Fabricated Illness: Working within the Family System to Find a Pathway to Health

The term medically unexplained symptoms refers to a clinical presentation where the child's symptoms and impairment cannot be explained by any known organic pathology, and may include conversion disorders, somatoform pain disorders, factitious disorder, and factitious disorder by proxy. In this case study, we present our treatment of a 9‐year‐old girl with a 2‐year history of medically unexplained abdominal cramping and vaginal discharge. During the 9 months that we worked with this family, we were never able to clarify in our own minds the source of the child's symptoms—that is, who was responsible for their induction or who was the instigator or maintainer of the exaggerated symptoms. Nor did we come to fully understand the function of the symptoms in the family system. Our case report does not answer either of these questions. Instead, we describe how we worked with the family despite the ongoing ambiguities as to why the symptoms were occurring and who was inducing them. The functional outcome was disappearance of symptoms, return to full school attendance, and improved parenting behavior.     

Assessing the perceived limitations of Reflexive Groups for supporting clergy in the Church of England

For this research, eight Church of England Bishops’ Advisors for Pastoral Care and Counselling were interviewed to ascertain the limitations of Reflexive Groups (RGs). The data were analysed using a thematic analysis. One superordinate theme emerged: Hindrances, along with 10 subordinate themes. An online survey was then sent to RG participants (n?=?64), to see if their experiences matched those limitations identified by the Bishops’ Advisors. The data reveal that RGs are perceived as limited by the inability of clergy to commit to the time; it was scary for participants to be vulnerable with others; sometimes the needs of some participants were too big and could sabotage the group; dual relationships could cause complexity and hinder sharing; prayer; being sent by a Bishop or Archdeacon; the open agenda and style of facilitation does not suit some people; and sometimes there are struggles with expectations.     

易学话语与伊斯兰教中国化——论《天方正学》对易学话语的利用问题

明清时期,伊斯兰教汉文著述大量出现,汉语伊斯兰教在很多非基本信仰问题的思考与表述上,表现出明显的中国特色。清代后期,以蒋湘南与蓝曦为代表的伊斯兰教学者,系统利用熟悉的易学资源阐释汉语伊斯兰教思想。其中蓝曦在《天方正学》中,发展了王岱舆、马注等人已经开始的以回释儒的传统,大量利用卦气说、伏羲画卦说、易象说与太极化生宇宙说一套易学话语系统,作为建构汉语伊斯兰教思想的重要资源,这可以看作易学在清代的一个发展。这种情况的出现和中国思想史上格义的传统、易学强大的阐释空间、伊斯兰教思想和中国传统思想本身的沟通之处、汉语伊斯兰教思想明显有苏非气息等因素有关。     

Group identity,ethnic separatism and multiple out‐groups: The Basque case

Within the context of the Basque Country in Spain we examined how ethnic (Basque) and national (Spanish) identification relate to the evaluation of Spaniards, Basques, Andalusians and Catalans. On a sample of adolescent participants we tested a structural equation model which considered identity content (Basque separatism) as a mediator of the relationship between group identifications and group evaluations. While Spanish and Basque identification were associated with a positive evaluation of Spanish and Basque in‐groups, respectively, the evaluation of out‐groups that are relatively similar to the in‐group were not affected by identification. In contrast, dissimilar out‐groups tended to be evaluated more negatively by higher in‐group identifiers. Basque separatism mediated the negative relationship between Basque identification and the evaluation of Spaniards and of Andalusians as a prototypically Spanish subgroup. It is concluded that identification relates differently to the evaluation of different out‐groups, and that the ideological content of identity plays an important role in determining intergroup relations. Copyright © 2010 John Wiley & Sons, Ltd.     

乾卦六龙的天文科学含义新解

本文认为乾卦六爻爻辞所说的“六龙”各种状态是苍龙星在一个回归年中所运动的不同天象。这种天象的观测年代,过去的研究都根据秦汉“二月二,龙抬头”等记载认为是春秋秦汉的实际观测。我们认为,其观测年代至少应早于西周晚期以前的乾卦爻辞形成年代;并根据秦汉易学中“建子起乾龙”“九二当太簇之月”的文献记载、甲骨文中“正月见龙”的记载以及仰韶文化时期的“(恙)和御龙”蚌塑图有力地证实了六龙天象的观测年代当与五帝虞夏的年代相当。同时认为,六龙天象的观测是先民们创制“六龙季历”的天文基础．“六龙季历”则是在古老的易占系统中流传的“易以三百六十析为期”的、刨制于原始社会晚期的一种太阳历。     

The arrogant physician--a Judaic perspective

Arrogance among physicians is all too common. This is in sharp contrast with medicine's sacred religious origins. The author presents a concise historical review of the Judaic perspective on the role of the physician, his position in the community, and the attitudes/values that should characterize his healing pursuit.     

Injecting a Woman's Voice: Conservative Women's Organizations,Gender Consciousness,and the Expression of Women's Policy Preferences

Scholars have argued that gender consciousness may be the important link between gender identity and the expression of political interests. Ultimately, however, these studies explain feminist political behavior and leave the impression that only feminist women articulate a woman's perspective on policy issues. In this article I demonstrate the coherence between gender identity and policy preferences for two national conservative women's organizations, the Concerned Women for America and the Independent Women's Forum. I show that conservative women are also gender conscious public-policy advocates. Using data gathered from organizational literature, participant observation, and in-depth interviews with organizational leaders, I show how conservative women have collectively organized as women and framed their policy goals in terms of women's interests. As such, I demonstrate a clear and profound link between gender identity and politicization among conservative women activists, suggesting the need to reconsider how we understand and define gender consciousness and women's policy activism.     

当代中国的社会转型

本文以我国社会生活发生的广泛而深刻的变化为背景,深入揭示了这种变化深层的社会转型。这种转型就是：由权力社会走向能力社会;由人治社会走向法治社会;由人情社会走向理性社会;由依附社会走向自立社会;由身份社会走向实力社会;由注重先天给定社会走向注重后天努力社会;由一元化社会走向多样化社会;由人的依赖社会走向物的依赖社会;由静态社会走向流动社会;由“国家”社会走向“市民”社会。     

A Lesson from My Father

Simple acts can heal. And God is present in those simple and humble acts. The following is a true story that illustrates these truths, told from the perspective of eyewitness, son, and physician.     

Psychological responses to body shape exposure in patients with bulimia nervosa

One of the unresolved issues regarding research on bulimia nervosa concerns the question as to how patients diagnosed with bulimia nervosa respond to body image exposure. In addition, it remains unclear whether there are differential responses associated with different exposure techniques (e.g. in vivo exposure vs. exposure by visualization). The aim of the present study was to investigate psychological responses to body image exposure. Twenty participants diagnosed with bulimia nervosa (DSM IV) and twenty non-eating disordered individuals were exposed to their body image using a video recording (video confrontation). In addition, they were asked to imagine and describe the appearance of their body (imagery task). Results indicate that self-reported negative emotions increased in response to both, video confrontation and imagery task, in the clinical as well as in the control group. Furthermore, video confrontation led to more pronounced group differences than exposure by visualization (imagery task). Participants diagnosed with bulimia nervosa took less time to describe their waist, hips and bottom compared to non-eating disturbed controls. This last result could be interpreted in terms of avoidance behavior and other mechanisms during body image exposure.