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Constructing ‘the Psychopath’: A Discourse Analysis of Psychologists’ Understandings of Psychopathy 建构“精神病患者”:心理学家对精神病理解的话语分析
Pub Date : 2018-04-30 DOI: 10.14391/AJHS.14.38
Kitty Clark-McGhee, Maria Castro Romero
Background: Psychopathy is a controversial psychological construct used within forensic settings to understand the psychology of forensic service users. Contemporary research into psychopathy indicates ontological confusion, limitations with assessment practices and the presence of a negative bias towards individuals identified as psychopathic. Aims: A moderate social constructionist epistemology underpins this study. Its purpose was to widen the clinical frame of psychopathy via sociological inquiry through an examination of how ‘the psychopath’ is constructed discursively by a particular group of specialists working directly with individuals with a psychopathy label. Methods: Subjects were eight clinical psychologists currently working throughout the UK in forensic mental health settings (low, medium and high-secure hospitals). Semi-structured interviews were conducted and the data were analysed qualitatively, using Discourse Analysis methods. Findings: Analysis demonstrated that persons with psychopathy are constructed as problematised individuals, located within four overarching, recurrent discursive sites: dangerous, challenging, manipulative, and psychologically deficient. Participants utilised ‘at risk’ and ‘trauma’ discourses to explain the aetiology of psychopathy and ‘intuition’ talk was employed as a marker of the presence of psychopathy. The findings of the study and their clinical implications are discussed.
背景:精神病是一个有争议的心理结构,在法医设置中用于理解法医服务使用者的心理。当代对精神病的研究表明本体论的混乱,评估实践的局限性以及对被确定为精神病患者的个体存在负面偏见。目的:适度的社会建构主义认识论是本研究的基础。它的目的是通过社会学调查来扩大精神病的临床框架,通过检查“精神病患者”是如何由一群直接与精神病患者标签的个人一起工作的专家话语构建的。方法:研究对象为8名临床心理学家,目前在英国各地的法医精神卫生机构(低、中、高安全医院)工作。进行半结构化访谈,并使用话语分析方法对数据进行定性分析。研究结果:分析表明,精神病患者被构建为有问题的个体,位于四个主要的、反复出现的话语区域:危险的、具有挑战性的、操纵性的和心理缺陷的。参与者使用“风险”和“创伤”话语来解释精神病的病因,“直觉”话语被用作精神病存在的标志。本文对研究结果及其临床意义进行了讨论。
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引用次数: 0
Promoting Wellbeing: Amylase as an Indicator of Changes in Stress Level in People with Intellectual Disabilities 促进健康:淀粉酶作为智障人士压力水平变化的指标
Pub Date : 2017-04-30 DOI: 10.14391/AJHS.12.60
Nigel Marshall, Kagari Shibazaki
In this paper we present the results of two small scale, pilot studies which explore the use of a small hand-held monitor used for measuring the relative levels of the digestive enzyme, Amylase, in the saliva of a population of adolescent children with intellectual disabilities, who experienced a music concert. Our hypothesis was that experiencing the concert would significantly reduce the levels of stress in each individual and thus promote an increased level of wellbeing. The study also focussed on exploring the extent to which salivary amylase activity (SAA) can be measured and used as an indicator of relative changes in levels of stress and ultimately, to see the extent to which such measurements could give ‘voice’ to individuals with intellectual disability. In the event, our hypothesis was not supported in that participants did not display decreased levels of SAA to a level of significance. However, further analysis and triangulation of the initial results through the case notes of each individual suggested that in fact the SAA measures were accurate and that the expectation that all participants would respond in an identical fashion, had been un-realistic.
