I'm Stuck as Far as Relationships Go

Abstract

This is a study of how heterosexual girls construct the meaning of their health issues within their dating relationships. We found that a number of barriers contributed to girls' difficulty with articulating their needs and desires in their romantic relationships. Adolescent girls who participated in our study blamed themselves for their boyfriends' abuse and lack of commitment and experienced their ability to speak in their own interests as compromised. Many of the girls experienced what researchers term an “impossible choice” between compromising self to maintain a relationship or compromising the relationship to maintain self. The dating relationship was predominantly determined by patriarchal and dualistic thinking that undercut healthy decision making. Assisting girls within supportive environments to reflect upon gendered power differentials in their relationships can facilitate their expression of authentic voice which in turn can enhance their own health behaviors.     

Adolescent Co-occurring Disorders Treatment: Clinicians' Attitudes,Values, and Knowledge

This study examined community-based clinicians’ (N = 294) attitudes, background/experiences, values, and knowledge relating to issues of co-occurring disorders, which occur at a high rate among adolescents involved in the juvenile justice system. Study results reveal that clinicians self-rate their clinical values and attitudes at or above the expected level of competency, but they concede that their skill and knowledge levels are not adequate. Comparison measures reveal that employment setting conditions, geographic region, hours worked per week, and strongly held convictions about the importance of integrated mental health and substance use disorders service delivery distinguish clinicians’ co-occurring disorders knowledge levels. Implications are offered.     

Prior Commitments: Compatible Interests versus Capabilities in Alliance Behavior

The rapid emergence of transnational networks in world politics calls for an analysis of their power dynamics. By combining the advocacy network literature and the two-level game theory in an innovative manner, this article provides a theoretical conceptualization of the interplay between intra- and inter-network interactions. It argues that the strength of a network as agent springs from its force as a structure. A network win-set is determined by its internal games, thereby affecting both its bargaining power and its chance to reach a consensual agreement with other networks. The issue of access to medicines is used as a factual background to illustrate how the flow of influence within networks affects influence among networks.     

民生保障研究:论适足生活水准权保障与实现

适足生活水准权的实现遵从辅助性原则、国家义务、平等与非歧视原则。食物权、住房权与健康权构成了适足生活水准权最主要的具体权利形态,其实现标准主要有:有效、真实与可接受。适足生活水准权的保障与实现不是孤立的,是与其他人权,如财产权、工作权等,特别是公民权利与政治权利,密切相关。公民权利和政治权利的保障是实现适足生活水准权救济的有效方式。适足生活水准权的实现为呼声日高的民生保障研究提供了新视角。     

试论卫生行政处罚证明标准的确立

在卫生行政处罚中,由于缺乏明确的卫生行政处罚证明标准,导致案件质量参差不齐,卫生行政机关办理的案件因为待证事实不清而得不到法院支持的情况也屡有发生。卫生行政处罚作为卫生行政执法领域最重要的内容之一,如何进一步规范卫生行政处罚证据制度以及确立卫生行政处罚证明标准问题,尤为重要。本文通过阐释卫生行政处罚证明标准的概念、存在问题等,进而确立卫生行政处罚证明标准。     

试论国家对健康权与药品知识产权保护制度的平衡简

健康权在任何与健康熙护议题有关的政策上（包括药品知识产权制度）都不可忽略.然而, 《多哈宣言与2003年决议仍未触及药品知识产权保障与健康权冲突的核心问题,这就需要将健康权作为一项政策工具对药品知识产权的影响做补充性的解释.国家保障药物获得权利的义务应根据其实质内涵的多样性与复杂性掺入防卫权的特色；换言之,药品获得权应区分为国家仅有义务渐进实现的受益权与国家有义务立即实现的受益权.这种通过细化国家保障药品获得权的义务,在具有相同重要性的健康权及药品知识产权产生冲突时,便有足够的基础从权利本质审视两者在冲突时的平衡关系是否适当.     

