This article adopts an ecologistic perspective to analyze the regularity of psychological phenomena,examine the mechanisms of psychological problems and mental disorders,and discuss the process of psychological counseling and therapy.The author proposes that the practice of counseling and psychotherapy should be directed with an ecological view.A practitioner needs to not only focus on the problems and symptoms,but also consider the restoration and development of the personality foundation of the individuals who seek for help.A practitioner should not only pay attention to visitors'psychological defects,but also try to assist the development of their positive characters which could alleviate symptoms,and promote the construction of their outer environments that are beneficial for psychological rehabilitation.

Objective: To develop a questionnaire which measures positive perfectionism. Methods: Initial items of the questionnaire were compiled according to theoretical analysis and interviews. 407 college students were recruited to respond to the items. The explorative factor analysis was used to decide the final items and dimensions. Another 309 college students were recruited to respond to the decided questionniares and several criterion questionnaires. Results: The positive perfectionism questionnaire consisted of three dimensions: Positive Self-Expectations(PSEX), Positive Organization (POR), and Positive Self-Evaluations (PSEV). Internal consistency (Cronbach’s ?) of the three dimensions were 0.87、0.76 and 0.79. The two-week test-retest reliabilities were 0.79、0.84 and 0.81. The cumulative explanation of the variance was 50.2%. A confirmative factor analysis revealed that the three-dimension model was proper (?2/df =1.71,GFI=0.89,CFI= 0.92,IFI=0.92,RMSEA=0.048). The Positve Perfectionism Questionnaire was negatively related to anxiety and depression. Conclusion: The positive perfectionism questionnaire has satisfactory psychometric characteristics.

Objective To discuss the influence and mechanism of Ziyin Qingxin Decoction (Decoction for replenishing Yin and clearing heart) on insulin resistance (IR), adiponectin, leptin, and TNF-? of patients with the metabolic syndrome.Methods The randomly divided two groups took rosiglitazone 4mg once a day based on stopping the drugs affecting blood glucose and insulin functions and on the strict diet. In addition, the treatment group took Ziyin Qingxin Decoction. Blood pressure (BP), blood lipid, blood glucose, IR, adiponectin, leptin and TNF-? before were observed and after treatment.Results The therapeutic effect of two groups was significantly different (P

Objective To analyze the associated factors of ICU delirium after cardiac surgery,and propose the proper treatment strategy.Methods 124 patients after cardiac surgery were observed.The basic information including gender,age,blood type,respirator assistant time and ICU hospitalizing time was recorded.SPSS software was used for statistical analysis.Results Among the 124 patients,the incidence of ICU delirium was 17％.There was significant difference between patients with ICU delirium and without ICU delirium on age,respirator assistant time and ICU hospitalizing time.The ICU delirium incidence was dramatically different among different blood types,and the incidence of blood type A was much more higher than blood type B and O.Univariate Logistic regression analysis showed that age,mechanical ventilation time,ICU time,gender and blood types were the related factors of delirium in ICU.Conclusions Age,respirator assistant time,ICU hospitalizing time,and blood type are all influencing factors of ICU delirium.Patients who are male,older,or with longer usage of respirator,or with longer ICU hospitalizing time are more likely to develop ICU delirium.The incidence of ICU delirium is quite different among different blood types,blood type A is more easily to occur ICU delirium than blood type O and B.

Female ; Pregnancy ; Humans ; Pre-Eclampsia/diagnosis*

Drug Therapy, Combination ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Medicine, Chinese Traditional ; Phytotherapy ; Severe Acute Respiratory Syndrome ; drug therapy ; prevention & control

Child ; Diagnosis, Differential ; Humans ; Male ; Rhabdomyosarcoma, Embryonal ; diagnosis ; therapy

Drugs, Chinese Herbal ; Humans ; Medicine, Chinese Traditional

Arthroplasty, Replacement, Hip ; Hip Dislocation, Congenital ; classification ; diagnosis ; therapy ; Humans ; Osteotomy

Objective: To evaluate the reliability and validity of the Chinese version of Frost's Multidimensional Perfectionism Scale(FMPS).Methods: One thousand two hundred and eighty Chinese undergraduate students participated in the study and responded to the FMPS and instruments measuring psychological distresses such as anxiety,depression,and obsession-compulsion.Both exploratory and confirmatory factor analyses were used to examine the factor structure of the Chinese FMPS.The association between FMPS and psychological distresses was analyzed as an investigation for criterion validity.Results: Factor analyses extracted five of the original six factors of FMPS.PC did not emerge as a dimension.The five subscales were shown to have satisfactory internal consistencies with Cronbach's alpha between 0.64 and 0.81 and test-retest reliability 0.63~0.82.Chinese FMPS was associated with anxiety,depression,and obsession-compulsion.Particularly,CM and DA are correlated with these psychological distresses with coefficients between 0.30 and 0.70.Conclusion: Chinese FMPS is satisfactorily valid and reliable.It is suitable to use in Chinese college students.