Managing Health Care in Oregon: The Search for a Civic Bioethics

Managed health care deliberations in Oregon point to a "civic bioethics" model to resolve allocation issues through publicly articulated community values and priorities that influence legislative action. Communication practices in the Oregon experiment provide data to develop an evaluative framework to assess public moral deliberation in value-laden contexts such as health care distribution. The Oregon experience also points to dialogical virtues to heighten citizens' ethical sensibilities and political will, discursive tools to inform ethical communication practices in a civic bioethics model.     

Understanding how social worker compassion fatigue and years of experience shape custodial decisions

BackgroundCompassion fatigue (i.e., a worker’s diminished ability to empathize with clients) is common among “helping workers” and can result in psychological detachment from clients as a coping mechanism.ObjectiveIn the present research, we explored the relationship between social workers’ compassion fatigue and years of job experience on hypothetical child custody case judgments.Participants and settingIn two separate studies, individuals with experience working with children in child dependency court (predominantly social workers, Study 1: N = 173, Study 2: N = 119) were recruited on Amazon’s Mechanical Turk and read a vignette depicting a mother attempting to regain custody.ResultsSupporting hypotheses, compassion fatigue significantly mediated the relationship between increased years of social worker job experience on recommendations that a neglectful mother receive custody, Indirect Effect = .06, CIs [.026, .127] (Study 1). We also found preliminary support for our hypothesized theoretically derived serial path model, in which (a) social worker compassion fatigue predicts anticipated secondary traumatic stress associated with the child neglect case, B = .54, p = .0001; (b) secondary traumatic stress predicts detachment from the neglected child, B = .27, p = .0003; (c) detachment from the child predicts job efficacy cynicism B = .65, p < .0001; and (d) job efficacy cynicism predicts decisions to allocate custody to the neglectful mother, B = .46, p = .005 (Study 2).ConclusionOur research shows that compassion fatigue among social workers may change the lens through which they perceive cases of child abuse.     

是咒还是诗？——读洛夫《大悲咒》兼谈元语言理论与诗歌阐释

《大悲咒》全诗竭力写“大悲”,诗情的着力点却在漂泊,诗中的抒情主体为天涯浪迹者,欲与禅的纠葛是其形而上的呈现.漂泊天涯者,思乡又超脱于乡,其间多味杂陈,无限纠葛,此一悖论可谓《大悲咒》乃至洛夫诗歌之头条悖论.禅与诗的元语言交融,促成诗歌“无理而妙”的艺术效果;诗、禅与现实世界的元语言冲突,带来阅读的晦涩感.较低层次的晦涩,因“用钥匙砍柴,用斧头开门”的元语言误用而起,一般可以解决和避免;较高层次的晦涩,则为漩涡状态的复义,实乃诗歌的绝妙艺术.     

Compassion in the face of terror: a case study of recognizing suffering,co-creating hope,and developing trust in a would-be school shooting

Current theoretical conceptualizations of compassion say little about communicating compassion to people whose suffering is wrapped in a cloak of anger, threat, resistance, and fear. This article attends directly to this issue by examining the conversational particulars of compassion communicated by school bookkeeper Antoinette Tuff to would-be school shooter Michael Hill. The case serves as the basis for advancing propositions about communicating compassion to unwilling recipients and suggests the importance of careful conversational timing, face-enhancement strategies, convergence/mirroring techniques, co-creating hope, physical presence, and vulnerable self-disclosure. The case extends current conceptualizations of compassion and provides a vivid picture for enacting compassion when sufferers are angry, threatening, or resisting help.     

Managing Health Care in Oregon: The Search for a Civic Bioethics

Managed health care deliberations in Oregon point to a "civic bioethics" model to resolve allocation issues through publicly articulated community values and priorities that influence legislative action. Communication practices in the Oregon experiment provide data to develop an evaluative framework to assess public moral deliberation in value-laden contexts such as health care distribution. The Oregon experience also points to dialogical virtues to heighten citizens' ethical sensibilities and political will, discursive tools to inform ethical communication practices in a civic bioethics model.     

Mindfulness meditation for future early childhood teachers in Japan

To prevent future burnout and turnover among early childhood education students, mindfulness training may hold promise as a measure. A lab-based pilot and classroom-based feasibility study was designed to investigate an effective way to introduce mindfulness meditation. Results suggested that two types of audio-guided mindfulness meditation, a sitting meditation and a compassion meditation reduced stress level, and that the compassion meditation was perceived as more comfortable than the sitting meditation. As a tentative conclusion, the compassion meditation may be introduced first before the sitting meditation. Additional studies should examine the effects of longer-term meditation practice on teaching career development.     

Compassionate Communication in the Workplace: Exploring Processes of Noticing, Connecting, and Responding

This research contributes to the growing body of literature exploring emotion and communication in the workplace by considering the workers in a variety of jobs that require “compassionate communication.” Compassion is conceptualized as one form of emotional work and is theoretically developed through a model that highlights the subprocesses of noticing, feeling, and responding. Analyses of interviews with 23 workers in a wide range of human service jobs indicated a number of complexities in the communication of compassion in the workplace. Processes of “noticing” included both noticing the need for compassion and noticing details of clients' lives in order to communicate more successfully in compassionate ways. Processes of “connecting” included both emotional processes (empathy) and cognitive processes (perspective taking). Processes of “responding” included both nonverbal strategies, such as immediacy behaviors and environmental structuring, and verbal strategies for balancing the informational and emotional content of messages. These results are interpreted in the light of both contemporary and traditional communication theory, and practical implications are presented for human service workers and others involved in compassionate communication in the workplace.     

Health-care Provider Compassionate Love and Women's Infertility Stressors

The purpose of the present study was to examine relationships between doctor compassionate love and treatment, relational, and psychological stressors, as well as to identify effective health-care provider compassionate messages. Participants were 233 women who had been treated for infertility in the past 12 months. Doctor compassionate love was directly associated with positive affect during treatment, perceived treatment stress, and self-esteem. Additionally, perceived treatment stress mediated the relationship between doctor compassionate love and social and marital stress, as well as self-esteem and depression. Participants identified five categories of memorable compassionate messages sent by health-care providers, including offering hope, privileging the patient ahead of the self, practicing patient-centeredness, empathizing, and nonverbally communicating. Messages that constituted privileging the patient ahead of the self and nonverbally communicating were significantly more compassionate than those of offering hope. The study provides implications for the clinical treatment of infertile women and a practical tool for doing so compassionately.     

传统的人格理想与古典的美学精神——季羡林先生散文研究

季羡林先生具有明确、独到的散文观。其文包含了道家智慧、“士”的意识的积极因素及“天人合一”的宇宙观。其文又继承与发扬了中国古典的美学精神,呈现出章法的附会美、内在的韵律美、语言的精炼美。     

Examining the Relationship between Math Self‐Efficacy and Statistics Motivation in the Introductory Business Statistics Course: Self‐Compassion as a Mediator

Because business statistics students often experience a lack of statistical motivation, business educators need to understand the factors that influence students’ motivation levels in undergraduate‐level business statistics courses. The purpose of this study was to examine the role of math self‐efficacy and self‐compassion on students’ motivation levels and the gender differences among the main variables. The regression results showed that math self‐efficacy was a positive predictor of statistics motivation. Self‐compassion was also found to be a partial mediator of the relationship between math self‐efficacy and statistics motivation. Gender differences were also found in business students’ math self‐efficacy, self‐compassion, and statistics motivation.