新医改背景下医科大学生价值取向变化趋势及教育引导研究

新医改的价值目标是公益性,对于当前医科大学生价值取向的产生、形成具有重要导向作用。当前医科大学生价值取向出现了价值目标趋于功利化、迷失医学真正目的;医学技术至上、自身技术能力下滑;科研作风不够严谨,人文素质滑坡等趋势。因此,应从树立崇高职业理想,提升使命感和责任感;创新医德教育体系,强化思想政治教育育人功能;关注物质精神需求,提高从医幸福感等方面教育引导医科大学生树立正确价值取向。     

Traversing gender,sexual orientation,and race-ethnicity: Sexual victimization in a population-based sample of older adults

This research examined the intersectionality of gender, sexual orientation, and race-ethnicity, and its impact on lifetime sexual victimization among a population-based sample of older adults. Data for this study came from the 2011–2014 waves of the Behavioral Risk Factor Surveillance System. The final sample to be used for analysis included 8.862 individuals ages 50 years and over to examine whether and to what extent lesbian, gay, and bisexual older adults differ from heterosexual older adults in experiencing lifetime sexual victimization, and whether the effect of sexual orientation on experiencing lifetime sexual victimization differs across racial-ethnic groups. Logistic regression analysis revealed that lesbian women were 2.59 times more likely and bisexual women 2.15 times more likely both relative to heterosexual women to experience lifetime sexual victimization. When examining whether race-ethnicity imparts additional risk, the findings revealed that non-White heterosexual individuals were 29.6% less likely relative to White heterosexual individuals to experience lifetime sexual victimization, while non-White women, generally, were 2.29 times more likely relative to White men to experience lifetime sexual victimization. Our findings affirm the importance of the intersectionality of sexual orientation and gender when examining lifetime sexual victimization of older adults, adding to the emerging body of research that examines the complexities of older adult lives from multifaceted perspectives.     

Social work and pastoral counseling: Empowering each other

ABSTRACT

This article addresses the divergent outcomes which can result from counseling services offered pastorally versus clinically. As faith leaders often have greater direct access than social workers to supporting religious populations, it is important to explore the intersection between religious pastoral support and clinical social work. Presenting six scenarios from the author’s own experiences as both a rabbi and social worker, this article processes each scenario first through the pastoral lens of an Orthodox rabbi, followed by the clinical lens of a social worker or other mental health professional. The client outcomes which are produced from each modality are radically different. This contrast demonstrates the distinction between the goals, values, and training of each profession, and highlights importance for future work to be done in linking religious and pastoral training to mental health services, as well as broadening the scope of cultural competence for social workers and therapists who may engage with tight-knit religious populations.     

A Content Analysis of Intake Paperwork: An Exploration of How Clinicians Ask About Gender,Sex, and Sexual/Affectual Orientation

In the United States, the transgender and gender nonconforming (TGNC) population has increased twofold since 2011. Although counseling professionals are called to provide competent services to TGNC clients, no empirical studies exist that examine one of the first points of contact: Intake paperwork. The authors conducted a content analysis (N = 128) of intake paperwork and assessed how and if clinicians asked for gender, sex, and sexual/affectual orientation, and whether they conflated these constructs. Findings indicate adjustments need to be made for intakes to be more inclusive of these constructs. The authors offer clinical implications and avenues for future research.     

Sexual orientation differences in HIV testing motivation among college men

Objective: To investigate sexual orientation differences in college men's motivations for HIV testing. Participants: 665 male college students in the Southeastern United States from 2006 to 2014. Methods: Students completed a survey on HIV risk factors and testing motivations. Logistic regressions were conducted to determine the differences between heterosexual men (HM) and sexual minority men (SMM). Results: SMM were more motivated to get tested by concern over past condomless sex, while HM were more often cited supporting the testing program “on principle” and wanting a free t-shirt. SMM and HM differed in behaviors that impact HIV risk and other demographics. However, differences in testing motivation by concern over past condomless sex or wanting a free t-shirt persisted when controlling for these demographic and behavioral differences. Conclusions: Appropriately designed HIV prevention interventions on college campuses should target SMM's distinct concern over past condomless sex as a testing motivation.     

