上海市空气污染造成人群健康经济损失的研究

文章通过对上海市空气污染季节性状况的描述 ,分析了各种污染物的污染程度和变化趋势 ,并利用对上海某市级医院的实地调查数据 ,对空气污染物与医院呼吸系统疾病患者日门诊量之间的相关关系进行研讨 ,建立了多元分析模型 ,探讨了患者健康经济损失的计量方法 ,并对由空气污染造成呼吸系统疾病患者健康经济损失进行了估算。研究表明 ,在其他条件不变的情况下 ,NOX 日指数每增长 10 % ,被调查医院呼吸系统疾病患者的日门诊人次增加 7 7人次 ,而这些疾病患者由于患病产生的年度健康经济损失为 2 11万元。据此作保守的推断估计 ,上海市一年内因NOX 超标而发生的呼吸系统疾病门诊行为造成的健康经济损失可以达到 4 2亿元。同样 ,SO2 和TSP造成门诊患者的健康经济损失分别为 1 5亿元和 0 86亿元     

Child‐Care Usage and Mother‐Infant “Quality Time”

Mothers' time‐use patterns were compared in families in which infants spent more than 30 hours per week in child care (In‐Care group; n= 143) versus 0 hours per week (At‐Home group; n= 183) from birth to 6 months of age. In‐Care group mothers spent about 12 fewer hours per week interacting with their infants, for about 32% less time; fathers of these infants were more involved in caregiving. The groups did not differ in the quality of mother‐infant interaction. In the In‐Care group, quantity of interaction was related to greater separation anxiety and concerns about effects of maternal employment. Time‐use data were not related to child outcomes at 15 months of age. Results suggest that the effect of extensive time spent apart on the quantity and quality of mother‐infant interaction may be smaller than anticipated.     

African American Children's Adjustment: The Roles of Maternal and Teacher Depressive Symptoms

This study examined the unique and interactive roles of mother and teacher depressive symptoms in child adjustment in 277 African American single mother‐headed families, as well as whether the associations differed depending on the age and gender of the child. Findings revealed a significant association between maternal depressive symptoms and child depressive symptoms in girls, but not boys. Moreover, the combination of higher levels of both mother and teacher depressive symptoms was associated with the highest level of child depressive symptoms and, for younger children, externalizing symptoms. The importance of considering the multiple social contexts in which children interact is discussed.     

The influence of risk and protective factors on burnout experienced by those who work with maltreated children

The aim of the study was to explore the degree (and type) of burnout and trauma symptoms, personal histories and coping strategies retrospectively reported by those who work with maltreated children and their families. A self‐selected sample of workers (N = 44) completed a self‐report questionnaire assessing childhood maltreatment, family background characteristics, current adjustment, coping strategies and burnout. Workers reported high levels of emotional exhaustion and depersonalization, and a low to moderate sense of personal accomplishment. Family background characteristics predicted the occurrence of maltreatment and current adjustment, and a personal history of maltreatment predicted current trauma symptoms, but not burnout. Workers most frequently used problem‐focused coping strategies and sought social support; however, coping strategies were not associated with the level of either trauma symptoms or burnout. Despite employing positive coping strategies, their efficacy may be affected by other interpersonal, intra‐individual and job resource issues. Copyright © 2002 John Wiley & Sons, Ltd.     

“He Survives Everything”: A Latency-Aged Child with Play Disruption in the Face of Trauma and Early Object Loss

It is hypothesized that trauma and early object loss result in the arrest of the normal and healthy progression of a child's development and also disrupts a child's capacity to engage in symbolic play. In therapy, over time, with a constant object, a latency-aged child was able to re-enact early trauma and loss, make substantial gains in development, and begin to play in a symbolic and expressive way.     

