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1.
Diagnostic errors are more frequently a result of the clinician's failure to combine medical knowledge adequately than of data inaccuracy. Diagnostic reasoning studies are valuable to understand and improve diagnostic reasoning. However, most diagnostic reasoning studies are characterized by some limitations which make these studies seem more simple than diagnostic reasoning in real life situations actually is. These limitations are connected both to the failure to acknowledge components of knowledge used in clinical practice as well as to acknowledge the physician-patient relationship's influence on clinical knowledge and on the reasoning process itself. In addition the modes of reasoning described in these studies frequently is oversimplified. In this paper three simplistic and competing models of diagnostic reasoning are analyzed and criticized, followed by an evaluation of two alternative models proposing a combined view.  相似文献   

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In this paper I describe a community psychology perspective on acculturation and adjustment of immigrants and refugees and suggest that this field of acculturation research has in turn something to offer heuristically as we consider our identity and training for future generations of community psychologists over the next 50 years. I suggest that honoring our heritage, maintaining our disciplinary identity as community psychologists, and sustaining doctoral programs that offer training specific to community psychology are crucial for our survival as a field and is not antithetical to, and is indeed necessary for, interdisciplinary collaborations.  相似文献   

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This paper provides a meta-theoretical context for a spiritually oriented psychotherapy, namely Constructivism. It also presents some empirical and theoretical support for this Constructivist position which is consistent with cognitive psychology and concepts from both Western and Eastern traditions. It summarizes the work of Mahoney on Constructivism and integrates it with Personal Construct Psychology. It then provides the perceptual, theoretical, and empirical underpinnings for an integrative, holistically oriented clinical model that focuses on how clients construct their realities. The paper concludes with a discussion of the levels of therapeutic work that clients contract for, placing them in charge of their lives. The goal, for clients who chose the deepest path, is the philosophical understanding that they create the relative realities to which they respond, causing both their suffering and potential liberation. The ultimate choice is theirs, and not the therapist's.  相似文献   

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In 2002, Luciano Floridi published a paper called What is the Philosophy of Information?, where he argues for a new paradigm in philosophical research. To what extent should his proposal be accepted? Is the Philosophy of Information actually a new paradigm, in the Kuhninan sense, in Philosophy? Or is it only a new branch of Epistemology? In our discussion we will argue in defense of Floridi’s proposal. We believe that Philosophy of Information has the types of features had by other areas already acknowledge as authentic in Philosophy. By way of an analogical argument we will argue that since Philosophy of Information has its own topics, method and problems it would be counter-intuitive not to accept it as a new philosophical area. To strengthen our position we present and discuss main topics of Philosophy of Information.  相似文献   

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Major criticisms directed at counseling are identified and prominent suggestions for their elimination are described through an analysis of the counseling literature of the past 10 years. A brief outline of the history of counseling offers a historical perspective to the discussion. One suggestion to improve counseling, that counselors become change agents in their institutions, is examined and described with steps for its implementation. The implementation of the change-agent role for counselors would address much of the substantive criticism directed at counseling, and would remold the profession to more effectively meet today's needs.  相似文献   

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This study investigated how 200 children from mother-, father-, or joint-custody arrangements perceived their divorced families. The authors argue that it is not the type of custody that shapes the child's view of whether one parent is peripheral but, rather, the nature of relationships within the various custody arrangements.  相似文献   

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A. Koriat distinguishes between feeling-based and inferentially based feeling-of-knowing judgments. The former are attributable to partial information that is activated in implicit memory but not fully articulated. They are not, however, attributable to direct access to the target—an hypothesis that Koriat specifically repudiates. While there is considerable merit in the distinction that Koriat draws, and his emphasis on the possibility that people base at least some of their metacognitive judgments on implicit information seems well founded, it is argued that his rejection of the direct access view is premature. There may be a state—a true noetic state—in which people actually know the answer before they are able to express it. A case is made for further consideration of the scientific merits of the direct-access view of the noetic feelings people experience in imminent tip-of-the-tongue (TOT) states.  相似文献   

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This paper examines the differences between the thought of Hannah Arendt and Emmanuel Levinas concerning the “Rights of Man”, in relation to stateless persons. In The Origins of Totalitarianism, Arendt evinces a profound scepticism towards this ideal, which for her was powerless without being tethered to citizenship. But Arendt’s own idea of the “Right to have Rights” is critiqued here as being inadequate to the ethical demand placed upon states by refugees, in failing to articulate just what states might be responsible for. I argue that the ethical philosophy of Levinas meets this lacuna in Arendt’s thought, via his concept of the Face as the locus of human dignity and to which states can be recalled to responsibility. Levinas wrote several papers on what he called “the phenomenology of the Rights of Man”, and in his phrase, which provides a summation of precisely what is lacking in Arendt’s arguments: “In the face – a right is there”.  相似文献   