在本文中,我们介绍了两项小规模的试点研究的结果,这些研究探索了使用小型手持监测器来测量一群智力残疾的青少年儿童的唾液中消化酶淀粉酶的相对水平,他们经历了一场音乐会。我们的假设是,体验音乐会可以显著降低每个人的压力水平,从而提高幸福感。该研究还着重于探索唾液淀粉酶活性(SAA)的测量程度,并将其作为压力水平相对变化的指标,最终,看看这种测量在多大程度上可以为智障人士提供“发言权”。在这种情况下,我们的假设没有得到支持,因为参与者的SAA水平没有下降到显著水平。然而,通过每个人的案例笔记对初步结果进行进一步分析和三角测量表明,事实上,SAA的测量是准确的,期望所有参与者都以相同的方式作出反应是不现实的。
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引用次数: 1
Encouraging Exercise Participation amongst UK South Asians : the case of a community gym 鼓励英国南亚人参与运动:以社区健身房为例
Pub Date : 2017-04-30 DOI: 10.14391/AJHS.12.46
N. King, A. Little
Regular physical activity(PA) is recognised as playing a key role in promoting good health and tackling obesity. In many parts of the world there are concerns that people do not undertake sufficient PA, and that this problem is often worse for certain groups in the population. Low levels of PA amongst South Asian (SA) adults in the United Kingdom concern health policy makers and professionals because of the higher incidence of heart disease in this group than in the general population. Interventions have helped increase PA levels in white populations but have shown little success in engaging SA adults. One explanation is that interventions emphasise individual responsibility for health and pay relatively less attention to socio-cultural constraints on behaviour. Using qualitative, semi-structured interviews, we investigated influences on PA amongst 13 SA adults (aged 23-70) living in Halifax, Yorkshire, UK. The setting for our study was the participants’ community gym. A key aim was to identify characteristics of the gym that influenced usage by the local SA population. We found the gym had successfully engaged SA adults in a programme of regular PA, and that a sense of its “embeddedness” in the local community was crucial to this. Implications for practice and research in health promotion and obesity prevention are discussed
有规律的体育活动(PA)被认为在促进健康和解决肥胖问题方面发挥着关键作用。在世界上许多地方,人们担心人们没有承担足够的PA,而且这个问题对人口中的某些群体来说往往更严重。英国南亚(SA)成年人的低水平PA引起卫生政策制定者和专业人士的关注,因为该群体的心脏病发病率高于一般人群。干预措施有助于提高白人群体的PA水平,但对白人成年人的干预收效甚微。一种解释是,干预措施强调个人对健康的责任,相对较少关注社会文化对行为的制约。采用定性、半结构化访谈,我们调查了居住在英国约克郡哈利法克斯的13名SA成年人(23-70岁)对PA的影响。我们研究的背景是参与者的社区健身房。一个关键目的是确定影响当地SA人口使用健身房的特征。我们发现,健身房成功地让南非成年人参与了定期的私人健身计划,而它在当地社区的“嵌入感”对此至关重要。讨论了健康促进和肥胖预防的实践和研究意义
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引用次数: 0
Actual Situation of the Strengths of Elderly Community Residents Living Alone 社区独居老年人优势现状分析
Pub Date : 2016-10-30 DOI: 10.14391/AJHS.11.86
Yoshiko Kurokawa, Y. Tsuchiya, Yuko Fujio, Shizuka Harada, Miki Shibasaki, N. Ogawa, Shinko Minotani
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引用次数: 0
The Verification of Reliability and Validity of the SNEAT Based on the Data from Kagoshima Prefecture:A Study on the Standardization of the SNEAT 基于鹿儿岛县数据的SNEAT信效度验证——关于SNEAT标准化的研究
Pub Date : 2016-10-30 DOI: 10.14391/AJHS.11.124
Changwan Han, Aiko Kohara
The Special Needs Education Assessment Tool (SNEAT) were verified of reliability and validity. However, the reliability and validity has been verified is only Okinawa and Miyagi Prefecture, the national data has not been analyzed. Therefore, this study aimed to verify the reliability and construct validity of SNEAT in Kagoshima Prefecture as part of the national survey. SNEAT using 32 children collected from the classes on Jiritsu-Katusdo (independent activity) for children with disabilities in Kagosima Prefecture between October and November 2015. Survey data were collected in a longitudinal prospective cohort study. The reliability of SNEAT was verified via the internal consistency method; the coefficient of Cronbach’s α were over 0.7. The validity of SNEAT was also verified via the latent growth curve model. SNEAT is valid based on its goodness-of-fit values obtained using the latent growth curve model. These results indicate that SNEAT has high reliability and construct validity in Kagoshima Prefecture.
对特殊需要教育评估工具(SNEAT)的信度和效度进行了验证。然而,信度和效度得到验证的仅是冲绳县和宫城县,全国数据尚未进行分析。因此,本研究旨在验证鹿儿岛县SNEAT作为全国调查的一部分的信度和构建效度。SNEAT使用了2015年10月至11月期间从鹿儿岛县残疾儿童独立活动Jiritsu-Katusdo(独立活动)班收集的32名儿童。调查数据收集于一项纵向前瞻性队列研究。通过内一致性法验证了SNEAT的可靠性;Cronbach’s α系数均大于0.7。通过潜在生长曲线模型验证了SNEAT的有效性。SNEAT是有效的,其拟合优度是由潜在生长曲线模型得到的。结果表明,SNEAT在鹿儿岛县具有较高的信度和结构效度。
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引用次数: 2
Factors Related to Japanese Nurses’ Tolerance Toward Indonesian Nurse Trainees 日本护士对印尼实习护士容忍度相关因素分析
Pub Date : 2016-10-30 DOI: 10.14391/AJHS.11.1
Sae Tanaka, H. Matsunaga, Norihito Noguchi, Kaoru Shibayama, Akina Ishibashi, Kazuyuki Akinaga, Nahoko Kakihara, Y. Fukuyama, K. Shinchi
Objectives: This study aimed to clarify factors related to Japanese nurses’ tolerance toward Indonesian nurse trainees. Methods: We conducted a self-administered questionnaire survey from May 21, 2015 to June 13, 2015 targeting Japanese nurses in a hospital accepting Indonesian nurse trainees. Results: We received responses from 97 of the 109 participants (collection rate: 89%, valid response rate: 100%). “Length of education,” “overseas travel experience,” “number of countries traveled,” “length of stay,” and “foreign language learning experience” were significantly related to tolerance and this supported results from previous research targeting residents. Foreign language learning experience had a significantly greater influence on increasing tolerance compared to agreement with policies on introducing foreign nurses. These are important findings when considering future nurse education and smooth cooperation with foreign nurses. Conclusion: Factors related to tolerance were length of education and experience with different cultures.
