鲁迅小说病态心理人物群像分析

从心理学精神病学的视角,阐述鲁迅先生写了诸多心理不正常人物形象的原因,这些人物形象用现代精神病学理论对照,得出这样的结论：鲁迅先生以医学知识把握了人物形象的准,以现实主义的文学创作方法保证了人物形象的真,以象征主义审美法则塑造了人物形象的美,以反叛传统哲学的思考开掘了人物形象的深,为中国现代文学留下了一组病态心理人物群像。这种先进的创作思想和方法促使鲁迅先生超越同时代作家,成为世界级的伟大作家。     

Family interventions in early psychosis service delivery: A systematized review

The objective of this study was to explore the development of family intervention in an early psychosis context. The role played by family members and friends in the recovery of individuals with early psychosis is extremely important, and there is a growing body of literature that reflects this. However, how mental health services can best support and utilize family and friends as a core component in recovery from early psychosis is not yet established. The methodology entailed a systematic review of the international literature. Results from the current review highlight the principles of family engagement, its effectiveness to enhance service user outcomes, the need to differentiate early psychosis psycho-education from that provided in enduring illness, and challenges in implementation. The number of studies generally, and the number explicitly articulating and trialling family interventions being used in practice, are limited. This seems to highlight that—although practice guidelines acknowledge the importance of family support—there are challenges in implementation of evidence-based practice principles in this area. Changes in policy and service delivery are recommended for programs and services to better achieve family-sensitive and family-inclusive practice as core business in mental health service delivery.     

First Episode Psychosis: A Magical Realist Guide Through Liminal Terrain

This paper presents a narrative of a client, ‘Eva’, who experienced what is termed by psychiatry a first episode psychosis. As a family and relationship counsellor practicing narrative therapy with its backdrop of post‐structuralism and curiosity of exploring new entry points for narratives of identity, I tentatively sought new ways to engage with Eva's story. My endeavour in meeting with ‘First Episode Psychosis’ is described through adopting a listening position from a reading of magical realist literature. This extends Michael White's political exploration of ethnographer Arnold van Gennep's liminal spaces (in the rites of passage metaphor) to understand units of experience, units of meaning, and the fluidity of identity in psychosis, which is contextualised as a response to events in the client's story.     

‘Recovery work’ and ‘magic’ among long‐term mental health service‐users

Based on an extended period of qualitative research with mental health service‐users in north‐east England, this article considers the various forms of ‘magical work’ and ‘recovery work’ that emerge in the lives of people living with severe mental health problems. Given the now sizeable body of literature which seeks to problematize traditional conceptual boundaries of work, the article asks to what extent these hidden and unusual work‐forms might also be considered legitimate members of the category. Rather than argue for the expansion of the construct to accommodate these activities, the paper attempts simply to problematize the extent to which so‐called ‘mad’ forms of work are irresolvably different to more conventional forms of occupation. In challenging notions of the psychiatric patient as inevitably inactive, new vocabularies for service‐user work are explored. Concluding remarks are also directed to recent policy debates concerning ‘back‐to‐work’ welfare reform for long‐term out of work service‐users.     

Necessary Steps in Designing a Successful Contract

Abstract

Parents with a history of serious mental illness are vulnerable in many ways and are therefore likely to be accessing services from a range of government and community agencies. The use of multiple services, sometimes with conflicting practice frameworks, can result in sub-optimal management of these families. This study surveyed 77 service providers from a range of government and non-government agencies targeting their views regarding parents with a serious mental illness (specified in this study as schizophrenia, bipolar disorder and psychotic depression). They were asked what they perceived were difficulties for this population, interventions required to meet the needs of this group and finally, barriers to effective service delivery. We found that service providers reported that current services were inadequate for these parents. Parent-based interventions were seen as being more beneficial than those targeting children. Lack of liaison between agencies and lack of coordinated service provision were seen as the greatest barrier to effective service delivery. The results highlight the need for policy planners and service providers to develop strategies to ensure effective coordination between services that work with this population.     

What a Tangled Web We Weave: Ethical and Legal Implications of Deception in Recruitment

Deception in human subject research is neither uncommon nor prohibited. The use of deception in the recruitment phase of clinical research has received relatively little attention. Given that informed consent is foundational to human subject research, the practice of misrepresenting the study purpose in clinical research would seem to contradict one of the fundamental tenets of ethical human subjects research. Using the example of prodromal psychosis, this article the ethical and legal implications of deception in recruitment and the sufficiency of current guidance on the practice when the study involves a stigmatizing condition, the collection of genetic samples, or both. I conclude that when these two elements are present, deception should only be used when absolutely necessary and, if used, researchers should be required to debrief participants before the collection of genetic samples and give particular attention to minimizing risks of privacy breaches.     

从文字狱档案材料看清代"盛世"中下层文人的病态心理

在清代"盛世"中,由于政治和思想控制的严酷,八股科举的毒害和压迫,广大文士处于生活和精神的困境里,不少人在强烈的刺激和震荡下心理发生了严重变态,清代文字狱档案在这方面留下了比较集中而真实可靠的原始材料,从中可具体感受到两百多年前那些下层文人被扭曲的心灵.     

62例旅途性精神病司法鉴定分析

目的探讨旅途性精神病犯罪行为的特点及原因。方法对62例旅途性精神病的卷宗及临床资料进行回顾性分析。结果被鉴定人均系边远地区的务工者,犯罪行为性质以暴力凶杀为主,作案特点多为突然发生,动机不明,无预谋,被害人多为同车旅客或一般路人,与被鉴定人素不相识。作案工具大多为随身携带的劳动工具或即景物件。被鉴定人作案当时均有不同程度的意识障碍、关系妄想、被害妄想和错幻觉。结论旅途性精神病多为暴力犯罪行为,这与其精神病理症状的特点有关,也与该群体所处社会地位有一定关联。     

Parenting Among Mothers With Bipolar Disorder: Strengths,Challenges, and Service Needs

Bipolar disorder is a severe form of mental illness with a primary disruption in mood. With fluctuating phases of mania and depression, bipolar disorder can have a serious impact on all activities of daily living, including parenting. Ten mothers with bipolar disorder were interviewed to understand their strengths, challenges, and service needs in parenting. Results describe their love for their children, problems in disciplining, and need for more support groups, among other findings. Interestingly, manic and hypomanic phases are reported to provide more energy to parent. Implications of the study for social work practice and research are discussed.