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Using the responses of 197 suicidal and nonsuicidal patients of a crisis and short-term intervention unit, the item factor structure of the SCL-90 was examined. Results suggested a reduced dimensionality for the checklist rather than supporting the nine scales associated with the instrument's scoring key. The influence of various response styles on the SCL-90's dimensionality was also explored. Although a social desirability response style was strongly related to all SCL-90 subscales and factors, it did not offer a complete explanation for the checklist's apparent unidimensionality. Other explanations relating to methods of test construction and to patients' inability to differentiate symptoms were also preferred. Finally, although subscale scores may facilitate clinical interpretation, it was suggested that the SCL-90 might best be scored as a single index of general symptomatology.We wish to thank G. C. Fekken and R. N. MacLennan for their assistance with this project.This work was supported in part by Social Sciences and Humanities Research Council of Canada Grant 410-85-1043 and by an Ontario Ministry of Health Research Personnel Award.  相似文献   

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Hiroko Tanaka 《Human Studies》1999,22(2-4):363-395
This paper employs conversation analysis to examine the inter-connection between grammar and displays of contextual understanding, social identity, and social relationships as well as other activities clustering around turn-endings in Japanese talk-in-interaction, while undertaking a restricted comparison with the realisation of similar activities in English. A notable feature of turn-endings in Japanese is the particular salience of grammatical construction on the interactional activities they accomplish. Complete turns which are also syntactically complete are shown to be associated with the explicit display of contextual features, whereas syntactically incomplete turns are designed to circumvent or minimise such displays. The explicit or implicit display of one's social and contextual relationship to the interactional environment is therefore seen to be an integral part of the performance of social actions in Japanese. On the other hand, in English, it is more difficult to establish a clear association between grammar and the inclusion or avoidance of contextual displays.  相似文献   

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The author presents the analysis of a precocious traumatized little girl, which reveals the ways in which historical trauma is transmitted and intrafamilial trauma is both disguised and represented. The play as it evolves is seen to simultaneously communicate what the child struggles with and to resolutely try to hide what has actually happened. Analyst and child together participate in play which utilizes displacement, enactment and interactive enactment, the latter play mode being the very hallmark of profound traumatic experience. Carlotta, the child, helps the analyst to follow her quest for meaning making even as the interaction between them adheres to and departs from the deepening pentimenti of traumatic experience, which needs to be unraveled and reconstructed in order that her own developmental progression can be rejoined. The analysis facilitates Carlotta's capacity to play in a more unfettered fashion and to assist her family's recovery as well.  相似文献   

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