Enhancing the care of children with chronic diseases through the narratives of patient,physician, nurse and carer

We tested the hypothesis that a narrative approach may enhance a bio‐psycho‐social model (BPS) in caring for chronically ill children. Forty‐eight narratives were collected from 12 children with six different medical conditions, their mothers, physicians, and nurses. By a textual analysis, narratives were classified on their predominant focus as disease (biological focus), illness (psychologic focus), or sickness (social focus). Sixty‐one percent of narrative’ text were classified as illness, 28% as disease and 11% as sickness. All narratives had a degree of illness focus. Narratives by patients and physicians on the one hand, and nurses’ and mothers’ on the other were disease focused. Narratives were also evaluated with respect to the type of medical condition: Illness was largely prevalent in all but Crohn’s disease and HIV infection, the latter having a predominance of sickness most probably related to stigma. Narrative exploration proved a valuable tool for understanding and addressing the needs of children with complex conditions. Narrative approaches allow identification of the major needs of different patients according to health conditions and story tellers. In the narratives, we found a greater illness and disease focus and surprisingly a low sickness focus, except with HIV stories. Narrative medicine provides a tool to strengthen the BPS model in health care.     

Phenomenology of the trickster archetype,U.S. electoral politics and the Black Lives Matter movement

This paper examines the Black Lives Matter (BLM) movement in cultural, historical and relational contexts at the intersection of the U.S. Civil Rights movement, U.S. Civil Rights legislation, the Voting Rights Act of 1965 and reforms thereto in the recent U.S. Supreme Court decision of Shelby County v Holder, 570 U.S.529 (2013). The intergenerational relations between the BLM movement and these ongoing movements for civil and human rights is underscored. In the wake of protests about the sadistic murder of George Floyd, an unarmed African American man, by a Caucasian police officer, the BLM movement has been mischaracterized as an affront to law and order by the Trump-led U.S. administration. The mischaracterization was a re-election campaign effort designed to ignite ‘white fear’, ‘white rage’ and to defend police brutality and systemic racism. Analytical psychology and the phenomenology of the trickster archetype, as amplified from the African-centric perspective in the Yoruba deity Esu-Elegba, are employed to interrogate partisan obstructionist behaviours that assault multicultural democracy in both contemporary U.S. electoral politics and the political economy. The paper concludes with a brief note on the social activism of Fair Fight Georgia and the integration of its agenda into the BLM movement.     

去人性化知觉:内涵、测量及相关研究

去人性化知觉是人们对人性的否定性认知,它与暴力行为有着密切的联系。本文在介绍去人性化知觉的内涵和测量的基础上,梳理了导致去人性化知觉的情境因素和个体因素,并阐述了去人性化知觉对攻击性和亲社会性的影响。未来研究可以从四个方面开展,包括丰富研究变量、加强干预研究、拓展研究方法、进行本土化和跨文化研究。     

养育是一种幸福的体验吗？养育倦怠述评

养育倦怠指的是由于父母角色和长期的养育压力而导致的一组负性症状,具体包括与父母角色相关的极度耗竭感、与子女的情感疏远和父母角色的低效能感。学者们采用风险-资源平衡模型来对养育倦怠进行解释,并围绕其测量、前因变量和后果变量开展了一系列的研究。未来的研究应当重点关注以下问题：澄清养育倦怠的概念内涵,发展科学的测量与评价工具;重视养育倦怠与后果变量之间的关系及其作用机制;充分关注文化因素在养育倦怠研究中的地位和作用。     

价值观的稳定性与可变性

价值观是人们区分好坏、善恶、美丑、损益、是非的信念系统,通常是充满情感的。价值观具有稳定性与可变性的特点。价值观的稳定性表现为:基本价值观具有跨时间的稳定性和跨情境的一致性; 特别是保护性价值观和人生价值观具有较强的稳定性。个人的发展、经历重大事件以及实验干预可导致价值观的改变,可变性主要表现为价值观的重要性发生变化。从我国的实际出发,探讨个人的核心价值观问题、以及价值观研究中国化、价值观研究对价值观教育的启示,乃是我们今后研究的关注点。     

Penser les temporalités à l’accueil des urgences psychiatriques : paroles d’intervenants de la crise

ObjectiveTo explore the relation to times in crisis units and psychiatric emergencies by crisis stakeholders.MethodIt is in a qualitative logic that the collection and analysis of data are discussed. 9 crisis stakeholders participated in the study. The data were collected using semi-structured interviews and analyzed using the Grounded Theory.ResultsThe Grounded Theory shows significant phenomena resulting the experience of temporality in psychiatric emergencies: plural human temporalities (1), impacts of multiple temporalities (2), reorganizing temporalities of the relationship (3), and appropriation of temporality (4). The manner of appropriating time depends essentially on the emotional control and the reflexivity of the therapeutic actions.ConclusionCrisis stakeholders are in temporality of immediacy, speed and subjective urgency and suggest us thinking in less quickly and better. Team exchanges are so many suspended moments that contribute to the resumption of a thought process and avoid acting too quickly. Participants would like the relational component to be privileged with patients.