青少年心理问题若干个案的思维方式归因分析

思维与心理有着极为密切的关系,探讨和解决青少年心理问题,不能把思维方式的影响撇在一边。对青少年心理问题的个案进行分析,均会发现思维方式侧身其中的情况。因此,不解决思维方式问题,心理问题也不可能得到彻底的解决。思维方式教育应该作为青少年心理健康教育的重要组成部分。     

试论我国新农村卫生人才医德建设

加强农村卫生人才医德建设是社会主义新农村建设的需要。社会存在决定社会意识的哲学原理,决定了农村卫生人才医德的内涵具有继承性、时代性和地域性特征。加强医学高职高专学生的医德教育,加强乡村医生培训中的医德教育及机制建设,是新形势下农村卫生人才医德建设的路径选择。     

Factors that Influence Mental Health Stigma Among 8th Grade Adolescents

Unmet mental health need is a significant problem for adolescents. Although stigma is identified as a major barrier to the use of mental health services among youth, there is limited research on this topic. In-depth interviews (n=57) among a sample of 8th grade students in a suburban, mid-Atlantic community portray adolescent mental health attitudes and how these views are shaped. Satisfactory personal experiences with mental health services as well as accurate mental health knowledge contribute to positive mental health attitudes among teens. The anticipation of negative responses towards mental health care-seeking from family members, peers, and school staff are key factors in teens’ comfort and willingness to address mental health concerns. The research provides critical information on the factors that contribute to the development of stigma and emphasizes the need to address stigma in youth mental health education, programs, and treatment plans. Authors are affiliated with the Johns Hopkins Bloomberg School of Public Health, Department of Population and Family Health Sciences. Dr. Chandra has a background in adolescent health, and is particularly interested in improving the accessibility and appropriateness of youth mental health services and involving young people in the translation of research into practice. Dr. Minkovitz is interested in improving preventive service delivery, enhancing quality of care, and understanding maternal factors that influence children’s receipt of health care     

Maternal Acceptance as a Moderator of the Relation Between Threat to Self Appraisals and Mental Health Problems in Adolescents from Divorced Families

Appraisals about the implications of stressful events that are evaluated as involving a threat to self (negative self-evaluation, negative evaluation from others, rejection by others) have been shown to place youth at risk for the development of mental health problems. This longitudinal study tested a protective-stabilizing interactive model, in which high maternal acceptance was predicted to mitigate the prospective relation between threat to self appraisals and change in adolescents’ mental health problems six months later. Participants were 89 adolescents from divorced families ages 10–12 and residential mothers. Adolescents reported on threat to self appraisals from the most stressful event experienced in the past month. Mothers and youth reported on maternal acceptance and mental health problems. Multiple regression analyses provided support for the protective effects of maternal acceptance on adolescents’ mental health problems. Intervention implications are discussed. Ana Brown is a pre-doctoral fellow in prevention research (NIMH 2 T32 MH18387–19) and doctoral student in the Department of Psychology at Arizona State University, Tempe, AZ. Research interests include the study of children’s appraisals and responses to stressful events in the prevention of mental health problems. Sharlene Wolchik is a clinical psychologist and professor in the Department of Psychology at Arizona State University, Tempe, AZ. Her research focuses on identifying risk and protective factors for children whose parents have divorced. She also has designed and evaluated the efficacy of preventive interventions for children from divorced families and children who have experienced parental bereavement. Jenn-Yun Tein is a research associate professor and Co-Director of the Research Methodology Core of the Prevention Research Center at Arizona State University, Tempe, AZ. Her research interests include analyses of mediation and moderation of preventive interventions as well as applications of methodology and statistics in prevention research. Irwin Sandler is a Regents’ Professor in the Department of Psychology and Director of the Prevention Research Center at Arizona State University, Tempe, AZ. His research interests focus on understanding resilience for children exposed to stress and on the development, evaluation and dissemination of programs to promote resilience and prevent mental health problems for children in stress.