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Disruption of Moral Reasoning and Moral Judgment: Moral Injury and Healing Through Forgiveness 道德推理与道德判断的断裂:道德伤害与宽恕的治愈
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100139
R. Fleur
Although morality (systemic judgment of determining right or wrong), has been taught, researched and written about over the decades, society has been faced with the challenges of a questionable moral structure and a plethora of moral injuries. This paper reviews current literature and research about moral injury as well as the structure on which morality is founded. Current research shows that one of the consequences of an irreconcilable moral belief is moral injury or a soul injury, (coined by Dr. Marvin Westwood in a recent lecture at St. Thomas University), with symptoms that are similar to PTSD and other mental illnesses or disorders. By focusing on moral injury as a deep psychological and spiritual wound, forgiveness as a theological and spiritual approach, is the most effective framework to address the wound of moral injury.
尽管道德(决定对错的系统判断)在过去的几十年里一直被教授、研究和写作,但社会一直面临着道德结构可疑和道德伤害过多的挑战。本文回顾了目前关于道德伤害的文献和研究,以及道德的基础结构。目前的研究表明,不可调和的道德信仰的后果之一是道德伤害或灵魂伤害(由马文·韦斯特伍德博士在圣托马斯大学最近的一次演讲中提出),其症状类似于创伤后应激障碍和其他精神疾病或障碍。把道德伤害作为一种深刻的心理和精神创伤来关注,宽恕作为一种神学和精神方法,是解决道德伤害创伤的最有效的框架。
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引用次数: 1
Gender Differences in Depression Literacy Among African American Young Adults 非裔美国年轻人抑郁认知的性别差异
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100125
M. Wimsatt, Kim L. Stansbury, G. Simpson, Yarneccia D. Dyson, K. Bolton, Rhonda Brown
Young Adults Maureen Wimsatt, Ph.D., M.S.W1., Kim L. Stansbury, M.S.W, Ph.D2*., Gaynell M. Simpson, Ph.D., LCSW (GA)3, Yarneccia D. Dyson, M.S.W., Ph.D4., Kristin W. Bolton, Ph.D., M.S.W5., Rhonda Brown, MSW6 1Development Director, Sacramento Native American Health Center, Sacramento, CA, United States. 2Associate Professor, School of Social Work, North Carolina State University. Raleigh, NC., United States. 3PT Instructor, Georgia State University, School of Social Work. Atlanta, GA., United States. 4Assistant Professor, Department of Social Work, University of North Carolina-Greensboro. Greensboro, NC., United States. 5Associate Professor, University of North Carolina-Wilmington. Willington, NC. United States. 6MSW Student at the joint University of North Carolina-Greensboro/North Carolina Agriculture and Technical State University MSW Program. Greensboro, NC. United States. Journal of Mental Health and Social Behaviour Wimsatt, M., et al. (2020). J Ment Health Soc Behav, 2(2):125 https://doi.org/10.33790/jmhsb1100125
莫琳·温萨特,博士,硕士。,金立文,M.S.W, Ph.D2*。, Gaynell M. Simpson, Ph.D., LCSW (GA)3, Yarneccia D. Dyson, M.S.W, Ph.D4。, Kristin W. Bolton, Ph.D., M.S.W5。朗达·布朗,MSW6;美国加利福尼亚州萨克拉门托萨克拉门托印第安人健康中心发展主任;2北卡罗来纳州立大学社会工作学院副教授。罗利,数控。美国乔治亚州立大学社会工作学院讲师。亚特兰大,乔治亚州。4北卡罗莱纳大学格林斯博罗分校社会工作系助理教授。格林斯博罗,数控。5北卡罗来纳大学威尔明顿分校副教授。威灵顿,数控。美国,北卡罗莱纳大学格林斯博罗分校/北卡罗莱纳农业和技术州立大学城市固体废物联合项目的6名学生。格林斯博罗,数控。美国。《心理健康与社会行为杂志》,文萨特,M.等人(2020)。中国卫生社会行为杂志,2(2):125 https://doi.org/10.33790/jmhsb1100125
