实践社区成员的面子意识对知识传播的影响

为研究中国人面子意识是否影响实践社区及其成员的知识传播过程,采用自编实践社区成员面子意识问卷以及知识传播过程与效果问卷对重庆、银川、南京和上海等地企业的430名实践社区成员进行测量。结果表明:问卷具有良好的信度和效度;男性的面子意识显著高于女性;工作年限为11~15年的被试"面子—能力学识"得分显著高于其他组别;"面子—人际交往"对"投入程度"、"区外获取"及"传播效果"的预测作用都为正向,而"面子—能力学识"对这三项的预测作用均为负向;"面子—人际交往"和"面子—能力学识"是面子的两个独立维度。     

对改善农村医疗卫生人才队伍现状的思考

农村卫生技术人才匮乏给农村卫生事业发展带来了严峻的挑战,导致这一现状的缘由应从多层面进行分析。作为医学领域新思想、新知识、新技术的创造者和发源地以及医学人才培养摇篮的高等医学院校在改变这种格局中担负着重大的使命。探讨如何以客户意识作为教育及办学价值取向,从而为改善农村卫生队伍现状开拓了思路。     

Towards an Italian model of therapeutic community

In this paper the author reflects on research undertaken by the Association Myth and Reality in the context of the psychiatric reforms in Italy which resulted in the closure of the asylums and the organisation, over the last 20?years, of a network of services in the community. These include thousands of residential units operating on a rehabilitative model. The focus of this paper is on the concept of the therapeutic community as a dynamic evolutionary path, individually tailored to people with different diagnoses and different ages – e.g. psychosis; borderline; adolescents and children. The therapeutic – and more specifically the environmental – factors are presented here. This includes the aesthetics of living and the sensory/emotional climate in relation to the care of the self and protection, regulation and safety, transitional playful climate, everyday life and the sharing implicit in relationships. The emotional climate is a fundamental component that transverses and intersects all the other factors. Treatment is central to the group with its potential for containment and dynamism in relation to relationships, cohesion, belonging, integration of the self in the community and connections with social networks outside the group aimed at reintegration into society of the resident as a citizen. A system of evaluation through peer reviews between therapeutic communities in Italy is being built in order to continuously improve the quality of service delivery.     

Recasting Stigma as a Dialogical Concept: A Case Study of Rural‐to‐Urban Migrants in China

The present study explores stigma against rural‐to‐urban migrants in China, drawing on a dialogical approach. It investigates the processes of stigmatization from two sides: that of the stigmatizer and that of the stigmatized. Open‐ended individual interviews were conducted with 138 participants (60 urban residents and 78 rural‐to‐urban migrants) in Tianjin, China. Findings from this study indicate that migrants were stigmatized by urban residents as having an unattractive physical appearance, potential perils of disease or crime, and discredited places of origin. Such stigma was embedded in China's unique hukou system and generated from a social categorization of superior and inferior groups. Migrants reported a number of coping strategies to counter such stigma: blaming fate, stigma reversal and upward mobility. However, migrants did not view themselves contemptuously and expressed positive feelings about their lives as migrants. They regarded internal migration as a way of pursuing happiness. Overall, urban residents stigmatized migrants legitimated by the hukou system, while migrants were surprisingly resilient against stigma, and did not internalize it, due to their economics‐driven internal migration. This study underscores that stigma in a given society is dialogically interdependent with its socio‐cultural context and that the perspectives of both the stigmatizer and the stigmatized need to be taken into consideration. Copyright © 2013 John Wiley & Sons, Ltd.     

Self-Reported Abuse and Mistreatment among Japanese Elders Receiving Respite Care

This study examines physical and psychological mistreatment reported by Japanese elders who received care from family members. Data is based on structured face-to-face interviews with community-dwelling elders who utilized respite care services. Among the 118 elderly respondents, 12% reported being hit or almost being hit by their caregivers. Close to 54% reported at least one type of psychological mistreatment. Men who received care from their spouses were most likely to report abuse. Elders who were victimized reported increased levels of depressive symptoms. Logistic regression analyses indicated associations between physical abuse and past conflicts with the caregiver. Psychological mistreatment was associated with receiving care from a spouse, past conflicts with the primary caregiver, and depression. The findings suggest the need for increased awareness of the needs of community-dwelling Japanese elders who are at risk for abuse, mistreatment, and depression.     

