从创伤理论分析《藻海无边》中安托瓦内特的身份追寻

《藻海无边》是英国女作家琼·里斯的代表作,小说一经发表就引起了国内外学者的关注。目前大多数学者都试图从后殖民主义和女性主义分析它,本文试图从创伤理论分析安托瓦内特悲惨的追寻身份的历程,并指出克里奥尔人的尴尬处境。     

Potential impact of the validated Predicting Abusive Head Trauma (PredAHT) clinical prediction tool: A clinical vignette study

BackgroundThe validated Predicting Abusive Head Trauma (PredAHT) tool estimates the probability of abusive head trauma (AHT) in children <3 years old with intracranial injury.ObjectiveTo explore the impact of PredAHT on clinicians’ AHT probability estimates and child protection (CP) actions, and assess inter-rater agreement between their estimates and between their CP actions, before and after PredAHT.Participants and SettingTwenty-nine clinicians from different specialties, at teaching and community hospitals.MethodsClinicians estimated the probability of AHT and indicated their CP actions in six clinical vignettes. One vignette described a child with AHT, another described a child with non-AHT, and four represented “gray” cases, where the diagnosis was uncertain. Clinicians calculated the PredAHT score, and reported whether this altered their estimate/actions. The ‘think-aloud’ method was used to capture the reasoning behind their responses. Analysis included linear modelling, linear mixed-effects modelling, chi-square tests, Fisher’s exact tests, intraclass correlation, Gwet’s AC₁ coefficient and thematic analysis.ResultsOverall, PredAHT significantly influenced clinicians’ probability estimates in all vignettes (p < 0.001), although the impact on individual clinicians varied. However, the influence of PredAHT on clinicians’ CP actions was limited; after using PredAHT, 9/29 clinicians changed their CP actions in only 11/174 instances. Clinicians’ AHT probability estimates and CP actions varied somewhat both before and after PredAHT. Qualitative data suggested that PredAHT may increase clinicians’ confidence in their decisions when considered alongside other associated clinical, historical and social factors.ConclusionsPredAHT significantly influenced clinicians’ AHT probability estimates, but had minimal impact on their CP actions.     

College Students’ Relationship Between Trauma and Disordered Eating

Among college students, a correlation exists between trauma exposure and eating disorders. Although disordered eating behaviors are more prevalent than eating disorders, the relationship between different types of trauma exposure and disordered eating is unknown. The current study explored this relationship. One hundred two participants completed questionnaires on disordered eating and trauma exposure. Results showed that (a) sexual abuse was a significant predictor of concerns regarding food and weight gain (p < .05) and (b) other form of trauma (e.g., natural disaster) was a significant predictor of difficulties in individuals’ relationship with food (p < .05). Clinical implications, especially those related to trauma assessment and disordered eating behaviors, are discussed. The importance of examining the impact of nonsexual trauma is described, and the clinical utility of breaking eating pathology down into specific abnormal attitudes and behaviors is highlighted.