Differences in HIV-related knowledge, attitudes, and behavior among psychiatric outpatients with and without a history of a sexually transmitted infection

HIV infection among the mentally ill is estimated to be at least eight times the prevalence in the general population. Psychiatric patients may also be disproportionately vulnerable to other sexually transmitted infections (STIs), but this has not been well studied. We sought to characterize the prevalence and correlates of STIs in a sample of psychiatric outpatients (N=464). Over one-third of the sample (38%) reported a lifetime history of one or more STIs. Multivariate analyses showed that, relative to those without an STI history, patients with a lifetime STI history were more knowledgeable about HIV, expressed stronger intentions to use condoms, and perceived themselves to be at greater risk for HIV. However, those with a past STI were also more likely to report sex with multiple partners and reported more frequent unprotected sex in the past 3 months. Treatment for an STI may increase HIV knowledge and risk reduction motivation, but does not necessarily lead to changes in sexual risk behavior among psychiatric patients. Findings highlight the need for STI/ HIV risk reduction interventions in psychiatric settings, particularly for patients with high-risk profiles.     

The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives

Mental health review bodies engage in complex decision-making that may explicitly incorporate a therapeutic philosophy. Examination of select decisions of the New Zealand Mental Health Review Tribunal offers a foundation for understanding some implications of a pro-therapeutic approach. This analysis draws upon therapeutic jurisprudence scholarship in relation to three aspects of the hearings as documented in the written decisions: advocacy, therapeutic intervention, and the dignitary potential of the proceedings. The research explores the unintended consequences of a pro-therapeutic approach and evaluates the potential application of therapeutic jurisprudence within a mental health law context.     

社会群体性突发事件的应急管理机制研究——以北京市为例

社会群体性突发事件是经济转轨、社会转型中利益矛盾和冲突的一种尖锐表现,认识和处置不当会对社会稳定与和谐发展造成严重影响。本文在已有研究成果的基础上,指明了北京市社会群体性突发事件的特殊性,分析了北京市社会群体性突发事件应急管理机制的现状及问题,进而提出有针对性的对策与建议。     

小城镇服务业人才培养问题研究

劳动力市场人才资源的配置问题是小城镇服务业发展中急需解决的重要问题之一。本文从用人单位满意度分析的基础上,采用模糊综合评价法对当前小城镇服务业劳动力需求与人才培养对接问题现状进行了评价,发现劳动力市场人才资源的配置与人才培养供给之间出现了严重的失衡。人才培养只有遵循劳动力市场需求,动态地调整培训方案与体系,才能够健康持续地发展。     

东南亚国家的经济外交与地区安全秩序的重塑

冷战结束后,塑造东亚地区安全秩序的力量来源主要有两个:一是雅尔塔体系的遗产,二是东南亚国家的经济外交。一方面,中国与俄罗斯通过上海合作组织构建了在安全等领域的合作,而美国在美日同盟的基础上强化了其在东亚的单边及多边同盟体系。因此,雅尔塔体系遗产的组织化程度较以往明显提高。另一方面,东南亚诸国通过在东盟"10+"合作框架、亚太经合组织以及亚欧会议等平台实施经济外交,比较成功地把主要大国及区域集团力量牵绊在东亚地区,并藉此影响了冷战后东亚地区的政治、安全秩序。     

Text Matters: Some Reflections on the Forging of a New Constitutional Jurisprudence in South Africa

The South African Constitution establishes a constitutional democracy with a strong form of constitutional review. The Constitutional Court is required to declare invalid any legislation or conduct of the President which is inconsistent with the Constitution. The author, a former judge of the Constitutional Court, argues that the text of the Constitution has been an important determinant of the Court's jurisprudence, both in relation to the Court's jurisprudence concerning the institutional structures established by the Constitution and its Bill of Rights jurisprudence.     

Child maltreatment histories among female inmates reporting inmate on inmate sexual victimization in prison: the mediating role of emotion dysregulation

Despite data indicating that child maltreatment (CM) in various forms is associated with adult sexual victimization among community women, few studies have explicitly explored how types of CM might relate to prison sexual victimization. Because little is known about how CM might give rise to prison sexual victimization, the present study also examined emotion dysregulation emanating from early abuse experiences as a potential mediator in the link between early CM and inmate-on-inmate prison sexual victimization. Approximately 168 incarcerated women completed self-report inventories assessing various types of childhood maltreatment, emotion dysregulation, and coerced or forced sexual experiences in prison. Nearly 77% of the sample endorsed experiencing at least one form of CM, with 64% of inmates reporting that they experienced two or more forms of CM. Approximately 9% of inmates reported sexual coercion and 22% reported a forced sexual experience in prison. Each form of CM was associated with prison sexual coercion; however, fewer associations emerged between CM and forced prison sexual experiences. Emotion dysregulation was found to mediate links between CM, particularly co-occurring CM, and sexual coercion in prison, but it was unrelated to forced prison sexual experiences. Implications are discussed.     

Physical Health in Preschool Children Exposed to Intimate Partner Violence

Exposure to violence and traumatic events during childhood has long been associated with poor physical and psychological health during adulthood. Very few studies, however, have taken steps to understand the immediate relationship between exposure to intimate partner violence (IPV) and physical health problems in young children. In this study, we examined the mother-reported physical health problems of 102 preschool-age children who have been exposed to IPV. We found that children exhibiting more traumatic stress symptoms displayed fewer total health problems; however, gastrointestinal problems and asthma were related to poor psychological adjustment. We also found that preschool-age girls were more likely to display health problems than boys. Future studies of the physical health consequences of exposure to IPV in young children would benefit from examinations of specific changes in physiological processes to draw conclusions about the effects of violence on immune system functioning and physical health.     

A Safer Method for Body Restoration Following Autopsy

Restoration of autopsy incisions can result in inadvertent needle stick injury to the prosector, which can be difficult to prevent even with the use of personal protective equipment such as Kevlar cut resistant gloves. We present a new technique for closure of autopsy incisions using a commonly available commercial hardware tool, a hole punch with a lever enhanced action, combined with blunt probe sewing, which results in an esthetic and leak‐proof means of restoring cadavers. This technique is especially useful in cases which may pose blood‐borne infection risks to the prosector.