不同阶层心理健康观念及需求状况的调查研究

运用开放式和封闭式问卷调查法 ,对不同阶层共 483人的心理健康观念及心理健康需求状况进行了调查研究。结果表明 :( 1 )不同阶层、不同年龄段的人关于心理健康标准的观念具有显著差异。 ( 2 )人们认为 ,心理健康的人应具有的最典型特征是“处世乐观、热情、诚恳”和“心平气和、与世无争、乐于助人”。 ( 3 )心理不健康的人或心理变态的人所表现的最典型特征是“性格孤僻、与人不合群”和“对生活失去信心、悲观”。 ( 4)虽然不少人认为心理健康与咨询工作者当前最急需开展的工作是“宣传心理健康知识、开展心理卫生服务” ,但只有极少的人能够正视自己的心理健康需求 ,提出自己需要心理健康服务或咨询。     

Work attitudes, employment barriers, and mental health symptoms in a sample of rural welfare recipients

Most of the extant research on welfare reform has neglected to consider the experiences of families in rural settings. Fifty women receiving welfare for their dependent children in a rural community were interviewed about their work experiences and aspirations, barriers to employment and service use, as well as mental health and social support. The findings indicate that the majority of participants were connected to the labor force and expressed positive attitudes about work. Barriers to employment (lack of available jobs, child care) and service use (transportation, inconvenient office hours) were endorsed. Perceived social support was negatively related to depression symptoms and positively related to self-efficacy and self-esteem. The importance of understanding the life experiences of welfare recipients in different contexts is discussed.     

Male Mental Health Problems, Psychopathy, and Personality Traits: Key Findings from the First 14 Years of the Pittsburgh Youth Study

This paper reviews key findings on juvenile mental health problems in boys, psychopathy, and personality traits, obtained in the first 14 years of studies using data from the Pittsburgh Youth Study. This is a study of 3 samples, each of about 500 boys initially randomly drawn from boys in the 1st, 4th, and 7th grades of public schools in Pittsburgh. The boys have been followed regularly, initially each half year, and later at yearly intervals. Currently, the oldest boys are about 25 years old, whereas the youngest boys are about 19. Findings are presented on the prevalence and interrelation of disruptive behaviors, ADHD, and depressed mood. Results concerning risk factors for these outcomes are reviewed. Psychological factors such as psychopathy, impulsivity, and personality are described. The paper closes with findings on service delivery of boys with mental health problems.     

转型期初中生心理健康与父母养育方式的研究

本研究采用《心理健康诊断量表》和《父母养育方式问卷》对196名初中生进行测量,探讨初中生心理健康与父母养育方式的影响因素及其相互之间的关系。结果表明,初中生的心理健康问题的检出率依次是自责倾向、恐怖倾向、冲动倾向和对人焦虑;性别因素只在心理健康的学习焦虑、养育方式上的父亲的惩罚、严厉、母亲的过干涉、过保护、父母的拒绝、否认等因素上表现出了显著差异;独生子女与非独生子女子女比较,在恐怖倾向以及惩罚、严厉的养育方式上存在显著差异;父母的文化程度、职业状况、离异、下岗等因素,只有母亲的职业状况因素对心理健康构成了影响;父母消极的教养方式将使学生的焦虑增加,母亲积极的教养方式将使学生的焦虑减少。     

Improving subjective health and reducing absenteeism in a natural work life-intervention

A natural one-year work-life intervention to improve occupational health and reduce absenteeism was designed as a field experiment. The intervention allowed the employees in the health care sector of a municipality to take up to five days of self-administered sick leave with full financial compensation up to four times a year. 165 employees in the intervention group and 100 employees in the control group filled out a questionnaire before and after the intervention. The result showed no evidence of misuse of this sick-leave option and some positive subjective health effects were found among those who used the option. Slight improvements were found in musculoskeletal problems and for cold/influenza. There were no effects on overall absenteeism. The question of the impact of local cultures on interventions to improve occupational health is also discussed.     

The Authoritarian Personality, 50 Years Later: What Questions Are There for Political Psychology?

Adorno, Frenkel-Brunswik, Levinson, and Sanford's The Authoritarian Personality is probably the most deeply flawed work of prominence in political psychology. The methodological, procedural, and substantive errors of this study are well known, but they are frequently simply attributed to poor methodological judgments, issues of scaling (such as response set), or Freudian theories that legitimated circular interpretations. But a more fundamental bias arose from the attempt to empirically verify the existence of a "type" of person whom the researchers thought dangerous and with whom they did not empathize. This attempt involved two dangerous procedures: (1) the fusion of nominalist research procedures (in which empirical results were used to type respondents) with a realist interpretation of types (in which some people "just were" authoritarians and others not), and (2) a theoretically rich critique of the authoritarians and a lack of interest in the psychodynamics of liberals. This combination led to an intrinsically biased interpretive project that could not help but accumulate damning evidence about authoritarians. These subtler problems have haunted contemporary work in political psychology that avoids the methodological problems of Adorno et al.; Altemeyer's work on authoritarianism, which not only is free from the defects of the Adorno et al. study but also involves some methodologically exemplary experiments, is similarly distorted by asymmetries. The same fundamental problems seem to be at the heart of the weaknesses of the theory of symbolic racism to which critics have pointed. Political psychologists should regard The Authoritarian Personality as a cautionary example of bias arising from the choice of methodological assumptions.     

发展健康研究

试图讲座在健康研究中,如何适时、恰当并有效地把性别融合于其中,第一,我们应更注意健康研究的结果;第二,在健康研究中注重性别差异的意义;第三,分行性别健康的可持续性研究环境。     

20世纪全球卫生发展的回顾与展望

20世纪人类的健康状况发生了革命性的转变,同时也面临着前所未有的挑战。疾病谱的改变及人口寿命的延长以及医疗费用的上涨仍然是困扰各国决策者的难题,卫生发展与改革任重道远。完善健康保障体系最理想的选择方案是政府为居民“购买”基本卫生服务,由国家财政和居民共同承担保险基金,普及初级卫生保健,鼓励多种形式办医,WHO确定的卫生工作目标是各成员国卫生系统改革与发展的指导方针。     

医疗保险实施中的新课题：构建合理的利益格局

大连市实施医疗保险制度6年来,在医疗保险制度改革中医保机构、医疗机构、医药行业及参职工在利益格局调整中,出现了一些问题。从有利于医疗保险制度改革和公平、公正、客观的角度,用辩证的方法分析了医疗保险制度改革过程中的几个主要矛盾,进而从改变利益观、完善政策、加快配套改革等方面提出了相应的建议。     

人口老龄化呼唤老年医疗保障

我国人口老龄化进程加快,迫切需要建立健全老年人的医疗保障体系。简述了人口老龄化与老年人医疗卫生问题与支付能力,说明了在我国建立老年医疗保障制度的重要性及意义,并提出：针对社区老年人医药费用的不同负担形式与经济承受能力,建立不同收入、不同需求、不同形式的老年医疗保障制。