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引用次数: 0
An Increasing Bilateral Advantage in Chinese Reading 中文阅读的双边优势日益增强
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100102
Yu-Ju Chou, R. Shillcock
Yuju Chou1*, Richard Shillcock2 1*Department of Counseling and Clinical Psychology, National Dong Hwa University. No. 1, Sec. 2, Dashieh Road, Shofeng, Hualien, 974, Taiwan 2School of Informatics, University of Edinburgh, 10 Crichton Street, Edinburgh, EH8 9AB, United Kingdom Journal of Mental Health and Social Behaviour Chou Y, et al., J Ment Health Soc Behav 2019, 1: 102 https://doi.org/10.33790/jmhsb1100102
周玉菊1*,Richard Shillcock2 1*国立东华大学心理咨询与临床心理学系。2 .英国爱丁堡大学信息学院,英国爱丁堡克莱顿街10号,eh89ab .心理健康与社会行为杂志周勇,等。心理健康社会行为杂志,2019,1:102 https://doi.org/10.33790/jmhsb1100102
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引用次数: 0
Perspectives of American Indian/Alaska Native Mental Health Practitioners on Psychological Distress, Social Support, and Wellness 美国印第安人/阿拉斯加土著心理健康从业者对心理困扰、社会支持和健康的看法
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100174
Mark Standing Eagle Baez
Objective: This quantitative research study employed a correlational design to determine if there is an association between social support, psychological distress, and wellness among American Indian and Alaska Native mental health practitioners (AI/ANMHPs).Methods: A quantitative correlational approach examined to what extent a relationship exists between social support, psychological distress, and wellness among mental health practitioners who are Native American. The variable of psychological distress was measured by the Outcome Questionnaire 45 (OQ-45.2), the variable of social support was measured by the Multidimensional Scale of Social Support (MSPSS), the variable and the variable of wellness was measured using the Five Factor Wellness Inventory (5F-WEL).Results: The sample comprised 95 AI/ANMHPs in the United States. A Spearman’s rank-order correlation was used to explore the relationship between social support and psychological distress (RQ1) and social support and wellness (RQ2) among AI/ANMHPs. The results of the study indicate a statistically significant negative correlation between social support and psychological distress (rs= -0.386, p < .001) and a statistically significant positive correlation between social support and wellness (rs = 0.439, p < .001).Conclusions: The current study found two statistically significant correlations. Social support was statistically significantly negatively correlated with psychological distress, and social support was statistically significantly positively correlated with overall wellness. These findings suggest that as the NAMHPs perceive more social support, their psychological distress decreases; so, NAMHPs need more culturally responsive support if they want to manage distress.
