Reflective Practices for Engaging in Trauma-Informed Culturally Competent Supervision

ABSTRACT

Race, ethnicity, and culture are critical components that affect and shape the supervisory relationship, yet literature about ways to acknowledge and actively engage them from a trauma-informed approach has been limited. To enhance the discussion of this issue, this article first reviews leading theoretical aspects of supervision designed to train practitioners in the field of mental health, followed by a discussion of race, ethnicity, and culture in supervision and, finally, provides reflective practices for engaging in trauma-informed culturally competent supervision.     

政府奖惩机制下药品安全质量监管三方演化博弈及仿真分析

药品安全关乎人民群众生命健康、经济发展、社会稳定和国家安全，一直以来都是政府和全社会关注的热点问题之一。但是，近年来频发的各类药品安全事件，揭露了政府监管缺失、药品检测机制不完善、公众投诉失效等诸多问题。本文考虑了药品检测中存在寻租现象，构建了药品生产企业、第三方药品检测机构和政府监管部门之间的三方演化博弈模型，分析了各参与方策略选择的演化稳定性，探讨了各要素对三方策略选择的影响关系，进一步分析了三方博弈系统中均衡点的稳定性。研究结果表明：1)政府增强奖励、惩罚力度均有助于促进企业生产高药效药品、第三方药品检测机构拒绝寻租的规范行为，但是增大奖励力度将不利于政府自身履行监管职责；2)政府设定合理的奖惩机制必须符合对各方的奖惩之和大于其投机收益的条件，才能保障演化稳定市场环境下的药品安全；3)上级政府对监管部门失职的问责对增强企业生产高药效药品的稳健性具有重要意义；4)提升企业的药品销售收益、增加企业寻租成本也是避免企业生产低药效药品的有效途径。最后，利用Matlab 2020b进行了仿真分析，为政府完善药品监管机制提出了对策与建议。     

‘What Was I Thinking?!’ Rhetorical Questions as a Technique to Identify and Explore Impasses in Therapy

Rhetorical questions emerging spontaneously in consultations can be used as a tool for developing self‐reflexivity and exploring the therapeutic alliance in the process of therapy with couples and families. This paper presents a technique based on the enunciation of rhetorical questions, which can point to an impasse in the process of therapy and contain a key to its resolution. The technique focuses on the distinctive feature of rhetorical questions as convening a paradoxical injunction: a question not intended as a question, while uttered as such. The technique in four steps is illustrated by examples from therapy, supervision, consultation, and self‐supervision. Its focus is the interlink between the therapeutic relationship and the process of therapy and it is informed by a second‐order cybernetics approach, dialogical practice, and the systemic literature on emotion. The technique can help develop curiosity in working with families, lead to unforeseen developments, and touch on prejudices not made explicit in previous therapeutic encounters. Whether we are acting as supervisors, therapists, or clients, the creation of a ‘secure enough’ context for rhetorical questions becomes critical to allow freeform exploration.     

互联网医疗服务法律监管研究

随着互联网技术的进步以及医疗改革的深入,互联网医疗服务成为新生业态.然而,我国互联网医疗服务法律监管体系还不够完善,缺乏统一规范的监管体系,多头监管、个人隐私隐患大、纠纷处理解决机制不健全等现实困境尚未解决,不利于互联网医疗服务行业的发展和人民群众身心健康.为解决上述问题,通过梳理发达国家的成功经验,如美国的移动医疗应用程序监管和个人隐私保护、欧盟的互联医疗数据管理、英国的行业协会监管等,结合我国现有国情,建议从完善立法体系、建设隐私保护机制、构建行业监管、明晰医疗服务主体责任等方面健全互联网医疗法律监管制度,以期推动互联网医疗服务行业发展,保障医患双方的合法权益.     

Exploring gaps between MSW students’ experiences and expectations of field supervision in a Chinese setting

The quality of field supervision is essential to prepare social work students for professional practice. This qualitative study explored the experiences and expectations of 22 MSW students who received their field supervision at social work professional organizations in mainland China. Findings indicate that there are significant differences between the actual supervision that students received and their expectations with regard to the structure and content of supervision. This study contributes to the literature by clarifying further what the lack of time for supervision and the lack of professional supervision mean in China’s context.     

Towards standardization of field work practicum: experiential reflections from Delhi,India

ABSTRACT

Field work is the signature pedagogy of social work. As a central form of instruction, it enables the course of learning by enabling the students to perform the role of practitioner. Field work contains pedagogical norms with which students learn to connect and integrate theory and practice. The current paper delineates the pedagogy of field work practicum in the Indian context and attempts to explore the challenges in transaction of field work curriculum with respect to placement agencies, at the levels of supervisor and supervisee and the ever evolving and dynamic relationship between the two. Based on authors’ experiential accounts, the paper recommends few strategies for enhancing the scope of professional growth and learning within the broad realms of field work placement.     

论宪法中的行政诉权

中国宪法第41条中的“控告权”不等同于、但包含了“行政诉权”的内涵。宪法中的行政诉权具有两种属性:一是作为公权利的“监督权”，二是作为私权利的侵权后的“救济权”。前者是政治性权利，也是实体性权利，后者是非政治性权利，是典型的程序性权利。这意味着人们长期把行政诉权仅仅作为一种救济权或程序性权利有失偏颇。为了规范行政诉权行使的秩序，行政诉讼法对宪法中的行政诉权在内容上进行了缩限，并在权利的外在形式上体现出程序性特征，但这不意味着行政诉讼法中的行政诉权所继受的权力属性有所改变。     

Managing C-suite conflict: The unique impact of internal and external governance interfaces on top management team reflexivity

The ability of Top Management Teams (TMTs) to reflect critically on their own actions represents an important element of effective TMT decision making and governance effectiveness. This paper therefore examines how the TMT-board interface internal to the organization, as well as the TMT interface with the external supervisory authority, shape TMT reflexivity. Drawing from governance and psychological theories, we posit that cognitive conflict at the TMT-board interface can escalate by increasing levels of affective TMT-board conflict, and hereby, harm TMT reflexivity if not managed well. This proposition was tested in a multisource team-level data set collected in the field among TMTs (N = 111 TMT members) and their supervisory boards (N = 152 board members) of 56 Dutch insurance companies. The findings demonstrate that the link between cognitive and affective TMT-board conflict is mitigated by board membership influx. Yet in cases where conflict escalation does occur, its subsequent impact on TMT reflexivity hinges on the degree to which an external supervisory authority monitored TMT actions. The results illustrate that TMT decision making processes can be effectively influenced by internal and external TMT-governance interfaces, yet at different conflict stages, and through different governance actions.     

食品监管渎职罪司法认定的困境及优化路径

自《刑法修正案(八)》增设食品监管渎职罪以来,其适用率呈偏低的趋势,与我国食品安全犯罪频发的现状不相符合。究其原因,该罪在责任主体认定、因果关系判定,以及危害后果界定三个方面存在难以厘清的困境。而学界虽在不断探讨该罪名的适用标准,但大多局限于理论建构层面,而忽略了司法适用的有效性。故从实证分析视角,明晰该罪的司法认定标准,以期对我国的司法实践有所贡献。