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Abstract

Group interventions have assumed a growing role in primary prevention and supportive care for cancer and HIV disease. Earlier sections of this Special Report examined empirical findings for these interventions and provided recommendations for future research. The current section offers brief recommendations for service providers, policymakers, and stakeholders.

Group services now occupy an increasingly prominent place in primary prevention programs and medical settings. In previous sections of this Special Report (Sherman, Leszcz et al., 2004; Sherman, Mosier et al., 2004a, 2004b) we examined the efficacy of different group interventions at different phases of cancer or HIV disease, considered characteristics of the intervention and the participants that might influence outcomes, and discussed mechanisms of action. Methodological challenges and priorities for future research were highlighted. In this, the final section, we offer brief recommendations for service providers, policymakers, and other stakeholders. We consider some of the barriers that constrain use of empirically-based group interventions and note how these programs might be implemented more widely and effectively.  相似文献   

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Soteriou  Matthew 《Synthese》2020,197(12):5319-5334

Sosa (Proc Addresses Am Philos Assoc 79(2): 7–18, 2005) argues that we should reject the orthodox conception of dreaming—the view that dream states and waking states are “intrinsically alike, though different in their causes and effects” (2005: p. 7). The alternative he proposes is that “to dream is to imagine” (2005: p. 7). According to this imagination model of dreaming, our dreamt conscious beliefs, experiences, affirmations, decisions and intentions are not “real” insofar as they are all merely imagined beliefs, experiences, affirmations, decisions and intentions. This paper assesses the epistemic implications of Sosa’s imagination model of dreaming. Section 1 outlines and assesses the reasons Sosa gives for thinking that his imagination model of dreaming introduces a new dimension to debates about dream scepticism. Sosa argues that his imagination model of dreaming invites a more radical version of dream scepticism, and also makes available a novel and more powerful response to dream scepticism. Objections are raised to both of those claims. This leads to a challenge to Sosa’s imagination model of dreaming. This is the concern that Sosa’s imagination model of dreaming lacks the resources to accommodate the intuition that there is something illusory or misleading about one’s situation when one is dreaming, and as a result his account of dreams fails to accommodate the common intuition that there is a sceptical problem about dreaming but not about dreamless sleep. Section 2 of the paper elaborates a version of the imagination model of dreaming that can overcome that challenge. This version of the imagination model of dreaming goes beyond what Sosa explicitly commits to when he outlines his view of dreams, however, it exploits ideas that are integral to a key theme in Sosa’s recent writings on virtue reliabilism—namely his proposal that epistemic agency should be accorded a central place in that approach to knowledge, and his related proposal that agency is exercised in conscious judgement. An implication of this version of the imagination model of dreaming is that an elucidation of a connection between the wakeful condition and our capacity to exercise agency over our mental lives should be central to an account of the nature, and epistemic significance of, wakeful consciousness. The final section of the paper considers whether this version of the imagination model of dreaming has anything novel to contribute to debates about dream scepticism.

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The interpretation of certain dreams, as opposed to the direct examination of behavior, makes it possible to explore the conscience of the dreamer, detect hidden sources of guilt, and interpret them with less likelihood of arousing intractable resistance. Through the recovery of memories and the establishment of an intimate familiarity with one's personal history, it becomes possible to resolve problems of "neurotic" guilt, based ultimately on distortions of repressed childhood memories. The resolution of these conflicts allows a greater role for the operation of "appropriate" guilt, based on genuine transgressions, and the establishment of a more mature ethical structure.  相似文献   

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Over the centuries, the importance and the nature of the relationship of “inside” and “outside” in human experience have shifted, with consequences for notions of mind and body. This paper begins with dreams and healing in the Asklepian tradition. It continues with Aristotle’s notions of psuche and how these influenced his conception of katharsis and tragedy. Jumping then to the 17th century, we will consider Descartes’ focus on dreams in his theories of thinking. Finally, we will turn explicitly to Freud’s use of dreams in relation to his theories of anxiety, of psychic processes and of the Oedipus Complex.  相似文献   

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Variously described as enhancing sentience, supporting professional identity, providing insight and introducing the resident to covert group processes, the experiential group has been a part of residency education for over 25 years. This article specifically focuses on and identifies the potential areas for learning about group process in such an experience. These areas are organized around the contribution of individual psychological, social-psychological, and group-as-a-whole issues in the group. Actualization of the learning depends on the psychological state and level of emotional preparedness of the individual member, the consultant's orientation and style, the composition and development of the group, and its relationship to the organization in which it takes place. An example is provided to highlight the areas of potential learning, and there is a discussion of some applications to the patient role and the practice of group psychotherapy.  相似文献   

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The subject of dreams and spirituality has received a great deal of attention in recent years. It has not, however, been seriously examined by religious studies scholars; thus, our ability to explore the spiritual potentials of dreams has been left sadly undeveloped. This essay attempts to improve that understanding. The concept ofroot metaphors will be presented as a means of developing a sophisticated, critical understanding of dreams and spirituality. Three dreams in which root metaphors emerge to provide important spiritual meanings for the dreamer will be discussed. Some practical guidelines, oriented around the model ofplaying with dreams, will also be presented to help make the spiritual dimension of dreams more accessible to psychotherapists, pastoral counselors, and lay people.A member of the Board of Directors of the Association for the Study of Dreams, and Chairman of the ASD Education Committee.  相似文献   

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This critique of Jung's autobiography, Memories, Dreams, Reflections, looks at the text in light of recent criticism and postmodern developments in psychology. With particular attention to Jung's position on a transcendent God, the omission of significant relationships throughout the work, and the concept of individuation in relation to the Christian notion of vocation, this paper highlights the truths that Jung's autobiography challenges pastoral psychologists and pastoral theologians to integrate into clinical work and professional literature.  相似文献   

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