目的:本定量研究采用相关设计来确定美国印第安人和阿拉斯加土著心理健康从业者(AI/ANMHPs)的社会支持、心理困扰和健康之间是否存在关联。方法:一种定量的相关方法检验了社会支持、心理困扰和心理健康之间的关系在多大程度上存在于印第安人心理健康从业人员中。心理困扰变量采用结局问卷45 (OQ-45.2)测量,社会支持变量采用社会支持多维量表(MSPSS)测量,健康变量和健康变量采用五因素健康量表(5F-WEL)测量。结果:样本包括美国的95个AI/ANMHPs。采用Spearman秩序相关分析AI/ANMHPs中社会支持与心理困扰(RQ1)和社会支持与健康(RQ2)的关系。研究结果表明,社会支持与心理困扰呈显著负相关(rs= -0.386, p < 0.001);社会支持与心理健康呈显著正相关(rs= 0.439, p < 0.001)。结论:本研究发现两项具有统计学意义的相关性。社会支持与心理困扰呈显著负相关,与整体健康呈显著正相关。这些发现表明,当NAMHPs感受到更多的社会支持时,他们的心理困扰就会减少;因此,如果NAMHPs想要控制痛苦,他们需要更多的文化响应支持。
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引用次数: 0
Challenges Faced by Mexican Americans when Accessing Mental Health Care Service Utilization along the South Texas – Mexico border 墨西哥裔美国人在南德克萨斯-墨西哥边境获得精神卫生保健服务时面临的挑战
Pub Date : 1900-01-01 DOI: 10.33790/JMHSB1100128
Romeo Escobar, John M. Gonzalez, Denise A. Longoria, Nelda M. Rodriguez
The purpose of this study was to explore and describe the challenges Mexican Americans face when accessing mental health care service utilization along the South Texas-Mexico border. Disparities in access and use of health and mental health services have led Latinos to be disproportionately represented among those most at-risk for chronic health and mental health illnesses and less likely to receive guideline congruent care. Research on mental health service utilization has documented the presence of economic, cultural, and structural barriers that contribute to the underutilization of health services by Latinos. Researchers conducted three focus groups with 25 mental health providers in the South Texas-Mexico border region. Researchers followed a semi-structured question list and probed for detail from group participants. Kleinman’s Explanatory Model [1] guided the question list. The researchers used ethnographic content analysis to analyze the transcripts. Providers reported several challenges when it came to accessing mental health services. The challenges included limited access to insurance, minimal knowledge of mental health, lack of family involvement, few providers, medication management, stigma, and culture.
本研究的目的是探讨和描述沿南德克萨斯-墨西哥边境的墨西哥裔美国人在获得精神卫生保健服务时面临的挑战。在获得和使用卫生和精神卫生服务方面的差异导致拉丁美洲人在慢性健康和精神卫生疾病风险最高的人群中所占比例过高,并且不太可能获得指南一致的护理。对精神卫生服务利用的研究记录了经济、文化和结构性障碍的存在,这些障碍导致拉丁美洲人对卫生服务的利用不足。研究人员在南德克萨斯-墨西哥边境地区与25名心理健康提供者进行了三个焦点小组。研究人员遵循一份半结构化的问题清单,并从小组参与者那里探查细节。Kleinman的解释性模型[1]指导了问题列表。研究人员使用人种学内容分析来分析抄本。提供者报告了在获得心理健康服务方面的几个挑战。面临的挑战包括获得保险的机会有限、对精神卫生的了解很少、缺乏家庭参与、提供者很少、药物管理、污名化和文化。
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引用次数: 2
Social Connections and Community Engagement Trends Among Unaccompanied Refugee Minors Exiting Foster Care 离开寄养家庭的无人陪伴未成年难民的社会联系和社区参与趋势
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100168
Kerri Evans, Morgan Pardue-Kim, Rex D. Foster, H. Ferguson
The United States has more immigrants than any other country in the world. The Unaccompanied refugee minor program has been serving thousands of youth annually since the 1970s and yet there is still a dearth of research and some apprehension of how to assist these vulnerable children in making friends and supportive relationships in the US. Social ties, social support networks, and engagement in the local/ immigrant community have all been shown to help ease the transition to the United States and improve mental health well being for immigrants. A national refugee resettlement agency sent surveys to all the Unaccompanied Refugee Minors who had existed foster care program three to 15 months prior to assess their social connections and community engagement after the program ended. Thirty youth replied and results show that living arrangements varied among participants, social engagement in the community was present for most of the young adults, relationships were an aspect of social support, and reliance on public benefits was relatively low among respondents. There are implications for caseworkers in terms of case planning to help ensure youth are connected before they leave the program, and future recommendations for more in-depth research are included.
