72 research outputs found

    Access to general health care services by a New Zealand population with serious mental illness.

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    INTRODUCTION: Literature suggests that good quality health care access can have a positive impact on the health of people with serious mental illness (SMI), but literature relating to patterns of access by this group is equivocal. AIM: This study was designed to explore health care access patterns in a group of people with SMI and to compare them with a general New Zealand population group, in order for health providers to understand how they might contribute to positive health outcomes for this group. METHODS: The study surveyed 404 mental health consumers aged 18-65 years receiving care from one district health board in Auckland about their patterns of health care access. Results were compared with those from the New Zealand Health Survey of the general population. RESULTS: Findings suggest that the SMI consumer respondents had poorer physical health than the general population respondents, accessed health care services in more complex ways and were more particular about who they accessed for their care than the general population respondents. There was some concern from SMI consumers around discrimination from health care providers. The study also suggested that some proactive management with SMI consumers for conditions such as metabolic syndrome was occurring within the health care community. DISCUSSION: The first point of access for SMI consumers with general health problems is not always the family general practitioner and so other health professionals may sometimes need to consider the mental and physical health of such consumers in a wider context than their own specialism

    So Good It Has to Be True: Wishful Thinking in Theory of Mind

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    In standard decision theory, rational agents are objective, keeping their beliefs independent from their desires. Such agents are the basis for current computational models of Theory of Mind (ToM), but the accuracy of these models are unknown. Do people really think that others do not let their desires color their beliefs? In two experiments we test whether people think that others engage in wishful thinking. We find that participants do think others believe that desirable events are more likely to happen, and that undesirable ones are less likely to happen. However, these beliefs are not well calibrated as people do not let their desires influence their beliefs in the task. Whether accurate or not, thinking that others wishfully think has consequences for reasoning about them. We find one such consequence—people learn more from an informant who thinks an event will happen despite wishing it was otherwise. People’s ToM therefore appears to be more nuanced than the current rational accounts in that it allows other’s desires to directly affect their subjective probability of an event

    Against the complex versus simple distinction

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    This paper examines three proposals on the difference between complex and simple views about personal identity: Parfit’s original introduction of the distinction, Gasser and Stefan’s definition and Noonan’s recent proposal. I argue that the first two classify the paradigm cases of simplicity as complex, while Noonan’s proposal makes simplicity and complexity turn on features whose relevance for the distinction is questionable. Given these difficulties, I examine why we should be interested in whether a position is complex or simple. I describe two purposes of having a distinction, and show that extant accounts of the complex vs. simple distinction fail to serve these. I argue that unless we find a satisfying account of the difference between complex and simple positions, we should not frame discourses on personal identity in these terms.Publisher PDFPeer reviewe

    Comparing early adolescents’ positive bystander responses to cyberbullying and traditional bullying: the impact of severity and gender

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    Young people are frequently exposed to bullying events in the offline and online domain. Witnesses to these incidents act as bystanders and play a pivotal role in reducing or encouraging bullying behaviour. The present study examined 868 (47.2% female) 11-13-year-old early adolescent pupils’ bystander responses across a series of hypothetical vignettes based on traditional and cyberbullying events. The vignettes experimentally controlled for severity across mild, moderate, and severe scenarios. The findings showed positive bystander responses (PBRs) were higher in cyberbullying than traditional bullying incidents. Bullying severity impacted on PBRs, in that PBRs increased across mild, moderate, and severe incidents, consistent across traditional and cyberbullying. Females exhibited more PBRs across both types of bullying. Findings are discussed in relation to practical applications within the school. Strategies to encourage PBRs to all forms of bullying should be at the forefront of bullying intervention methods

    What Research Has to Say About Gender-Linked Differences in CMC and Does Elementary School Children’s E-mail Use Fit This Picture?

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    This paper first reviews the literature on computer mediated communication (CMC) to examine whether claims about gender-linked differences in specific attitudes, styles and content in CMC have been validated. Empirical studies were limited, with considerable variation in audiences, tasks, and contexts that was related to varied outcomes. The paper next describes an empirical study on the e-mail communication of elementary school children from ten Dutch classrooms. No gender-linked preference for a person or task-oriented attitude was found. Girls significantly more often employed an elaborate style. Differences between boys and girls on content of communication were subtle rather than robust. The conclusion discusses the functional embedding of CMC and the need to examine jointly antecedents, language acts and consequences. (http://www.springerlink.com/content/28181t88lxg835q2
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