The Best and Worst Times of Life: Narratives and Assessments of Subjective Well-Being by Anamnestic Comparative Self Assessment (ACSA) in the Eastern Cape,South Africa

The Anamnestic Comparative Self Assessment (ACSA) measure of subjective well-being (SWB) aims to reduce the problems of cultural bias and relativity to external standards by allowing people to define the endpoints or ‘anchors’ of the measurement scale. In medical terminology anamnestic denotes ‘based on memory’. The ACSA uses subjects’ memories of the best and worst periods in their lives to define the anchors of the scale. They then assess their current quality of life relative to these personal anchors. The South African pilot study tested the match between self-assessment of SWB with ACSA and the conventional single-item measures of life satisfaction and happiness used in the South African Quality of Life Trends Study and analysed the narratives of the best and worst times of life. The quota sample of 46 consisted of 26 residents of Makana district in the Eastern Cape Province, South Africa, and 20 patients undergoing treatment in the local TB hospital. Mean SWB ratings with all three measures of life satisfaction, happiness and ACSA were between 5 and 6 on a 0–10-point scale. Ratings on all three scales were positively correlated. However, on ACSA the TB patients rated their current SWB 1.84 points lower than the community respondents, suggesting a greater sensitivity of this measure. It was observed that the starting points of the life stories produced by respondents to define the anchor periods for ACSA were related to their current assessment of SWB. A typology was developed that combined the starting point of the life stories with current SWB. The majority of community respondents matched the ‘Achiever’ type who scored positively on ACSA (i.e., above the mid-point of the scale) and whose life stories started with the worst period of their lives and proceeded to the best period. The TB patients were the only respondents to represent the ‘Survivor’ type whose morale had recovered after misfortune in life. ‘Survivors’ started their narratives with the best period in their lives, then moved to the worst (often health-related) one, and gave positive ACSA ratings. Based on the qualitative analysis of narratives, it is concluded that ACSA is a sensitive measurement instrument and therefore particularly useful for monitoring the effects of treatments and social interventions in longitudinal studies. However, further research is required to verify its cross-cultural validity.

Sustained Empathic Focus and its Application in the Treatment of Couples

Although all psychoanalytically informed approaches to couples therapy recognize the importance of underlying dynamics, there are important differences in the focus of the treatment. This paper suggests a focus that is based on a self-psychological/intersubjective viewpoint. Two concepts that exemplify this model, a sustained empathic focus and an appreciation of the experience of vulnerability, are discussed and applied to a couples session. What is emphasized in this material is a process of focusing on underlying vulnerability, affect and subjective experience.

Identifying the most successful dose (MSD) in dose-finding studies in cancer

For a dose finding study in cancer, the most successful dose (MSD), among a group of available doses, is that dose at which the overall success rate is the highest. This rate is the product of the rate of seeing non-toxicities together with the rate of tumor response. A successful dose finding trial in this context is one where we manage to identify the MSD in an efficient manner. In practice we may also need to consider algorithms for identifying the MSD which can incorporate certain restrictions, the most common restriction maintaining the estimated toxicity rate alone below some maximum rate. In this case the MSD may correspond to a different level than that for the unconstrained MSD and, in providing a final recommendation, it is important to underline that it is subject to the given constraint. We work with the approach described in O'Quigley et al. [Biometrics 2001; 57(4):1018-1029]. The focus of that work was dose finding in HIV where both information on toxicity and efficacy were almost immediately available. Recent cancer studies are beginning to fall under this same heading where, as before, toxicity can be quickly evaluated and, in addition, we can rely on biological markers or other measures of tumor response. Mindful of the particular context of cancer, our purpose here is to consider the methodology developed by O'Quigley et al. and its practical implementation. We also carry out a study on the doubly under-parameterized model, developed by O'Quigley et al. but not     

办好学术期刊繁荣社会科学--第四届全国综合类人文社科期刊高层论坛综述

第四届全国综合类人文社会科学期刊高层论坛于2004年10月12日至13日在云南昆明举行,这是继南京论坛(2001)、郑州论坛(2002)、广州论坛(2003)后的又一次盛会。与会专家带来了丰富的办刊经验、创新的办刊理念、精萃的学术思想,为云南期刊界吹来清新的气息;同时,对共同关心的若干问题进行了深入探讨,切磋琢磨,为综合类人文社科期刊的繁荣和健康发展,提出了建设性的意见。现将论坛讨论的情况综述如下,供期刊界同仁和读者参考。     

现代教育理念视阈下的德育效能探析

从理论和实践层面对德育低效问题进行了研究,认为仅仅通过从德育模式、方法和途径等方面进行努力,而试图达到德育目标的做法无异于舍本求末.对德育理念的反思和厘定,并以其价值追求贯穿于德育实践体系才是根本之道.最后提出提高德育效能的途径:人的发展是永恒主题;德育要素旨在和谐发展;德性养成重在循序渐进;道德教育贵在自我超越.     

