医生的超然与介入

超然是医生职业化的必然要求,介入是职业伦理的外在体现.适度的超然为医生职业的权威性提供了保证,过度的超然造成职业的冷漠.恰当的介入体现了医生的责任感和人文关怀,过度的介入造成医生心理的倦怠,从而造成情感冷漠.为了达到医患之间的和谐,了解超然和介入的一般性质,寻求超然与介入的平衡至关重要.阐述超然与介入的一般性质,同时为超然与介入的平衡提供一些建议.     

国内关于职业声望的研究进展

自1995年以来,国内有关学者对当前国内的职业声望现状以及职业声望评价的影响因素进行了大量研究。本文对这些已有的成果进行了简单而较为系统的分析,并针对有关研究结论以及其中所存在的问题提出了自己的看法和意见。     

Is there None Left to Say Anything?

Abstract. Remarks made by Lutheran leaders in Africa indicate that the churches have not been responding to the crisis of the HIV/AIDS pandemic sufficiently. In this essay I ask how the churches would be better prepared to act and also, more broadly, how the churches act to begin with. The dialogue between religion and science can assist us with both tasks as we consider the challenge of HIV/AIDS as a focus for this dialogue. First, analysis by social scientists can uncover what problems face any effort to motivate churches to act—and, for that matter, any individual member of a church group. I argue, further, that we can discover the difficulties associated with producing action by religious communities by looking not at abstract theological ideas but by investigating the way those ideas are conveyed in worship. I explore the worship patterns of Lutherans to show what sort of view is actually produced by the week‐to‐week messages of liturgical texts. I contend that a different approach both to worship and to action can be produced by reconsidering our views of reality as seen through the eyes of contemporary science.     

幼儿教师职业压力、心理资本和职业认同对职业幸福感的影响机制

为探索幼儿教师职业压力、心理资本和职业认同对职业幸福感的影响机制,随机选取川渝两地幼儿教师328名,用幼儿教师工作压力源问卷(KTOSQ)、幼儿教师职业认同问卷(KTPIQ)、教师心理资本问卷(TPCQ)和幼儿教师职业幸福感量表(KTOWBS)进行调查.结果表明:(1)幼儿教师职业压力是风险性因素,降低其职业幸福感.心理资本是保护性因素,提高其职业幸福感,且心理资本的保护作用主要表现为直接效应;(2)幼儿教师职业认同在职业压力和心理资本对职业幸福感的影响中起完全中介作用.以上研究结果对保护和提高幼儿教师职业幸福感具有重要理论价值和实践意义.     

On the consideration of automatic as well as controlled psychological processes in aggression

Without slighting the important role played by controlled psychological processes in human aggression, this paper recommends that considerable systematic attention should also be given to the operation of automatic processes in bringing about this behavior. The concepts of automaticity and impulsivity are discussed briefly and it is proposed that many impulsive actions, particularly antisocial ones, are due to failures of restraint after they were initiated involuntarily. A number of experiments are reviewed in which situational stimuli automatically instigated or heightened aggressive inclinations. These have to do with associations in hostility displacement, reactions to stigmatized persons, and association in aggressive reactions to media violence. The last-mentioned studies deal especially with factors affecting the selection of the target for aggression. In discussing these findings it is suggested that after the crucial situational features had automatically initiated the sequence of determinants, the aggression displayed could have been due either to a hostile appraisal of the target or the activation of aggression-related bodily reactions as well as hostile ideas. It is also hypothesized that in at least one of the studies, an experienced negative affect might have instigated the aggression independently of any appraisals.     

Using real-time visual feedback to improve posture at computer workstations

The purpose of the current study was to examine the effects of a multicomponent intervention that included discrimination training, real-time visual feedback, and self-monitoring on postural behavior at a computer workstation in a simulated office environment. Using a nonconcurrent multiple baseline design across 8 participants, the study assessed the effects of the intervention across three postural variables. Following an information phase, the intervention started for the lowest stable postural variable. The intervention led to substantial improvements in safety behavior for most targeted postural variables. A reversal to the information phase for 2 participants did not lead to decreases in safety. Postures self-monitored with high accuracy improved to a greater degree than postures self-monitored with low accuracy.     

