现象学视角下中医研究方法论的思考

面对中医的困境,作者立足于现象学的姿态,反思科学的施虐,科学控制的中医不再是一种自主性的过程和目的本身;正视中医自我的悲哀因无法负起自己的责任,在跟从的胆怯中失支自我。受启于植根理论的研究方法,探究中医自身不同于西医科学的哲学基础、研究工具和研究方法,求得中医的自我实现。     

廖平对《春秋》经的认识

廖平对《春秋》经的认识,有前后两个阶段的变化。在廖平的经学史研究阶段,认为《春秋》是孔子所制作的“经”,包含了孔子的“素王制作”之义,即为后世的“一王之法”;在其经学理论的建构时期,《春秋》经被廖平作为其建构孔经“人学”的经典。事实上,《春秋经》廖平的孔经天人体系中只不过是一种工具符号,且随着廖平经学理论的变化,被不断地赋予不同的功能。     

The experiences of therapists using a new client‐centred psychometric instrument,PSYCHLOPS (Psychological Outcome Profiles)

PSYCHLOPS (‘Psychological Outcome Profiles’) is a newly developed client‐generated psychometric instrument which can be used as an outcome measure. Uniquely, it asks clients to state their own problems, in their own words. As part of its validation, we used it alongside an existing measure, CORE‐OM (‘Clinical Outcomes Routine Evaluation – Outcome Measure’). Based on a qualitative methodology, we report here on the first‐hand experiences of four therapists using both instruments. The key themes that emerged from therapists’ responses were feasibility, validity and usefulness. Both questionnaires were perceived as complementing each other, the qualitative information from PSYCHLOPS balancing the quantitative information from CORE‐OM and that both could contribute to the therapist‐client interaction. The key features of PSYCHLOPS are likely to prove attractive to therapists and should increase acceptance and uptake of outcome measures.     

Development of the Collectivist‐Sensitive Trait Forgivingness Scale

Mounting evidence suggests that experiences of forgiveness vary across cultures. However, culturally sensitive conceptualizations of forgiveness lack empirical support, in part because psychometrically sound instruments designed to capture unique aspects of forgiveness in non‐Western cultures are rare. For this reason, we developed the Collectivist‐Sensitive Trait Forgivingness Scale (TFS‐CS), which is designed to measure trait forgivingness within societies characterized by a blend of individualistic and collectivistic worldviews. In Study 1 (N = 597), exploratory factor analysis revealed a 16‐item three‐factor structure of third‐party forgiveness, collectivistic forgiveness, and interpersonal resentment among South Africans. In Study 2 (N = 897), the three‐factor model replicated in an independent South African sample. Findings also offered preliminary evidence supporting the construct validity of the TFS‐CS. Overall, these studies support a conceptualization of trait forgivingness with similarities and differences relative to Western models and highlight the importance of appreciating the influence of culture when measuring forgiveness.     

医患共同决策模型及实践应用进展

目前较为成熟的医患共同决策模型根据实践场景可分为两种：一是未对应具体应用场景,二是用于特定临床实践。为了实施共同决策理念,不同决策辅助工具被开发应用。同时设计出不同视角的量表以评估医患共同决策模型应用对决策的影响及效果。研究提示,共同决策模型的内涵决定其应用层级;同时需根据本土医疗服务特点构建共同决策模型,研制出多样化的决策辅助工具以实施该理念。这为进一步开发适应我国医疗体系和就医习惯的医患共同决策模型及工具提供借鉴。

     

