Return to nature

Abstract

This essay explores the various ways in which in the history of philosophy the imperative to return to nature has been understood. Against this background, it takes up the question as to how the concept of nature is to be determined in contemporary thought.     

L’indépendance du médecin à nouveau proclamée

In the must-known “Vincent Lambert case”, many jurisdictions have had to adjudicate on what was submitted to them. The latest decision from Châlons-en-Champagne's administrative court almost went unnoticed. However, the judgment turns out to be truly significant. It reminds that the principles of medical doctor's independence and freedom of action are simply fundamentals and unavoidable. The patient management practitioner shall not be regarded as a mere executor of an earlier decision taken by a medical colleague.     

Making Teamwork Work: Team Knowledge for Team Effectiveness

This study examined the impact of two types of team knowledge on team effectiveness. The study assessed the impact of taskwork knowledge and teamwork knowledge on team satisfaction and performance. A longitudinal study was conducted with 27 service-management teams involving 178 students in a real-life restaurant setting. Teamwork knowledge was found to impact both team outcomes. Furthermore, team learning behavior was found to mediate the relationships between teamwork knowledge and team outcomes. Educators and managers should therefore ensure these types of knowledge are developed in teams along with learning behavior for maximum effectiveness.     

A Method for Tracking Implementation Strategies: An Exemplar Implementing Measurement-Based Care in Community Behavioral Health Clinics

Implementation experts suggest tailoring strategies to the intended context may enhance outcomes. However, it remains unclear which strategies are best suited to address specific barriers to implementation, in part because few measurement methods exist that adhere to recommendations for reporting. In the context of a dynamic cluster randomized trial comparing a standardized to tailored approach to implementing measurement-based care (MBC), this study aimed to (a) describe a method for tracking implementation strategies, (b) demonstrate the method by tracking strategies generated by teams tasked with implementing MBC at their clinics in the tailored condition, and (c) conduct preliminary examinations of the relation between strategy use and implementation outcomes (i.e., self-reported fidelity to MBC). The method consisted of a coding form based on Proctor, Powell, and McMillen (2013) implementation strategy reporting guidelines and Powell et al.’s (2012) taxonomy to facilitate specification of the strategies. A trained research specialist coded digitally recorded implementation team meetings. The method allowed for the following characterization of strategy use. Each site generated 39 unique strategies across an average of six meetings in five months. There was little variability in the use of types of implementation strategies across sites with the following order of prevalence: quality management (50.00%), restructuring (16.53%), communication (15.68%), education (8.90%), planning (7.20%), and financing (1.69%). We identified a new category of strategies not captured by the existing taxonomy, labeled “communication.” There was no evidence that number of implementation strategies enacted was statistically significantly associated with changes in self-reported fidelity to MBC—however, financing strategies were associated with increased fidelity. This method has the capacity to yield rich data that will inform investigations into tailored implementation approaches.     

Passion or Perjury: Center or Circumference?

Are all transcendental claims a lost cause because they can have no objective empirical truth? Or does the transcendent still move among us as immanent, and, if so, how so? The question of ultimacy and the validity of the symbolic is considered through the views of Paul Ricoeur and Carl Jung.     

知识差异和知识冲突对团队创新的影响

通过情景模拟实验比较了高低知识差异和有无知识冲突两个变量四个水平下的团队创新度。结果表明,知识差异和知识冲突存在着交互作用;当知识差异较小时,知识冲突对于团队创新度具有积极作用;当知识差异较大时,知识冲突所起的是一种震荡作用;当团队不存在知识冲突时,较高的知识差异对团队创新度具有积极作用;存在知识冲突时,高知识差异团队和低知识差异团队的创新度没有显著差异     

医学职业潜规则的颠覆与“伦理生态”的营造——论医学职业精神重构的第一要务

我国的医学职业精神重构是一项庞大的系统工程,目前的第一要务是营造良好的医学伦理生态,而要达到上述近远期目标,则必须从颠覆医学职业潜规则起步。颠覆是破,营造是立,二者相辅相成,而且都需要从认识的困惑与误区中走出来,都需要政府、卫生行政管理部门及其官员、医院院长和一线医务人员的同心协力。其中,政府、卫生行政管理部门及其官员合乎医学职业精神的积极作为是最为关键的首要环节。     

艾滋病人的临终关怀

中国已经面临艾滋病人发病和死亡的高峰期.对艾滋病人开展临终关怀,长期以来并没有得到学术界应有的重视.强调在宽容原则的指导下,在理解和尊重的社会环境中,从生理、心理和心灵三个方面关怀艾滋病人,并指出对艾滋病人开展临终关怀具有重大的意义.     

从"非心理学"视角看术语连等式:心理=心灵=精神——兼议心理学"首席"术语的英汉互译

术语规范化是一门学科成熟的标志之一。作为现代心理学“首席”术语的心理,乃源自灵魂而非精神。从西方舶来后,却将它与精神和心灵混用,使心理学主干术语远离规范化的要求。从理论心理学“本土化”的研究取向出发,本着以“我”为主的学术立场,建议按术语单义性和大众习惯性的原则来英译心理学中三个主干术语—心理、心灵和精神。     

The alchemy of training

Abstract: Training in Zurich has its own special character but also is marked by the very fact that it is in Zurich. Zurich radiates its own distinct energy and carries a specific historical significance in the world of analytical psychology. This, like all things with psychic energy, has a spectrum of meaning. This spectrum, as well as the ‘spirit’ of the place, will be critically examined, taking into account the ‘blessings’ and ‘curses’ of such genius loci. Training in Zurich is experientially based and is first and foremost an initiation: an initiation into symbolic life, or rather life where symbol plays an important role. Training is understood to involve a transformation of one's self, much like the 8^th century alchemist Morienus Romanus understood the opus as a ‘human transformation system’. It is not merely an education. The requirement of ‘immersion’ is core to the experience of becoming an analyst in Zurich and this sets up a valuable discomfort between rational intellectual learning and intuitive experience, between knowing and not‐knowing. How does this dis‐serve the making of an analyst? What is implicit in this immersion and its discomfort? Does it have a role in today's emphasis on clinical and empirical training? Does Zurich still offer something unique and valuable in the world of training, or is it passé? From these questions, the dichotomy of what is ‘urgent’ and ‘essential’ in training will be examined.