Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

The Adaptation of Patients During the Hospitalization Period of Bone Marrow Transplantation

A longitudinally study was conducted among 42 bone marrow transplantation (BMT) patients to investigate the association between pretransplant psychosocial variables and psychophysiological outcomes during the immediate convalescence period. Family relationships (cohesion, expressiveness, and conflict) and coping resources (cognitive, social, emotional, spiritual/philosophical, and physical resources) were assessed on the admission day (Day –7 Time 1). Data on psychological distress and pain intensity were obtained on Day +7 (Time 2) and Day +14 (Time 3). The average scores at Times 2 and 3 were computed to indicate the overall adjustments of the patients during the hospitalization period after the day of actual transplant (Day 0). It was shown that higher expressiveness family relationships and higher resources to cope effectively with stressful situations were associated with less psychological distress during the above period. Both pretransplant psychosocial variables were not associated with pain intensity during hospitalization. Allogeneic transplant patients reported higher pain intensity than did autologous transplant patients. Psychological distress and pain intensity were positively correlated with each other. Our findings show that pretransplant family relationships and coping resources associate moderately with psychological distress during the immediate convalescent period of BMT. The present findings support the family-centered approach to BMT care and provide a scientific basis for pretransplant psychosocial interventions.     

Can Collective Responsibility for Perpetrated Evil Persist over Generations?

In the first part of the paper an argument is developed to the effect that (1) there is no moral ground for individual persons to feel responsible for or guilty about crimes of their group to which they have in no way contributed; and (2) since there is no irreducibly collective responsibility nor guilt at any time, there is no question of them persisting over time. In the second part it is argued that there is nevertheless sufficient reason for innocent individual members of a group (that persists over time) to take on responsibility and guilt for the evil other (earlier) members have committed. The reason depends on the acceptability of a particular psychological theory of personal identity.     

How do counsellors make client assessments?

This paper reports on a consultation exercise undertaken with 18 experienced counsellors on how they make client assessments. These practitioners expressed a high degree of consensus on the purposes of assessment making (to reach a shared understanding with the client about their willingness and ability to undertake a shared therapeutic journey) but the way in which they approached the task varied according to the theoretical orientation they acquired during training. Although most had developed their counselling skills and techniques considerably since initial training, not all had integrated the assessment implications of later experience into their formulation making. The implications of combining single model assessment with eclectic practice are discussed, particularly in relation to making a decision to continue working with a client or to refer a client to a colleague. The authors call for further debate on how counsellors find meaning in what their clients say, why they ask the questions they do at the assessment stage, and how they achieve coherence in relation to ideas and skills accrued through ongoing training and practice. The implications of such a debate for training and supervision are discussed.     

中国证券投资者的投资行为与个性特征

本研究采用综合性行为金融学手段,探索证券投资者的一般行为特征、心理特征以及行为特征和心理特征之间的关系。本实验首先采用访谈法对专业人士进行访谈,了解投资者的基本心理结构、一般的行为方式以及对证券市场的信息进行加工、决策的主要因素。在访谈基础上编制调查问卷,在全国7个城市(北京、上海、深圳、武汉、成都、西安和沈阳)对1063名投资者进行了问卷调查,从心理学角度对中国证券投资者的行为与心理特征进行了分析。结果表明：中国股市还是一个政策市,投资者对所投资对象的了解程度越高,掌握的投资知识越多,以及具备较高的独立性和自我效能,盈利的可能性越大。     

Curiosity as a Guide to the Virtuous Life

We are concerned here with the existential question: In order to live a virtuous life, whether it is better to commit one's life to good works among humankind or to the perfection of one's spiritual being by turning away from humanity and devoting oneself entirely to God. We examine this issue—a controversy in moral philosophy from the time of the ancient Greeks—in a short story by Leo Tolstoy.     

The value of stress-management interventions in life-threatening medical conditions

Emotional stress has been associated with the development and progression of several chronic medical conditions. Recently, researchers have assessed the impact of stress-management interventions on patients' psychological functioning, quality of life, and various disease outcomes, including survival. This review summarizes the value of stress-management techniques in the treatment of two important, life-threatening conditions: coronary heart disease and cancer. Results from randomized clinical trials indicate that psychological interventions can improve patients' psychological functioning and quality of life. However, there is limited evidence to suggest that these interventions significantly reduce morbidity and mortality.     

团体心理辅导对大学生人际交往影响的长期效果的研究

以团体心理辅导技术对34名大学生进行为期6周的团体心理辅导,并于9个月后对辅导的效果进行再评估.结果表明:团体心理辅导对大学生人际交往问题的干预有效;实验组的干预对大学生人际交往影响不仅有即时提高与改善效应,还有潜在的长期效应;因为交往各变量的复杂性,在团体辅导后各变量的具体变化趋势又略有不同.     

心理学在社会服务体系中作用的思考——以复原力建设为例

在社会心理服务体系建设中, 心理学到底起着什么样的作用?怎样才能更好地构建全面系统的多主体社会心理服务体系?在社会心理服务体系建设中如何推动心理学自身的发展?这些问题一直受到广大心理学者的关注。以复原力为例, 通过对个体、团队以及社区心理复原力建设路径的理论总结, 加上实践案例, 以期为社会心理服务体系建设提供知识借鉴与参考, 并反思心理学在此过程中的作用与角色。心理学专业研究团队可以通过整合其在社会支持体系中的应用, 推动心理学在社会服务体系中的应用。