Predicting Attitudes Toward Lesbian and Gay Parent Families Among Portuguese Students from Helping Professions

The authors' goal was to characterize predictors of attitudes toward lesbian and gay parent families (LGPF), held by students enrolled in psychology, social work, medicine, nursing, elementary, and preschool education programs in Portugal. The authors examined the predictive value of students' (n = 600) sociodemographic characteristics when assessing their attitudes toward LGPF. Participant's gender, interpersonal contact with lesbians and gay men, gender role attitudes had indirect effects on attitudes toward LGPF, through attitudes toward lesbians and gay men. Understanding characteristics associated with attitudes toward LGPF may inform decisions in terms of the education and training of helping professionals.     

Sexual Orientation in State Hate Crime Laws: Exploring Social Construction and Criminal Law

Several studies have described and analyzed the development and diffusion of hate crime laws in the United States, but none specifically examined state-level differences in protected categories. Forty-five of the 50 states have a hate crime statute, but only 30 of those include sexual orientation. In this study the social construction framework is applied to the hate crime policy domain in order to determine whether or not variations in the social and political status of gays and lesbians are associated with the inclusion of sexual orientation in state hate crime laws. Content analysis of daily newspapers in six states revealed that a positive social construction is associated with groups seeking hate crime law protections, and that political influence may also be a key factor.     

Footprints in the Sand: Personal,Psychological, and Relational Profiles of Religious,Spiritual, and Atheist LGB Individuals

The present study offers a comparison of the demographic features and lived experiences of lesbian, gay, and bisexual (LGB) individuals with religious, spiritual, or atheist (R/S/A) belief systems. In this sample of 212 participants, the relationship of participants’ R/S/A beliefs to personal variables (e.g., age, gender, race), mental health variables (e.g., life satisfaction, psychological distress, internalized heterosexism, self-esteem), and relational variables (e.g., outness, connection to LGBTQ communities) were assessed. Correlational analyses indicated that level of R/S/A belief was unrelated to self-esteem, life satisfaction, or psychological distress; however, greater religious belief was correlated positively and significantly with internalized heterosexism and outness as LGB. To test the interactions of R/S/A beliefs and categorical variables of interest (e.g., race), log-linear analyses with follow-up chi-square tests were conducted. Findings suggested more similarities than differences for LGB people across R/S/A systems of belief. Limitations and implications for future research are discussed.     

Same-Sex Sexuality and Educational Attainment: The Pathway to College

Research finds lower levels of academic performance among sexual minority high school students, but some studies suggest sexual minorities have higher levels of educational attainment in adulthood. To further our understanding of how and why sexual orientation is associated with educational success, this study turns attention to the pathways to college completion, examining points along educational trajectories in which sexual minorities fall behind or surpass their heterosexual peers. Using data from the National Longitudinal Study of Adolescent to Adult Health, we find that sexual minority women are less likely than women with no same-sex sexuality to complete college, in part due to their high school performance and transition into college. Men who experience same-sex sexuality only in adolescence struggle in high school, but men who experience same-sex sexuality for the first time in adulthood are more likely to earn a college degree than men who do not experience same-sex sexuality.     

Assessing Politicized Sexual Orientation Identity: Validating the Queer Consciousness Scale

Building on psychological theories of motivation for collective action, we introduce a new individual difference measure of queer consciousness, defined as a politicized collective identity around sexual orientation. The Queer Consciousness Scale (QCS) consists of 12 items measuring five aspects of a politicized queer identity: sense of common fate, power discontent, system blame, collective orientation, and cognitive centrality. In four samples of adult women and men of varied sexual orientations, the QCS showed good test-retest and Cronbach’s reliability and excellent known-groups and predictive validity. Specifically, the QCS was positively correlated with identification as a member of the LGBTQ community, political liberalism, personal political salience, and LGBTQ activism and negatively correlated with right-wing authoritarianism and social dominance orientation. QCS mediated relationships between several individual difference variables and gay rights activism and can be used with both LGBTQ people and allies.