Community Mental Health in Emergencies and Mass Disasters

Summary

Mass disasters are widespread and intensive, affecting individuals, families, communities, society, and culture. Mental health services must play a crucial role in order to meet non-routine challenges that put basic professional issues to the test both in theory and in practice. In the Tel Aviv Model, responsible planning is based on a broad system of mediators and activities during normal times, supplemented by intervention personnel and techniques set in motion during emergencies. This operation is coordinated with municipal and governmental support systems, which must be aware of the importance of comprehensive and flexible emergency systems for treating the population.     

Conflict escalation and coping with workplace bullying: A replication and extension

Bullying or mobbing is used for systematically harassing a person for a long time. In the context of stress theory, bullying is a severe form of social stressors at work, whereas in terms of conflict theory, bullying signifies an unsolved social conflict having reached a high level of escalation and an increased imbalance of power. Based on a qualitative study with 20 semi-structured interviews with victims of bullying and a quantitative questionnaire study with a total of 149 victims of bullying and a control group (N = 81), it was investigated whether bullying victims use specific conflict management strategies more often compared with individuals who are not bullied, and whether coping strategies used by successful copers with bullying differ from those of the unsuccessful copers. Successful copers were those victims who believe that their situation at work has improved again as a result of their coping efforts. The qualitative data showed that most victims started with constructive conflict-solving strategies, changed their strategies several times, and finally tried to leave the organization. In the interviews, the victims of bullying most often recommended others in the same situation to leave the organization and to seek social support. They more often showed conflict avoidance in the quantitative study. Successful victims fought back with similar means less often, and less often used negative behaviour such as frequent absenteeism. Moreover, they obviously were better at recognizing and avoiding escalating behaviour, whereas in their fight for justice, the unsuccessful victims often contributed to the escalation of the bullying conflict.     

Intergroup predictors of older workers' attitudes towards work and early exit

Using self-determination theory (Deci &; Ryan, 2008) as the guiding theoretical framework, the present study tested a model that incorporates workers' perceptions of organizational support and supervisor autonomy support, global and domain specific (i.e., work) motivation, work satisfaction, and turnover intentions. The hypothesized model was tested using a sample of 735 workers (362 men and 373 women). Results revealed that work motivation was significantly related to both intraindividual (global motivation) and contextual factors (organizational support and supervisor autonomy support). In addition, perceived organizational support and work autonomous motivation were positively related to work satisfaction, whereas turnover intentions were negatively related to perceived organizational support and work autonomous motivation, and positively related to work controlled motivation. The present results underscore the importance of understanding the mechanisms through which higher turnover intentions and lower worker satisfaction take place, eventually leading to appropriate interventions.     

Characteristics of congregations that might increase their participants’ risk of depression

This research examines some characteristics of congregations that might increase the risk of their participants being depressed. Analysing data from the Portraits of American Life Study Wave 1 (2006), this research found that those affiliated with a congregation that did not meet their spiritual needs had arguments about traditional versus contemporary beliefs, made them feel like outsiders, and had unsatisfactory decision-making processes which were more likely to feel depressed than their counterparts. The findings of this research suggest that to alleviate the problem of depression, individuals need to choose a congregation that meets their spiritual needs and makes them feel accepted, rather than just attending any congregations.     

中美救护车车载物品比较

救护车车载物品是院前急救的基础和保障,对院前急救的效率和质量具有十分重要的意义.本文总结并分析了美国救护车车载物品和院前急救的特点:更加注重院前急救人员的个人防护;更加注重对患者的救出;更加注重心脏按压板的运用;更加注重急救箱物品配置的科学性;更加注重对普通物品的利用;更加注重患者的转运.美国西雅图20世纪70年代抢救5 120例院外猝死患者,复苏成功至康复出院者达28.9％;我国上海医疗救护中心1999年抢救猝死患者4 374名,复苏成功率1.35％.我国院前抢救猝死的成功率明显低于美国,或与中美救护车车载物品的不同相关.了解美国救护车车载物品的特点,对我国的院前急救或有借鉴作用.     

