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The authors used a reinforcer assessment to evaluate possible interventions for hoarding in an older individual with dementia. The most preferred condition from the assessment (sorting activity) was compared to a staff developed treatment involving item removal and redirection. Hoarding was reduced during both interventions with a greater reduction in the sorting condition. The behavioral reductions were maintained during schedule thinning of social interactions and follow-up.  相似文献   

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In-depth interviews were conducted with 21 highly experienced therapists on the criteria of a constructive divorce, the obstacles to achieving such a divorce, and the strategies and tactics of divorce therapy. The primary criterion of a constructive divorce was the successful completion of the process of psychic separation and the protection of the welfare of minor children. Therapy may focus on the decision to get divorced and/or the negotiation of the terms of a divorce settlement. Three types of therapeutic strategies were identified: reflexive intervention by which the therapist orients himself to the marital problems and attempts to gain the trust and confidence of the partners; contextual interventions by which he tries to promote a climate conducive to decision-making; and substantive interventions intended to produce resolution on terms the therapist has come to believe are inevitable or necessary. The nascent state of divorce therapy as an area of therapeutic specialization is noted. The problem of diagnostic criteria for divorce, the relationship between therapists and lawyers, the nature and consequence of therapist impartiality, and the degree to which therapists should mediate the terms of divorce are considered central issues meriting further study.  相似文献   

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The Anxiety Rating Scale-2 and the Competitive State Anxiety Inventory-2 were administered to 100 male university intramural volleyball players 15 min. before a match began. For 50 participants, the above order of presentation was used; for the other 50 the order was reversed. Correlations for cognitive anxiety, somatic anxiety, and self-confidence between the two inventories were .47, .63, and .67, respectively, for scores from Order 1 and .56, .75, and .84 for Order 2.  相似文献   

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Sadness and low levels of depression are adaptive since they lead the individual to try and make up a loss. By contrast, severe or clinical depression is not adaptive, but can be thought of as sadness having become malignant.  相似文献   

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The theory of evolution justifies neither optimistic nor pessimistic inferences regarding human knowledge. Darwinian accounts of knowledge would show the adaptive virtues of beliefs, but this is independent logically and practically of their truth. But equally, considerations derived from evolution should not support a downgrading of the manifest image in favour of the scientific image. As embodied beings our first and most certain interactions with the world are and must remain those of everyday life.  相似文献   

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This paper describes an individual therapy from the author's private practice. On referral, the client came to therapy requesting help with her 8‐year‐old daughter. Within the assessment, a single episode of trauma was revealed. Further therapeutic conversations told of multiple memories of trauma. The main therapeutic work has now ended, the contract being left that the client can continue to request appointments if she wishes. I show how systemic therapy from Post Milan and Narrative models, including practices from other orientations, has been useful and name three key practices as being crucial to the work, containment, curiosity and consultation. I suggest parallel processes operating between myself and my client as well as between the therapy and consultation. Distinct phases in the therapy recovery are identified. The discussion will consider themes of containment, curiosity and consultation.  相似文献   

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Understanding how age-related changes in cognition manifest in the real world is an important goal. One means of capturing these changes involves “experience sampling” participant’s self-reported thoughts. Research has shown age-related changes in ongoing thought: e.g., older adults have fewer thoughts unrelated to the here-and-now. However, it is currently unclear how these changes reflect cognitive aging or lifestyle changes. 78 younger adults and 35 older adults rated their thought contents along 20 dimensions and the difficulty of their current activity in their daily lives. They also performed cognitive tasks in the laboratory. In a set of exploratory analyses, we found that older adults spent more time thinking positive, wanted thoughts, particularly in demanding contexts, and less time mind wandering about their future selves. Past-related thought related to episodic memory differently in older and younger adults. These findings inform the use of experience sampling to understand cognitive aging.  相似文献   

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Sustained treatment attendance has been reported to be poor in publicly funded community-based clinic settings serving children and families. Several child and family characteristics have been shown to predict attendance in community-based care, but virtually no research has been conducted to examine how experiences in care, including psychotherapists' within-session practices, influence client attendance. The goal of this exploratory study was to examine how observed practice within sessions, in particular the extent to which therapists delivered elements consistent with evidence-based practices, impacts total number of sessions attended, while accounting for an array of other potential predictors. Participants include 181 children ages 4-13 and their parents entering a new episode of care for disruptive behavior problems in publicly funded clinics. Data sources include administrative billing records on treatment attendance; coded videotaped treatment sessions; and self-reports from children, parents, and therapists. Results indicate that parent education, service funding source, parent alliance with therapist, and therapist experience predicted number of sessions attended; intensity of evidence-based treatment techniques delivered to children was marginally associated with attendance (p = .059). Implications for improving engagement in community-based care are discussed.  相似文献   

