肿瘤心理学的学科建构钩玄——兼论肿瘤患者心理支持要点

心理问题对肿瘤的发生、治疗和预后产生重要影响,相关研究已经提示了大量证据,受到人们广泛的重视.本文笔者阐述了肿瘤心理学学科构建的必要性及意义;提出了肿瘤患者发病前心理因素的作用方式(慢性应激和触发作用)、发病后的最主要心理特征(安全感缺失)、心理支持的核心目标(帮助患者重获安全感);强调此时给予心理支持类似于是亟需修补的“短板”;并引入了笔者实践和理论总结基础上形成的肿瘤患者心理支持的操作方法.     

An internet survey of emotional health,treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia

The present internet survey examined the demographic characteristics of Chinese-speaking international students in Australia, psychological distress levels as measured by the Kessler-10 (K-10) Item scale, help-seeking history and preferences, as well as treatment barriers. Of the 144 respondents, 54% reported high psychological distress (mean K-10 score?=?23.96; SD?=?9.03). However, only 9% of those who were highly distressed reported they had sought mental health services in the past year. While the majority preferred help from informal social networks, they tended to favour mental health services over traditional culture-specific forms of help. Common barriers to accessing mental health services reported by respondents with high psychological distress included costs or transportation concerns, limited knowledge of available services, time constraints, the perception that symptoms were not severe enough to warrant treatment, language difficulties and lack of knowledge of symptoms of psychological distress. Although the majority preferred face-to-face treatments over internet treatments, a considerable percentage of respondents were willing to try either treatment modality. Chinese-speaking international students are a high risk group for developing psychological distress, yet they tend to underuse mental health services. Education about the effectiveness of face-to-face and online treatments may increase treatment seeking by this population.     

伊斯兰教临终关怀与癌性疼痛心理治疗的探讨

如何利用伊斯兰教的信仰关怀、情感关怀和死亡关怀“三关怀”,提高癌症患者临终关怀质量和癌性疼痛心理治疗效果,作者根据在宁夏回族地区癌症患者中开展临终关怀的五年实践体会,从临终关怀的宗旨和目的出发,探讨了伊斯兰教的临终关怀之信仰关怀、情感关怀和死亡关怀三种形式和内容,解释了癌性疼痛的原因、疼痛的主观和客观影响因素及心理治疗的常用方法和原则,总结了在宁夏回族地区开展临终关怀应用伊斯兰教的信仰关怀、情感关怀和死亡关怀”三关怀”与癌性疼痛心理治疗之间的关系。     

关于医疗、科研的一点认识

临床医疗是医院的根本使命,在权重上医疗自然重于科研.医疗实践是科研的出发点与归宿,决定了科研的基本走向.当前,科研工作受到前所未有的重视,科研作为医疗人员绩效考核的权重过大,偏离了医院的根本使命,会对科研、医疗、医护人员乃至整个社会造成伤害.SCI论文与临床关系不密切,不宜用来评价临床医师的水准.应该建立科学的考评机制,考核标准应细化、全面,对科研的奖励应适度.对于医护人员的考核应以医疗为主、科研为辅.     

An Initial Investigation of the Factor-Analytic Structure of the Impact of Event Scale-Revised With a Volunteer Firefighter Sample

We provide an initial evaluation of the factor structure of the Impact of Event Scale-Revised (IES-R) when used with a volunteer firefighter and a similar community participant sample. A volunteer firefighter sample (n = 65) and a sample of similar community respondents (n = 103) completed a questionnaire study, including responses to the IES-R. The IES-R data from both groups were entered into a three-factor principal components analysis with direct oblimin rotation. We found further support for the validity of the IES-R when used with a community sample. However, our data suggested that when using the IES-R with a community sample, the choice between a two- and a three-factor model may depend on the composition of the participants. For volunteer firefighters, the factor-analytic structure of the IES-R appeared to be similar to that of the community sample, with more scatter in terms of item loadings. To our knowledge, there is no previous research considering the use of the IES-R with a strictly volunteer firefighter sample. In addition, despite adequate research on the factor-analytic structure of the original IES, little research has considered the factor-analytic structure of the more recent IES-R, even with community samples.     