B—SLIM课堂教学模式与大学英语教学

B—SLIM课堂教学模式是建立在认知论、结构主义与发展主义基础上的成功语言教学模式,并通过大量实证得出学生语言学习需要语言建构与自主学习,因而实现语言习得。文章通过对B—SLIM教学模式的主要内容介绍,结合我国大学英语教学现状分析,建议大学英语课堂教学设计应注重发挥学生的认知建构,突出学生学习的自主性;让学生参与教学过程,培养其研究性学习;转变师生角色;教学评价由终结性过渡到形成性评价,最终达到语言教学成功的目的。     

Effect of ageing on the efficacy efficiency of TUVRP

Introduction: To evaluate the effect of ageing on the efficacy of transurethral vaporization resection of the prostate (TUVRP). Methods: The clinical outcomes of 285 patients treated by TUVRP were retrospectively analyzed. Patients were divided into three groups by age, Group A with 91 patients less than ≤70 years of age, Group B with 127 patients from 71 to 79 years of age, and Group C with 67 patients greater than ≥80 years of age. Results: Prostate volume was 53.1?±?24.1?ml in Group A, 67.8?±?39.7?ml in Group B and 60.0?±?43.9?ml in Group C (p < 0.001). More co-existent systemic diseases were identified in Group C than in the other two groups (p < 0.001). American Society of Anesthesiologists (ASA) grade increased with age (p < 0.001). Urological comorbidities associated with BPH, operating time, IPSS score, and QOL index were not different among the three groups. A significant difference was observed in before and after surgery IPSS score, QOL index, and maximum urinary flow rate (Qmax), in all three groups (p < 0.05). Post-operative Qmax decreased with age (p < 0.05). Conclusion: TUVRP was safe and effective for the patients greater than 80 years of age, similarly to younger patients. Advanced aged was not a contraindication for surgery, and did not increase the difficulty of the procedure.     

Efficacy of a Group Therapy for Sexually Abused Adolescent Girls

ABSTRACT

The effects of a group therapy program for teenage girls reporting child sexual abuse were evaluated by means of a pretest/post-test design with a control group. The psycho-educational intervention consisted of an average of 20 weekly two-hour meetings. Results of the repeated analyses of variance (ANOVA) revealed a sig-nificant improvement in youth participating in the therapy when compared with the control group on measures of post-traumatic stress, internalizing and externalizing behavior problems, coping strategies, relation- ship with the mother, and sense of empowerment. The findings suggest that the group therapy offered by the Centre d'Intervention en Abus Sexuels pour la Famille (CIASF) was effective in reducing symptoms for sexually abused teenagers.     

Rank test statistics for umbrella alternatives

This paper proposes an optimal rank test procedure for testing an umbrella alternative when the peak of the umbrella is known. It is referred to as maximin efficient linear rank test. Also when the peak of the umbrella is unknown, a test procedure is proposed and its performance is discussed.     

A Study of Battered Women’s Purpose of Life and Resilience in South Korea

The principal objective of this study is to determine whether battered women’s purpose of life (meaning/value) affects resilience (self‐efficacy/communication efficiency/optimism). This purpose is meaningful in that it may help provide battered women with a new perspective of a changeable life, away from the negative perspectives frequently associated with domestic violence sufferers. The subjects of this study were 110 battered women staying at shelters located in Seoul and Gyeonggi Province, Korea. The survey was conducted between August 15 and September 20, 2010. The data were collected using questionnaires measuring sociodemographic variables, a purpose‐of‐life scale, and a resilience scale. The collected data were evaluated with frequency, correlation, and multiple regression analysis. The results of this study can be summarized as follows. First, the meaning and value of life positively influenced self‐efficacy. Second, only the meaning had a beneficial effect on communication efficiency. Third, only the value variable positively affected optimism. Therefore, this study implied that resilience is an important area in the context of spousal abuse. Based on these results, a program for enhancing the meaning of life is suggested to help domestic violence survivors to build up resilience.