The Neurosequential Model of Therapeutics: An Interview with Bruce Perry

In this interview with Bruce Perry, MD, PhD, Senior Fellow of The Child Trauma Academy, Laurie MacKinnon discusses with Dr Perry developmental trauma and the Neurosequential Model of Therapeutics, an approach to clinical problem solving that utilises a developmental lens and incorporates advances in neurobiological development. Dr Perry gives his perspective on the causal connection between childhood abuse and later psychiatric diagnosis, the child's contact with a violent parent post‐separation, the importance of interventions that address the organisation and functioning of lower parts of the brain and his perspective on the use and limitations of psychotropic medications, cognitive behaviour therapy and family therapy.     

战争创伤与后战争创伤——海明威与斯通小说对比研究

随着创伤文学在国内外的兴盛,创伤研究成为了一个新兴的文学理论研究方向。罗伯特.斯通与厄纳斯特.海明威分属两个不同时代的作家,在文学创作时针对不同方面的创伤各有所侧重。本文选取了他们各自比较有代表性的作品进行了深入细致的解理。首先分析各人作品中主人公不同的创伤遭遇,继而进行全面的梳理和对比研究,展示以迷惘为标志的海明威式"战争创伤"到以恐惧为主导的斯通式"后战争创伤"的阶段演进过程。最后从已得出的结论中,一窥两位大家的创伤文学创作与个人的成长经历间千丝万缕的联系,并挖掘出其心理状态和创作意图。     

The dilemmas for black social work professionals: Therapeutic implications

This paper explores the nature of social work and therapeutic practive from the perspective of black practitioners in Britain today. Black practitioners carry their histories of hurt, loss and reunion, migration and racism with them, and this lends a particular meaning to the idea of 'therapeutic' for them. The writer articulates some of the complexities and tensions of black professional social work identity through a number of vignettes based on her own experience and biography. The paper was presented as a keynote address at the Therapeutic Social Work Today conference at the Tavistock Clinic in 2001.     

中国居民代际收入流动性的变化趋势及影响机制研究

基于1989~2015年共计10轮CHNS数据,本文采用代际收入弹性和代际收入秩关联系数双重测度指标对我国居民代际收入流动性进行了测算,发现代际收入流动性在1991~2004年期间基本保持稳定,2004年以后呈现出不断上升的变化趋势。基于收入分组视角的研究发现,各收入组2004年以后代际收入阶层固化程度均有所降低,但高收入组和低收入组的固化程度远高于其他各组,中等收入群体是目前我国保持较高代际收入流动性的主要动力来源。从城乡差异视角看,受大规模农村劳动力向城镇流动的影响,2000年后农村家庭的代际流动性显著提升,且持续高于城市居民的代际流动性。进一步,基于人力资本分析框架对我国代际收入传递机制进行了探究,发现父亲的非教育因素在代际收入传递中起到主导作用。受整体社会制度环境不断改善的积极影响,2004年以后非教育传递机制不断减弱,对代际收入流动性的提升起到较大助推作用;而受高等教育扩张政策的影响,教育因素在2004年左右一定程度上削弱了代际收入流动性。     

Experience of Racism as a Correlate of Developmental and Health Outcomes Among Urban Adolescent Mental Health Clients

Summary

Correlates of race/ethnicity and perceived racism among 760 urban, predominantly Hispanic/Latino and African-American, adolescent mental health clients were investigated using an exploratory, clinical data-mining approach. All racial/ethnic groups reported substantial rates of racism, ranging from 80.0% for Asian/Pacific Islanders to 32.4% for Hispanic/Latinos. Racism was associated with significantly elevated environmental risk (e.g., violence, sexual abuse or assault, exposure to drug use), behavioral risk (e.g., drug use) and worry (e.g., worry about hurting self or others, worry about doing dangerous things). Overall, racism was significantly associated with more negative health and well-being outcomes than ability to get a gun, sexual orientation, and being enrolled in school. The authors conclude that experience of racism should be routinely assessed at intake to mental health services along with traumatic experiences such as physical or sexual abuse.     

Keynote 3. Living in the Valley of Death

Abstract

In 2003 alone, HIV/AIDS killed more than three million people, of which between 2.2 and 2.4 million were from Sub-Saharan Africa. This disease is having a devastating effect on the previously firm foundations of intergenerational relationships in affected countries. For many nations in Africa, Asia and South America, life has become a mirage, a paradox in which almost everything is overshadowed by the pangs of death. Poverty, HIV/AIDS and, surprisingly, compassion are the combined common causes of death. Consequently, social, ecological, economic, political and educational systems are almost entirely dislocated. Traditions demand that the young ones should outlive their elders. So there is a deliberate effort on the part of the elderly to embrace death in attempting to be compassionate. This paper is an attempt to explore this scenario with the aim of articulating the linkage between poverty and HIV/AIDS, and proposing ways of reducing their impact through intergenerational programming.     

Risk,Recovery and Resilience

Abstract

From 1999 to 2004, the Child and Youth Care Agency for Development (CYAD), a South African Non-Government Agency (NGO), has been working in partnership with the University of Victoria's International Institute for Child Rights and Development (IICRD) and Aboriginal Liaison Office (ABLO) to identify and reinforce community and cultural assets in supporting child and family resilience. The project, entitled Circles of Care: Community and Support for Children Affected by HIV/AIDS, has developed and piloted a model for community capacity building that supports traditional African community values, beliefs and governance structures (understood as Setso) in reinforcing child resilience through child rights based advocacy that partners children and traditional leaders (identified as Morena) and healers (called Dingaka).     

Intergenerational Support and Depression Among Elders in Rural China: Do Daughters‐In‐Law Matter?

This study examined the influence of intergenerational assistance with household chores and personal care from sons, daughters, and daughters‐in‐law on the depressive symptoms of older adults in rural China. The sample derived from rural Anhui Province, a region with a strong hierarchy of support preferences that leads with sons and their families. We used data from a random sample of 1,281 adults aged 60 and over, who were interviewed in 2001 and 2003. Analyses indicated that depressive symptoms were usually reduced by assistance from daughters‐in‐law and increased sometimes when such support was from sons. These relationships held most strongly when mothers coresided with their daughters‐in‐law. This research suggests that the benefits of intergenerational support are conditional on culturally prescribed expectations.     

大学生心理危机事件处理中的教师心理创伤及干预

心理危机干预是当前高校心理健康教育的关键性工作,其工作成效直接影响到学校乃至社会的和谐与稳定。作为心理危机干预过程的主要参与者,教师应做好自我心理健康维护,减少危机事件带来的心理创伤,以饱满、健康的心态促进大学生心理危机干预工作的有效开展。     

Self-Medication, Traumatic Reenactment, and Somatic Expression in Bulimic and Self-Mutilating Behavior

A psychoanalytic framework provided direction for research on the association between binge-purging (bulimic) and self-mutilating behaviors, comparing them for similarities and differences. The similarities in the multiple functions and psychosomatic processes served by these behaviors are presented, as well as the phenomenon of symptom substitution. Both behaviors tend to be practiced by those with severe personality and dissociative disorders and post-traumatic stress disorder. Both serve ego-compensatory needs in the absence of the adequate ability to regulate and modulate emotions, moods, and tensions. They may serve as compensatory attempts to differentiate self and object, define and differentiate body boundaries, master severe childhood trauma by means of psychophysiological addictive reenactments, and to express emotion.