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.     

What Predicts Adolescent Violence in Better-Off Neighborhoods?

Predictors of repeated violent delinquency across ages 13–19 were investigated in a longitudinal sample of 420 urban adolescent males living in high- compared to low-socioeconomic status (SES) neighborhoods. Adolescents in high-SES neighborhoods were significantly less likely than their counterparts in low-SES neighborhoods to engage in serious and violent delinquency. Results indicated that risk factors for later repeated violence among adolescents in high-SES neighborhoods, such as physical aggression, may be biologically based, whereas risk factors for later violence among adolescents in low-SES neighborhoods, such as poor parent–adolescent communication and early intercourse, appeared to be context-dependent. Having positive attitudes toward problem behavior and delinquent peers increased risk for later violence regardless of neighborhood SES type. Theoretical and practical implications of the findings are discussed.     

医患关系由“双输”到“双赢”

我国医患关系日趋紧张已是一个不争的事实,日趋恶化的医患关系使患者无奈、天使流泪、医院苦恼、政府尴尬,可谓"全盘皆输"。实现和谐医患关系达到"全赢",必须解决影响医疗服务水平的这一关键障碍,需要政府、医院、医务人员和患者多方的共同努力。     

新时期我国农村卫生服务体系的路径选择

解决好占中国人口将近70%的农民的健康问题,是全面建设小康社会中非常重要的问题。如何完善现有的卫生服务体系、构建真正惠及全体农业人口的卫生服务体系又是农村卫生事业发展的重中之重。试从制度经济学的角度出发,探讨新时期我国农村卫生服务体系的路径选择。     

Mother,Melancholia, and Art in Erik H. Erikson’s <Emphasis Type="Italic">Toys and Reasons</Emphasis>

In three earlier articles (2007a, 2007b, 2007c), I focused on the theme of the relationship of melancholia and the mother, and suggested that the melancholic self may experience humor, play, and dreams as restorative resources. In this article, I want to make a similar case, based on Erik H. Erikson’s Toys and Reasons (1977), for art (in this particular case, a painting of the Annunciation). I have made a similar case for the restorative role of art in articles on Leonard da Vinci’s Mona Lisa (Capps, Pastoral Psychology, 53, 107–137, 2004) and James McNeill Whistler’s painting of his mother (Capps, Pastoral Psychology, 2007d). In the present article, however, I focus on the special biographical circumstances in Erikson’s own development of a melancholy self and the painting he discusses in Toys and Reasons, thereby suggesting that individuals may find a particular work of art especially relevant to their own experience of melancholy. I conclude with Erikson’s testimonial at the memorial service of a colleague and friend who translated her own melancholy into her service to others.

Parentification and Alcohol Use: Conditional Effects of Religious Service Attendance

This study tested a model of the relation between parentification and alcohol use through differentiation of self (DoS), with religious service attendance as a moderator. Results provided mixed support for the model. Perceived unfair parentification was associated with decreased DoS, and lowered DoS corresponded to increased alcohol use. Religious service attendance moderated the association between increased perceived unfairness and increased alcohol use. Implications for practice focused on assessing perceived unfairness and integrating clients’ religiousness.     

‘The Good Mother and Her Clinging Child’: Patterns of Anchoring in Social Representations of Dementia Caregiving

This paper discusses the findings of a study that examined the processes of anchoring in the understanding of dementia caregiving using 29 interviews conducted in Germany with wives and daughters caring for a relative with dementia and 43 newspaper articles pertinent to the research objective. The concept of anchoring from Social Representations Theory was complemented by elements from cognitive linguistics to analyse the social representations (SRs) that served as source domains to determine what the target domain of dementia caregiving means, entails and requires. The analysis revealed three prevalent patterns of anchoring dementia care in SRs of child care and the good mother. The first pattern ascribed the role of the helpless clinging child needing his mother to the dementia patient, the second emphasised that the dementia caregivers' responsibility for caring, just like motherhood, should take precedence over all other interests and the third consisted of dementia caregivers deriving the perception of being the most suitable caregiver from the mother's natural aptitude for caring. The conclusions reached by the different patterns are argued to contribute to dementia caregivers overexerting themselves and not using support services. The clinical implications for targeting such adverse effects of the anchoring will be discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

家庭医生签约服务中医患信任困境及优化路径

在家庭医生签约服务推行过程中,居民对家庭医生的信任度是影响家庭医生签约服务长效落实的关键因素之一。基于医患信任视角,聚焦制度信任、人际信任、群际信任等层面探讨家庭医生签约服务中面临的医患信任困境。提出了完善签约激励和监管机制,稳固制度信任;提高履约能力,促进人际信任;转变传统就医观念,增进群际信任等优化路径。揭示了医患信任在提升家庭医生签约服务质量,提高居民对基层医疗卫生服务利用率,推动分级诊疗可持续发展等方面发挥的重要作用。

     

Who uses services for homeless people? An investigation amongst people sleeping rough in London

From a sample of 389 homeless people in London, the characteristics of those who used services for homeless people are presented and the implications for service planning and delivery explored. Staff providing services for this client group need knowledge about drug use and the confidence to work effectively with homeless drug users. Copyright © 2002 John Wiley & Sons, Ltd.