Validation of the Chinese version of the Walsh Family Resilience Questionnaire

The Walsh Family Resilience Questionnaire (WFRQ) is one of the most widely used and strong theory-based measurement tools of family resilience. This study aimed to develop and psychometrically test the Chinese version of the WFRQ (WFRQ-C). The WFRQ was translated following Brislin's translation model. Psychometric testing, combining classical theory test and item response theory, was conducted with a sample of 800 community adult residents. The Connor-Davidson resilience scale-10 (CD-RISC-10), Self-reported Family Happiness Scale (SFHS-1), and Family APGAR (Adaption, Partnership, Growth, Affection, Resolve) Scale (Family APGAR-5) were applied for convergent validity. Six items were deleted at the item analysis level. The minimum average partial test and a parallel analysis supported a three-factor structure, which was validated by confirmatory factor analysis. The three factors were named “Family belief system,” “Organization, communication and problem solving,” and “Utilization of external resources.” The WFRQ-C was significantly correlated with CD-RISC-10, SFHS-1, and Family APGAR-5, with r values ranged from 0.51 to 0.56. The Cronbach's α was 0.97 for the scale and 0.93, 0.95, and 0.72 for the three factors, respectively. The ICCs of 0.96 for the whole scale, and 0.95, 0.75, and 0.95 for the three factors, respectively. The mean score for the WFRQ-C was 97.00 ± 17.94, of which per capita monthly income and education level were predictors. The 26-item WFRQ-C is a stable, concise, and validated tool to measure family resilience. It is applicable for Chinese community adults in nonspecific stressful settings and has potential utility in the health care domain.     

A client‐generated psychometric instrument: The development of ‘PSYCHLOPS’

PSYCHLOPS (Psychological Outcome Profiles) is a recently developed, client‐generated, psychometric instrument that can be used as an outcome measure. Based on a similar instrument developed primarily for use in physical illnesses (MYMOP — ‘Measure Your Medical Outcome Profile’), it seeks the client's perspective on their psychological distress. It asks them to describe and then score the problem that troubles them the most at the start of counselling. We describe the development of PSYCHLOPS, including the involvement of the Plain English Campaign and two national mental health organisations: the mental health charity and support group, Depression Alliance (DA) and Primary Care Mental Health Education (PRIMHE). We review the literature and suggest that PSYCHLOPS, by focusing on the problems of greatest priority to the client, might prove a sensitive measure of improvement after counselling.     

The Multidimensional Nature of Social Cohesion: Psychological Sense of Community, Attraction, and Neighboring

Items from the Neighborhood Cohesion Instrument were completed by 1,732 individuals from a random sample of households in 20 rural communities across Canada during the summer of 2001. Confirmatory factor analysis of the NCI items based on polychoric correlations and weighted least squares estimation found three underlying latent variables. Although items were related to the three latent variables in a somewhat different manner than they were in Buckner's original study, the same three latent variables were evident, providing convincing evidence that social cohesion has at least three subscales: psychological sense of community, neighboring, and attraction. Correlations between subscales were relatively high (between .67 and .87). Intraclass correlation coefficients for the three scales were .115, .127, and .112. In addition, the community means differed on different subscales in a manner that related to recognized characteristics of the communities. Thus the subscales are appropriate measures for both individuals and communities and can be recommended for further research on social cohesion.     

The Effect of Organizational Cultural Norms on the Relationships Between Personnel Practices and Employee Commitment

Because of contradictory correlations between occupational need for achievement (nAch) and locus of control (LOC), this study tested the extrinsic need for job security (nSec) as a moderator of the association. A total of 383 female subjects in two occupations were studied. A high level of nSec externalized internal LOC beliefs associated with a high level of nAch. Depending on occupational group, nSec, or its absence, could also be the sole predictor of LOC, thus also causing the positive correlation between nAch and LOC. In subjects over 50 years old, internal LOC was associated with presence of a high level of nSec. The correlational association between nAch and LOC is limited and misleading because of the contribution of nSec to the association between these two variables.     

Children's appraisal of their relationship with the teacher: Preliminary evidence for construct validity

Teacher–child relationships are increasingly considered as contexts for children's development. While teacher reports are mostly used to study the developmental consequences of the three attachment-based dimensions of closeness, conflict and dependency, children's perceptions are important too. This study evaluated the construct validity of the newly developed Child Appraisal of Relationship with Teacher Scale (CARTS). To this end, data from a special education sample of children with emotional and behavioural disorders (N = 82; M_age = 8.75) and from a general education sample (N = 145; M_age = 8.15) were used. Results supported the reliability and construct validity of the CARTS scales and showed that children's relationship perceptions as assessed with the CARTS were uniquely associated with their feelings about their teacher as measured with the Feelings About School. In addition, child-perceived closeness and conflict converged in expected directions with teacher-perceived closeness and especially conflict in the relationship, as measured with a questionnaire and a diary.