美国的移民比世界上任何其他国家都多。自20世纪70年代以来,无人陪伴的未成年难民项目每年为数千名青少年提供服务,但对于如何帮助这些弱势儿童在美国结交朋友和建立支持关系,仍然缺乏研究和一些担忧。社会关系、社会支持网络和参与当地/移民社区都被证明有助于缓解移民到美国的过渡,并改善移民的心理健康状况。一家国家难民重新安置机构在寄养项目结束前3至15个月向所有已存在的无人陪伴未成年难民发送了调查问卷,评估他们在项目结束后的社会关系和社区参与度。30名青年回答,结果显示,参与者之间的生活安排各不相同,大多数年轻人参与社区活动,关系是社会支持的一个方面,受访者对公共利益的依赖程度相对较低。在案例规划方面,这对个案工作者有启示,有助于确保青年在离开项目之前与社会联系起来,并包括对未来更深入研究的建议。
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引用次数: 0
Trauma-Informed Lawyering in The Asylum Process: Engagement and Practice in Immigration Law 庇护程序中的创伤知情律师:移民法的参与和实践
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100171
A. Webb, R. Gearing, H. Baker
Objectives: Individuals who have experienced trauma engage more effectively when approached by professionals using a trauma-informed perspective. While trauma-informed (TI) practice has been recognized in legal settings, including immigration law, the nascent concepts are not applied widely or uniformly, and information and training about TI best practices remains minimal. The objectives of this review include the 1) identification of core TI concepts described in the existing legal literature; (2) identification of core TI concepts noted in the literature that are being practiced in legal systems; and 3) presentation of implications and recommendations.Method: A systematic review was conducted across electronic law databases for TI legal practices in immigration and asylum-seeking settings, 389 articles were identified and screened for eligibility resulting in 21 articles being included. Abstracting data from each article, a coding framework was developed that formed into the following five domains: presence of trauma in legal systems; TI lawyering defined; benefits of TI lawyering; TI lawyering skills and techniques, and TI lawyering pedagogy.Results: Despite limited literature, research findings provide 1) justification for the importance and benefits of TI lawyering, and 2) recommendations for the implementation of TI lawyering through all stages of an immigration/asylum lawyer's training and practice.Conclusions: Drawing from the literature, this study highlights the importance of TI legal practice to support increased trust and safety, better attorney-client relationships, client empowerment, and improved representation in proceedings. A definition of TI lawyering emerged, and a series of specific pedagogical and practice recommendations are posited.
目的:当专业人士用创伤知情的观点与经历过创伤的人接触时,他们会更有效地参与。虽然创伤知情(TI)实践已经在法律环境中得到认可,包括移民法,但新生的概念并没有得到广泛或统一的应用,关于创伤知情最佳实践的信息和培训仍然很少。本综述的目标包括:1)识别现有法律文献中描述的核心信息技术概念;(2)识别法律体系中正在实践的文献中提到的核心TI概念;3)提出建议和启示。方法:对移民和寻求庇护设置中TI法律实践的电子法律数据库进行了系统审查,确定并筛选了389篇文章,最终纳入21篇文章。从每篇文章中提取数据,开发了一个编码框架,形成以下五个领域:法律制度中存在的创伤;TI律师定义;透明国际律师服务的好处;TI律师技能和技巧,以及TI律师教学法。结果:尽管文献有限,但研究结果提供了1)证明TI律师的重要性和益处的理由,以及2)通过移民/庇护律师培训和实践的各个阶段实施TI律师的建议。结论:根据文献,本研究强调了透明国际法律实践在支持增加信任和安全、更好的律师-客户关系、客户授权和改进诉讼代表性方面的重要性。TI律师的定义出现了,并提出了一系列具体的教学和实践建议。
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引用次数: 1
Hurt Pounds: A Biopsychosocial-spiritual study 伤害磅:生物、心理、社会、精神研究
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100111
Sherri Harper Woods, J. Mincher, Priscilla N. Gitimu
s Self-care in social work is acknowledged as a preventative, ethical and critical practice of holistic wellness. This article briefly introduces and reports the findings of 64 licensed social workers and counselors who participated in the Hurt Pounds: A Biopsychosocial-spiritual study. The Hurt Pounds study examined the potential Biopsychosocial-Spiritual (BPSS) relationship between self-com-passion, forgiveness, disordered eating, body image and body appreciation of licensed counselors and social workers as aspects of self-care. The article also introduces the theoretical framework on which the workshop was built and includes the practical applications of the BPSS model. The article concludes with guidelines for implementing the Hurt Pounds Self-care model workshop.
