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  • Cultural competence in mental health services: Theoretical orientations and practical strategies

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2020-01-18

    Abstract: The cultural competence of mental health services has gradually developed as increasing attention has been paid to the cultural diversity of Europe and North America. There exist two differing theoretical orientations with similar practice strategies. The content-oriented approach emphasizes static, structured cultural competence, while the process-oriented approach stresses dynamic, unstructured cultural competence. The similarities and difficulties of the two orientations are manifestations of a balance between cultural specificity and generality in the studies and practices of cultural competence. The paper finally explores how to promote cultural competence in China based on experiences abroad and Chinese realities within the context of improving the system of public psychological services.

  • Preliminary Establishment of Chinese Doctor-Patient Trust Scales and their Reliability and Validity

    Subjects: Psychology >> Social Psychology submitted time 2019-08-14

    Abstract: In order to compile the Chinese Doctor-Patient Trust Scales, after a series of analysis of pre-tested, such as items analysis, exploratory factor analysis and confirmatory factor analysis, 9 items of the Patients’ Presupposed Trust Subscale, 13 items of the Patients’ Realistic Trust Subscale and 8 items of the Physicians’ Trust Scale were established. And in this way, a preliminary test was conducted on 2658 patients and 1229 doctors in a convenience sampling manner nationwide. The results of both tests show that the Patients’ Trust Scale can only be used as a single-dimensional total scale, while the Physicians’ Trust Scale can be divided into two dimensions: “relationship perception” and “defense mentality”. The internal consistency coefficients of the Patients’ Presupposed Trust Subscale, the Patients’ Realistic Trust Subscale, and the Physicians’ Trust Scale are 0.71, 0.85, and 0.63 respectively. The parameters of the criterion validity and confirmatory factor analysis are all within the acceptable range. The validity of the expert evaluation of the test is adequate. The Patients’ Presupposed Trust Subscale can be used to understand the general trust level of the patients to the doctor community from the intergroup level. The Patients’ Realistic Trust Subscale can be used to understand the patients’ special trust level to the specific doctor from the interpersonal level; The Physicians’ Trust Scale can be used to assess the trust of the physician in the individual patient they are receiving. The combination of the three can be used to assess the trust matching between doctors and patients. "

  • Lay theories of illness and their influences on doctor-patient relationships

    Subjects: Psychology >> Social Psychology submitted time 2018-11-16

    Abstract: Lay theories of illness are a collection of lay people’s knowledge, explanations, and attitudes toward a particular disease. Compared with medical professionals, lay people are more concerned with the pathogenic effects of psychological, family and social factors than biological factors. They choose diverse medical treatments rather than follow the standardized medical model; they are more willing to treat the disease experience as a special issue of personal life and develop a constructive understanding. The discrepancies between lay theories of illness and scientific medical theories can lower patient’s satisfaction with medical care, trust in medical practitioners, and adherence to doctor’s advice, thereby affecting treatment outcomes. It is believed that studying Chinese lay theories of illness, their impact on doctor–patient relationships and the social psychological mechanism thereof, in the context of the Chinese medical culture and medical system, will provide useful suggestions for reducing the current tension between doctors and patients in China. "

  • Lay theories of illness and their influences on doctor-patient relationships

    Subjects: Psychology >> Social Psychology submitted time 2018-11-15

    Abstract: Lay theories of illness are a collection of lay people’s knowledge, explanations, and attitudes toward a particular disease. Compared with medical professionals, lay people are more concerned with the pathogenic effects of psychological, family and social factors than biological factors. They choose diverse medical treatments rather than follow the standardized medical model; they are more willing to treat the disease experience as a special issue of personal life and develop a constructive understanding. The discrepancies between lay theories of illness and scientific medical theories can lower patient’s satisfaction with medical care, trust in medical practitioners, and adherence to doctor’s advice, thereby affecting treatment outcomes. It is believed that studying Chinese lay theories of illness, their impact on doctor–patient relationships and the social psychological mechanism thereof, in the context of the Chinese medical culture and medical system, will provide useful suggestions for reducing the current tension between doctors and patients in China.

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