目的:本研究旨在厘清日本护士对印尼护生容忍的相关因素。方法:于2015年5月21日至2015年6月13日对某印尼护士培训医院的日籍护士进行问卷调查。结果:109名参与者中,我们收到了97名参与者的回复(回收率:89%,有效回复率:100%)。“受教育年限”、“海外旅游经历”、“旅游国家数量”、“停留时间”和“外语学习经历”与容忍度显著相关,这支持了之前针对居民的研究结果。与同意引进外籍护士的政策相比,外语学习经验对增加容忍度的影响要大得多。这些都是未来护士教育和与外籍护士顺利合作的重要发现。结论:受教育年限和不同文化背景与容忍度有关。
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引用次数: 1
Effects of Cardiac Rehabilitation on Health-Related Quality of Life in patients with Cardiovascular Disease 心脏康复对心血管疾病患者健康相关生活质量的影响
Pub Date : 2016-10-30 DOI: 10.14391/AJHS.11.111
Chaeyoon Cho, Chaewon Lee, Minji Kim, M. Kohzuki
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引用次数: 5
Seeking Asylum: The Benefits for Clients, Family Members and Care-givers of Using Music in Hospice Care 寻求庇护:在临终关怀中使用音乐对客户,家庭成员和护理人员的好处
Pub Date : 2016-10-30 DOI: 10.14391/AJHS.11.18
Nigel Marshall, Kagari Shibazaki
The arts are becoming an increasingly important feature of care and their value in promoting increased levels of wellbeing is continually being experienced but not yet well understood. Similarly, the arts, and especially music appear to be able to bring increased levels of wellbeing to clients, family members and nursing staff, when used as an integral part of hospice, or end of life care. This article adopts an expanded definition of the word 'asylum' in order to assess the extent to which a series of musical concerts can contribute to the well being of all those involved in end of life care contexts. The research involved carrying out observations and interviews with clients, care workers and family members who experienced a musical event. Interviews were carried out with individual participants before and after a one hour concert carried out within an open social space either within a hospice or a care facility. All concerts were given by one or two musicians with significant levels of experience of performing in such concerts. Observations of responses were also carried out during each of the concerts and notes were recorded accordingly. Ethical permission for the work was provided by the lead university. Results suggest that the concert experience provided significant levels of emotional support, was an ideal medium for promoting new and positive memories, and provided brief periods of respite for all those involved.
艺术正在成为护理的一个越来越重要的特征,它们在促进健康水平提高方面的价值不断得到体验,但尚未得到很好的理解。同样,艺术,尤其是音乐,当被用作临终关怀或临终关怀的一个组成部分时,似乎能够给客户、家庭成员和护理人员带来更高水平的幸福。本文采用了“庇护”一词的扩展定义,以评估一系列音乐会在多大程度上有助于所有参与临终关怀环境的人的福祉。这项研究包括对经历过音乐活动的客户、护理人员和家庭成员进行观察和采访。在临终关怀或护理机构的一个开放的社会空间内进行的一小时音乐会之前和之后,对个人参与者进行了采访。所有的音乐会都是由一到两位具有丰富演出经验的音乐家举办的。在每次音乐会期间还对反应进行了观察,并相应地记录了笔记。这项工作的伦理许可是由领导大学提供的。结果表明,音乐会的经历提供了显著水平的情感支持,是促进新的和积极的记忆的理想媒介,并为所有参与者提供了短暂的喘息时间。
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引用次数: 0
Online Portal 'Social Service Market': An Activation Strategy for the Social Service Market of Korea 门户网站“社会服务市场”:韩国社会服务市场的激活策略
Pub Date : 2016-10-30 DOI: 10.14391/AJHS.11.57
Taekyun Yoo, Jaok Kim, Seoyeoun Park, Kwiyeom Ko, Sungmin Kang
In Korea, social service has been introduced by the Korean government in the early 2000 as the last component of the nation’s Social Security system. Despite the government’s arduous efforts, the development of social service sector has been sluggish, and today the social service market lacks vitality. The primary cause of this problem is the government’s control over social service prices; yet, the alteration of the price control policy cannot be a feasible solution to the problem. A 3-year-R&D project aiming at formulating a solution to the problem was proposed by the authors and approved by the Ministry of Health and Welfare. For the last two years, the