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     

典型儿童强迫症个案的整合主义心理治疗分析

分析一例典型儿童强迫官能症的整合主义心理疗法理念和治疗过程，及其治疗的有效性，探讨整合主义心理治疗的发展趋向和综合成因。结论：整合主义心理治疗是一种有效治疗手段，符合一般发展规律，在减轻患者强迫症状，增强社会功能方面均有较好的效果。     

A case of suspected child abuse by an adolescent mother: The use of short-term psychotherapy

The incidence of pregnancy during adolescence has escalated dramatically in recent years, with an estimated half a million infants born to teenagers each year in the United States. A disproportionately high amount of child abuse and/or neglect is encountered among adolescent parents, underscoring the need for an effective intervention strategy. Short-term psychotherapy may be beneficial in these cases for forging a therapeutic alliance expeditiously and rigorously challenging the patient's resistance. The case described involves alleged abuse by a 16-year-old mother. An intervention was designed to clarify the allegations surrounding the abusive incident, help the mother confront episodes of loss in her own life and overcome feelings of hopelessness engendered by separation from her infant.     

论道教“祝由符咒”的实用价值及其对中医“意疗”的影响

道教“祝由符咒”起源于巫术,后世用以为人治病时,又体现出一定的实用价值。中医学受其启发,以祝由之术治疗情志疾病,其疗效受到历代医家推崇,由此丰富和发展了中医学的治疗方法。     

A CHILD PSYCHOTHERAPIST IN PRIMARY MENTAL HEALTH

This paper outlines the author's application of psychodynamic thinking and approaches to brief therapeutic work with children, adolescents and their families in community mental health settings. It is the author's belief that systemic and narrative therapy insights and techniques combine well with psychoanalysis in the assessment and treatment of many concerns felt and expressed by parents and young people. The therapist's tasks are to listen empathically to clients who are in distress and to explore the clients' beliefs about the origins of their problems, as well as their previously attempted solutions. In proceeding at the family's pace, opportunities arise for facilitating more effective ways of resolving conflict. Clients are often more free than they realise to change their interpretation of their experience, and this has important consequences for the maintenance and solution of problems. Brief therapy seeks to remind clients of their strengths and resources and to share ways to encourage clients to resume effective ways of learning about themselves.     

Assessing emotional and social health using photographs: An innovative research method for rural studies and its applicability in a care-farming program for youth

A framework for assessing photographs for the emotional and social health of young people (SHAPE) is described and tested, within the context of a rural program. Two independent raters assessed the photographs of participants. To assess inter-rater reliability, Cohen’ K and Kendall’s W were calculated. The two reviewers’ assessments of photographs were in agreement. The assessment of emotional/behavioural display showed 82% agreement. Agreement between reviewers’ judgements of proxemics (W = .866), interaction (W = .722), engagement (W = .932) and overall impression (W = .804) were all significant (p < .005). The method yielded results indicating that participants found gardening immediately engaging but their approach to equines exhibited a change from fascination to confidence during the program. The visual-diary method is a useful and sensitive method for research: where resources are limited; to complement traditional measures; for use with people who lack appropriate verbal communication or literacy skills to complete questionnaires; young children; other underrepresented groups.     

‘Queen of the world’: experiences of ‘at-risk’ young people participating in equine-assisted learning/therapy

There is a significant body of research into the benefits of animal-assisted therapy (AAT) but less into the fields known as equine-assisted learning and therapy (EAL/EAT) where horses are incorporated in therapeutic and learning interventions. This paper explores the experiences of seven ‘at-risk’ young people who participated in a therapeutic horsemanship (TH) programme. The study followed a practice-near approach seeking to capture the young people's experiences within a participative ethnography. Themes related to the risk and resilience literature such as self-confidence, self-esteem, self-efficacy and a sense of mastery, empathy and the opening of positive opportunities are explored in this paper.     

Client Personality,Working Alliance and Outcome

Abstract

The relationship of the five-factor model of personality to working alliance, symptoms and well-being was examined in a diverse community mental health sample (N = 103). Agreeableness, openness, extraversion and conscientiousness were associated with alliance. Neuroticism was strongly associated with symptoms, and negatively associated with well-being. Extraversion was moderately associated with well-being. Personality is deserving of further study as a potentially important influence on therapy process and outcome. Part of the much-replicated association of alliance with outcome may be accounted for by personality. Implications for social work practice and research are discussed.     

Examining Outpatient Health Care Utilization Among Adults with Severe or Profound Intellectual Disabilities Living in an Urban Setting

Abstract

The present study examined the health status and outpatient health care utilization among 52 adults with severe or profound intellectual disabilities (IDs) living with their families or in group homes in New York City. Bivariate and regression analyses among demographic variables, medical conditions, health care utilization, and type of living situation were conducted. Findings indicate that demographic factors andhealth statuses were similar regardless of living situation, except for ageand the presence of Down Syndrome, that is, younger people and people with Down Syndrome were more likely to live with family than in group homes. The results indicated that regardless of where they lived, individuals had high rates (70%) of overweight/obesity. The mean number of internal medicine, specialty medicine, nursing, and total clinic visits were significantly higher for those living in group homes compared to those living with their families. The findings and their implications are discussed with respect to social work policy and practice.     

当代心理咨询与心理治疗的特点与发展趋势

目前心理咨询与治疗发展迅猛,以认知一行为疗法为核心的理论整合是发展的总趋向;多元文化主义已成为影响心理学的第四势力;简短治疗因其省时省力、具有成本效益的优点在国外迅速崛起;同时随着危机发生率的增加,心理咨询与心理治疗在任务上加强了对心理危机干预、积极心理品质培养的重视;更加重视价值观和信仰在维护个体心理健康中的作用。文章主要阐述了这5个方面的形成原因与具体内容,旨在为我国的相关研究与实践提供参考。