不当出生损害赔偿诉析

因不当出生(wrongfulbirth)使父母因缺陷儿童多支付了大量的医疗、人力照顾以及特殊教育的费用,同时受到身心痛苦,如果不给予一定的救济是很不公平的,承认该类诉讼是各国共同趋势。在我国应以契约法来处理这类诉讼。     

Dyslexia and the school counsellor: A Maltese case study

Aim: This paper seeks to understand whether Maltese school counsellors are equipped to deal with dyslexic clients, considers whether specific strategies need to be used, and what positive effects, if any, counselling has on these clients. Previous studies: A literature review on self-concept and techniques on how to improve the self-concept of children with Learning Disabilities (LD)/Specific Learning Difficulties (SpLD) will place the current study in context. Method: Questionnaires (available from the authors on request) were distributed to all school counsellors on the island and analysed using content analysis. Findings: Findings from respondents indicate a need for more training, evidence-based knowledge of specific techniques when dealing effectively and successfully with dyslexic clients, specific specialised training to understand dyslexic clients and that counselling has a positive effect on dyslexic clients.     

Addressing Weight Suppression to Improve Treatment Outcome for Bulimia Nervosa

Cognitive behavioral therapy (CBT) is regarded as the gold-standard treatment for bulimia nervosa (BN), yet despite impressive empirical support for its effectiveness, over 50% of patients fail to achieve abstinence from binge eating and purging by the end of treatment. One factor that may contribute to reduced efficacy rates in CBT is weight suppression (WS; the difference between a person's highest weight ever at their adult height and current weight). A growing body of research indicates that WS in patients with BN may have a clinically significant effect on symptomatology and prognosis. However, the current cognitive behavioral framework for BN does not explicitly acknowledge the role of WS in the onset or maintenance of BN symptoms and does not provide guidance for clinicians on how to address WS during treatment. The relationship between WS, biological pressure to regain lost weight, and the maintenance of BN symptoms suggest that current cognitive behavioral models of BN may be improved by considering the role of WS and exploring needed treatment modifications. Indeed, a reconceptualization of existing models may offer insight into potential strategies that can be used to reduce the susceptibility to treatment dropout, nonresponse, and relapse. It is therefore necessary to consider whether, and how, clinicians' consideration of WS during case conceptualization and treatment planning could serve to improve CBT outcomes. The current review explores ways in which high WS could contribute to poor CBT outcomes, provides preliminary clinical recommendations for incorporating WS into existing cognitive behavioral treatments based on extant data and clinical wisdom, and proposes suggestions for future research needed in this domain.     

Capturing environmental affordances: Low‐income families identify positive characteristics of a hotel housing solution

This qualitative study describes the positive characteristics of an extended‐stay hotel as identified by low‐income families that resided there. Interviews were conducted with ten hotel residents using a semi‐structured interview guide and participant photographs to elicit a deeper understanding of experiencing home at a hotel. Framed in the theoretical perspective of environmental affordances, findings suggest that despite discomforts of the hotel environment, residents were still able to enjoy family independence, social engagement, a sense of safety and connection to a community context. The findings of this study may help practitioners gain a balanced perspective of non‐ideal housing conditions for planning interventions. Even in these conditions, positive characteristics can be identified to reinforce family functioning and well‐being. Copyright © 2010 John Wiley & Sons, Ltd.     

Parents' Experiences with Genetic Counseling After the Birth of a Baby with a Genetic Disorder: An Exploratory Study

Little is known about factors determining which families utilize genetic counseling services. We conducted semistructured interviews with parents of four children born with cystic fibrosis (CF) and ten with Down's syndrome (DS) to ascertain reasons for using, or not using, genetic counseling services in the state of Victoria, Australia. We also explored the usefulness of genetic counseling for the families who had experienced it, and the perceived role of genetic counseling. All mothers of children with CF see a genetic counselor as part of a structured education program following diagnosis through newborn screening. Information overload was identified by them as an important problem. There is no specific program for families of children with DS. Six of them had received genetic counseling and four had not, either because it was not specifically offered to them or because they did not pursue it in the context of misconceptions about its purpose. The timing of the offer of genetic counseling is important and needs to take into account parents' coping strategies after diagnosis. Several parents commented on the favorable aspects of counseling, including getting information they needed to deal with the diagnosis and relief of guilt. Better awareness of genetic counseling by referring physicians, and providing counseling at more than one visit, may contribute to a more effective service.     

Causal attributions of obese men and women in genetic testing: Implications of genetic/biological attributions1

The present study sought to investigate genetic/biological attributions of obesity, their associations with a predisposition to obesity and their crossectional and longitudinal implications for weight regulation in obese individuals presenting for genetic testing and counselling. A total of 421 obese men and women underwent psychological and anthropometric assessment and a mutation screen of the melanocortin-4 receptor gene. At study entry, women revealed more genetic/biological attributions than men on the Revised Illness Perception Questionnaire adapted to obesity (86.2% versus 59.7%). Genetic/biological attributions of obesity were associated in both sexes with a family history of obesity, assessed through Stunkard's Figure Rating Scale. In both sexes, genetic/biological attributions were unrelated to weight regulation beliefs and behaviour (i.e. self-efficacy, controllability beliefs, restrained eating and physical activity), assessed through standardised questionnaires or interview at baseline and at six-month follow-up. In addition, causal attributions and weight regulation beliefs and behaviour were not predictive of body mass index at six-month follow-up. Overall, the results indicate that causal attributions of obesity to genetic/biological factors in obese individuals presenting for genetic screening and counselling are crossectionally and longitudinally unrelated to weight regulation and longer-term weight outcome. Those who attribute their obesity to genetic/biological factors likely have a familial obesity risk.     

平辈亲属词语义加工中长幼概念的空间隐喻和重量隐喻——来自中国朝鲜族和汉族的证据

采用具身认知范式考察平辈亲属词语义加工中长幼概念的空间和重量隐喻,比较中国朝鲜族和汉族的长幼观念。实验1表明,中国朝鲜族人在平辈亲属词语义加工中对平辈年长亲属词的加工快于对平辈年幼亲属词的加工,并且存在着部分的上下隐喻一致性效应,平辈年幼亲属词呈现在屏幕的下方加工得快。汉族人在平辈亲属词语义加工中存在着完整的上下隐喻一致性效应:平辈年长亲属词呈现在屏幕上方加工得快,平辈年幼亲属词呈现在屏幕下方加工得快。实验2表明,"左大右小"的亲属词对促进了中国朝鲜族人对"左重右轻"天平倾斜方向的判断,表明亲属词对蕴含的长幼概念激活了重量概念,但对汉族人的天平倾斜方向判断却无显著的影响。实验3表明,"左重右轻"的天平倾斜方向促进了中国朝鲜族人对"左大右小"的朝鲜语亲属词对的年龄比较,表明重量加工激活了长幼概念,但不影响汉族人对汉语亲属词对的年龄比较。朝、汉两个民族对平辈亲属词的不同隐喻方式源于不同的文化图式,反映了两个民族的长幼文化的差异:与汉族人相比,中国朝鲜族人更重视长幼秩序,对长幼规范的要求更加严格。     

中国古代堕胎考略

中国见于史书记载的堕胎行为从汉代就开始了,并且形成三种堕胎技术。唐宋以后,由于人口增长的压力,堕胎在一些地区出现了普遍化倾向,导致堕胎的公开化和职业化。但由于传统重生育、反堕胎观念的存在,堕胎技术一直受到歧视,得不到完善,人们为此付出了长期的血的代价。