肿瘤社会工作的发展背景、实践模式与挑战

21世纪以来,得益于医学模式转型,对患者多元需求的关注,以及国家政策和国际经验等方面的影响,我国肿瘤社会工作得到初步发展。基于生态系统理论,肿瘤社会工作从微观、中观、宏观三个层面开展心理社会干预,总结了一些本土化实践经验。然而由于政策规划、组织支持、自身建设等限制性因素,给肿瘤社会工作的可持续发展带来挑战。肿瘤社会工作需要坚持需求导向和家庭为本,关注患者的环境资源与支持系统,以优势与赋权为视角,坚持跨学科合作理念和全程管理,满足患者及其家庭的心理社会需求,提高患者生命质量。

     

新冠疫情中医护人员“近身因素”研究——对200例“医护日记”的分析

“近身因素”是在心理弹性研究中提出的一个极具操作性的新概念。研究身处新冠疫情中医护人员心理弹性的问题,必然涉及到“近”(心理距离)和“身”(具身认知)。围绕“近”和“身”的相关理论,运用扎根理论对200例医护日记展开三级编码工作,不仅可以探查出影响医护人员空间、时间和社会层面的近身危险性和保护性因素,还可以从中发现：促进医护人员积极心理的发生,首先,应提高职业认知和职业责任、强调专业和经验分享;其次,应多鼓励医护人员科学主动地改造客观环境,增强情景适应能力;最后,积极鼓励医患进行具身属性的社会性交往。

     

On the Stability of Psychological Hardiness: A Three-Year Longitudinal Study

More than 30 years of research has established psychological hardiness as an important individual resiliency resource. One important question still remaining is whether psychological hardiness can be trained. The present study explored this question longitudinally within the context of a 3-year military academy training program. Cadets from 3 different Norwegian military academies (N = 293) completed hardiness questionnaires during the first week of their training, and then again at the end of each year, resulting in a total of 4 waves of data. Using hierarchical linear modeling, no statistically significant effect of time on hardiness scores was found. The nonsignificant growth parameter was examined further using Bayesian statistics as an indicator of the relative evidence for the null hypothesis of no change over time versus the alternative hypothesis of change. The resulting Bayes factor provided substantial support in our data for the null hypothesis of no hardiness development during the 3-year officer training programs.     

戒毒人员戒毒动机对复吸倾向的影响:有调节的中介作用

目的:考察强制戒毒人员的戒毒动机对于复吸倾向的影响机制。方法:使用强制戒毒者复吸倾向性心理调查表、戒毒动机量表、心理韧性量表和情绪调节自我效能感量表对710名强制戒毒人员进行调查。结果:(1)强制戒毒人员戒毒动机负向预测复吸倾向;(2)情绪调节自我效能感中介了戒毒动机和复吸倾向的关系;(3)心理韧性调节了情绪调节自我效能感的中介效应。结论:戒毒动机不仅直接影响强制隔离戒毒人员的复吸倾向,也通过情绪调节自我效能感间接影响强制隔离戒毒人员复吸倾向,心理韧性增强了情绪调节自我效能感对复吸倾向的影响。     

Impact of Corporate Social Responsibility Attributions on Employees’ Creative Performance: The Mediating Role of Psychological Safety

This study contributes to the growing literature on individual-level outcomes of corporate social responsibility (CSR). Employing a sample of 339 subordinate–supervisor dyads, we explored the differential impact of CSR attributions on employees’ creative performance in the telecom industry. We also introduced and tested the role of psychological safety as a mediator underlying this relationship. The results indicate that although intrinsic CSR attributions are not directly related to creative performance, extrinsic CSR attributions have a significant negative effect on creative performance. We also found that psychological safety mediates the positive relationship between intrinsic CSR and creative performance and the negative relationship between extrinsic CSR and creative performance. Directions for future research and implications for practice are discussed.     

Family support,family stress,and suicidal ideation in a combat-exposed sample of Operation Enduring Freedom/Operation Iraqi Freedom veterans

Background and Objectives: Deployment-related risk factors for suicidal ideation among Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans have received a great deal of attention. Studies show that mental health symptoms mediate the association between most deployment stressors and suicidal ideation; however, family-related factors during deployment are largely unexplored. We examined posttraumatic stress disorder (PTSD) and depression symptoms as mediators of the associations between deployment family support and stress and post-deployment suicidal ideation in combat-exposed OEF/OIF veterans. Design: National cross-sectional mail survey. Methods: 1046 veterans responded to the survey. The sample for this study was 978 veterans who experienced combat. Regression-based path analyses were conducted. Results: Family support and stress had direct associations with suicidal ideation. When PTSD and depression symptoms were examined as mediators of these associations, results revealed significant indirect paths through these symptoms. Conclusions: This study contributes to the literature on suicidal ideation risk factors among OEF/OIF veterans. Deployment family support and family stress are associated with suicidal ideation; however these associations occur primarily through mental health symptomatology, consistent with findings observed for other deployment factors. This research supports ongoing efforts to treat mental health symptomatology as a means of suicide prevention.     

Integrating Behavioral Aspects into Community Preparedness and Response Systems

Summary

This article examines the role of psychosocial and behavioral dimensions of terrorism that influence community preparedness and homeland defense efforts. Public health interventions will fail if people do not follow the recommendations. A broader public health model is applied to help identify the interactions between risk and safety appraisals, social factors, and behavioral response to uncertain and stressful situations. Community preparedness would benefit by linking disparate programmatic and advocacy initiatives that already exist. It stands to reason that improving the cohesiveness of existing systems of social organization would strengthen community resilience and serve as effective countermeasures for terrorism.     

An Interactional Perspective on Coping with Intimate Partner Violence: Counterattack,Call for Help,or Give in and Obey Him?

This research reports on an investigation of if and how help-seeking women perceived that they had coped in intimate partner violence situations. Within a cross-sectional design, a representative sample of 157 help-seeking women in Norway was interviewed. Multivariate logistic regression analysis was conducted. Results indicated that exposure to psychological, physical, and sexual intimate partner violence, respectively, did elicit different coping strategies in one and the same woman. There were also significant differences between women who perceived they had effective coping strategies and those who did not. This research suggests that a multivariate design within an interactional perspective could inform and enhance our understanding of coping strategies in intimate partner violence situations as complex, heterogeneous, and dynamic phenomena.     

Reasoning in moral conflicts

Following the assumptions of the mental model theory and its account of moral judgements, we argue for a main role of reasoning in moral judgements, especially in dealing with moral conflicts. In four experiments, we invited adult participants to evaluate scenarios describing moral or immoral actions. Our results confirm the predictions deriving from our assumptions: Given a moral or immoral scenario, the manipulation of the propositions which refer to norms and values results in a scenario eliciting a moral conflict (Experiment 1); when invited to create conflict versions from no-conflict versions of moral or immoral scenarios, individuals manipulate the propositions in the scenario which describe norms and values rather than emotional factors (Experiment 2); the evaluation of conflict scenarios takes longer than the evaluation of no-conflict scenarios (Experiment 3), and this is because conflict scenarios involve more deliberative reasoning (Experiment 4). We discuss our results in relation to competing theories of moral judgements.