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931.
Abstract I comment on moral and theological aspects of human technology, which I consider as an evolutionary moment of our cultural and genetic variation. It is an important moment both scientifically and theologically. Starting from Philip Hefner's theological program of the human being as created co‐creator, I distinguish between the limitations and responsibilities of the human being as a created agent and the possibilities and ideals as a co‐creator. I develop the idea of the kenosis (self‐emptying) of the Creator, which as the root of God's love principle should be reenacted by the created co‐creators. I analyze elements of this kenosis presented by Jürgen Moltmann in relation to creation and eschatology. 相似文献
932.
经济发达与欠发达地区城乡小学生自我概念的比较研究 总被引：1，自引：0，他引：1
为比较研究经济发达与欠发达地区的城乡小学生自我概念的特点,在山东省九地市分层抽取3—5年级小学生481人,用自我概念量表(SDQ)进行问卷调查。结果表明：(1)发达地区小学生自我概念高于欠发达地区;在生理外貌和一般自我概念两个因子上,城高于乡,而在其它各项上城乡差异不显著。(2)经济发达地区小学生自我概念城乡差异显著,城高于乡;而经济欠发达地区城乡无显著差异。(3)仅在自我概念的同伴关系因子上,女生高于男生;在自我概念其它各因子及总分上性别差异均不显著。(4)年级因素的主效应、性别与年级的交互作用在各项上均不显著。 相似文献
933.
Robert C. Colligan Norman H. Rasmussen David C. Agerter Kenneth P. Offord Michael Malinchoc Megan M. O’Byrne Joanne T. Benson 《Journal of clinical psychology in medical settings》2008,15(2):98-119
For more than 60 years it has been known that profiles from the Minnesota Multiphasic Personality Inventory (MMPI), obtained from medical patients, are elevated when scores are plotted using general population norms. These elevations have been most apparent on the neurotic triad (NTd), the first 3 clinical scales on the MMPI profile. More than 45 years have passed since a nonreferred, normative sample of MMPIs was established from 50,000 consecutive medical outpatients. We present comparable but contemporary normative data for the revised MMPI (MMPI-2) based on a nonreferred sample of 1,243 family medicine outpatients (590 women; 653 men). As true for the original MMPI, contemporary medical outpatients have profiles that are significantly different, clinically and statistically, from the general population norms for the MMPI-2. This is particularly evident in elevations on the NTd. New normative tables of uniform medical T (UMT) scores were developed following the procedures used to create the uniform T scores for the MMPI-2. Measures of internal consistency are reported; test-retest reliability was established over a mean of 3.7 weeks, and results characterizing the stability of the validity and clinical scales are presented. 相似文献
934.
935.
936.
Loss of empathy has been reported in medical students as they move through the clinical phases of their training. Several researchers have attempted to address this issue by exploring ways of heightening students’ awareness of the emotional, non-biomedical aspects of illness and the dynamics of the doctor–patient relationship, using a variety of reflective group discussion methods. This pilot project employed the specific group method developed by Michael Balint for general practitioners working in London after the Second World War. The pilot was based on one group of six third-year graduate students, meeting weekly over six weeks. Evaluation includes pre- and post-questionnaires, a 1000-word essay and leaders’ observations. The results suggest that the traditional Balint method needs to be modified for students at a point in their training where they have not yet been exposed to patients for long enough to develop meaningful patient relationships. Nevertheless, there was some evidence of a heightened awareness of the dynamics of doctor–patient relationships and the importance of psychological/emotional factors (including their own prejudices) when interacting with a patient. Balint-style groups could be an effective way of encouraging medical students to reflect on the importance of emotions in the doctor–patient relationship. 相似文献
937.
Bonnie L. Green Pamela A. Saunders Elizabeth Power Priscilla Dass-Brailsford Kavitha Bhat Schelbert Esther Giller 《Journal of Loss and Trauma》2016,21(2):147-159
Trauma exposure predicts mental disorders and health outcomes; yet there is little training of primary care providers about trauma’s effects, and how to better interact with trauma survivors. This study adapted a theory-based approach to working with trauma survivors, Risking Connection, into a 6-hour CME course, Trauma-Informed Medical Care (TI-Med), to evaluate its feasibility and preliminary efficacy. We randomized four primary care sites to training or wait-list conditions; PCPs at wait-list sites were trained after reassessment. Primary care providers (PCPs) were Family Medicine residents (n = 17; 2 sites) or community physicians (n = 13; 2 sites). Outcomes reported here comprised a survey of 400 actual patients seen by the PCPs in the study. Patients, mostly minority, completed surveys before or after their provider received training. Patients rated PCPs significantly higher after training on a scale encompassing partnership issues. Breakdowns showed lower partnership scores for those with trauma or posttraumatic stress symptoms. Future studies will need to include more specific trauma-related outcomes. Nevertheless, this training is a promising initial approach to teaching trauma-informed communication skills to PCPs. 相似文献
938.
长期以来,我国卫生资源配置城乡不均衡的局面比较严峻,大量优质卫生资源主要积聚在大中城市,而乡镇基层医疗机构的卫生资源比较稀缺。以增加政府财政投入,引入私人资本与第三部门力量等方式来提高农村卫生资源增量势必会遇到投入缓慢、资金不足、技术瓶颈等现实障碍。通过改革公立医院,调整城市卫生资源存量,把大中城市公立医院中的富余卫生资源以二次配置方式转移到农村卫生服务机构,是破解农村卫生资源存量不足、增长缓慢的困境,提高农村卫生服务能力和水平,改善农民就医问药问题的新途径。 相似文献
939.
医生的服务态度是医学人文关怀的具体形态.采用自行设计的调查问卷,在江苏省某大型综合性三甲医院对医生服务态度的耐心、专注、语言、神态、情绪、倾听、告知、解释、微笑、共情十个方面进行双向调查.通过统计分析发现,医生的服务态度是影响医患关系的重要制约因素,且医患双方对于医生服务态度表现的评估有显著性差异.服务态度管理是医院管理的重要内容,对服务态度的考核应进入考核体系.服务态度的改善必将有利于医院人文形象的构建,有利于和谐医患关系的构建,有利于医疗质量的提高. 相似文献
940.
李丛 《医学与哲学(人文社会医学版)》2014,35(19)
吁江,古称吁水,流经江西16个县市.其流域自古人文荟萃,不仅有名闻天下的文人学士,更不乏学验俱丰的医药学家.南宋洪迈所著笔记小说集《夷坚志》中记载了王、李两位吁江医家的小故事.从这则诊疗故事可以窥见古代吁江医家的生存状态,认为古代吁江医家不仅有着高超的治疗技术,更秉承传统医学一贯的医德思想,对病人细心体贴、对同行互敬互帮.更为难得的是,在金钱利益面前能做到重义轻利,表现出了谦虚谨慎的为医态度与谦和有礼的处世智慧. 相似文献