Family Representative Payeeship and Violence Risk in Severe Mental Illness

Although representative payeeship is prevalent among people with mental illness and shows promise to positively influence clinically relevant outcomes, research also suggests this legal mechanism could be implemented in ways that are problematic. The current study examined whether family representative payeeship was associated with elevated risk of family violence perpetrated by persons with severe mental illness (SMI). Data were collected every 4 months for 1 year in structured interviews with N = 245 persons with SMI who received disability benefits. Multivariate analyses showed that substance abuse, history of violence, frequency of family contact, and family representative payeeship were associated with elevated odds of family violence. Analyses also showed family contact and family representative payeeship had a cumulative effect on increasing the predicted probability of family violence (controlling for covariates such as violence history and substance abuse). The data shed light on the potential for family representative payeeship to be associated with increased risk of interpersonal conflict and violence in SMI.     

反思SARS：健康教育不容忽视

"非典"这一突发的公共卫生事件,充分体现了健康教育在疾病预防过程中积极重要的作用和人们对健康教育的需求,同时也暴露了我国健康教育存在的差距与问题。政府部门应制定相应的政策和法规,实行广泛的部门合作,将健康教育工作落到实处。健康教育工作者应采取有效可行的措施提高理论水平和工作方法,不断提高自身综合素质,推动健康教育事业的发展。     

Mental Disorder, Violence, and Gender

Recent studies have reported comparable rates of violence among men and women with mental disorder, raising important issues for clinical risk assessment. This study examines the relationship between gender and violence using data from the MacArthur Violence Risk Assessment Study. Patients in acute psychiatric wards were interviewed 5 times over the year following their discharge to the community. Results showed some differences between men and women in the violence committed immediately following discharge, with rates for men being higher. But the prevalence of violence over the 1 year was similar for female and male discharged patients. However, there were substantial gender differences in the situational context of the violence committed. Men were more likely to have been drinking or using street drugs, and less likely to have been adhering to prescribed psychotropic medication, prior to committing violence. The violence committed by men was more likely to result in serious injury than the violence committed by women, and men were more likely than women to be arrested after committing a violent act. Women were more likely to target family members and to be violent in the home.     

尿液分析仪检验血尿在法医学中应用研究

尿液分析仪检验血尿在法医学中的应用价值。应用尿液分析仪干化学法及尿沉渣显微镜法对 418例患者尿样红细胞成份同时进行检测 ,结果表明 ,尿液分析仪检验结果 :阴性 2 76例、“ +” 5 8例、“ ++” 35例、≥“ ++” 84例 ,尿沉渣镜检法相应程度的检验结果分别为阴性 2 74例、“ +-”和“ +” 31例、“ ++” 1例、≥“ ++” 37例 ,相同的程度符合率分别为 99 2 6 %、 5 3 45 %、 2 86 %、 44 0 5 %。两法阳性与阴性结果及轻伤程度 (≥ ++)与轻微伤程度 (≤ +)结果比较均有高度显著性差异 (P <0 0 1)。尿液分析仪检验阳性率高于尿沉渣镜检法 ,且表现血尿程度略严重。尿液分析仪检验结果阴性和“ +”与尿沉渣镜检法 0～ 3/HP (阴性或少许 )程度一致 ,属正常范围。目前 ,法医学鉴定中用尿液分析仪检验结果 2 5 / μl ( ++)相当于尿沉渣镜检法红细胞 10～ 30 /HP ( ++) ,引用《人体轻伤鉴定标准 (试行 )》第 36条进行法医学鉴定是不准确的 ,不能将尿液分析仪完全替代尿沉渣镜检法用于法医学鉴定     

精神分裂症病人肇事因素分析

就鉴定案例中肇事精神分裂症病人与一般精神分裂症群体、其他肇事精神病人群体的资料进行比较,结果显示：精神分裂症群体的肇事率、凶杀率远高于其他精神病群体;肇事精神分裂症病人的诊治情况明显差于一般精神分裂症群体,且再婚率低,家庭支持系统不力等。提示：加强对精神分裂症病人的社会监管和治疗,是防止肇事行为发生,维护社会治安的积极措施。     

监禁死亡的法医病理学研究

目的　探讨监禁死亡的法医病理学及其流行病学特点。方法　对华西医科大学法医学系 1 987～ 1 998年所作 5 2例监禁死亡案例病理材料进行统计分析。结果　性别 :5 2例均为男性。年龄 :从 1 8岁～ 70岁 ,以 2 1至 4 0年龄段为主 ( 6 1 5 3% )。民族 :汉族人居多 ( 84 6 1 % )。职业 :待业、农民、工人最多 ( 75 % )。婚姻状态 :已婚者占多数 ( 5 9 6 1 % )。监禁原因 :以抢劫、偷盗为主 ( 6 3 4 6 % ) ,首次被监禁为主 ( 94 2 3% )。监禁死亡时间以 3个月常见 ( 36 5 4 % ) ,死亡地点以派出所、看守所及监狱常见 ( 82 6 9% )。死亡方式 :自然死亡以肺结核及支气管炎为主 ( 4 6 1 5 % ) ,自杀以自缢及高坠为主 ( 4 8 1 5 % ) ,少部分为他杀 ,以同监犯人打死为主( 5 76 % )。结论　监禁中死亡与多种因素有关 ,防止该类事件的发生需要各方面的努力。     

监狱人民警察心理健康保障机制的构建与完善

监狱人民警察作为一个特殊的职业群体,集多种社会角色于一身,易产生心理冲突。大量研究表明,心理健康问题正严重威胁着监狱人民警察的生存状态,极大地降低了他们的生活质量,并严重影响其工作热情和效率。加强监狱人民警察心理健康问题研究,构建与完善监狱人民警察心理健康保障机制,具有十分重要的理论意义和实践价值。     

改善油田基层乙方员工心理健康的对策分析

作为国有企业,油田肩负着发展中国石油事业的重大责任和使命。然而,油田基层长期奋斗一线的乙方员工因工作性质和工作环境问题,频繁出现紧张、悲观、麻痹、浮躁和不合作等五种不健康心理,对此,要结合管理者、思想政治工作者、心理医生和员工自身四方面的努力,才能逐步改善油田基层乙方员工的心理健康问题。     

国有企业及科教文卫等行业行政化管理与“官本位”问题研究

由＂官本位＂衍生出来的泛行政化管理已成为影响和制约我国国有企业和科教文卫行业科学发展的最大阻力之一。本文在对我国国有企业及科教文卫等行业行政化管理的表现、问题、产生＂官本位＂的原因、危害进行分析的基础上,借鉴国内外人力资源管理开发的经验与教训,为在这些企业、行业有效防止和克服＂官本位＂消极影响提出了一些对策与建议。     

心理测试中的犯罪者心理研究

从犯罪者个性因素和犯罪环境因素两方面,对心理测试中的犯罪者心理进行分析。通过测前准备阶段分析犯罪者心理,缩小犯罪嫌疑人,确定侦查方向。正式测试时把握犯罪者心理,完整地将被测人与犯罪者区分开来,帮助侦查人员判断和逮捕犯罪嫌疑人,破获案件。