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Research Interests: Psychology and Psychiatry
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The young physician experiences a maturational process during residency training that involves fundamental changes in attitudes, identities, and abilities as a physician, a psychiatrist, and a person. A comprehensive multimodal evaluation... more
The young physician experiences a maturational process during residency training that involves fundamental changes in attitudes, identities, and abilities as a physician, a psychiatrist, and a person. A comprehensive multimodal evaluation methodology is proposed that provides information to the resident and faculty regarding the resident’s progress in each area. A detailed description of the implementation of a multimodal evaluation process in one residency training program is offered. A discussion of the advantages and limitations of this approach is also offered.
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In this study we examined the factors that may contribute to or prevent the rebuilding of war-torn societies, based on two surveys of attitudes and beliefs of the inhabitants of three cities – Vukovar, Mostar and Prijedor – in 2000 and... more
In this study we examined the factors that may contribute to or prevent the rebuilding of war-torn societies, based on two surveys of attitudes and beliefs of the inhabitants of three cities – Vukovar, Mostar and Prijedor – in 2000 and 2002. The main goals of our study were: to investigate some of the underlying attitudes and beliefs of the population of Mostar, Prijedor and Vukovar toward the rebuilding of community and reconciliation. The total sample of the survey consisted of 1624 participants, divided equally among national groups in each city. The questionnaire consisted of 68 items and contained three scales and questions about attitudes toward nationalism and xenophobia, other national groups, reconciliation, the ICTY and war crimes, as well as questions about prior experience with members of the other national groups, traumatic experiences during the war and demographic data. The results suggest that authoritarianism, nationalism and ethnocentrism may be the most important obstacles to the process of reconciliation among ethnic groups in target communities. An important finding is that the level of traumatic experience by itself is not a significant predictor of reconciliation. However, when combined with negative experience with opposing group trauma becomes a serious obstacle. The relationship between trauma and the attitudes towards ICTY trials is even less clear, and the role of the ICTY in promoting reconciliation is far from being perceived as accomplished.
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Abstract: In 2000 we launched a series of studies to try to understand what role, if any, publc education could play in social reconstruction in Croatia and BiH. We had two questions: what do communities think about the role schools could... more
Abstract: In 2000 we launched a series of studies to try to understand what role, if any, publc education could play in social reconstruction in Croatia and BiH. We had two questions: what do communities think about the role schools could play in creating a memory of the ...
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This article examines the opportunities and problems that arise in the process of lawyer-client communication. The authors suggest that empathie communication is a critical dimension of lawyering and that without empathy, much valuable... more
This article examines the opportunities and problems that arise in the process of lawyer-client communication. The authors suggest that empathie communication is a critical dimension of lawyering and that without empathy, much valuable affective and cognitive ...
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Studies of refugees in the United States rarely address health the first few years following resettlement in part because the refugees become subsumed under the foreign-born or immigrant category. A national study reaffirmed the so-called... more
Studies of refugees in the United States rarely address health the first few years following resettlement in part because the refugees become subsumed under the foreign-born or immigrant category. A national study reaffirmed the so-called healthy immigrant effect, but fewer sick days and less physician use may actually reflect access problems, economic concerns, and health beliefs or practices that clash with American health care. Because statistics may mask differences in health and why people seek professional care, it is important to combine qualitative and quantitative approaches. This study examined health, illness, and health care use patterns of refugees in Northern California using a database analysis, a medical record review, and an ethnographic study of the Bosnian and former Soviet Union refugee communities. This article describes some ethnographic findings from participant observation, semistructured interviews, and focus groups, with an emphasis on people's experien...
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This paper presents guidelines for teachers who wish to design competency-based instructional activities in psychiatry. Developed over a 3 year period, these guidelines outline the methods used by teachers to construct competency-based... more
This paper presents guidelines for teachers who wish to design competency-based instructional activities in psychiatry. Developed over a 3 year period, these guidelines outline the methods used by teachers to construct competency-based seminars and clinical rotations. The guidelines describe the process of stating knowledge objectives, performance objectives and experiential objectives for psychiatric trainees to attain prior to completion of training in a given area. Selection of appropriate teaching strategies as well as criteria and conditions for assessment of the residents' abilities are also reviewed. Comments regarding the authors' experience using these guidelines with teachers are offered.
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Given the rapidity of change in both higher education and health care, re-examining the values and precepts that undergird the profession of college health is an ongoing need. Reported in this article are the results of a structured... more
Given the rapidity of change in both higher education and health care, re-examining the values and precepts that undergird the profession of college health is an ongoing need. Reported in this article are the results of a structured process in which a group of college health professionals from California, along with others interested in the health of college students, examined several trends affecting higher education and health; considered possible scenarios for these sectors; created a shared vision for the future of college health; and developed strategies useful in attaining that vision. The results of these deliberations are presented as a set of principles that, if followed, should increase the likelihood that college health centers will be responsive to user needs. Although the article is based on a California-based conference, the principles discussed are almost certainly valuable for all in college health.
