儿童偏矮身材的中医体质分布及风险预测模型构建

目的 调查北京市海淀区学龄前儿童偏矮身材的中医体质和其他影响因素并构建风险预测模型,为儿童偏矮身材的防治提供参考。方法 运用整群抽样和问卷调查方法,共纳入1 612例北京市海淀区学龄前儿童作为研究对象。偏矮身材影响因素的效应大小用比值比（odds ratio,OR）及其95%置信区间（confidence interval,CI）表示。使用STATA 14.0进行统计分析,采用R软件绘制列线图风险预测模型。结果 儿童偏矮身材检出率为14.0%。偏矮身材组和正常身高组阴虚质的分布差异有统计学意义（P<0.05）。多因素Logistic回归分析显示偏矮身材的显著影响因素是父亲身高（OR=0.90,95% CI为0.87~0.93,P=0.000）、母亲身高（OR=0.89,95% CI为0.86~0.92,P=0.000）、出生身长（OR=0.92,95% CI为0.87~0.97,P=0.002）、出生体质量（OR=0.48,95%CI为0.36~0.65,P=0.000）、母乳喂养时间大于12个月（OR=1.51,95% CI为1.11~2.05,P=0.008）、阴虚质（OR=1.19,95% CI为1.01~1.39,P=0.038）。根据显著影响因素构建列线图风险预测模型,一致性指数为71.0%（P<0.001）。结论 儿童偏矮身材可能是遗传、出生情况、母乳喂养和中医体质多因素影响作用的结果。     

Grandparent contact: another presumption?

ABSTRACT

This article reviews the debate about the enhancement of grandparents’ legal status in relation to their grandchildren. In particular, it observes that calls for a legal presumption in favour of grandparent contact with their grandchildren when family relationships break down were emboldened by the enactment in s1(2A) of the Children Act 1989 of a presumption that involvement of both parents in their children’s lives furthers children’s welfare. Proponents of grandparent rights argued that there should be a similar statutory presumption in favour of grandparent involvement. It is also argued that courts should strictly enforce child arrangement orders that give grandparents time with grandchildren. The article examines the welfare case for such involvement and concludes that there is no unequivocal evidence to support it. It also considers the effect of the presumption in s1(2A). The article concludes that to enact a similar presumption in favour of grandparents, to apply a de facto presumption, to enforce orders strictly and even to remove the leave requirement that currently exists, could prejudice the interests of mothers as well as children.     

The legitimization and institutionalization of ‘parental alienation’ in the Province of Quebec

ABSTRACT

This article examines the legitimization and institutionalization of ‘parental alienation’ discourse in the Province of Quebec, Canada. It draws upon an analysis of 31 documents (legislation, research reports and articles, training documents, professional documents and media articles) and interviews with 13 key informants, who were selected based on their knowledge of ‘parental alienation’ in research, policies or practices. The research findings reveal that the legitimization and institutionalization of ‘parental alienation’ discourse is a more recent process than in other provinces and countries, but that it has now permeated child custody as well as child protection proceedings. Academic researchers and media have been instrumental in this legitimization and institutionalization process, while the role played by changes to child protection policies is more ambiguous. The findings reveal researchers’ and experts’ tendency to distance themselves from Gardner’s controversial work on ‘parental alienation syndrome’ and to address the critiques by proposing new approaches and new concepts. However, the terms ‘parental alienation syndrome’, ‘parental alienation’ and ‘alienating behaviours’ are often used interchangeably, and assessment practices tend to rely on similar indicators.     

独生女的婚恋状况究竟如何?--对现有研究结果的几点思考

现有研究中关于异性别成长、同性别成长、单性别成长的视角具有很好的启发意义。但研究者关于三种性别男性不存在差别现象的理论解释尚不能让人信服;对于独生女与异性别成长女性之间存在显著差异的结果及其理论解释,则有可能因为缺乏对实际存在且与研究假设密切相关的城乡变量、文化程度变量的控制而形成错误。真正导致独生女与另两类女性之间出现差异的原因或许并不是性别,而是城乡背景、文化程度和有无兄弟姐妹。此外,研究者的价值观不应成为对调查结果进行解释的出发点,也不能成为其判断客观现实“是什么”和“为什么”的标准。     

A history of the use of the concept of parental alienation in the Australian family law system: contradictions,collisions and their consequences

ABSTRACT

This paper presents insights into the history and current deployment of the concept of parental alienation in the Australian family law system. It begins in 1989, when an article on parental alienation syndrome was first published in an Australian law journal. It then traces aspects of the socio-legal and social science research, gender politics, law reform and jurisprudence of the following 30 years, paying attention to moments of significant change. The impacts of major amendments that emphasise the desirability of post-separation shared parenting outcomes in 1996 and 2006 are specifically considered. More recently, in 2012, reforms intended to improve the family law system’s response to domestic and family violence were introduced. The history reveals an irreconcilable tension between the ‘benefit’ of ‘meaningful’ post-separation parent-child relationships and the protection of children from harm. When mothers’ allegations of violence in the family are disbelieved, minimised or dismissed, they are transformed from victims of abuse into perpetrators of abuse – alienators of children from their fathers. Their actions and attitudes collide with the shared parenting philosophy. This is arguably an inescapable consequence of a family law system that struggles to deal effectively with family violence in the context of a strong shared parenting regime.     