Blended courage: Moral and psychological courage elements in mental health treatment seeking by active duty military personnel

We propose that seeking mental health care in an environment with heightened stigma may combine elements of both psychological and moral courage. Interviews of 32 active duty US Army personnel about their process of seeking current mental health care were analyzed for themes of voluntary action, personal risk, and noble or worthwhile goals (benefits). Risks and benefits were divided into internal risks and benefits, characteristic of psychological courage; and external risks and benefits, characteristic of moral courage. Concerns about external risks were themes in all narratives, while concerns about internal risks were themes in only about half of narratives. Both internal and external benefits of treatment were themes in approximately three-quarters of the narratives, whereas doubts about internal (but not external) benefits were also expressed at a similar rate. Thus, participants described an act of blended courage, with social risks of moral courage taken for wellness goals of psychological courage.     

Making space for India in post-apartheid South Africa: Narrating diasporic subjectivities through classical song and dance

Background/purposeDiasporic associations and hometown groups fuel transnational exchanges and circulations. Their role has mostly been understood in terms of broader calculative agendas related to ethnic and national cultural politics. In South Africa, classical Indian singers, dancers and instrumentalists are an important part of these transnational landscapes. This paper focuses on the individual actors giving shape to these flows, and explores how a range of subjectivities is entangled with the materialities and forces present in classical performance spaces.Methods and resultsDrawing on fieldwork in Durban, South Africa, it explores how, and why organising actors assemble the matter of classical performance spaces. The paper also explores interconnections to Bollywood as another emergent diasporic site both in tension and accord with classical Indian performances.ConclusionDrawing from a feminist social practice approach, this paper argues that diaspora associational life is assembled through agents negotiating different gaps and discrepancies arising from the material and affective inhabitation of diasporic worlds.     

Does testing with feedback help grade-school children learn key concepts in science?

Testing effects have been well-established across a variety of studies involving school-age children. Specifically, children's test performance improves when they are given the opportunity to practice retrieval prior to the final test as compared to when practice involves only study. The current investigation focused on the influence of testing with feedback on fifth graders’ learning of science concepts. Across two experiments, 65 students studied twenty key concept definitions. After study, the definitions were randomly assigned to one of four conditions: control, test only, study only, and test plus feedback. Concepts assigned to the latter three conditions were presented again (either for test only, study only, or test plus feedback) during two separate sessions, and a final test was administered during a separate session. At the final test, students were asked to provide the definition for each of the twenty key concepts. Final test performance was best for definitions that had been tested with feedback, followed by recall for those that had only been tested or only restudied, with lowest performance for those that did not receive additional practice. Despite multiple sessions spaced across several days, however, performance for all conditions was low, which may have resulted from the ineffective use of feedback. In summary, testing followed by feedback can boost younger students learning of science concepts, but mastery will require the use of other strategies as well.     

Solving problems or seeing troubles? A day-level study on the consequences of thinking about work on recovery and well-being,and the moderating role of self-regulation

This study examined, using a within-person design, how fluctuations in work-related affective rumination and problem-solving pondering are related to recovery and well-being (N = 171; 677 day-level data points over five consecutive work days). We hypothesized that trait self-regulation moderates the relationship between problem-solving during the evening and the state of being recovered at bedtime. We analyzed our data using a moderated multilevel mediation approach. The results showed that affective rumination during the evening was indirectly related to impaired well-being in the subsequent morning through its negative relationship with the state of being recovered at bedtime. Problem-solving was indirectly related to well-being in the subsequent morning through its relationship with the state of being recovered at bedtime. However, this indirect effect was moderated by trait self-regulation in a way that problem-solving pondering was positively related to the state of being recovered, and consequently, to improved well-being for employees higher in self-regulation, whereas it was negatively related to the state of being recovered, and consequently, to impaired well-being for those lower in self-regulation. These findings suggest that problem-solving pondering may be beneficial or unfavorable for recovery and well-being depending on the degree to which employees can regulate their cognitions and feelings.