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The present paper reports the results of further comparisons between clinical and nonclinical panickers. Both panic disorder patients and nonclinical panickers reported a variety of situational contexts associated with panic attacks, and differed markedly in their attempts to cope with panic. Nonclinical panickers tended to use more 'positive' coping strategies in response to panic. Conversely, one of the most commonly used and subjectively effective coping strategies reported by panic disorder patients was to escape the situation.  相似文献   
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While many studies have attempted to produce hypertension through the use of various environmental Stressors, few have succeeded in producing chronic elevations in blood pressure beyond levels considered to be borderline hypertensive (140–160 mm Hg systolic). The problem with most studies stems from the use of genetically normotensive animals and the selection of Stressors to which animals readily adapt. A new approach is suggested, which recognizes the role of genetics in human essential hypertension. Animals with one hypertensive parent do not develop spontaneous hypertension but show a more sensitive cardiovascular response to environmental Stressors than animals with normotensive parents. Preliminary studies revealed that animals with a mixed genetic history of hypertension develop spontaneous borderline hypertension. When subjected to shock-shock conflict, these borderline hypertensive rats (BHR) developed permanent hypertension that failed to abate even after a ten-week, shock-free recovery period. The hypertension was accompanied by elevated heart weight to body weight ratios and by significant cardiac pathology. Subsequent work has demonstrated that these animals also become hypertensive when fed a high-sodium diet. Finally, in a series of exercise studies, we found that BHRs subjected to a shock stressor were protected against stress-induced hypertension if they exercised daily. The potential of this model for studies of the mechanisms by which environmental variables produce permanent hypertension is discussed.  相似文献   
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One of the most necessarily sensitive areas of pastoral care is dealing with perinatal death. This case study grows from a need for care providers to understand better the feelings of a mother in the loss of her baby. This particular exploration evolved from a taped interview with the writer's aunt (now in her seventies) and her dealings with the multiple losses she experienced over fifty years ago. Her conversation in the interview gives credibility to many coping skills that we endeavor to teach today and that she developed for herself out of a need to survive....it was as if the birds would never sing again.-Aunt Grace  相似文献   
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Oscar Davis  Damian Cox 《Ratio》2023,36(1):41-50
In attempting to debunk moral realism through an appeal to evolutionary facts, debunkers face a series of problems, which we label the problems of scope, corrosiveness, and post-hoc justification. To overcome these problems, debunkers must assume certain metaphysical or epistemological positions, or otherwise pre-establish them. In doing so, they must assume or pre-establish the very conclusion they seek in advancing the argument. This means that such debunking arguments either beg the question against the moral realist or are undermined as standalone metaethical arguments.  相似文献   
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In March 2020, in response to the COVID-19 pandemic, Canadian provincial governments instituted a variety of public health measures that included social distancing and isolation, which may have had unintended consequeses. According to the Loneliness and Sexual Risk Model, gay, bisexual, and other men who have sex with men (GBM) often cope with loneliness through risky sexual behaviors. Previous studies have demonstrated that COVID-19 measures such as social distancing and isolation led to increases in loneliness; thus, these measures may also have led to elevated sexual risk-taking among some GBM. Participants were recruited from an ongoing cohort study on GBM health and well-being, and were included in the current analysis if they had completed relevant study questions (n = 1134). GBM who reported lower levels of social support pre-COVID-19, were younger, and lived alone each reported greater loneliness during the first year of COVID-19. Although feelings of loneliness did not predict sexual risk-taking within the first year of COVID-19, loneliness did predict greater sexual risk-taking 6 months later. Additionally, younger GBM and those living alone were more likely to engage in sexual risk-taking at both COVID-19 data collection points. These findings offer some support of the Loneliness and Sexual Risk Model; however, it is possible that the unique circumstances of the COVID-19 pandemic resulted in a temporary suspension of this association, as many GBM took steps to protect themselves and partners in the context of COVID-19.  相似文献   
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Most current commercial devices dispense dry food pellets by moving the pellets horizontally toward a discharge point. Individual pellets, captured by perforations in a horizontal metal disk, are discharged one by one by stepwise rotation of the disk within the pellet reservoir. In our laboratory, where the average pellet discharge rate is some 20,000 pellets per week, feeders of this type produced occasional problems. Some were electronic; others involved failure always to capture a pellet in each perforation, particularly when the pellet supply was low. But the most common problem was an accumulation of pellet chips and dust under and around the perforated disk, which ultimately jammed the mechanism. Despite weekly cleaning and maintenance, troubles arose at least twice a month, prompting a search for a simpler pellet-feeder design which would be more reliable and require less maintenance. The present pellet feeder employs a vertical rather than horizontal design principle. It has been used extensively in operant conditioning applications for more than a year. More than 200,000 pellets have been reliably discharged from a single feeder without a breakdown. No maintenance, other than a weekly cleaning of the discharge tube, has been required.  相似文献   
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