Examining children in English High Courts with and without implementation of reforms authorized in Section 28 of the Youth Justice and Criminal Evidence Act

This study examined whether the implementation of Section 28 of the Youth Justice and Criminal Evidence Act (1999) improved lawyers' questioning strategies when examining child witnesses in England. The government's Section 28 pilot study involved judges holding Ground Rules Hearings, during which restrictions and limitations were placed on the duration, content, and manner of questions to be asked. Afterwards, children's cross‐examinations were pre‐recorded and later played as part of their evidence at trial. The current study compared cases involving 6‐ to 15‐year‐old alleged victims of sexual abuse in which Section 28 was (n = 43) and was not (n = 44) implemented. Defence lawyers in Section 28 cases asked significantly fewer suggestive questions and more option‐posing questions than defence lawyers in Nonsection 28 cases. Younger children complied more with defence lawyers' suggestive questions. Ground Rules Hearings improved lawyers' questioning strategies, regardless of the case's involvement in the Section 28 pilot study.     

Oral Examination Anxiety in Physicians, Narcissism, and Object Relations

By applying object relations theory, both examiners and candidates can increase understanding of examination anxiety in oral certification in order to enhance the fairness and validity of the examinations. Unconscious images of self and others which examiners and candidates may project onto each other can affect the examination. The examiner must observe himself, the candidate, and the other examiner, lest a transference affecting the examination's progress occur, and to avoid an enactment, which may interfere with the examination. This observing should appropriately support the candidate in functioning at an optimal level of competence. Unconscious processes may prejudice the examiner's attitude towards a candidate, thus jeopardizing the examination's fairness and validity. The candidate's anxiety, based on projections onto the examiners, may interfere with his/her optimal functioning and affect the outcome. If a candidate's anticipatory anxiety is excessive, he/she needs to decide if it needs to be managed on a symptomatic or psychotherapeutic basis. Candidate and examiner both need to monitor their feelings during the examination in order to optimise the examination's fairness and validity. All these issues may also be considered in the relationship between psychiatric educators and trainees.     

Dental pain related to quality of life and mental health in South Korean adults

High levels of stress, anxiety and depression have been reported in patients with orofacial pain. Dental pain has the potential to reduce quality of life (QOL), and pain relief is important aspect of QOL. The purpose of this study was to assess the relationships of dental pain with QOL and mental health using a nationally representative, population-based study. This study analyzed data from the 2012 Korea National Health and Nutrition Examination Survey (N = 5469). Oral health status was assessed using the oral health questionnaire, and oral examination was performed by trained dentists. Health-related QOL (HRQOL) was evaluated using EQ-5D and EQ-VAS, and mental health was evaluated by questionnaires. Logistic regression was applied to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI). Among 5469 adults, 1992 (36.42%) presented self-reported dental pain. Participants with anxiety/depression or pain/discomfort, and participants with stress, melancholy, suicidal thought or depression showed significantly higher prevalence of dental pain. After adjusting for covariates, five aspects of QOL and five aspects of mental health were related with dental pain. The AORs (95% CI) for dental pain were 1.39 (1.06–1.81) for mobility, 1.77 (1.19–2.63) for self-care, 1.38 (1.02–1.85) for usual activities, 1.73 (1.43–2.09) for pain/discomfort and 1.50 (1.13–1.98) for anxiety/depression. For mental health status factors, the AORs (95% CI) for dental pain were 1.29 (1.11–1.51) for stress, 1.37 (1.09–1.74) for melancholy, 1.26 (1.01–1.58) for suicidal thoughts, 1.43 (.93–2.19) for consultation to psychiatrist and 1.53 (1.07–2.19) for depression. This study showed that dental pain has an association with lower HRQOL and worse mental health status in South Korean adults.     

高中生考试焦虑的团体辅导干预研究

通过对高一、高二学生被试实验组13人进行为期一周的考试焦虑团体辅导、控制组14人进行一般性团体辅导,探讨团体辅导对高中生考试焦虑水平的改善作用。结果表明,经过干预训练后,实验组被试的考试焦虑水平显著低于控制组被试、对考试重要性的认识显著优于控制组被试,但在考试策略上不存在显著差异。这意味着考试焦虑的团体辅导干预能有效地降低考试焦虑水平、提升对考试重要性的合理认识程度。     

ICU患者外出检查风险分析与对策

为了探讨ICU危重患者外出检查风险的原因,从而降低ICU危重患者外出检查风险,本文通过对312例ICU患者外出检查风险因素进行讨论分析,研究降低风险的对策,即在规范ICU患者外出检查流程、做好检查前准备和注意途中安全及返回后的护理,结果提示285例患者无意外发生,安全返回病房,其余27例患者存在一定风险,但在相应处理措施下均安全返回病房。     

全身体格检查标准化培训方法及评价体系在临床实习中的探讨

实习医生临床工作能力的培养是整体高等医学教育的重要目的之一,全身体格检查是最基本的内容及操作,是临床基础和技能结合的重要环节,通过体格检查规范的标准化培训及经过评价,使我们的实习医生牢固掌握体格检查的基础知识,减少因体格检查导致的临床漏诊、误诊的发生率。     

医学生临床实习与考研矛盾的思考及对策

近几年来由于各种原因造成的医学生临床实习与考研的矛盾在全国各地已经非常普遍,也引起了医学院校和教学医院相关人士的诸多讨论,但目前仍没有一个两全其美的解决方案。就这个问题进行了总结和思考,并提出了一个有可能解决这一矛盾的方案。     

浅谈医生基本功对临床决策的影响

针对医生基本功在医学科学飞速发展的今天有何作用的困惑,阐述了详尽的病史采集、全面而准确的体格检查、合理而科学地选择实验室及辅助检查对临床决策的重要意义。医生只有将基本理论、基本技能、基础知识、道德修养、分析问题、解决问题的能力和水平作为立足之本,才能不断提高临床决策水平。     

White‐Collar Criminals: The ‘Kinder,Gentler’ Offender?

Even though white‐collar criminals (WCCs) cause financial damage and, at times, emotional and physical harm to individuals, organisations, and consumers, their crimes are viewed as being less harmful than street‐level crimes. Misperceptions that WCCs commit financial crimes because of a temporary moral lapse that represents an ‘out of character’ act for the offender still permeate the criminal justice system and academic venues. Yet, research shows that WCCs may display a pattern of criminal thinking that parallels street‐level offenders coupled with the same behavioural traits that serve as risk factors for offences to occur. Furthermore, the belief that WCCs are non‐violent is misguided, as there is a subgroup of WCCs who are willing to resort to violence, namely homicide, to prevent their fraud schemes from being discovered and revealed. Copyright © 2011 John Wiley & Sons, Ltd.     

Social Class and Attitudes toward Education

ABSTRACT

The current study was conducted on 60 Israeli female inmates. Our aim was to examine the differences among women convicted for drug, violence, and fraud offenses by socio-demographic variables and self-control and aggression levels. Results revealed that the drug group was characterized by measures attributed to chronic delinquency, and the fraud group was found to fit the pathway to low crime. At the same time, the violence group was not characterized by any of these patterns. The findings were discussed in relation to their theoretical contribution and applicability.