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This article presents a model of couple therapy based on the reciprocal double bind. Two cases are presented to illustrate the model, and different modes of intervention are described. This paper stresses that therapy has more to do with the intersection of the maps of the world of members of a system than it has with a search for some individual or systemic truth.  相似文献   

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Advances in genetic technology challenge couples to make complex life and death decisions about their fetus that have far-reaching practical and emotional consequences. When genetic defects lead to fetal loss, whether by miscarriage, elective interruption, or still birth, it can be a devastating experience with ripple effects on couple and family development. This paper presents a systemic approach to coping and adaptation to fetal loss in the wake of genetic testing. Clinical vignettes illustrate common experiences and present interventions designed to help the individual grieving partners as well as the marriage. thereby strengthening the family fabric at a vulnerable transitional stage.  相似文献   

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In recent cancer research, strong and apparently conflicting epistemological stances have been advocated by different research teams in a mist of an ever‐growing body of knowledge ignited by ever‐more perplexing and non‐conclusive experimental facts: in the past few years, an ‘organicist’ approach investigating cancer development at the tissue level has challenged the established and so‐called ‘reductionist’ approach focusing on disentangling the genetic and molecular circuitry of carcinogenesis. This article reviews the ways in which ‘organicism’ and ‘reductionism’ are used and opposed in this context, with an aim at clarifying the debate. Methodological, epistemological and ontological implications of both approaches are discussed. We argue that the ‘organicist/reductionist’ opposition in the present case of carcinogenesis is more a matter of diverging heuristics than a claim about theoretical or ontological (ir)reducibility. As a matter of fact, except for the downward causation claim, which we question, we argue that the organicist arguments are compatible with the reductionist approach. Moreover, we speculate that both approaches, which currently focus on specific entities i.e., genes versus tissues, will need to shift their conceptual frameworks to studying complex arrays of relationships potentially ranging over several levels of entities, as is the case with ‘systems biology’.  相似文献   

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个性的比较心理学研究,实质上是指动物个性研究。文章首先探讨了个性的比较心理学研究的理论基础,在此基础上简要介绍了个性的比较心理学研究的策略和方法,并就个性的比较心理学研究对当代个性心理学发展的积极意义进行了初步的分析。  相似文献   

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The article explores the dynamics of transference and countertransference in hierarchical relationships which exist between clergy and lay persons, both in the parish setting, as well as in the pastoral counseling relationship. It is of utmost importance that the power differential be consciously acknowledged by pastoral caregivers so that appropriate boundaries can be exercised. All too often it is the negligent, careless, or unconscious disregard for this power dynamic by individuals providing pastoral care that has led to the sexual violations recently surfaced within our religious institutions. Acknowledgement of the imbalance of power, and its consequences for both clergy and parishioner, is essential in a systemic model of pastoral care.  相似文献   

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《中庸》新论:哲学与宗教性的诠释   总被引:8,自引:0,他引:8  
本文在一个中西比较的视域中,结合新出土的历史文献,对《中庸》中“诚”、“性”、“情”、“礼”和“教”等最为重要的观念及其之间的内在关联进行了细致的分析,揭示了《中庸》所蕴涵的一个完整连贯的结构的哲学意义以及不同于西方的独特的宗教性。  相似文献   

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非参数认知诊断分类方法非常适合课堂评估,其诊断结果采用0-1形式而缺乏概率化表征,不能精细地区分被试属性掌握程度的差异或变化,还缺乏可用于评价真实测验分类结果的信度和效度指标。要刻画被试属性掌握程度的差异,首要的问题是要为非参数认知诊断方法提供一种可以量化属性掌握概率的方法。针对此问题,基于二项分布和玻尔兹曼分布提出非参数认知诊断方法下诊断结果的概率化表征方法,并用于构建分类准确性和分类一致性指标。模拟研究与实测数据分析结果显示:概率化表征方法与非参数认知诊断方法的分类结果高度一致;概率化表征方法与认知诊断模型所得的属性掌握概率十分接近;概率化表征方法所得的属性(模式)掌握概率可用于计算属性(模式)分类准确性和分类一致性指标,在实际测验情景下可作为信度和效度指标,评价诊断结果的重测一致率和判准率。  相似文献   

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A brief psychotherapy model based on systems theory is presented. The model emphasizes the interactional context of clients' problems and represents an efficient intervention paradigm.  相似文献   

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No abstract available for this article.  相似文献   

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从系统论分析肾病综合症的诊断治疗   总被引:1,自引:0,他引:1  
分析系统论方法主要基本原则在肾病综合症诊治中的指导性作用.揭示在医学科学研究中自觉、主动地运用辩证思维方法和系统论科学方法,可以拓展研究的新思路,为疾病的诊治提供最佳方案,对促进和指导医学研究发展有极其重要的意义.  相似文献   

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