High‐conflict divorced couples: combining systemic and psychodynamic perspectives

This article describes typologies of couples in high‐conflict divorces and explores their dynamics through the prism of family systems and British object relations theories. The article argues that couples embroiled in high‐conflict divorce often have primitive object relations. They tend to use splitting and projection processes and find it difficult to tolerate ambivalence or disagreement. Fear of the ex‐spouse's retaliation is often accompanied by fear of their own destructiveness and by a wish to make reparation. However, it seems that reparation attempts in primitive object relations rarely achieve reconciliation. A case study demonstrates the complicated dynamics of these couples. Clinical recommendations are made.     

Race,racism and systemic supervision

The idea of ‘race’ and the social reality of racism have gained increasing attention in family and systemic psychotherapy. This article seeks to extend this attention by focusing upon the influence of race and racism in the supervision of family and systemic psychotherapy. The way in which the idea of race might be conceptualized is discussed, before looking at how race and racism have been addressed in the field. Attention is then turned to systemic supervision, focusing upon the ideas generated about how supervisors might position themselves in relation to these issues, the implications this might have for the supervisory relationship and the relationships between supervisees and client families. It is proposed that by virtue of the supervisor's position of power over the supervisee, it is the supervisor's responsibility to initiate conversations about race and racism. A proposal for this task is outlined, which recognizes that these conversations are ongoing. A concluding assertion is made that such conversations should form part of the evaluative process for trainee supervisors.     

善恶人格的特质差序

善恶问题是人们在社会生活中的重要话题, 在对他人进行知觉时, 人们首先关心的信息是什么, 是否会对不同类型善恶特质有所权衡?研究基于人格心理学视角, 通过4个研究对该问题进行了探讨。研究首先探究了人格的道德概念激活时善恶的差异, 并以代表性、好恶度、特质度和重要性为衡量指标分别考察了不同类型善恶特质的核心程度差异。结果发现, 善恶人格的特质差序体现在两个方面：(1)善恶人格间的差序, 在人格的道德范畴中, 存在善人格的优先效应; (2)善恶人格内的差序, “善”的核心由内到外为尽责诚信、仁爱友善与包容大度、利他奉献; “恶”的核心由内到外为凶恶残忍、背信弃义与污蔑陷害、虚假伪善。研究有助于进一步理解中国人的善恶观, 为善恶领域的探究提供了新思路。     

晚期乳腺癌如何选择内外科治疗

晚期乳腺癌包括局部病变较晚、无法直接手术的患者和初诊时已有远地转移M1及手术后的复发转移患者。目前,我们国家对于这些患者的处理非常混乱,往往初始治疗与首次接诊医生的专业范围大有相关。孤立病灶的晚期乳腺癌患者,全身播散背景已成定势,全身药物治疗才是最重要的治疗手段。对于已经全身转移的晚期乳腺癌患者来讲,是否加用局部病灶切除,需根据患者的全身情况而定。任何一种治疗的选择及安排都应按照药品临床试验管理规范（GCP）原则进行,以期最大限度改善生活质量及生存时间。     

Sympathy for the Devil

Abstract

This article describes the personal and professional experiences of the author while working as a mental health trainer in Serbia. In addition, various approaches to victims and perpetrators are reconsidered, along with the ethical implications of this work. The relationship between working with violence in a war zone and in a peaceful society is also explored.     

QUANTUM ASPECTS OF LIFE: RELATING EVOLUTIONARY BIOLOGY WITH THEOLOGY VIA MODERN PHYSICS

Abstract In the present paper, I shall argue that quantum theory can contribute to reconciling evolutionary biology with the creation hypothesis. After giving a careful definition of the theological problem, I will, in a first step, formulate necessary conditions for the compatibility of evolutionary theory and the creation hypothesis. In a second step, I will show how quantum theory can contribute to fulfilling these conditions. More precisely, I claim that (1) quantum probabilities are best understood in terms of ontological indeterminism, but (2) reflect nevertheless causal openness rather than divine indifference or arbitrariness, and (3) such a genuinely creative universe can be considered as the work of a loving Creator. I ask subsequently whether these necessary conditions are also sufficient for the compatibility of evolutionary theory and the creation hypothesis. Finally, I will show that relating evolutionary biology with theology via quantum theory could also shed some light on the nature of life.     

God is great – but not necessary? On Ara Norenzayan,Big Gods (2013)

Norenzayan provides ample evidence to support the claim that beliefs about moralizing Big Gods correlate with prosocial behavior. Atheists, for their part, are the most mistrusted minority wherever there is a widespread belief in moralizing gods. Projecting these patterns of thought and behavior on to our ancestors 10 000 years back is risky, though. It is a plausible hypothesis that prosociality in societies where people meet anonymous others on a regular basis may have coevolved with beliefs about Big Gods, but it remains historically speculative and the direction of causality is impossible to establish.     

EXPERIENTIAL NARRATIVES OF RAPE AND TORTURE

Many Guatemalan women suffered extreme sexual violence during the latter half of the twentieth century. Learning of this violence can evoke hatred in persons who love and respect women—hatred for the men who perpetrated the violence and also for other men around the world who victimize women in this way. Hatred is a common response to a perceived evil, and it might in some cases be a fitting response, but it is important to subject one's emotions to critical moral reflection. A key task of ethics is to encourage persons to cultivate good habits of being moved. This essay analyzes the way in which two different texts manage, through the skillful presentation of experiential narratives, to help readers acknowledge the hatred they might feel, but also to think twice about the hatred to which they consent.     

ANCA相关性血管炎诊治的临床决策

抗中性粒细胞胞浆抗体(ANCA)相关性血管炎是系统性自身免疫性疾病,肾脏是最易受累的器官。因其临床表现多样且易于复发,临床上常见误漏诊和治疗不当。肾科医师在临床决策中应重视早期识别与诊断,并进行规范、适度的个体化治疗,同时避免过度治疗导致的严重并发症,以期改善患者的远期生存率与生活质量。     

妊娠期急性脂肪肝诊治中的科学思维应用

现代科学思维方法中系统思维及模糊思维方法具有普遍适用意义。妊娠期急性脂肪肝临床上极为罕见,并发症多,病死率极高,1例并发腹部卒中的妊娠期急性脂肪肝患者通过科学诊疗转危为安,及时终止妊娠、对症处理、多学科协作联合治疗,积极预防并发症是确保救治成功的关键。本文尝试介绍科学思维方法在该病诊疗中的一些体会。