从医生和医院角度透视医患关系

医患关系一直以来都是临床医学实践的核心问题和基础,受多因素影响,包括患者、医生(医院)和社会.在医患关系不和谐的今天,如何以系统论方法,从医生和医院角度分析制约医患关系健康发展症结,是每个医生和医院管理者需认真思考和对待的问题.而发扬人文主义精神,坚持"以病人为中心"理念,是医生和医院缓解日益加剧的医患矛盾,从根本上改善医患关系的前提.     

Social Anxiety and Friendship Quality over Time

Abstract

High social anxiety in adults is associated with self-report of impaired friendship quality, but not necessarily with impairment reported by friends. Further, prospective prediction of social anxiety and friendship quality over time has not been tested among adults. We therefore examined friendship quality and social anxiety prospectively in 126 young adults (67 primary participants and 59 friends, aged 17–22 years); the primary participants were screened to be extreme groups to increase power and relevance to clinical samples (i.e., they were recruited based on having very high or very low social interaction anxiety). The prospective relationships between friendship quality and social anxiety were then tested using an Actor–Partner Interdependence Model. Friendship quality prospectively predicted social anxiety over time within each individual in the friendship, such that higher friendship quality at Time 1 predicted lower social anxiety approximately 6 months later at Time 2. Social anxiety did not predict friendship quality. Although the results support the view that social anxiety and friendship quality have an important causal relationship, the results run counter to the assumption that high social anxiety causes poor friendship quality. Interventions to increase friendship quality merit further consideration.     

From prematurity to parenting stress: The mediating role of perinatal post-traumatic stress disorder

Preterm delivery may lead to the emergence of symptoms of Post-Traumatic Stress disorder (PTSD), which may, in turn, affect the quality of the mother-child relationship. The aim of this study is to shed light on the development of parenting stress in mothers of preterm and full-term children. It is hypothesized that PTSD symptoms mediate the relationship between preterm/full-term birth and the levels of parenting stress. Perinatal PTSD, parenting stress and social support were assessed in 156 mothers of full-term children and 87 mothers of preterm children. Mothers of preterm children experienced more post-traumatic stress and parenting stress than mothers of full-term children. However, the relationship between preterm delivery and subsequent levels of parenting stress was mediated by PTSD symptoms. These findings suggest that the maternal perception of childbirth as a traumatic experience and the subsequent development of PTSD symptoms are pivotal in the emergence of parenting stress.     

How Do Romantic Relationship Satisfaction,Gender Stereotypes,and Gender Relate to Future Time Orientation in Romantic Relationships?

The present study is an investigation into how romantic relationship satisfaction and attitudes toward gender stereotypes about romantic relationship and gender are related to future time orientation in romantic relationships (FTORR). Four hundred and thirteen (208 men and 205 women) university students taking elective psychology courses at Middle East Technical University were given a scale including items about FTORR, romantic relationship satisfaction, and attitudes toward gender stereotypes about romantic relationships. All the participants were then involved in a heterosexual romantic relationship. Multiple regression results showed that for the women, attitudes toward men's assertiveness and men's dominance in relationships were more important predictors of FTORR than relationship satisfaction. For the men, attitudes toward men's assertiveness and romantic relationship satisfaction were important predictors of FTORR, but attitude toward men's dominance was not a predictor of FTORR. Women were more future oriented in their ongoing romantic relationships than were men. Finally, participants who were highly satisfied with their relationships scored higher on FTORR than those who were less satisfied.     

Mentoring Youth with Psychiatric Disorders: The Impact on Child and Parent Functioning

ABSTRACT

This study examined the effectiveness of a behavioral mentoring program aimed at serving youth with psychiatric disorders. Participants included 30 youth (8–12 years old) receiving services in a mentoring program for a mental health population and 30 wait-listed youth and their maternal caregivers. Participating in mentoring services was related to higher family functioning across a number of domains including child behavior, parenting stress, perceived parent social support, and perceived parent-child relationship quality. As predicted, parenting stress mediated the relationship between mentoring and children's externalizing behavior problems. Results suggest that mentoring services may be a useful adjunct service for highly stressed families with children with emotional and behavioral disorders.     

A Grammar of Love

Abstract

Recently researchers in the family therapy field have encouraged a focus on aspects of therapy common across all models that are important to therapeutic change. The purpose of this study was to build on the “common factors” literature by exploring clients' perspectives of what was useful to their therapeutic experience. Quantitative and qualitative measures were used to collect data from 41 clients who participated in therapy at a university-based family therapy clinic. Quantitative results indicated that therapeutic relationship, client motivation, extratherapeutic factors, and hope and expectancy accounted for 49% of the variance of clients' perception of change and 73% of the variance of clients' perceptions of therapy helpfulness. Qualitative results indicated the therapeutic relationship to be the most helpful aspect of clients' therapeutic experience.     

Logotherapy and Pastoral Counseling

SUMMARY

An intensive study of Frankl's logotherapy reveals its timely relevance for pastoral counseling. The paradigm of logotherapy recognizes the spiritual dimension as the inclusive and encompassing dimension for comprehending and integrating human phenomena. Its hermeneutical phenomenological analysis introduces an understanding of personhood which affirms one's capacity to find meaning in life, indeed, even in suffering and dying. It is this unique spiritual capacity which conveys a renewed awareness of self worth and human dignity and assists persons in understanding themselves as fashioned in the image of God. Logotherapy provides a helpful counseling theory for pastors and laity engaged in older adult ministry.     

信任是改善医患关系的关键

目前医患关系紧张,医疗纠纷频繁,同时又是新闻媒体追逐的热点,追究其原因是医患之间的不信任。如果医患之间成为相互信任的朋友,医患之间多一些相互理解,医生掌握精湛的医术,具备良好的沟通能力,做一个充满阳光的常常带给患者乐观情绪、鼓励话语、轻松气氛的医生,加上医疗体制的改革,应该可以有效改善紧张的医患关系。     

外科医生人文素质培养的探讨

随着社会发展和医学模式的转变,患者对身心健康及医学人文服务的需求也越来越高。在临床治疗过程中,外科医生不仅要具有广泛高深的医学专业知识和丰富的临床经验,而且要具有良好的人文素质。提高外科医生的人文素质对于减少医患纠纷及构建和谐医患关系具有重要的现实意义。本文就外科医生的人文素质培养方面谈谈几点体会。     

亲子关系对自尊的影响：一项基于贫困大学生的研究

为了探索亲子关系在经济压力影响下的差异以及亲子关系对贫困大学生内隐与外显自尊的影响,本研究抽取67名贫困大学生和65名非贫困大学生进行比较研究。结果发现：（1）贫困大学生对父母持积极的内隐态度和显著的高内隐自尊;（2）非贫困大学生的父母教养方式比贫困大学生的更积极,但贫困大学生比非贫困大学生对父母的内隐态度更积极;（3）贫困大学生父母的积极教养方式对外显、内隐自尊以及自尊的分离有显著的预测作用,非贫困大学生的内隐父母态度对三个因变量预测作用较好。因此,亲子关系中相对薄弱的方面对自尊有重要影响。