PTSD在中国的研究进展

PTSD是近十年来在中国精神病学界逐渐引起重视的一种反应性精神障碍。随着国外对PTSD的深入研究以及中国心理卫生事业的发展,相关领域的学者开始从事这一方面的研究并取得了不少成就。文章对中国PTSD的流行病学、神经生物学基础、病因学以及诊断和治疗等各个方面的研究作了初步总结和探讨。     

Freud's paternity crises

This article reexamines the interpretation of the significance of the Aliquis slip and related materials in terms of a family crisis in 1900 involving Freud, Anna Freud Bernays and their youngest sister Paula. It contends that Ernest Jones and Anna Freud later hid this story from history, largely for family reasons. It supports this contention by drawing on Ernest Jones and Anna Freud's archived letters, Anna Freud Bernays’ memoirs, the complete Freud‐Fliess letters and other historical sources and compares them to The Origins of Psychoanalysis and to Ernest Jones’ biography of Freud. It shows how events during the crisis manifested themselves in Freud's On Dreams, the Aliquis slip, and the banking error story. It rejects Peter Swales’ hypotheses about Freud and Minna Bernays being part of the Aliquis slip, but accepts Didier Anzieu's idea that Minna Bernays was the subject of the banking error story. It shows that the motive for the historical repression of the story began with Freud, but was over determined and included guilt and pain that developed when Paula and other sisters got caught up in the Nazi takeover of Austria.     

Traditional Beliefs Concerning Health and Illness Among Members of the Circassian Community in Israel

Objective: To understand the cultural context of illness in a homogeneous ethnic community, the Circassians. This is the first study of health perceptions and beliefs among Circassians. The Circassians arrived in Palestine from the Caucasus Mountain region more than a century ago. They constitute an endogamous group, whose members live in relative cultural isolation in two small villages in northern Israel, preserving their language and traditions. Design: Twenty-one elderly community members (men and women) were interviewed using open-ended interviews. Results: It was found that kutze (internal bodily resilience) is the central health-related concept and as such constitutes the main building block of a healthy and resilient community. Conclusions: By focusing on this specific community, the relationships between health beliefs and social organization were explored. Our findings highlight the need for the development of treatment approaches and/or health education that are deeply embedded in the cultural context, with special emphasis on the group's value infrastructure, life habits and health-related beliefs when studying various ethnic populations.     

Race, Culture, and Ethnicity: Implications for a Community Intervention

We present an overview of research on African American families and emphasize in this discussion limitations of approaches used in the past to study African American families. We also discuss and identify challenges for designing and implementing community, family-based programs targeting competence-promoting behaviors in African American families. In addition, we attempt to accomplish the following objectives: (1) identify themes in studies of African American families, including bias in prior research; (2) discuss ways in which prior approaches and conceptual models guiding studies of African Americans have created challenges for the development and implementation of community-based intervention and research programs; and (3) present the Parents Matter! Program as an example of a community-based prevention effort that attempted to overcome many of the challenges created by prior research efforts.     

消化性溃疡的临床流行病学

消化性溃疡是消化系统常见多发病,20世纪在此领域有两个重要的发现,即有效的抑酸药质子泵抑制剂和幽门螺杆菌的发现,对其过去几十年的发病率和死亡率产生了巨大影响。尽管有了重大进展,这种疾病仍然是当前一个重要的临床问题,主要是因为越来越多的广泛使用非甾体抗炎药(NSAID)和低剂量阿司匹林药物。本文从流行病学角度来纵观其近年来的发病情况及其特点,以提供给同道参考。     

Modern racism and neo‐liberal globalization: the discourses of plausible deniability and their multiple functions

Recently, considerable energy has been focused on extending the mandate of anti‐racism. Modern (or symbolic) racism and discursive psychology have argued that racism has taken on more covert forms. A longitudinal examination of newspaper coverage of two important race‐related newsprint stories in New Zealand (involving Winston Peters, Tuku Morgan and New Zealand First) identified discourses of ‘plausible deniability’ involved in warranting or defending statements about minorities against accusations of racism. We discuss implications of symbolic politics for minorities who are perceived to have violated societal norms, and show how nationalism is used as a framework for denying racist intent. Analyses of historical context show how ‘race’ forms only one lens from which to view issues of intergroup relations. While the press was sensitive to issues of racism, they demonstrated little awareness of concurrent issues of neo‐liberal economics, or market fundamentalism. Anti‐racism may be motivated not only by the ideals of egalitarianism, but also by underlying dynamics of economic power in a global economy. Copyright © 2006 John Wiley & Sons, Ltd.     

神经管缺陷的病因、预防与产前控制

根据《中国人群死亡及其危险因素流行水平、趋势和发布》的报告和相关研究表明,全世界约有1亿人患有抑郁症,且数量有增无减,抑郁症将成为本世纪一种相当流行的病症。由于抑郁症是一种患病率高,严重危害人类身心健康,具有高自杀风险的精神疾病,更需要我们采取措施积极预防。目前采用的主要预防方法有:积极的心理健康教育、处理好家庭与社会的关系、社会支持、心理调适和体育锻炼等。     

对恶性肿瘤性别差异的再认识

恶性肿瘤性别差异表现在发病率、预后、治疗等多方面。生理结构、生活方式、工作、性格等流行病学因素是造成恶性肿瘤性别差异的外因,性激素及其受体研究在一定程度上解释了性别差异的本质,且为恶性肿瘤的内分泌治疗提供了理论依据。随着分子生物学技术发展,基因多态、分子突变等深入研究成果揭示更深层次的原因。     

Internet addiction among Norwegian adults: a stratified probability sample study

Most Norwegians are Internet users. We conducted a stratified probability sample study (Norway, 2007, age-group 16–74 years, N = 3,399, response rate 35.3%, 87.1% Internet users) to assess the prevalence of Internet addiction and at-risk Internet use by the Young Diagnostic Questionnaire (YDQ). The prevalence of Internet addiction (YDQ score 5–8) was 1.0% and an additional 5.2% were at-risk Internet users (YDQ score 3–4). Internet addiction and at-risk Internet use was strongly dependent on gender and age with highest prevalences among young males (16–29 years 4.1% and 19.0%, 30–39 years 3.3% and 10.7%). Logistic regression showed that male gender, young age, university level education, and an unsatisfactory financial situation were factors positively associated with "problematic Internet use" (at-risk and addicted use combined). Time spent on the Internet and prevalence of self-reported sleeping disorders, depression, and other psychological impairments increased linearly with YDQ score. Problematic Internet use clearly affects the lives of many people.