霍尔奈神经症人格学说的文化哲学启思

中国当前文化思想现状的结构性矛盾 ,使得拓展和深化文化学和哲学研究领域和研究方法显得尤为紧迫。本文以霍尔奈神经症人格学说为契机 ,探讨了精神分析学说对文化学与哲学领域的影响 ,分析了文化学与哲学对精神分析学说的指导意义。其目的旨在克服当前文化学与哲学研究方法的空泛与僵化 ,使文化学与哲学研究的眼光转向更复杂的现实演变之中。     

急性脑梗死偏瘫患者早期康复的临床研究

目的探讨早期康复对急性脑卒中患者功能恢复的影响。方法100例急性脑梗死偏瘫患者随机分为两组,两组均给予常规药物治疗,康复组（50例）患者生命体征稳定,神经学症状不再发展1周后康复治疗。2月后评价治疗结果。结果康复组运动功能、神经功能缺损、日常生活能力（ADL）的改善均优于对照组（50例）,两组有显著差异（P〈0．01）。结论现代康复治疗对急性脑梗死偏瘫的功能恢复有明显的促进作用。     

灾区大学生心理健康状况的调查与分析

目的:了解地震灾区高校学生的心理健康状况,为对这部分学生进行心理干预提供科学依据.方法:用灾后精神失调筛查自评问卷(SRQ-20)、社会支持评定量表(SSRS)、成人依恋量表(AAS),PTSD自评量表(ICE)、事件影响量表(IES-R)对成都临近灾区的某高校的2165名灾区学生进行了随机问卷调查.结果:(1)学生的心理困扰严重程度可以分成不同的层次,IES-R检出率29.19%、SRQ检出为26.74%、PCL检出率为16.16%;(2)检出的学生中73%以上均是那些地震中一直在现场和大部分时间在现场,他们的创伤反应比其他灾区学生更突出;(3)在检出的学生中,不安全的依恋类型的学生比例占了大部分(均为63%以上);(4)在三个筛查量表中阳性检出组与阴性组的学生在社会支持总分、客观支持、主观支持、对支持的利用度,以及依恋量表中的亲近因子、焦虑因子上差异均有统计学意义.结论:在心理康复工作中,(1)要根据学生的实际状况分层次干预;(2)要关注学生震前的亲子依恋关系,注意复杂型创伤的治疗;(3)要重点放在如何帮助学生构建积极的社会支持资源方面;(4)学生社会支持网络恢复要有的放矢.     

An overview of offender rehabilitation and crime prevention in Hong Kong

This paper provides an overview of offender rehabilitation and crime prevention in Hong Kong by examining the history and background through the course of development of The Society of Rehabilitation and Crime Prevention, Hong Kong (SRACP), from its early establishment as a pioneering organization specialized in the aftercare service of discharged prisoners, to expanding its foothold in psychiatric service and finally extending crime prevention service to the community; with a brief account on the social and economic factors that shape the focus and development of SRACP.     

青少年社区矫正的效果制约因素分析

青少年社区矫正是通过社区组织对青少年罪犯进行社会化教育,矫正其犯罪心理和行为,使其适应并顺利回归社会的过程。社区矫正的过程、社区矫正的效果取得都受到诸多因素的制约,主要包括青少年自我因素、家庭因素、同辈群体因素和社区矫正工作人员因素的制约。     

The Psychiatrist's Role in Implementing an Open Dialogue Model of Care

The Open Dialogue approach is a family‐oriented early intervention model for mental health problems developed in the health district of Western Lapland, Finland. Since the 1990s the psychiatric service system in Western Lapland Health Care District has been organised according to Open Dialogue principles and applied to the treatment of any mental health concerns. The Open Dialogue approach considers the client and their family as active participants rather than as objects of treatment in its planning and implementation with a psychotherapeutic focus. In daily work, the responsibility for the treatment process is shared with the case‐specific team. The model of care requires a dialogical orientation from all staff members, psychiatrists included, to interact with the team and the client's network. In this article I describe the role of the psychiatrist in implementing an Open Dialogue model of care in psychiatric services leaning on my experiences of clinical work in the adolescent psychiatric team in Western Lapland.     

Theorising everyday life after acquired brain injury

This paper provides a conceptual argument for the sociological analysis of the everyday experiences of disabled people through the example of acquired brain injury (ABI) survivors. Most research concerning ABI has been carried out within a medical framework. This paper adds a new dimension to research concerning ABI, and indeed, to my knowledge, is the first to explore a long-term, interdisciplinary view of both ABI and neurological rehabilitation. This paper sets out how the use of critical sociological theory can provide thorough analyses of disabled people’s experiences that are free from the pre-judgement of traditional discourses.     

Targeting Disaster Aid in Post‐Tsunami Sri Lanka

In this article we examine the allocation of boats and houses, the two major types of aid made available to tsunami‐affected fishery households in Sri Lanka. We investigate the effectiveness of targeting by looking at the distributional impacts and the determinants of allocation of these transfers at the household level. We find that houses were much better targeted than boats in terms of compensating for the losses due to the tsunami. We also find that the ex post distribution of boats is much more unequal than the distribution that prevailed before the tsunami. The reverse is true for the distribution of houses, for which the government took a much more active role.     

Exploring relational engagement practices in stroke rehabilitation using the Voice Centred Relational Approach

While discussions on patient engagement commonly focus on patient behaviors, a small body of research highlights the patient-practitioner relationship as critical in engagement. Understanding this relationship might be facilitated through a relationally-oriented methodology. The Voice Centred Relational Approach is one such qualitative methodology. Within this paper, we present one turn in a long conversation about this methodology. Drawing on our longitudinal observational study of engagement practices in stroke rehabilitation in New Zealand, we explicate how a theoretical framework can inform how the Voice Centred Relational Approach is enacted in the research process, from entering the field to dissemination. We detail how we adapted the associated analytic techniques (the Listening Guide and i-poems) for use with multiple forms and sources of data. We propose that the underlying relational ontology and relational orientation of this methodology makes it a useful approach in researching relational practice in healthcare.     

Factors preventing the social reintegration of homeless persons: A comparison between residents of long-stay hostels and individuals living on the street

Homelessness is a major social issue in all Western countries. In France, many homeless persons do not have access to the accommodation and help with social reintegration provided in long-stay hostels, and remain on the streets or in other forms of emergency shelter. The objective of the present study is to identify the variables preventing access to these hostels and, more generally, to a process of social reintegration. We compared a group of 10 individuals housed in long-stay hostels with a group of 16 who were still living in the streets. All participants were assessed on the Hospital Anxiety and Depression Scale and underwent a semi-structured interview. Results showed that individuals who had not been admitted to a hostel were characterized by high levels of depression and anxiety, the attribution of responsibility to external factors, a vagrant lifestyle, a lack of social support, a negative approach to reintegration, and an inability to look to the future. This study highlights various factors explaining the reintegration difficulties encountered by a proportion of the homeless population. It suggests new ways of improving support for the homeless.