医疗服务成本控制过程伦理范式的选择

不同伦理范式对医疗服务成本控制过程会产生不同的影响.运用经济伦理学及管理伦理学的原理和方法,结合医疗卫生服务机构的行业性质及特点,选择出现实可行的医疗服务成本控制过程的伦理范式.使医疗卫生服务机构在医疗服务成本控制过程中,从成本控制标准的确定、成本控制方法及途径的选择到成本控制结果的分析及考评等环节融入相关伦理内涵.使医疗服务成本控制更好地遵循恰当的伦理范式,更好地履行医疗卫生服务机构的宗旨和职责.     

脊髓损伤者生育困难与服务需求调查

对63名18岁以上未婚或已婚未生育子女的脊髓损伤者进行问卷调查,并对其中17人进行了深入访谈,了解其生育愿望、影响因素与生育服务现状,探讨解决脊髓损伤者生育困难的方法和措施.调查发现,脊髓损伤者生育愿望普遍而迫切,受到经济水平、教育背景、生活环境、其他脊髓损伤者生育经历等多方面因素影响;同时发现社会对此问题关注不够、认识不足、服务缺失.建议从改善环境、提高认识、普及知识、专业培训、建立制度等方面对脊髓损伤者提供专业化服务,解决生育困难,保障生育权力.     

Evaluation de la capacité de travail des seniors : l’apport des compétences perçues

The Work Ability Index (Ilmarinen, Tuomi, & Klockars, 1997; Ilmarinen, 2007) is a validated tool extensively used in epidemiological studies to measure older workers work ability. The WAI is relatively focused on health. The VOW/QFT (Hellemans, 2010, 2011, 2013) proposes to expand the notion of work ability with these competences, beyond the issue of functional ability. This contribution aims to test convergences and divergences between the WAI and the two work ability indices of the VOW/QFT, and also their respective predictors. Analyzes, conducted with 254 workers subject to medical visits, have shown especially that WAI scores and evolution of ability scores from the VOW/QFT are highly correlated, generally and among laborers, but not among employees. The results highlight the interest accounting for perceived competence for assessing work capacity among employees.     

Structure of the Modern Japanese Family: Evidence From the Results of a Doll Location Test by Adolescents

To test Herzberg's (1966, 1987; Herzberg, Mausner, &; Snyderman, 1959) motivator-hygiene theory, I examined the relationship between work values and job satisfaction. Educators (N # 386) from 18 Canadian secondary schools were asked to report the degree to which they experienced 16 work values and five dimensions of job satisfaction. Factor analysis suggested five sets of work values: intrinsic work-related, intrinsic work-outcome, extrinsic job-related, extrinsic job-outcome, and extrinsic people-related. Regression analyses identified the best predictors for each of the five dimensions of job satisfaction. The results support and extend Herzberg's theory. In addition to those identified by Herzberg, other factors contributed portions of variance to the five dimensions of job satisfaction.     

The Theory-Practice Gap in Cognitive-Behavior Therapy

This special series is devoted to understanding the theory-practice gap in cognitive-behavior therapy (CBT). Although CBT enjoys considerable empirical support, and is widely recognized as an efficacious approach to a diversity of psychiatric disorders and includes many different forms of treatment, it is unclear whether clinicians are familiar with the underlying theories of the treatments they are practicing. Moreover, it is unclear to what degree an understanding of the theory is necessary for effective practice. Gaining clarity on the role of understanding underlying theory and identifying potential disparities between theory and practice may have implications for the way graduate training programs are structured and current professionals approach continuing education. A brief exploration of these implications will be offered by introducing issues related to the scientist-practitioner model and dissemination of efficacious treatments, in addition to an outline of potential advantages and disadvantages of knowing underlying theory. This special series will then feature several major approaches to treatment wherein the role of theory and practice are discussed.