Research Interests: Health Promotion, Higher Education, Health Care, Health Education, Health Policy, and 14 moreAdolescent, Medicine, California, Students, Humans, College Students, User needs, Health Professionals, Adult, Public health systems and services research, College Health, Development Strategy, Delivery of Health Care, and Student Health Services
A framework for understanding issues that contribute to vibrant and healthy communities of higher education is presented. The focus is on how individual and community health relate to institutional missions, purposes, and goals. This... more
A framework for understanding issues that contribute to vibrant and healthy communities of higher education is presented. The focus is on how individual and community health relate to institutional missions, purposes, and goals. This framework may be applied to 2-year and 4-year colleges and universities whether they are public, private, research, teaching, sectarian, religious, residential, or computer institutions. The following questions are addressed: Why should colleges maintain healthy communities? How do we define health in colleges and universities? Why is this important for society? What are the key responsibilities in fostering healthy educational communities? Who is responsible for assuring that this happens? What added value do personal and community health yield for institutions of higher education? Readers are provided with a rationale for assessing the role and importance of individual and community health in their campus environments; engaging students, faculty, and staff in discussions about these issues; and determining whether more thorough, systematic, and intensive community health assessments or interventions are needed in their campus settings.
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This study examined several aspects of the health of univer-sity athletes. Five areas of concern were targeted for investi-gation: general health background, use of drugs and alco-hol, weight and eating behaviors, stress, and use of... more
This study examined several aspects of the health of univer-sity athletes. Five areas of concern were targeted for investi-gation: general health background, use of drugs and alco-hol, weight and eating behaviors, stress, and use of helping resources. The authors developed a ...
Research Interests: Health Behavior, Body Image, Adolescent, Medicine, California, and 15 morePopulation, Humans, Health Services, Female, Male, Eating Behavior, Health Professionals, Athletes, General Health, Adult, Public health systems and services research, attitude to health, Athletic injuries, area of concern, and american college
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Background: Mental health assessments in post-conflict zones have relied heavily on Western psychiatric scales. Yet, a strict dependence on the paradigms of Western psychiatry risks inappropriately prioritizing syndromes, such as PTSD,... more
Background: Mental health assessments in post-conflict zones have relied heavily on Western psychiatric scales. Yet, a strict dependence on the paradigms of Western psychiatry risks inappropriately prioritizing syndromes, such as PTSD, which, however important, are eclipsed by local concerns. Material and discussion: In Dearborn, Michigan, home to the largest population of Iraqi refugees in the United States, 60 Iraqi refugee life stories were collected in order to adapt the Harvard Trauma Questionnaire (HTQ) to the Iraqi context. Conclusion: The methodology described proved to be a useful approach to developing a trauma measure that is culturally grounded in a multi-dimensional model of mental health.
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ABSTRACT
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Research Interests: Human Rights, Accountability, Developing Countries, International Cooperation, Disasters, and 15 moreHumans, Asia Pacific, Female, Impunity, Asia, Male, Humanitarian Aid, Aged, Adult, Consumer Participation, Indian Ocean Islands, Human Rights Abuses, Health services for the aged, Interviews as topic, and healthcare disparities
The focus of training in a competency-based residency program is on ensuring that all residents attain prespecified levels of competence for particular objectives in each training activity. The authors examine the components of a... more
The focus of training in a competency-based residency program is on ensuring that all residents attain prespecified levels of competence for particular objectives in each training activity. The authors examine the components of a competency-based program and describe the phases of development that their department went through in creating such a program. They conclude that the competency-based training model directly faces the issue of certifying competence by holding itself accountable in a demonstrable way for ensuring that its residents have mastered specific areas of knowledge, skills, and attitudes.
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INTRODUCTION ......................................................................................... 191 I. WORKSHOP FORMAT ............................................................................. 194 II. WHAT DID WE LEARN?... more
INTRODUCTION ......................................................................................... 191 I. WORKSHOP FORMAT ............................................................................. 194 II. WHAT DID WE LEARN? ....................................................................... 194 A. Dynamics of Colonialism in Transitional Justice Interventions ........................................................................ 195 1. Collective Memory and Legacies of Colonialism .......... 197 2. Collective Amnesia and International Transitional Justice Interventions .................................................................. 198 B. Dynamics of the Legalization of Transitional Justice .......... 199 1. The Legal Framework of Transitional Justice and the Politics It Promotes ....................................................... 200 2. The Politics of Social Justice as Transitional Justice ... 203 C. Dynamics of Research Extraction .................................