医护人员人文素质缺乏的管理责任及干预策略

医护人员人文素质缺乏与医学教育缺陷、人文管理意识不强、后续人文素质培养不利及执业环境恶化等综合因素密切相关。卫生行政主管部门和医院管理者首先应当确立人文管理理念,营造医院的人文氛围,承担起促进医学教育体制改革、加强岗位培训和着力培养社会需要的“人文科学型”医护人员的责任。     

Triangulating Political Responsibility: The Motivated Formation of Responsibility Judgments

This article analyzes the process through which partisan bias arises during the formation of citizens' judgments of political responsibility. Informed by theories of motivated political reasoning, it argues that exposure to partisan cues motivates partisans to pursue directional goals, goals which bias the cognitive processing of information and, in turn, overall judgments of responsibility. It further argues that the nature of this biased processing will be such that partisans devalue information inconsistent with their partisan affect. Using a pair of experiments, I test these hypotheses by manipulating both objective evidence concerning gubernatorial responsibility for a state's fiscal imbalance and the presence of partisan cues. Findings support both sets of expectations. The results also suggest that the effects of partisan bias are greater in judgments tied to institutional actions than in those tied to institutional roles and expectations.     

"病中辨证"是证发展的必然

在疾病的发展过程中,一般存在着病和证的两种演变,相对于病而言,证有着更高层次的组织方式,有自身发展规律,反映的是机体整体状态.这种对证的诠释有利于中西医理论间的接轨,使证研究更容易被现代医学理论所接受,是中医进一步发展的要求,病证二者并不矛盾,而是互补,共同提供了对疾病的完整认识.     

HBV携带者心理健康状况研究现状

乙肝病毒感染在我国已超过了10%,达1.4亿人左右,面对如此庞大的感染人群,如何合理而适当地处理乙肝病毒携带病例已不仅仅是医学问题,而且是重要的社会问题。随着心理学的快速发展,乙肝病毒携带者的心理问题已经受到了人们的普遍重视。目前众多学者认为乙肝病毒携带者心理问题严重,以焦虑、抑郁、强迫等为主,但是相关的支持治疗明显不足,有待于深入研究。     

再析温州市鹿城区私人诊所现状与前景

温州私人诊所的发展不容乐观,我们必须在私人诊所自身内部找缺陷,通过其自身努力发展走出困境,同时希望政府改革相关管理制度,实行有效的宏观调控,给予理性地支持.     

医生专家责任的法理分析

随着医患关系发展的多样化、复杂化,以及法律对医生专家责任规定的疏漏,医生和患者都面临着巨大的经济和精神压力。因此,明确医生专家责任的法律属性,分析专家责任的构成要件,探讨责任实现形式,建立责任转移方式以及责任限制制度,对于明确医生的权利义务,缓和医患关系,稳定医疗秩序,具有一定的现实意义。     

群体健康与关系“正义”

生命伦理学具有广泛性和综合性,着眼于群体健康是当前生命伦理学发展的趋势。在群体水平的生命伦理学的研究中,有关“正义”的概念是核心的问题。涛慕思·W·博格提出了正义的“关系概念”,借以考察范围广泛的社会制度与健康结果的产生具有什么样的因果关系,进而强调社会制度的制定者和支持者对其产生的健康结果负有责任。通过对此“关系概念”进行分析,以期对中国国内健康领域问题的解决有所启示。     

The profession of ferryman: Considerations on the analyst's internal attitude in consultation and in referral1

Psychoanalytic consultation is an interview with a patient who will not be taken in treatment by the consultant analyst, but who will be sent to another, perhaps specifi cally chosen, colleague after one or more assessment sessions. This practice is becoming increasingly important since, besides traditional private relationships between consultant and patient, it is now common in many specialized centres affi liated to offi cial psychoanalytical institutions. The author explores some fundamental aspects of the analyst's internal attitude in consultation: motivation to know; a ‘concave’ attitude to listening; responsibility in proposing suitable technical choices and referral to a further specialist; empathy and partial identifi cation; the balance between authentic experience in the consultation and risks of seduction; internal links within the community of colleagues; the technique for sending patients on. He presents a clinical example, specifi cally aimed at reproducing the internal attitude of the analyst, together with the necessary work that allows a diffi cult patient to initiate psychoanalytic treatment.     

Filial Responsibility and Transitions Involved: A Qualitative Exploration of Caregiving Daughters and Frail Mothers

One of the consequences of an aging society is the growing need for caregivers to the increasing number of frail older persons. This study is a qualitative examination of filial responsibility between caregiving daughters and frail mothers. It explores filial expectations and motivations and how incongruencies are met and negotiated. Twenty-two women (eleven caregiving dyads) were interviewed using a semi-structured interview format. Employing the grounded theory methodology, interviews were analyzed both individually and dyadically for content and themes. What emerged from the analysis was a grounded theory framework of four intrapsychic caregiving and care-receiving transitions: (1) Realizing I am a Caregiver/Care-receiver; (2) Defining the Caregiver/Care-receiver Roles; (3) Redefining the Caregiving Relationship; and (4) Relationship Acceptance. The transitions identified here comprise a loose framework influenced by different levels of filial responsibility—personal, parental, family, and religious. In addition to the four transitions, one overarching theme called “Emotional Responses to Informal Caregiving and Care-receiving” was evident throughout the findings. Findings from this research provide a framework for understanding the often unclear transitions that daughters and mothers believe they go through. Research implications are discussed for researchers, therapists, caregiving support group leaders, and women who are contemplating or confronted with filial responsibility.     

Responses to organizational harm: Mechanism of blaming managers as proxies for a culpable organization

Recent research has shown that perceivers who are culturally oriented to focus on the causal influence of groups tend to assign blame to an organization and extend the blame to an individual representing it (i.e. proxy blaming). The present research investigates the mechanism of this blame extension. Results show that it occurs when punishing the organization is impossible rather than possible (Study 1) and that this blaming is brought about by the perception that the target individual is in the role to represent the organization, not by the perception that he/she is the typical member of the culpable organization (Study 2). Implications of these findings in the responsibility literature are discussed.