公共卫生事件风险沟通中社会信任问题研究

在风险社会中,有针对性地进行风险沟通已成为应对风险不确定性的有效手段.随着我国经济的迅速发展,具有"脱域"特质的陌生人社会逐步形成,且移动智能终端进一步普及使得生活场景向虚拟化趋势发展,社会生活现状的改变对风险沟通提出了新要求.应从风险治理、立法完善、专家系统以及公众参与等方面着手完善公共卫生事件风险沟通中的社会信任机...     

Quality of criminal responsibility reports submitted to the Hawaii judiciary

This paper is the third in a series of research reports on quality of forensic mental health evaluations submitted to the Hawaii judiciary. Previous studies examined quality of reports assessing competency to stand trial (CST) and post-acquittal conditional release, in felony defendants undergoing court-ordered examinations. Utilizing a 44-item quality coding instrument, this study examined quality of criminal responsibility reports in a sample of 150 forensic mental health evaluations conducted between 2006 and 2010 by court-appointed panels. Raters attained high levels of agreement in training and quality coding. Similar to the previous studies, overall quality of reports was mediocre, falling below the .80 quality criterion score for report elements, regardless of evaluator professional identification or employment status. Level of agreement between evaluators and judicial sanity determinations was “fair” using Cicchetti's (1994) standards for interpretation of intra-class correlations. Level of agreement was lower than previously published findings for CST reports and better than conditional release reports. Reasons for mediocre report quality and “fair” inter-rater agreement are discussed, including the fact that criminal responsibility evaluations are complex, retrospective in nature, and involve significant degrees of inference. In contrast to CST evaluations, assessment of criminal responsibility involves a mental state at the time of the offense evaluation. Threats to reliability in forensic reports are discussed. Suggestions for improvement of report quality are proffered, including standardization of procedures and report format and use of forensic assessment instruments.     

从国际法角度论多边贸易自由化与国内公共健康政策的冲突和协调

WTO成员以公共健康为口号发起的贸易限制措施与各国在WTO下的贸易自由化的义务存在着冲突。GATT/WTO的有关规则和实践显示出多边贸易体制对国内公共健康政策的态度从“忽视”到“有条件肯定”的演变过程。具体来说,GATT时期的规则和争端解决实践不利于国内公共健康政策的实施,而WTO时期出现了有利于国内公共健康政策实施的变化。在WTO现行体制下,各国在实施为公共健康目标的贸易措施时,应符合特定目标的合法性、目标与手段的一致性、目标与手段的相称性等一般要求和相关的具体要求。     

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。     

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.     

Mental Health Literacy and Eating-Disordered Behavior: Beliefs of Adolescent Girls Concerning the Treatment of and Treatment-Seeking for Bulimia Nervosa

This research examined the “mental health literacy” of adolescents concerning eating-disordered behavior. A vignette describing a fictional 16-year old female meeting diagnostic criteria for bulimia nervosa was presented to 522 female high school students, followed by a series of questions concerning treatment of and treatment-seeking for the problem described. Results indicated that primary care practitioners, mothers and close female friends were most highly regarded as potential sources of help. Self-help interventions, including the use of vitamins and minerals, were also highly regarded, whereas participants were less positive about the benefits of mental health specialists and ambivalent about the use of anti-depressant medication. Most participants believed that the problem described would be difficult to treat, and that relapse was likely even given appropriate treatment. An additional finding of note was that among participants with a high level of eating disorder symptoms (n=36, 6.9%), recognition of an eating problem was poor. We conclude that beliefs likely to be conducive to low and/or inappropriate treatment-seeking for eating problems may be common among adolescent girls. In addition, the findings suggest that prevention programs for the eating disorders need to target not only at-risk individuals, but also individuals in their immediate social environment.     

恢复性行刑：和谐、健康与回归社会

恢复性行刑的最终目的是恢复正常的社会关系和社会秩序。它包括对罪犯的再社会化,对罪犯社会谋生技能的训练或修复,对罪犯健全人格的修复和教育,对罪犯社会道德与良知的恢复等。恢复性行刑所涉及的主体包括国家、社会、服刑罪犯、受害人以及社区公众。为此,恢复性行刑的价值集中体现在:尊重、和谐、安全、健康和回归社会。