authors have developed an online portal ‘Social Service Market’ and implemented various demonstration programs. By using the online portal, the authors have attempted to turn latent consumers and providers of social services into active participants of the social service market. So far, the attempt has been found successful; and the objectives and outcomes of the last years of project are discussed detail in this paper. During the remaining one year of the R&D project, the authors are to improve the online portal so that it serves the consumers and providers of social services as a limit free platform. social service, online portal, social service market, activation strategy ytk3471@ssu.ac.kr(Taekyun YOO; Korea) Asian J Human Services, 2016, 11:57-69. © 2016 Asian Society of Human Services 1 This study was supported by the Korea Health Industry Development Institute through Social Service R & D Fund (No. HI14C1101) Received October 11, 2016 Revised October 18, 2016 Accepted October 20, 2016 Published October 30, 2016 DOI: http://dx.doi.org/10.14391/ajhs.11.57 Asian Journal of Human Services, VOL.11 57-69
在韩国,社会服务是2000年初作为国家社会保障体系的最后一个组成部分引入的。尽管政府做出了艰苦的努力,但社会服务领域的发展一直停滞不前,今天的社会服务市场缺乏活力。造成这一问题的主要原因是政府对社会服务价格的控制;然而,改变价格管制政策并不是解决问题的可行办法。作者提出了一项为期三年的研究开发项目,旨在制定解决这一问题的办法,并得到了卫生和福利部的批准。在过去两年中,作者开发了一个在线门户网站“社会服务市场”,并实施了各种示范项目。通过使用在线门户,作者试图将潜在的社会服务消费者和提供者转变为社会服务市场的积极参与者。到目前为止,这一尝试是成功的;并详细论述了近年来项目的目标和成果。在剩余一年的研发项目中,作者将对在线门户进行改进,使其作为一个限制免费的平台服务于消费者和社会服务提供者。社会服务,在线门户,社会服务市场,激活策略ytk3471@ssu.ac.kr(YOO Taekyun;[J]人力资源管理,2016,(11):57-69。©2016亚洲人类服务协会1本研究由韩国健康产业开发院通过社会服务研究与发展基金(No. 6)支持。HI14C1101)收稿日期:2016年10月11日修订日期:2016年10月18日接收日期:2016年10月20日发布日期:2016年10月30日DOI: http://dx.doi.org/10.14391/ajhs.11.57 Asian Journal of Human Services, VOL.11 57-69
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引用次数: 0
Partnership working in the long-term care system for older people: cross-national learning from England, the Netherlands and Taiwan 长者长期照护系统的合作:英国、荷兰及台湾的跨国学习
Pub Date : 2016-10-30 DOI: 10.14391/AJHS.11.31
H. Chen
This paper based on qualitative cross-national research at national, municipal and local level in England, the Netherlands and Taiwan explores whether relevant actors were sharing the same goals, whether they communicated well with each other and whether they were working together with the service users. Through horizontal and vertical partnership analysis, the study found the care actors from top to bottom were not always sharing the same goals and priorities about how long-term care should be delivered. The split between health and social care in the care system has constituted a great challenge in working in partnership in English and Taiwanese practice. Whereas having a strong culture and ideology of solidarity and consultation embedded in the care system has helped the Dutch care actors to have a more equal working partnership. Most importantly, the involvement of all the care actors in policy and practice planning and decision making is crucial if a better joint-working structure to fulfil the policy intention of providing a seamless long-term care service in practice is to be achieved.
本文以英国、荷兰和台湾的国家、市和地方层面的定性跨国研究为基础,探讨相关行为者是否有共同的目标,他们是否相互沟通良好,他们是否与服务使用者共同努力。通过横向和纵向的伙伴关系分析,该研究发现,从上到下的护理行为者在如何提供长期护理方面并不总是共享相同的目标和优先事项。医疗保健系统中健康和社会护理的分离对英台合作实践构成了巨大的挑战。鉴于在护理系统中嵌入强大的团结和协商文化和意识形态有助于荷兰护理行为者建立更平等的工作伙伴关系。最重要的是,如果要实现一个更好的联合工作结构,以实现在实践中提供无缝的长期护理服务的政策意图,所有护理行动者参与政策和实践规划和决策是至关重要的。
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引用次数: 1
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Asian journal of human services
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