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The Domain‐specific Risk‐taking scale was designed to assess risk taking in specific domains. This approach is unconventional in personality assessment but reflects conventional wisdom in the decision community that cross‐situational consistency in risk taking is more myth than reality. We applied bifactor analysis to a large sample (n = 921) of responses to the Domain‐specific Risk Taking. Results showed that, in addition to domain‐specific facets, there does appear to be evidence for a general risk‐taking disposition. And this general appetite for risk appears to be useful for predicting real‐world outcomes. Copyright © 2016 John Wiley & Sons, Ltd.  相似文献   

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The aims of our study were to: (1) explore the relationship between differentiation of self and separation anxiety; and (2) examine the congruency between spouses in terms of these variables. The research is the first to study differentiation of self and separation anxiety among adults in general, and among married couples in particular. On the whole, results indicated that spouses had similar levels of differentiation on two scales: emotional cutoff and I-position, while women reported higher levels of emotional reactivity and fusion with others. A significant relationship was found among men between fusion with others and separation anxiety: a high level of fusion was found to correlate with a high level of anxiety. Among women, a high level of emotional reactivity was related to a high level of separation anxiety. These findings shed further light on Bowen’s family system theory, as they indicate correlations between several measures of differentiation and separation anxiety.  相似文献   

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The ideas and practices of psychotherapy, together with fresh thinking from many other sources, can help to revitalize Western politics which seem broken and moribund. The author describes various professional experiences of his own at the interface of politics and psychotherapy. These include consulting with mainstream and activist politicians and groupings. He discusses how politics in the West is changing in the general direction of what he calls “transformative politics.” He also asks if psychotherapists can make a difference in the political world today, explaining that, though enthusiastic about the prospect, he is also skeptical about it because the record of psychotherapists' involvement in politics is not very good. The paper includes an experiential and personally oriented section (“The Inner Politician”) that looks at how the political self is formed in culture, family, and the inner world. The notion of differing political styles as a source of conflict is explained and explored. The author concludes with some reflections on the relations between psychotherapy, politics, and spirituality.  相似文献   

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One of the most widely discussed topics in the recent science & theology literature has been divine activity. It is odd that in this literature there has been no discussion of whether and how to accommodate special angelic action (hereafter SAA). Just as the Bible records many instances of apparent SDA, it records many instances of apparent SAA. This neglect may be due to an assumption that there is no distinct problem relating to SAA; the existing suggested solutions to the problem(s) surrounding SDA may be transferable to the angelic context. My aim is to disprove that idea.  相似文献   

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Elderly and college-aged subjects rated photographs of both sexes at three different ages on 10 adjective rating scales. Evidence for a double standard of aging was obtained. Although both men and women were perceived to diminish in attractiveness as they aged, the decline for women was greater. Moreover, ratings of women's femininity decreased with increasing age, whereas evaluations of men's masculinity were unaffected by age. Unexpectedly, elderly subjects, as compared to college students, discriminated less on the basis of sex and evaluated women more positively. Changes in the gender roles of the elderly were invoked to explain their more favorable conceptions of women.  相似文献   

19.
My starting point is some widely accepted and intuitive ideas about justified, well-founded belief. By drawing on John Pollock’s work, I sketch a formal framework for making these ideas precise. Central to this framework is the notion of an inference graph. An inference graph represents everything that is relevant about a subject for determining which of her beliefs are justified, such as what the subject believes based on what. The strengths of the nodes of the graph represent the degrees of justification of the corresponding beliefs. There are two ways in which degrees of justification can be computed within this framework. I argue that there is not any way of doing the calculations in a broadly probabilistic manner. The only alternative looks to be a thoroughly non-probabilistic way of thinking wedded to the thought that justification is closed under competent deduction. However, I argue that such a view is unable to capture the intuitive notion of justification, for it leads to an uncomfortable dilemma: either a widespread scepticism about justification, or drawing epistemically spurious distinctions between different types of lotteries. This should worry anyone interested in well-founded belief.  相似文献   

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Studies in Philosophy and Education - What Israel Scheffler analyzed in his The Language of Education was a corpus of slogans and metaphors which obviously influence public communication. But are...  相似文献   

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