An Explorative Study of the Place of the Ethics of Care and Reflective Practice in Social Work Education and Practice

The moral development and identity of social work students have been shown to be enhanced by education in caring. Important aspects of this education are training in reflective practice and learning to have a perspective focused on professional loving care. In this study, we have explored how reflective processes can be implemented in both educational settings and working practice from an ethical point of view. Elaborating upon reflective practice from an ethical perspective focuses on reciprocity in relationships and relational capacity in institutional contexts. The study took the form of interviews with social work teachers and health care professionals. Interview and focus group data were analysed, three main topics were identified and statements were coded with relation to these topics. Use of both educators and practitioners in this study showed the importance of not neglecting the transition from education to practice. Responses also showed the value placed upon continuous education and development over the course of a health care professional's career.     

逍遥:庄子思想的旨归

《庄子》中的“逍遥”可以分为三个层面:物物而物于物是逍遥之最低层次,物物而不物于物乃可做到相对的逍遥,而无待才能达到真正的逍遥。庄子主张丧我、解悬、无用等养生之道,就是为了达到逍遥的人生境界。庄子热忱地爱慕着“逍遥”,以逍遥之笔去道说“逍遥”,从而使《庄子》具有了独特的文学魅力。     

Correlates of the Randolph Attachment Disorder Questionnaire (RADQ) in a Sample of Children in Foster Placement

This study examined mental health and attachment problems in children in foster care. This study also obtained data concerning the validity of the Randolph Attachment Disorder Questionnaire (RADQ). Children were selected according to length of time in placement and age and screened for mental health symptoms using the Child Behavior Checklist and the RADQ. The findings showed that children in foster care have reported symptoms within the range typical of children not involved in foster care. The conclusion is that the RADQ has limited usefulness due to its lack of specificity with implications for treatment of children in foster care.     

Moving the Boundaries of Feminist Social Work Education with Disabled People in the Neoliberal Era

Until recently social work education in Australia has either marginalised or neglected disability by omission. Given the increasing number of disabled people in the community, the teaching of social work within a disability studies emancipatory paradigm as an essential part of the curriculum is long overdue. As many social work educators have suggested, we are at a critical moment in Australia, where the policy environment in which social work is embedded has largely been reframed in line with neoliberal trends. For disabled people, this has meant an ongoing state campaign to diminish disability entitlements, from decreasing disability social security regimes through to the rationalisation of adult disability support and care schemes. Social workers are negotiating the competing demands of these policy constraints alongside the needs of the disabled people they work with. New moral dilemmas have emerged where they are actively faced with the question of ‘who to serve?’.     

阳光与烛光的映照，心灵与生灵的对话——解读新加坡女作家蓉子的“老人题材”作品

城市的老龄化,这一社会性问题正越来越带有"全球化"的倾向,东南亚各国自然也不能幸免.新加坡女作家蓉子以其创办并担任老人院院长十年的亲身经历,为华文文坛奉献了描述城市老人问题的"城事系列",向人们启开了一扇扇探视形形色色的老人及其儿孙们的心灵窗扉,让读者在感叹生活于当今城市的老人或悲或喜的结局之余,也引发了对这一社会问题的深深思考.本文从"爱心与人文精神"、"孝行与人性弱点"、"人道与自然生态"三个方面,对蓉子笔下有关描述城市老人众生相及其心态的作品进行解读.     

Accounting and the celebration of rationality in human service delivery organizations

Emerging perspectives of control in human service delivery organizations are facilitated by rational accountability formulations whose tenets and assumptions remain basically unquestioned in organizational and accounting literature. This paper critiques the underpinnings of rational accountability formulations and their appropriateness for human service delivery organizations. In turn, a non-rational metaphor of the role of management accounting information is proposed which recognizes uncertainty for what it is rather than assuming the very certainties that cannot be found in the delivery of human services.     

A Demonstration of Methods for Studying Negotiations Between Physicians and Health Care Managers*

Decision analysis was used to study negotiations in the health care context. This paper found that analytical methods could answer several important questions related to complex negotiations, including whether contracts promote the interest of both parties, whether a decision aid could better meet the priorities of both parties, and whether one negotiator is more successful than the other in repeated negotiations. The paper concluded that micro-health care negotiations can be traced and studied with existing mathematical theories of negotiation.     

Refusal of recommended maternity care: Time to make a pact with women?

Background

The right to refuse medical treatment can be contentious in maternity care. Professional guidance for midwives and obstetricians emphasises informed consent and respect for patient autonomy, but there is little guidance available to clinicians about the appropriate clinical responses when women decline recommended care.

中国政府决策能力评价及其优化研究——以医疗卫生体制改革决策为例

决策能力是政府能力之制高点,对政府履行职能、实现使命以增进和维护公共利益至关重要。审视中国医改决策进程,中国政府体现了较强的政策学习与调适能力和智力与技术资源动员整合能力,决策环境协调能力明显提升;但其决策价值导向能力曾出现摇摆偏移,在利益整合能力、目标获取与锁定能力、政策定位与供给能力、经济资源汲取能力、资源配置能力等方面仍有很大提升空间,必须通过优化和强化政府决策能力来改善政府决策效度。     

隔代照顾的生物社会学动因及影响分析

当前社会环境下,儿童照顾给工作和家庭平衡带来压力和挑战。隔代照顾成为缓解这一压力的流行方式而得到了广泛的关注,学术界产生了许多研究成果。其中,生物社会学视角在国外隔代照顾研究中有较多的应用。但是在国内采用这一视角进行的实证研究非常少。本研究以中国健康与养老追踪调查(CHARLS)2015年的数据为资料,通过生物社会学的视角并使用广义Logistic模型和广义线性模型对四类儿女双全的祖辈的隔代照顾的积极性进行分析。结果表明亲缘选择假设不能完全解释四类祖辈照顾孙辈的积极性的差异。虽然从整体上看女性祖辈比男性祖辈更积极地照顾孙辈,但是父系女性祖辈照顾孙辈的积极性并没有像亲缘选择假设所推断的那样显著低于母系女性祖辈。同时,分城乡的回归结果表明城镇地区四类祖辈的积极性没有显著差异,而在乡村地区父系女性祖辈的照顾强度显著高于其他三类祖辈。因此,亲缘选择理论可以解释照顾者性别差异的部分原因,而无法阐明父系和母系的宗族差异。此外,照顾者的工作状态、婚姻状态、受教育水平、子女的经济支持、子女的数量和子女的年龄都是影响隔代照顾积极性的显著因素。需要注意的是虽然生物社会学理论有其独特的价值,但是将它用于社会研究也有明显的局限性。因此,这一理论仍然有许多亟待探索和完善的空间。