Breaking the intergenerational transmission of child abuse: Beyond the mother-child relationship

Studies comparing abusive and non-abusive parents who were abused as children are reviewed to determine protective factors that may lead to a break in the transmission pattern. Non-abusers have several factors in common. For instance: they have extensive emotional and social support from significant others. they are aware of what happened to them as children and are openly angry about their abuse. and many of them received (psycho)therapy as adolescents or young adults. Discovering protective factors by which some parents overcome a family pattern of abuse is valuable in guiding both prevention and intervention efforts. A brief discussion of the influence of methodological variations of different studies on reported transmission rates precedes the review. Furthermore. attention is given to the underrepresentation of (abusive) fathers in theory as well as in research on child abuse. The effects of undervaluation of gender differences are discussed in terms of their importance in the occurrence and (breaks in the) transmission of child abuse.     

重新评价马克·吐温的代表作——《汤姆·索耶历险记》和《哈克贝里·费恩历险记》(英文)

马克·吐温,这位在美国文学史上开一代创作先河的小说家,为后人留下了20多篇不朽佳作.其中,令人惊讶的是:在他全部作品中,两部描写少年历险故事的著作——《汤姆·索耶历险记》和《哈克贝里·费恩历险记》,始终处于最突出的位置,并一直被中外学者公推为其代表作.于是我们不得不深思这样一个问题,作为美国文坛杰出代表人物之一的马克·吐温为什么选择了儿童的角色,而又把他们塑造很空前成功?纵观文学界对马克·吐温作品及其人物形象的有关研究成果和论述,似乎都不能够圆满地答复这个问题.     

高校贫困新生心理障碍探析

本文对以SCL—90(Symptom Checklist 90)筛查出来的82名具有不同程度心理障碍的大学贫困新生进行了面谈和追踪访问,发现经济压力夹杂在各种生活事件中,增加了大学贫困新生适应大学生活的难度,贫困新生的心理障碍主要表现在强迫、人际关系敏感、偏执、抑郁,并且性别之间存在差异,需要加强有针对性的心理健康教育和辅导。     

Consistencies and Inconsistencies: Mental Health, Compulsory Treatment and Community Capacity Building in England, Wales and Australia

In relation to mental health, it is clear that medicalized underpinnings,the provision of a clinically orientated evidence base for practiceand the need to contain ‘risk’ continue to be prioritized,particularly when compulsory intervention is considered. Thisis despite the increasing influence of a citizenship and socialjustice agenda which is being promoted by psychiatrists involvedin the development of ‘postpsychiatry’, as wellas by service users/survivors. These drivers are not mutuallyexclusive, but in the context of compulsory treatment, thereare clear tensions. In this article, the policy surroundingmental health and compulsory intervention in Australia and inEngland and Wales is explored. In the context of this discussion,three ways in which current government policy can be interpretedare examined and links made between these interpretations anddifferent ways of viewing the relationship between mental healthand community capacity building. With regard to social workpractice, it is argued that a response to mental ill healthwhich concentrates on an individualized ‘diagnose andtreat’ approach, which particularly comes to the foreat times of compulsory intervention, has limited capacity tofacilitate community engagement, foster social inclusion andgenerate reciprocal dynamics between positive mental healthand community capacity building.     

Strategic Bargaining Over Child Support and Visitation

When parents divorce, child support and visitation must be determined. The 1988 Family Support Act requires all states to have child support guidelines for courts to use in determining child support obligations. However, many divorcing couples arrive at agreements without court intervention, or they simply fail to enforce the court decision ex post. Given that the guidelines provide a starting point for negotiations, couples may be able to find self-negotiated, Pareto-improving solutions. In this paper we model the bargaining process that divorcing couples engage in when coming to agreements on visitation and child support. The model suggests that individuals may arrive at agreements that are Pareto improvements for both parents but that the children's welfare may decline as a result of these self-negotiated settlements. Data from the Stanford Child Custody Study show that the changes made in child support and visitation agreements are consistent with our model in only 30 percent of the cases. Therefore, we consider alternative specifications of the model and show that both significant costs of enforcing the original agreement and alternative assumptions on parental preferences can explain these empirical results.