Health Technology Literacy: A Transdisciplinary Framework for Consumer-Oriented Practice

Abstract

The present study developed a typology of self-reported coping strategies used by older adults in adapting to vision impairment using qualitative analyses. Narrative data were examined from three previous quantitative studies of adaptation to vision loss. Major themes in coping with vision loss included difficulty in balancing norms of independence with the functional losses resulting from eye disease, and the importance of the informal social network. Importantly, a number of coping mechanisms that have not been examined in prior quantitative work were identified through the present qualitative analyses. Implications of this typology of self-reported coping with age-related vision loss for research and practice are discussed.     

语言测试研究的新视角：批判语言测试

长期以来，语言测试工作者研究的核心是如何提高测试的信度与效度，以客观、精确地测量考生的语言能力。语言测试尤其是大规模高风险语言测试带来的社会影响，很难由改良测试本身来解决。批判语言测试 (Critical Language Testing) 的提出把语言测试置于更广阔的社会政治语境中，对测试后效 (consequences) 的反思不再局限于反拨效应 (washback)，而是重新审视测试中渗透的权力与控制，测试所具有的社会价值、政治功能等。     

Risks Perception of Electromagnetic Fields in Taiwan: The Influence of Psychopathology and the Degree of Sensitivity to Electromagnetic Fields

Little is known about the perceived health risks of electromagnetic fields (EMFs) and factors associated with risk perception in non‐Western countries. Psychological conditions and risk perception have been postulated as factors that facilitate the attribution of health complaints to environmental factors. This study investigated people's perceived risks of EMFs and other environmental sources, as well as the relationships between risk perception, psychopathology, and the degree of self‐reported sensitivity to EMFs. A total of 1,251 adults selected from a nationwide telephone interviewing system database responded to a telephone survey about the relationships between environmental sources and human health. The interview included questions assessing participants’ psychiatric conditions and the presence and degree of sensitivity to EMFs. One hundred and seventy participants were self‐identified as having sensitivity to EMFs, and 141 met the criteria for psychiatric conditions without EMF sensitivity. More than half of the survey respondents considered power lines and mobile phone base stations to affect people's health to a big extent. Higher sensitivity to EMFs, psychopathology, being female, being married, more years of education, and having a catastrophic illness had positive associations with perceived risks of EMF‐related environmental sources as well as for all environmental sources combined. We observed no moderating effect of psychopathology on the association between degree of sensitivity to EMF and risk perception. Thus, psychopathology had influence on general people's risk perception without having influence on the relationship between people's degree of sensitivity to EMF and risk perception. The plausible explanations are discussed in the text.     

Comorbid Substance Abuse and Mental Illness

Abstract

Literature concerning assessment and treatment of comorbid substance abuse and mental illness is reviewed. Currently, comorbidity is under-diagnosed and dually diagnosed clients are under-served. Those clients, who are so diagnosed, are most often offered dichotomous parallel or serial interventions. However, research suggests that an integrated approach is preferable. Enhanced training of mental health and substance abuse professionals is urgently needed as is further research concerning the efficacy of various treatment modalities. Improved identification and treatment of comorbidity may reduce the revolving door effect among these individuals and thereby lower health care costs.     

“Risk Society”: The Cult of Theory and the Millennium?

The relation between theory and empirical data in sociology and social policy is explored through a critique of Ulrich Beck's influential book, Risk Society . Consideration is given to the extent to which a book that purports to describe contemporary societies in general is actually rooted in the unique circumstances of postwar Germany. The various arguments of Risk Society are reviewed and tested against relevant empirical reports from England. Many of the historical and contemporary generalizations made by Beck are shown to be questionable. The conclusion reflects on the popularity of the genre in which Beck is working and questions the consistent glumness of its attitude to contemporary societies—whether those of the 1890s or the 1990s. The new millennium might be a time for a new spirit and the rejection of the nostalgia and conservatism of humanities-oriented scholarship.     

Group work in the mental health field: researching outcome

This paper reviews outcome studies from groups facilitated for persons living with serious mental illness. Although the research base is limited (groups posing considerable methodological challenges), available studies show that, in general, group work is as effective as individual work, if not more so. This paper describes findings from studies of short-term, long-term and self-help groups dealing with mood disorders, schizophrenia, eating disorders and borderline personality disorders over the last 10 years. The concept of ‘time-effective’ group work is discussed as are the potentially harmful effects of group participation. The paper concludes by arguing that group work is an effective and less expensive treatment option that would benefit from further research to establish an evidence base, both for current practice and for the expansion of group work practice in the future.     

阴冷的艳丽——从李贺的传说和诗歌透视诗人的早亡

诗人李贺才华过人,短暂一生却写了二百四十多篇诗歌.传说他的死是因为上帝爱他的才华,所以召他上天.这使得人们对他的早亡产生了浓厚的兴趣.解读他的诗歌,并从中透视诗人的早亡.     

从“疾病”的隐喻看中国现代文学的多重现代性

“疾病”在中国近现代作家的作品当中富有浓厚的隐喻意义。从现代性的研究范式来看,作家们笔下的“疾病”所负载的道德批评和价值判断是各不相同的,这种微妙的差别体现了作家们独特的美学追求,而更为深刻的,它体现了“现代性”这一概念本身的丰富和驳杂。“疾病”及其隐喻给我们提供了一条寻访中国文学现代性多副“面孔”的便捷途径。     

Antiracist Education in Theory and Practice: A Critical Assessment

“Antiracist Education in Theory and Practice: A Critical Assessment” As a set of pedagogical, curricular, and organizational strategies, antiracist education claims to be the most progressive way today to understand race relations. Constructed from whiteness studies and the critique of colorblindness, its foundational core is located in approximately 160 papers published in peer-reviewed journals in the past 15 years-identified through a comprehensive search of Academic Premier Search, EBSCOMegaFile, Education Abstracts, JSTOR, and SOCIndex. A critical assessment of these papers concludes that antiracist education is not a sociologically grounded, empirically based account of the significance of race in American society. Rather, it is a morally based educational reform movement that embodies the confessional and redemptive modes common in evangelical Protestantism. Inherently problematic, whether or not antiracist education achieves broader acceptance is open to debate. Presented at the joint meeting of the Midwest Sociological Society/North Central Sociological Association, Chicago, IL, April 7, 2007     

To Tell or Not to Tell: The Disclosure of Events in the Therapist's Life to the Patient

Happy or disturbing events may occur in a therapist's life during the course of treatment that intrude on the therapeutic process whether or not their true nature is disclosed to the patient. Therapists are not immune from experiencing acute, chronic, and even terminal illnesses, divorce, remarriage, adopting a child, mourning the death of a parent or significant other, or major accomplishments. In many instances such events affect the treatment process by disrupting appointments, necessitating sudden absences, restricting a therapist's emotional availability and physical stamina, or altering the therapist's mood and affect. In other instances, patients may be aware of such events, at least unconsciously, because of subtle changes in the therapist. Drawing on self psychology and intersubjectivity this paper explores the reasons for therapist self-disclosure of these events based on an assessment of the patient's developmental needs and the nature of the transference. It will discuss ways of making such disclosures therapeutic.