“The Rain Grows Plants,the Thunder Does Not”: Refugee Mothers’ Narratives on Child Abuse and Neglect

Abstract

Child abuse and neglect are regarded as a public health problem in the United States and around the world. While refugee families experience extreme parenting stress as they resettle, little attention is placed upon how refugee women themselves view child abuse and neglect. The primary objective of this qualitative exploratory research project was to document, through interviews, the compelling narratives of 17 refugee women regarding child abuse and neglect. We discuss the unique struggles faced by refugee families while parenting their children as they resettle in the United States. Recommendations are provided for professionals working with children and refugee families.     

ASSESSING MUTUAL PARTNER-ABUSE CLAIMS IN CHILD CUSTODY AND ACCESS CASES

This article explores issues associated with mutual claims of domestic violence in the context of research on gender and violence, and in the context of litigation tactics commonly employed by perpetrators in child custody and access cases. Quotations from parents involved in such cases illustrate why accurate assessment of mutual cliams requires complete information about social context and the analysis of patterns of domination, power and control in the relationship over time. Recent developments in Canadian law ought to enhance the ability of judges to take such evidence into account. The article aims to provide a lens through which to understand and assess such cases.     

Coping Alone: Examining the Prospects of Adolescent Victims of Child Abuse Placed in Foster Care

The ability of a young person to cope effectively with stressful life events appears to be associated with their previous experiences and relationships. Young people in foster care who have histories of child abuse, therefore, may find they cannot cope effectively with the situation they find themselves in. This paper attempts to highlight the problems they face. A group of 21 young people were interviewed and were asked to complete the Frydenberg and Lewis Adolescent Coping Scales. Their social workers provided information on their past history both in care and prior to coming in to care. It emerged that the young people who had experienced physical and/or sexual abuse were significantly (p < 0.02) more likely to be/have been involved in problem, or Crisis, foster placements. Additionally these young people displayed less adaptive coping strategies than the young people who had not been abused. The most significant differences indicated that the victims of abuse were more likely to try and cope with stressful situations by themselves, while the other foster adolescents were significantly (p < 0.004) more likely to find support from their friends. Case studies, with reference to the teenager's own accounts, help to illustrate how a history of abuse can complicate the already difficult fostering processes, and can also affect the long-term coping abilities of the victims. The consequences of these issues are discussed.     

Effects of Partner Violence and Physical Child Abuse on Child Behavior: A Study of Abused and Comparison Children

This study tests a model of the effects on child behavioral outcome of the child's exposure to partner violence and child abuse, in children who have experienced the two forms of victimization either separately or together. Recognizing that family contextual factors play an important role in influencing child outcome, an ecological model is proposed that designates family stress as the principal exogenous factor, with effects on child outcome mediated through caretaker distress, partner violence, and child abuse. The sample consists of 100 confirmed cases of physically abused New York City schoolchildren, ages 9 to 12 years, and their families, and 100 nonmaltreated classmates, matched for gender, age, and, as closely as possible, for race, ethnicity, and socioeconomic status, and their families. Child behavioral outcome is assessed by classmates for antisocial, prosocial, and withdrawn behavior and by parents and teachers for externalizing and internalizing problem behavior. Results are generally consistent with the hypothesis that partner violence and caretaker distress, both associated with family stress, increase the risk for child abuse and thereby raise the child's risk for poor outcome. Implications of differences among raters for the model's applicability, and implications of the results for clinical intervention, are discussed.     

Child Abuse Potential: A Comparison of Subtypes of Maritally Violent Men and Nonviolent Men

Researchers have demonstrated an overlap between husband-to-wife violence and child abuse, but we know little about which maritally violent men are at greatest risk for engaging in child abuse. This study examined child abuse potential across 4 subtypes of maritally violent men (i.e., family only, low level antisocial, borderline/dysphoric, and generally violent/antisocial; Holtzworth-Munroe et al., and 2 comparison groups of nonviolent men (i.e., maritally distressed or not), using the Child Abuse Potential Inventory (CAP; J. S. Milner [1986])). The results revealed that the borderline/dysphoric batterer subtype had significantly higher child abuse potential scores than all of the other violent subtypes and the nonviolent comparison groups. Theoretical and clinical implications are briefly discussed.