Losing a training analyst for ethical violations: A candidate's perspective

The author presents her experience as the analysand of a training analyst who was investigated and expelled for ethical violations with another patient, including sexual-boundary violations, during her analytic training. While boundary violations by training analysts are not uncommon, the particular trauma experienced by 'bystanders' such as candidates and supervisees is not discussed in the literature, nor the response of institutes to the educational problems that are generated. The author illustrates the complications for candidates that arise from the dual roles of training analyst as educator and analyst when he or she faces investigation or censure, including isolation and secrecy, which promote various splits in the candidate, analytic dyad and group, as well as loyalty conflicts. The discussion covers three phases of the author's experience as a candidate-analysand, namely the period encompassing the institute's ethics investigation, the announcement of findings to her and to the institute as a group, and the ensuing individual and group dynamics generated by her analyst's expulsion from the institute and revocation of his medical license. Theoretical perspectives are utilized to understand the group regression, including contamination and contagion fears, which occurred in the wake of the training analyst's expulsion, and the impact of these processes on the candidate, including the pressure to function as a 'container' for projections of the group. Implications and recommendations for candidates and institutes are made for dealing helpfully with trainees who are affected by the process of dealing with a training analyst's ethical violations. Short-term and longer-term outcomes of the experience are considered.     

医者不可不慈仁，病者不可猜鄙——构建和谐的医患关系

医患和谐是医学的本质要求。目前医患关系紧张是在市场经济和高科技背景下,价值选择和制度安排失当造成的。要充分利用传统文化的资源,同时适应时代要求,在价值选择和制度安排上促进医患和谐。     

夫妻生育权平等的冲突及其法律思考

我国婚姻法规定夫妻双方均有生育权,但事实上生育的最后支配权往往掌握在女性手中,导致近年来发生了许多有关夫妻生育权是否平等的争讼案件,受到了社会舆论和法律界的广泛关注。夫妻生育权的地位应重新审视,当因夫妻生育权的平等而发生侵权冲突时,必须在侵权法上进行适当解决,以维系各种社会关系的和谐发展。     

器官的功能和储备与中医阴阳关系探讨

中医是中华民族的瑰宝,但理论体系中的概念和命题很模糊。比较中西医在哲学抽象上的差异,采用哲学中物质无限性和有限性命题,以独特视角结合临床研究结果,阐述了阴阳在医学中的含义,将功能和储备这一对概念定义为阴阳,并指出功能和储备是生命中不可缺少的支点。     

证候存在的逻辑回答

认为存在的就是客观的,包含了自然客观、思维客观和理性客观;把疾病现象和疾病本质划等号,在症状层面规范证候标准,抛弃中医辨证思维,就等于否定中医。物质不能等于客观,不能取代存在。证候属于理性客观,发生于中医学,是中医“阴阳神气”观念临床实在化(还原)的必然。     

制度伦理与我国社会转型期医患关系

我国社会转型期中出现的诸多医患利益冲突向人们提出了严峻挑战,亟需对其加以调节和平衡.这种调节与平衡,不能完全甚至不能主要地交由市场去运作,不能完全任凭医患双方自由地去博弈;政府必须明确并履行自己的职责,为正确调节与平衡社会转型期的医患利益创立一个全方位的合理的框架.     

基于认知理论的测验编制技术—项目生成

传统测验重视统计技术,不重视测量结构的心理学意义,使得它的功能局限于筛选,不能提供更多的信息。由于认知心理学理论、心理计量学以及计算机技术的发展,使得基于认知理论指导下的项目生成技术逐渐成熟。该文从项目生成的概念、方法,及研究的意义和难点等方面对项目生成技术作了一个简要述评,以期推进我国认知心理学与心理测量学相结合的研究工作。     

Using Adult Learning Theory Concepts to Address Barriers to Cancer Genetic Risk Assessment in the African American Community

Utilization of cancer genetic risk assessment can be profoundly influenced by an individuals’ knowledge of risk assessment, attitudes regarding illness and healthcare, and affective reactions derived from social norms. Race and ethnicity play a powerful role in the development of an individual's attitudes and should be considered when attempting to understand a person's openness to cancer genetic risk assessment (Lannin et al., 1998). Until recently, however, cancer screening and prevention programs have been primarily based on data from studies conducted with the Caucasian population, yielding data that are not fully applicable to the African American community. In the last several years, research findings regarding African American's knowledge, attitudes, and feelings about genetic counseling and testing have grown (Matthews et al., 2000; Singer et al., 2004; Thompson et al., 2003). However, to the authors’ knowledge, these data have yet to be presented in a manner that both summarizes the barriers that African Americans have reported regarding cancer genetic risk assessment, while at the same time suggesting methods individual genetic counselors can utilize during community presentations to help address these barriers. This article will first summarize previous empirical findings regarding African Americans’ knowledge, attitudes, and feelings about cancer genetic risk assessment. The article will then apply adult learning theory to those findings to provide genetic counselors with practical, theory based techniques to apply toward community based educational programs with African American groups.     

Rawls and Religious Community: Ethical Decision Making in the Public Square

While most people may initially agree that justice is fairness,as an evangelical Protestant I argue that, for many religiouscomprehensive doctrines, the Rawlsean model does not possessthe resources necessary to sustain tolerance in moral decisionmaking. The weakness of Rawls's model centers on the reasonablepriority of convictions that arise from private comprehensivedoctrines. To attain a free and pluralistic society, peopleneed resources sufficient to provide reasons to tolerate actionsthat are otherwise intolerable. In addition to arguing for thedeficiency of the Rawlsean political model, I sketch out a preliminarymodel of ambassadorship that offers religious communities, andin particular Protestant evangelicals, the necessary resourcesto engage the broader society tolerantly while maintaining theirreligious convictions. As a citizen of the church and a memberof another kingdom, Christians serve as ambassadors to thosewho are not of the heavenly kingdom. I take this model to bemore ambitious than that of a sojourner who lives in the landbut is isolated as much as possible from society, while moremodest than that of reconstructionists who seek to implementtheir own sacred law on all others.     

自主－受控动机效应及应用

自我决定论是一种新的动机认知理论,它将动机区分为自主动机和受控动机。由受控动机到自主动机是一个连续体。在这个连续体上依据自主程度的高低分布着5种不同类型的动机。大量的研究表明不同类型动机之间存在不同的效应。而在实际应用中,要实现由受控动机向自主动机的转化,自主支持的环境是被证实的一个重要的因素。未来研究除了在研究方法上加以改进之外,在促进动机内化的具体应用研究方面还要进行更深入的探讨。而国内本土化研究则刚刚起步,有待于加强