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Hypotheses were stated which specify individual creativity as a function of developmental and productive period variables. It was then argued that these hypotheses could be better tested by examining generational fluctuations in creativity. Information from cultural and political archival sources was thus aggregated to form time series spanning 127 generations of European history. Data quality checks, control variables, data transformations, time-lagged comparisons, and trend analyses were used to improve the validity of the causal inferences. While the results varied according to the type of creativity (discursive or presentational) and the degree of achieved eminence, creative development was found to be affected by the following: (a) role model availability, (b) political fragmentation, (c) imperial instability, and (d) political instability.  相似文献   

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This paper describes the use of concurrent individual and conjoint sessions in couples psychotherapy. The introduction of these individual interviews is seen as supporting the individual changes which must be made to effect change in the structure of the relationship. The benefits of this interventive scheme in dynamically oriented couples' treatment will be illustrated through the presentation of case examples.  相似文献   

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This study has 2 objectives: (a) to explore typical paths of cognitive development associated with aging, terminal decline, and dementia and (b) to promote and illustrate an individual-oriented approach to the study of cognitive aging based on longitudinal panel data from a population-based sample (N = 500; age range-sub(T1)= 60-80, where T refers to time) tested at 3 occasions 5 years apart. Results document interindividual differences in multivariate patterns of change. Although cognitive changes generally covary, the present study indicates that subgroups of individuals develop along different paths characterized by selective changes in subsets of cognitive functions. Typical progression of dementia followed a developmental cascade from low declarative memory, via low functioning across all observed cognitive measures, to dementia diagnosis, and finally, death.  相似文献   

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In the context of everyday reasoning, individuals inferring a causal relation between an antecedent (A) and event (E) rarely have available as evidence for their inferences frequencies of all the four possible occurences, AE, AE, AE, and AE. The present study investigated the willingness of subjects in fourth, seventh, and tenth grades, and college to infer such a relation under the more typical condition of incomplete frequency data. There was some improvement with age, but even college subjects were remarkably willing to infer a relationship based on minimal data, notably the presence of cases in the AE cell. No subjects indicated the need for information regarding the remaining cells. Subsequent presentations of datafor the AE cell did not substantially alter subjects' willingness to infer a relation, nor did subsequent presentation of data for the remaining two cells, despite the fact that complete frequency data indicated independence of A and E. A comparison group of subjects presented with all four cells at once showed somewhat more frequent application of quantitative reasoning strategies, but their willingness to infer a relationship between A and E was not notably less than that of subjects to whom the data were presented sequentially.  相似文献   

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Animal Cognition - The investigation of individual responses to unexpected stimuli or outcomes provides insights into basic cognitive processes, such as mental representations, emotional states of...  相似文献   

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The authors investigated coping responses to sexual harassment across 4 samples of working women from 3 cultures and 2 occupational classes. Complete-link cluster analyses provide preliminary support for D. E. Knapp, R. H. Faley, S. E. Ekeberg, and C. L. Z. Dubois's (1997) coping framework, suggesting that avoidance, denial, negotiation, advocacy seeking, and social coping are universal responses to sexual harassment. Further, L. F. Fitzgerald's (1990) internal-external dichotomy appears to capture higher order relationships among coping responses. In addition, regression analyses suggest that Turkish and Hispanic American women engage in more avoidance than Anglo American women, and Hispanic women also use more denial but less advocacy seeking. No differences emerged in social coping. The authors discuss these results in the context of coping theory, individualism-collectivism, power distance, and patriarchal gender norms.  相似文献   

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Guttman HA 《Family process》2002,41(3):533-545
In this article, the concept introduced by Lyman Wynne, that the individual develops epigenetically within the family system, is discussed and validated with data from a study of the characteristics and relationships of 27 women with borderline personality disorder and their parents. Each stage of the epigenetic process is impaired in one way or another, adversely affecting subsequent stages. Early impairment of attachment-care-giving processes is at least partly attributable to a lack of empathic parenting; effective communication is married by family members' inability to experience or express feelings (alexithymia); this, in turn, makes it difficult to engage in joint family problem solving. Mutuality between family members does not occur in such a context, and there is an absence of intimacy between family members. These are often abusive family systems, with multiple abuse and intrafamilial sexual abuse more specifically directed at the daughter with BPD. The symptoms of the daughter can be understood systemically, as representing both predispositional characteristics and reactions to the family system. It is suggested that the epigenetic paradigm could be used to characterize the specific failure of developmental processes in many different disorders.  相似文献   

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We investigated the effects of two teaching variables on students' Spanish vocabulary quiz performance: (a) group study and (b) individual versus group contingencies. In Experiment 1, we compared students' quiz scores under conditions in which students either studied independently and received no programmed reinforcement or studied in groups and received individual rewards for high scores. The results showed that, on average, the group-study individual-reward condition produced superior quiz scores. In Experiment 2, we compared individual (i.e., the superior condition in Experiment 1) and group contingencies within the context of the group study condition. On average across the class, group contingencies produced performance superior to individual contingencies. In both studies, however, benefits for the classes as a whole were mitigated by effects on individual students. These results extend the literature on the effects of group-based instructional activities and reinforcement contingencies. Educators who choose such procedures may encounter conflicting findings depending on whether they examine results at the group or individual level.  相似文献   

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