社会工作中的自我照顾被认为是一种预防性的、合乎道德的和重要的整体健康实践。本文简要介绍并报告了64名有执照的社会工作者和咨询师参加了“伤害磅:生物心理社会精神研究”的研究结果。Hurt Pounds的研究考察了持证咨询师和社会工作者在自我关怀方面的自我同情、宽恕、饮食失调、身体形象和身体欣赏之间潜在的生物心理社会精神(BPSS)关系。文章还介绍了研讨会建立的理论框架,包括BPSS模型的实际应用。文章总结了实施伤害磅自我护理模型研讨会的指导方针。
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引用次数: 0
Determinants of Risky Sexual Behaviors in an HBCU Community HBCU社区危险性行为的决定因素
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100116
E. Perkins, Fabio Chacon, Cordelia Obizoba, Brade-Stennis, Rita Wutoh, Leroy, Madison, G. Wells, Denote'Turner
After four decades of HIV/AIDS pandemic, African Americans represent at least 43 percent of infections but only makeup 12.6 percent of the USA population (Census Bureau, 2010). It is apparent from these rates that additional information is needed to further understand the possible linkages between HIV/AIDS infection and members of this ethnic group. This exploratory study analyzed relationships between knowledge and attitudes toward safe sex, and risky behaviors on an HBCU. Using purposive sampling, a group of 364 students was surveyed. Factors assessed as determinants of risky sexual behaviors were: (1) general HIV knowledge, (2) attitude towards safe sex practices, and (3) unprotected or unsafe sex practices. Findings suggest that the average count of risk incidents among women was significantly higher than men; however, women are more inclined to have preventive contagion practices for sexually transmitted diseases than men. In addition, they are more aware of what constitutes risky sexual behavior. The findings should assist universities in developing educational programs and culturally sensitive intervention and prevention strategies aimed at students who are at risk for participating in risky behaviors.
经过40年的艾滋病毒/艾滋病流行,非洲裔美国人至少占感染人数的43%,但只占美国人口的12.6%(人口普查局,2010年)。从这些比率可以明显看出,需要进一步了解艾滋病毒/艾滋病感染与这一族裔群体成员之间可能存在的联系。本探索性研究分析了HBCU中安全性行为的知识和态度与危险行为之间的关系。采用有目的抽样的方法,对364名学生进行了调查。被评估为危险性行为决定因素的因素有:(1)对艾滋病毒的一般知识;(2)对安全性行为的态度;(3)无保护或不安全的性行为。研究结果表明,女性的平均风险事件数量明显高于男性;但是,妇女比男子更倾向于采取预防性传染措施来预防性传播疾病。此外,他们更清楚什么是危险的性行为。研究结果应该有助于大学制定教育计划和文化敏感的干预和预防策略,针对那些有参与危险行为风险的学生。
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引用次数: 0
It Takes a Village: A Policy Analysis of Texas Permanency Care Assistance Act 它需要一个村庄:德克萨斯州永久护理援助法案的政策分析
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100110
D. Ivey
there are limitations and unintended consequences of the policy with regard to the well-being of the children in kinship foster care. Additionally, the results indicated that social workers can collaborate as liaisons with all parties involved, known as the village, to improve policy practice.
在亲属寄养儿童的福利方面,该政策存在局限性和意想不到的后果。此外,研究结果表明,社会工作者可以作为联络人与相关各方(即村庄)合作,以改善政策实践。
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引用次数: 0
期刊
Journal of Mental Health and Social Behaviour
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