On death and dying

Peter Berger (1929) is an American sociologist best known for his collaboration with Thomas Luckman in writing The Social Construction of Reality: A Treatise in the Sociology of Knowledge. That book argues that human reality, and knowledge of it, is a social construct, emerging from the individual or group’s interaction with larger social structures (institutions). Social structures, once widely adopted, lose their history as social constructions (objectivation), and come over time, by the people who live within them, to be deemed natural realities independent of human construction (reification). Berger predicted, in his later book, The Sacred Canopy, near-term all-encompassing secularization of religion, which prediction has proved false, especially in the third world (as Berger himself has acknowledged in his later work, Desecularization).

神圣的帷幕 : 宗教社会学理论之要素 = The sacred canopy elements of a sociological theory of religion

The association between social relationships and depression: a systematic review.

This study is the first, to our knowledge, to evaluate the relationship between mental health and social support in a large, random sample of college students. A Web-based survey was administered at a large, public university, with 1,378 students completing the measures in this analysis (response rate = 57%). The results support our hypothesis that students with characteristics differing from most other students, such as minority race or ethnicity, international status, and low socioeconomic status, are at greater risk of social isolation. In addition, the authors found that students with lower quality social support, as measured by the Multidimensional Scale of Perceived Social Support, were more likely to experience mental health problems, including a sixfold risk of depressive symptoms relative to students with high quality social support. These results may help administrators and health providers to identify more effectively the population of students at high risk for mental illness and develop effective interventions to address this significant and growing public health issue.

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Social support and mental health among college students.

In this report we review the range of teaching resources and strategies used in anatomy education with the aim of coming up with suggestions about the best teaching practices in this area. There is much debate about suitable methods of delivering anatomical knowledge. Competent clinicians, particularly surgeons, need a deep understanding of anatomy for safe clinical procedures. However, because students have had very limited exposure to anatomy during clinical training, there is a concern that medical students are ill-prepared in anatomy when entering clerkships and residency programs. Therefore, developing effective modalities for teaching anatomy is essential to safe medical practice. Cadaver-based instruction has survived as the main instructional tool for hundreds of years, however, there are differing views on whether full cadaver dissection is still appropriate for a modern undergraduate training. The limitations on curricular time, trained anatomy faculty and resources for gross anatomy courses in integrated or/and system-based curricula, have led many medical schools to abandon costly and time-consuming dissection-based instruction in favour of alternative methods of instruction including prosection, medical imaging, living anatomy and multimedia resources. To date, no single teaching tool has been found to meet curriculum requirements. The best way to teach modern anatomy is by combining multiple pedagogical resources to complement one another, students appear to learn more effectively when multimodal and system-based approaches are integrated. Our review suggests that certain professions would have more benefit from certain educational methods or strategies than others. Full body dissection would be best reserved for medical students, especially those with surgical career intentions, while teaching based on prosections and plastination is more suitable for dental, pharmacy and allied health science students. There is a need to direct future research towards evaluation of the suitability of the new teaching methodologies in new curricula and student perceptions of integrated and multimodal teaching paradigms, and the ability of these to satisfy learning outcomes.

Best teaching practices in anatomy education: A critical review

http://ntur.lib.ntu.edu.tw/bitstream/246246/88510/1/133.pdf

Social support and family functioning on psychological symptoms in elderly Chinese.

Anatomy curriculum has changed dramatically around the world since the 1960s. These changes include the reduction of course hours, the abandonment of cadaver dissection, the use of problem-based learning, application of other teaching modalities such as prosected specimens, models, radiographic images, computer simulations, and the introduction of humanity and death education. This article discusses the controversies in anatomy curriculum in Western countries, including the rationale for those changes, and the opinions of the objections.

Anatomy instruction in medical schools: connecting the past and the future.

https://www.jpsmjournal.com/article/S0885-3924(06)00137-0/pdf

The influence of awareness of terminal condition on spiritual well-being in terminal cancer patients.

In Taiwan, to measure the quality of life (QOL) of elderly Chinese, one must rely on instruments developed in other Chinese or Western populations and not specifically for the elderly. The purpose of this study is to understand the components of QOL for elderly Chinese from Taiwan living in residential homes or in their communities. Forty-four elderly men and women divided into six focus groups were interviewed on video tape and the resultant recording was analyzed qualitatively by six independent researchers. The study yielded 15 QOL domains grouped into six dimensions: physical health (physical well-being, impact of illness, medical care), psychological health (mood states, life attitude and retrospection, philosophy of living, self-efficacy), social function (connectedness, exercise and leisure activities, social activities and services), living environment (living environment and arrangements, institutional factors), economic status, and religion and death (religion, death). For elderly Chinese in Taiwan, positive and negative life domains are equally important in the perception of life quality; person-environment interaction is a major consideration in the evaluation of QOL; family ties are an important component of QOL; traditional Chinese beliefs exert a positive influence on perceived QOL; and social functioning and vitality have a different meaning in Chinese compared to Western cultures.

The use of focus groups in evaluating quality of life components among elderly Chinese people.

Objective To develop and validate a self-rating instrument to assess teaching styles among tutors in problem-based learning (PBL).



Methods The development of the teaching style inventory (TSI) was based theoretically on four types of teaching behaviours: the assertive, suggestive, collaborative and facilitative styles, as proposed by Bibace et al. A 35-item questionnaire was generated and evaluated for content validity by a group of experienced tutors. The questionnaire was mailed to 196 tutors at the National Taiwan University College of Medicine. The results were submitted for item analysis, internal consistency testing and exploratory factor analysis. Longterm test-retest reliability was assessed by a sample of 50 tutors after a 6-month interval.



Results Finally, 118 tutors returned the questionnaires. In the item reduction process, seven items were excluded due to low interscale correlation. Principle component factoring yielded a three-factor solution that accounted for 48·5% of the total variance. Internal consistency coefficients of the four hypothetical domains ranged from 0.73 to 0.83. All domains correlated to each other as expected. Assertive and facilitative styles, which are theoretically opposite teaching styles, showed a negative correlation with each other. Most of the items of each hypothetical domain correlated better with their own domain than with other domains. Longterm test-retest correlations of the four domains ranged from 0.54 to 0.81.



Conclusion The TSI demonstrated high internal consistency reliability, acceptable longterm test-retest reliability, and construct validity. Further psychometric testing should focus on applicability to other populations, predictive validity and short-term test-retest reliability. This instrument can be used by programme directors for the recruitment of tutors and can also be used to increase the self-awareness of tutors.

Kai-Kuen Leung

Papers

Social support and family functioning on psychological symptoms in elderly Chinese.

Anatomy instruction in medical schools: connecting the past and the future.

The influence of awareness of terminal condition on spiritual well-being in terminal cancer patients.

The use of focus groups in evaluating quality of life components among elderly Chinese people.

Development of a teaching style inventory for tutor evaluation in problem-based learning.