfaction. This study seeks to extend research on gay men's body image concerns. A survey assessed the nature and correlates of body image dissatisfaction among 64 gay men. The survey included assessments related to involvement in and perceived acceptance within the gay community, social comparison tendencies, body image satisfaction, self-esteem, and depression. The results indicate that most participants were concerned with muscularity rather than weight. Greater social comparison tendencies and higher body mass index (BMI) were associated with greater body dissatisfaction. Although involvement and perceived acceptance in the gay community did not independently predict general body image dissatisfaction, there is evidence to suggest that the association between body image and self-esteem may be moderated by integration into the gay community, defined as involvement and perceived acceptance. Implications for the further study of gay men's body image are discussed.     

Increasing donations to supermarket food-bank bins using proximal prompts

There has been little research into interventions to increase participation in donating items to food-bank bins. In New Zealand, there has been an increased demand from food banks (Stewart, 2002). This study demonstrated that point-of-sale prompts can be an effective method of increasing donations to a supermarket food-bank bin.     

The Role of Maternal Acceptance in the Relation Between Community Violence Exposure and Child Functioning

Children in the United States are exposed to considerable community violence that has been linked to child functioning. However, not all those exposed, experience negative outcomes. Recent research has focused on factors that “buffer” or protect children from negative consequences of violence exposure. The purpose of this investigation was to examine the potential buffering or moderating role of maternal acceptance in the relationship between community violence exposure and internalizing and externalizing problems. Subjects were 268 urban African American first graders. Community violence exposure was significantly related to symptoms of post-traumatic stress, but did not correlate with either internalizing or externalizing problems for all children, after control for demographics, maternal mental health, and general life stress. However, children's perceptions of maternal acceptance moderated the relationship between violence exposure and internalizing and externalizing problems which included being withdrawn, anxious-depressed, and demonstrating delinquent behavior. Children with the lowest levels of self-reported maternal acceptance were most impacted by community violence. In this sample of urban first graders, low levels of maternal acceptance placed children at greater risk for adverse outcomes associated with community violence exposure compared to moderate and high levels of maternal acceptance.     

Realities and Myths of Safety Issues for Community Researchers Working in a Marginalized African American Community

Community psychologists often conduct research in collaboration with marginalized communities in which safety is an issue. However, we rarely talk about what specific safety issues we experience and how we deal with them. Our story describes the realities and myths of neighborhood safety that were experienced in a low-income African American neighborhood of Chicago, while collaborating on a project designed to increase access to the Internet to obtain health information. We examine both the challenges experienced and our responses in the context of a community intervention planned, implemented, and evaluated by a partnership team composed of various stakeholders. Critical lessons such as the importance of building on community strengths and the need to be aware of our own biases are discussed.