It's About Time! Examining Received Dosage and Program Duration as Predictors of Change Among Non‐Distressed and Distressed Married Couple and Relationship Education Participants

Although Couple and Relationship Education (CRE) programs were intended to be preventive in nature, an emerging reality is that relationally distressed couples are attending programs. This has raised questions about both its general usefulness and what is known regarding predictors of change in CRE for distressed couples particularly. Previous work has identified dosage and duration as important moderators of changes, and there are myriad program contexts offered, highlighting the need to examine these among distressed couples. This study utilized a sample of community CRE participants and examined received dosage and program duration as predictors of change. Comparing results for distressed and non‐distressed participants, we found several group differences. Findings suggest that it is important to consider distress level and time spent in programs when placing participants. In addition, research should continue to examine these groups separately (or comparatively) to find out what works for whom.     

The Development of a Reliable Change Index and Cutoff for the Revised Dyadic Adjustment Scale

The Revised Dyadic Adjustment Scale (RDAS; Busby, Crane, Larson, & Christensen, 1995) is a measure of couple relationship adjustment that is often used to differentiate between distressed and non‐distressed couples. While the measure currently allows for a determination of whether group mean scores change significantly across administrations, it lacks the ability to determine whether an individual's change in dyadic adjustment is clinically significant. This study addresses this limitation by establishing a cutoff of 47.31 and reliable change index of 11.58 for the RDAS by pooling data across multiple community and clinical samples. An individual whose score on the RDAS moves across the cutoff changes by 12 or more points can be classified as experiencing clinically significant change.     

THE THERAPEUTIC ALLIANCE IN HOME‐BASED FAMILY THERAPY: IS IT PREDICTIVE OF OUTCOME?

This study examined the association between the therapeutic alliance in family therapy and changes in symptom distress, interpersonal relationships, and family coping. The participants (N = 81) were members of low socioeconomic status families referred to a university clinic for in-home family therapy. Participants completed the Outcome Questionnaire, Family Crisis Oriented Personal Evaluation, and the Family Therapy Alliance questionnaires. Regression analyses revealed that the therapeutic alliance explained 19% of the variance in symptom distress changes for mother, 55% for fathers, and 39% for adolescents. The implications of these findings for practicing and researching family therapy are presented.     

True patient safety begins at the top. Leaders at one large health system rally around safety,avoid blame game

Making patient safety the No. 1 priority at a hospital or clinic sounds like a easy task. It isn't. At one Oklahoma health system, an improved patient safety program is a massive effort requiring input and participation from every member of the staff. Figuring out how to convince employees that patient safety is their first priority means developing an extensive communication and education program.     

尼采对历史及其历史教学的批判

尼采认为 ,历史是人的生命意志的反映 ,它是英雄人物在瞬间的艺术创作冲动的产物。人的历史开始于“个人具有创造性的自我解放欲望之际” ,这是尼采历史观的原始起点和意义支撑。他认为真正的历史应该有利于人的创造力的发挥和个体生命的解放 ,而现在的历史已经背离了历史的本来意义 ,成了生命发展的桎梏和障碍。现代历史教育是错误历史观与错误人生观相结合的产物 ,是一种摧残人性的教育 ,它使受教育者变得虚伪、迟缓、猜疑、抵触 ,并以软弱的人格、麻木的心态期待着刺激性“事件”的发生 ,哪怕它危及自己的生命。     

巫术的历史作用及其终结

巫术作为一种社会现象 ,在历史上曾起过一定的积极作用 ,如可以增强人类控制客观世界的意识 ,扩展人类控制客观世界的领域 ,增强人类战胜敌手的信心 ,此外还具有组织作用、道德教化作用、精神安慰作用、交流娱乐作用等。但一方面由于巫术的荒谬性 ,巫术一再失败 ,使人们对它失去了信心 ;另一方面 ,巫术的抽象功能被后来发展起来的宗教所代替 ,实用功能被科学所代替 ,因而 ,巫术在主流文化中的历史作用已经终结 ,但仍在文化的细枝末节中广泛存在着     

Pressure to Attend Therapy,Dyadic Adjustment,and Adverse Childhood Experiences: Direct and Indirect Effects on the Therapeutic Alliance in Couples Therapy

In this study we examine the role that pressure to attend therapy, dyadic adjustment, and adverse childhood experiences (ACEs) play in developing the therapeutic alliance. A total of 351 couples received treatment as usual at three family therapy training clinics. Participants rated predictor variables at intake and alliance at the fourth session. Results of a path analysis indicate that each partner's dyadic adjustment is directly associated with the quality of her or his own alliance. In addition, when male partners report more ACEs and pressure to attend treatment, their own alliance scores decrease. Additionally, when one partner reports feeling pressure to attend therapy, the other partner's alliance decreases. Finally, for males, there is an indirect effect of dyadic adjustment on alliance through pressure to attend therapy. These results suggest that clinicians should routinely assess relationship adjustment, how pressured each partner is feeling to attend treatment, and ACEs; as these may impact alliance quality.     

加强改革顶层设计关键问题研究

改革顶层设计不仅是一个政治新词汇,而且具有促进思想进一步解放的重要作用。改革顶层设计既不同于战略谋划与确定,也不同于战术制定与实施,它是介于二者之间而又联系二者的关键环节。对于加强改革顶层设计这一课题应结合改革历史进程进行深入研究,从而进一步明确加强改革顶层设计需要重视和把握的重点和难点问题,即突出导向性、体现规律性、强化统筹性、明确主体性、具有操作性、重视动力性。     

论民族旅游场域中的跨文化交流与认知——以云南元阳箐口哈尼族村为例

对元阳县箐口村哈尼族在民族旅游场域中的中外跨文化交流与认知情况的实地调查分析表明,在民族旅游的场域中,外国游客与东道主之间存在一定形式的交流互动,但是对双方认知获得和交流影响有所区别。基本来讲,这种旅游场域中的跨文化交流对东道主的影响要大于对外国游客的影响,但交流对双方的认知都有积极的意义。     

蒙古族生态文化视野中的森林生态自然观思考

人与自然和谐发展是人类社会进入到生态文明阶段的显著标志,也是解决当今环境问题的生态伦理基础。从用火观念、饮食文化、丧葬习俗、建筑风格、命名习俗、宗教观念、游牧方式、法制观念8个方面论述蒙古族传统文化中人与自然和谐发展、保护生态环境的有关内容,重点探讨蒙古族生态文化中与森林文化有关的内容,系统地挖掘民族文化中合理、有价值的成分,以期保存和发扬优良的传统文化,丰富森林文化研究的内容,为当今的森林环境保护与森林资源可持续发展提供有益的启示。