青少年网瘾浅探

随着信息时代的到来,互联网正在改变着人类传统的生产方式、工作方式、生活方式和思维方式。它如同一把“双刃剑”,带来积极影响的同时,也带来了负面影响,尤其对青少年负面影响很大。目前青少年网瘾已成为一个不容忽视的社会问题,它严重影响到青少年的健康成长,应采取防治青少年网络成瘾的基本对策。     

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.     

吸毒成瘾认定标准的基本架构——兼评《吸毒成瘾认定办法》

吸毒成瘾的标准,国际医学界持"病态说"的观点,但在中国适用的标准有着不凡的历程。公复[1998]3号文对吸毒成瘾采用"行为说"标准,规定只要有证据证明有吸毒行为就可认定为吸毒成瘾。随着"采取各种措施帮助吸毒人员戒除毒瘾,教育和挽救吸毒人员"的戒毒方针在《禁毒法》中的确立,《吸毒成瘾认定办法》也从医学角度对吸毒成瘾进行了重新审视,采纳了吸毒成瘾"病态说"的观点。     

青少年网络成瘾问题的家庭干预与社会工作介入——家庭功能理论视角

家庭在问题判定时过于表面化、片面化,问题处理办法的实施是一个由内而外的被迫延伸过程。家庭内部成员需要沟通,而沟通更离不开情感表达,而网瘾青少年家庭内部沟通不良主要表现在亲子沟通的单向性,情感表达的单向性,缺乏平等对话的民主机制,缺乏一种完善的沟通过程;家庭功能各个维度的不良表现使得孩子网瘾问题不能得到顺利解决。因此,社工介入网瘾青少年家庭要做的工作是帮助他们打破这个循环,让问题不至于周而复始地继续下去。将网瘾青少年家庭化分为整,化整为分,在统筹全局的基础上,有效解决青少年网瘾问题。     

滋肾通络祛浊法治疗糖尿病肾病肾功能不全失代偿期临床研究

目的:观察滋肾通络祛浊法治疗糖尿病肾病肾功能不全失代偿期的临床疗效.方法:将69例糖尿病肾病肾功能不全失代偿期患者随机分为治疗组35例和对照组34例,治疗组在基础治疗同时服用滋肾通络祛浊中药,对照组在基础治疗同时服用百令胶囊.观察两组患者临床疗效、中医证候积分以及糖代谢、脂代谢和肾功能等生化指标的变化.结果:治疗组中医证候积分显著低于对照组(P<0.01);治疗组总有效率(71.43%)和稳定率(91.43%)均显著高于对照组的26.47%、54.29%(P<0.01);治疗组肾功能异常、血脂紊乱、糖代谢紊乱显著改善,且优于对照组(P<0.01).结论:滋肾通络祛浊法为主治疗糖尿病肾病肾功能不全失代偿期,具有改善肾功能和临床症状及调节血脂的作用.     

大学生沉溺网络现象分析

网络沉溺现象有着复杂的因果关系,从发展心理学角度分析,包括角色同一性认知缺失、亲密感建立不完善、自我意识发展中的个人辩证分析失衡和人生价值观不成熟等众多因素。从发展的角度分析,大学生网络沉溺现象的发生不是单一大学阶段教育的问题,而是大学生在个体发展中长期存在不可调和矛盾的集中爆发,因此,要减少或避免大学生沉溺网络,从未进大学抓起。     

Homeland and its use of bipolar disorder for sensationalist and dramatic effect

When a lead character in a critically acclaimed and award-winning television programme is depicted as a proficient and meticulous heroine with a mental disorder, it is crucial to examine if this reflects a change in the media depiction of people with mental illness. This article employs framing analysis to examine the portrayal of lead CIA agent with bipolar disorder, Carrie Mathison, in Homeland. Although the show did initially associate competence, intellect and astuteness to this character, as it progressed, the framing decisions used for dramatic and sensational purposes ultimately presented Mathison within the usual stereotypical depictions: as impulsive, irrational, unpredictable, unstable, dangerous and disordered. Given the popularity of the show, responsible depictions should take priority over dramatic effect at the expense of a character with mental illness because sufferers may be deterred in speaking about their illness and seeking appropriate treatment if such negative themes persist.     

Developmental Antecedents of Interpartner Violence in a New Zealand Birth Cohort

This paper examines the developmental antecedents of interpartner violence (IPV) victimization and perpetration in a New Zealand birth cohort (n = 828). The study found: (a) IPV occurred in 70% of relationships, with conflict ranging from minor psychological abuse to severe assault; (b) men and women reported similar experiences of victimization and perpetration of IPV; (c) exposure to abuse in childhood, family dysfunction and adversity, childhood and adolescent conduct problems, and alcohol abuse/dependence were significant predictors of IPV victimization and perpetration at age 25; and (d) the antecedents of IPV were largely the same for males and females, although the specific effects of these risk factors differed according to gender. Conduct disorder was more strongly predictive of IPV for females, whereas family adversity was more strongly predictive of IPV victimisation for males.     

心因性精神障碍与犯罪行为（附5例报告）

目前，在司法精神病学鉴定中，尚缺乏心因性精神障碍与犯罪行为关系方面的报告。本文统计了我院自１９８８年至１９９１年司法精神病学鉴定案例，其中心因性精神障碍案例占６．２％，本文报告了其中５个典型案例，并就心因性精神障碍与犯罪行为之间的关系及其责任能力的判定进行了讨论。     

Is delusional ideation a critical link in the nexus between personality disorder and violent offending?

Evidence suggests that consideration of personality disorder (PD) severity, incorporating both externalising and internalising features of PD, might help to clarify the PD – violence relationship; moreover, that separate developmental pathways might link externalising and internalising personality pathology with criminal violence. This study of 96 forensic patients with confirmed PD and a history of violent offending addressed the question of whether delusional ideation, measured by the Peters Delusions Inventory, might play a significant role in the link between severe PD and criminal violence. Severe PD, defined by summing scores across DSM-IV PD criteria, was significantly associated with delusional thinking, with violence, and with high levels of both externalising and internalising personality features. Delusional thinking was associated with violence via internalising but not externalising PD features, suggesting that the link between severe PD and violence may be partly mediated by delusional thinking.