HIV/Aids: an encounter with death or a journey into life?

This is an account of a panel discussion. It focuses on an encounter with the HIV/Aids virus. Such an encounter may result in a descent into despair, hopelessness and ultimately death, or it may offer the opportunity of possible transformation of consciousness to embrace a life lived productively and meaningfully with a chronic but manageable disease. A picture is provided of the dire situation that exists regarding the HIV/Aids pandemic in South Africa. The HI-virus is compared to a malevolent trickster type energy that uses ingenious means to gain access to the host. It is an impersonal agent seeking only its own survival but if left untreated will ultimately result in the death of the host. Reference is made to characters in the musical, The Lion King, to illustrate that it is the willingness to suffer the painful emotions evoked following a diagnosis of being HIV-positive more consciously that allows for a transformation from despair and hopelessness to a life lived productively and meaningfully. Two of the panelists who are HIV-positive share their experiences of this process. One recounts how, living with Aids, his connections with others and human relatedness helped to restore his dignity and self-worth. The other relates how his willingness to state his status publicly allowed him to overcome the stigma and shame that are evoked when diagnosed as HIV-positive. This has allowed him to seek appropriate treatment with ARV's. He now lives with a chronic but manageable infection and leads a creative and significant life. The difficulties encountered regarding the prevention of HIV/Aids when attempting to change potentially destructive sexual behaviours in teenagers are discussed. An inspiring account of work in treating those that live with HIV/Aids under difficult circumstances is also discussed.     

Would Socio-Economic Inequalities in Depression Fade Away with Income Transfers?

A number of recent studies have questioned the conventional view regarding the existence of income-related inequalities in depression and have suggested that other factors have a more marked impact, most notably those socio-environmental effects linked to professional status and educational attainment. This paper seeks to measure and decompose the degree of socio-economic inequality in the factors underlying reported depression by drawing on data from Spain (Spanish National Health Survey, 2003), a country in which mental care coverage is somewhat limited, but where a marked social transformation has been apparent in recent decades. Contrary to recent evidence, our findings point towards the existence of significant income-related inequalities in the prevalence of reported (diagnosed) depression. However, the results from our decomposition analysis are more mixed. While a modest proportion of overall inequalities (6–13%) is accounted for by income alone, labour status, demographics and education appear to be more relevant. However, when controlling for potential endogeneity between income and depression by using instrumental variables (IV), income is found to account for more than 50% of overall inequality in reported depression.

BENCHMARKS AFFECT PERCEPTIONS OF PRIOR DISABILITY IN A STRUCTURED INTERVIEW

Though covered under the Americans with Disabilities Act of 1990, job candidates with a record of a disability may be adversely evaluated. Two experiments demonstrate that subtle knowledge of a prior disability creates a bias that can be removed by a structured interview. A job candidate was labeled as having once suffered from depression, substance abuse, cancer, or no disability. The candidate who once suffered from depression or substance abuse was judged more negatively than a control candidate, while a cancer survivor was not. Though disabilities are not perceived equally, benchmarked rating scales can enhance attention to relevant behaviors, thus controlling the potential for bias.We thank Steven Gregson, Michael Records and Cynthia Strickland for their help with pilot studies. Shawn Bocketti is now with IBM, Stephen Maser is with Linkage Incorporated, and Craig Wennet is with the United States Coast Guard.     

The Unrecognized Stereotyping and Discrimination Against Singles

ABSTRACT— A widespread form of bias has slipped under our cultural and academic radar. People who are single are targets of singlism : negative stereotypes and discrimination. Compared to married or coupled people, who are often described in very positive terms, singles are assumed to be immature, maladjusted, and self-centered. Although the perceived differences between people who have and have not married are large, the actual differences are not. Moreover, there is currently scant recognition that singlism exists, and when singlism is acknowledged, it is often accepted as legitimate.