元宇宙时代音乐治疗发展探索

通过分析元宇宙本身的特征和音乐治疗学发展过程中的关键点,主流时代传递信息媒介的变化影响着音乐治疗学的发展,这更是对中国音乐治疗学整合发展的契机。一方面,元宇宙与音乐治疗之间新的交互模式为提高治疗效果、促进治疗过程、治疗中的实时监测和评估提供了更多的便利性和治疗维度上的延展。另一方面,以数字为载体的元宇宙也打破了音乐治疗空间和地域的限制,浮现出文化的多元性对治疗师的挑战和个案的权益保护及相关的伦理问题。

     

重大疫情防控中稀缺卫生资源分配的伦理思考

从目前国际上对稀缺卫生资源分配的主要伦理观点和存在的伦理困境入手,重点介绍了美国伊利诺伊大学医学中心的稀缺资源分配决策模型和中国新冠病毒感染疫情期间稀缺卫生资源分配决策模式,认为坚持对健康权和生命权的尊重是稀缺卫生资源分配应坚持的首要伦理原则,建议国家层面需建立稀缺卫生资源分配管理部门以及由相关专家和社区代表组成的稀缺卫生资源分配决策委员会,通过制定以实质公正和医学条件为标准的分配机制,以应对稀缺卫生资源分配中可能出现的伦理问题。

     

医患共同体法治化建设的多方位思考

医患双方本是守望相助的共同体,但由于医疗活动“技术主体化”倾向严重,导致医疗行业引发诚信危机。立法较为侧重患者赋权,而挤压了医方合法权利的空间,法律在医患间利益关系的平衡上尚未发挥应有成效。法律规范应当合理配置医患间权利义务关系,完善知情同意规则和医疗保险相关法律体系,协调医疗资源的公平配置,为医患共同体建设营造良好法治氛围。国家应当充分发挥多元主体协同健康治理法治化的社会效用,重塑医疗诚信,拓宽医疗纠纷解决渠道,营造尊医重卫社会风气。

     

医疗政策疏离感对老年人医疗机构信任的影响

探索老年人医疗政策疏离感是否影响其对医疗机构的信任程度,提出改善老年人医疗政策利用效率的新思路。使用医疗政策疏离感量表和医疗机构信任问卷对安徽省三市的60岁及以上老年人展开调查。结果显示有效样本中老年人的医疗政策疏离感平均值为3.03±0.48,即他们对当前医疗政策处于中等偏上水平的疏离状态;医疗政策疏离感显著负向影响老年人医疗机构信任,降低了医疗政策的利用效率,可能对老年健康问题造成影响,亟待改善。因此应从医疗政策宣传与医疗政策适老化两个层面,以医疗政策的使用侧为着眼点,推进医疗政策改革。

     

Religious support and psychosocial well-being among a religious Jewish population

The three subscales of the Religious Support Scale assess perceived support from a person’s religious community, religious leaders, and God. This three-factor structure was replicated in the current study with a sample of 277 religious Jewish persons residing in Israel. Hierarchical canonical analysis showed that, even after controlling for general social support, Religious Leader and God Support were related to lower emotional distress, Religious Leader and Religious Community Support contributed to a higher level of life satisfaction, and Religious Community and God Support contributed to the prediction of perceived health. Findings are discussed in terms of religious support’s generalizability as a psychosocial resource for persons of various faiths.     

Challenges of patient‐led mental health services to psychoanalytic clinicians

This paper considers implications to psychoanalytic psychotherapy of the British Government's decision to implement a patient choice agenda for state‐funded mental health services in England and Wales. It places the patient choice agenda in the context of consumerist society and argues that the complex nature of psychoanalytic psychotherapy leaves it more vulnerable than other psychological therapy modalities to compete in the current reality of ‘consumer’‐led public mental health, which, in turn reflects a profoundly changed social context from that to which psychoanalysis traces its roots. Unless psychoanalytic clinicians recognize and find ways to adjust to this context they will jeopardize the survival of psychoanalytic psychotherapy in an increasingly market‐orientated model of mental healthcare provision in the public sector, eager to promote more ‘consumer friendly’ psychological therapy models.     

医者叙事素养量表的编制及信度效度检验

医者叙事素养将成为评价医疗人才实力的重要指标。然而,目前国内仍缺少以中国叙事医学理论与实践为基础的相关量表。研究以全国三十几家叙事医学基地的实践经验为基础制定量表,展开条目和探索性因子分析、内部一致性检验和验证性因子分析。最终形成的中国医者叙事素养量表由两个分量表组成,其中叙事认知能力量表分为生命健康叙事意识和职业叙事思维2个维度;叙事行为能力量表分为生命健康、家庭连接、职业发展、同行交流、医患互动5个维度,均具良好信效度,可为中国叙事医学研究、教育和实践提供科学有效的评估工具。

     

Healthcare Serial Killers as Confidence Men

Although there is adequate coverage of serial murder in the extant homicide literature, there is a lack of systematic examination of healthcare professionals who serially murder their patients. Using a sample of 58 healthcare serial killers located within North America, South America, and Europe between the years of 1970 and 2010, this study examines notable pre‐offense and post‐offense behaviours of healthcare serial killers. Patterns related to offender aetiology, victim cultivation, crime scene behaviour, and techniques of evasion were explored. The findings from this study suggest that the pre‐offense and post‐offense behaviours of healthcare serial killers can be conceptualised from the theoretical framework of confidence men or ‘con men’. The findings from this study also suggest that healthcare serial killings and offenders who perpetrate them continue to be elusive and warrant additional scholarly attention to reduce their likelihood of engaging in homicide undetected for extended time. Policy implications are also discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Should inter-collegiate football be eliminated? Assessing the arguments philosophically

Recently, there have been discussions about whether or not inter-collegiate football should be eliminated in the US. This article philosophically assesses the arguments for its elimination as well as the arguments proffered against its elimination. While a variety of arguments are discussed, a new one is brought into the foray of philosophical investigation, one that combines the unfairness and economic arguments: the health care and medical costs to others argument. It is believed that this argument is sufficient to justify the elimination of inter-collegiate football.