‘In Some Eyes It's Still Oooh,Gloucester, Yeah Fred West’: Spatial Stigma and the Impact of a High‐profile Crime on Community Identity

The question of how crime impacts on others has generated a wealth of research over the past few decades. However, there is surprisingly little knowledge about how ‘high‐profile’ crimes impact on community members who live in a town that has become synonymous with the crime itself. This study involves interviews with community members who lived or worked in the town of Gloucester when the serial killings perpetrated by Fred and Rosemary West were discovered in 1994. An interpretative phenomenological analysis explores the lived experiences and meaning‐making processes engaged in by the participants. Findings highlight their attempts to make sense of a high‐profile case that stigmatised their own community and the practices of identity management that continue to operate some 20 years later. Copyright © 2014 John Wiley & Sons, Ltd.     

Suicidal ideation among rural immigrant daughters-in-law with multi-roles as females,farmers and immigrants in China

Suicide is a major public health issue in China, and suicidal ideation is an important step in the suicidal process. The purpose of this study was to understand the prevalence and correlates of suicidal ideation among rural immigrant daughters-in-law with multi-role of female, farmer and immigrant in China. A total of 939 participants including 474 local daughters-in-law and 465 immigrant daughters-in-law were surveyed using the self-rating questionnaire. Demographic characteristics, depression, anxiety, impulsivity and suicidal ideation were assessed. Results indicated that the lifetime prevalence of suicidal ideation among rural immigrant daughters-in-law was 9.68%. Physical disability, domestic violence and negative events demonstrated statistical significance by suicidal ideation (p < .05), and participants with suicidal ideation had higher scores of depression, anxiety and impulsiveness in the univariate analysis. Multivariate logistic regression showed that physical disability (OR = 7.43, 95%CI: 2.84–19.46), domestic violence (OR = 2.65, 95%CI: 1.02–6.88), depression (OR = 1.07, 95%CI: 1.01–1.12), impulsiveness (OR = 1.04, 95%CI: 1.01–1.08) and motor impulsiveness (OR = 1.07, 95%CI: 1.01–1.14) were significantly associated with suicidal ideation. Suicidal ideation is an issue that can’t be ignored among rural immigrant daughters-in-law. And the findings should be considered for the intervention of the suicide among the rural immigrant daughters-in-law.     

Determinants of pro‐environmental consumption intention in rural China: The role of traditional cultures,personal attitudes and reference groups

This study aimed to identify social‐psychological predictors of pro‐environmental consumption intention in rural China. To this end, a proposed conceptual model was tested by analyzing the survey data derived from 972 rural respondents in Jiangxi province in south‐eastern China. Results showed that the endorsement of traditional cultures (man–nature orientation and collectivism) was linked with pro‐environmental consumption behaviuor, but was mediated by intentions. Personal attitudes (environmental cognition and environmental affect) and reference groups influenced both intention and behaviour. The results also provided good evidence of the intention–behaviour relationship. These findings provided a better understanding of the process in which Chinese rural residents developed their pro‐environmental consumption behaviours.     

‘I want to be a hope champion!’ – Research as hope intervention with rural South African children

This study explored how visual participatory research-as-intervention enabled a strengthening of hope among a group of South African primary school children. Twelve learners aged 9–13 years from a rural village in the QwaQwa region of South Africa participated in the study. Data on the children’s experiences of hope were co-constructed with them, applying various visual participatory approaches, while data on their engagement in the research itself was generated using group discussion, individual interviews, and notes captured in a research journal. Thematic analysis of the data revealed a strengthening of the children’s hope on personal, relational, and collective levels from engaging in hope-oriented visual participatory processes. The findings suggest that research-as-intervention has hope-enhancing value for rural South African children.