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It is not too early to suggest that the attempts to place medical cae in private hands (through group insurance arrangements) has not fulfilled its promise--or better, the promises that were made for it. Yet history has not been kind to plans to make government the single payer, and the laudable progress in medical technology has placed high-technology medical care beyond the reach of most private budgets. In this paper I suggest that the major problem of the U.S. health care system as presently conceived is a failure of legitimacy, and I put forward a proposal that purports to solve that problem. The proposal is to localize health care, on the model of a public school system, on the argument that such localization will answer most of the questions of legitimacy at the core of the private insurance imbroglio, provide a brake for medical costs, while preserving our ability to take advantage of the most advanced medical interventions. I present some initial arguments for the proposal, but await its proof in the dialogue emerging as the present insurance system collapses.  相似文献   

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Around the end of the 1920s, Vygotsky introduced his integrative framework for psycho-logical research to the Soviet Union. This framework was not abandoned and forgotten until its rediscovery in Russia and America in the 1950s, as some claim. In fact, even after his untimely death in 1934, Vygotsky remained the spiritual leader of a group of his for-mer students and collaborators, who became known as the Kharkov School. This paper reconstructs the early intellectual history of Vygotskian psychology, as it emerged, around the time of Vygotsky's death, in the research program of the Kharkov School.  相似文献   

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This article discusses the authors' experiences of the transition from trainee to trainer on a psychotherapeutic training programme, and some of the challenges involved. Using the framework offered by Rizq (2009), the article examines the many parallel processes implicit in the roles of trainee, trainer and therapist. We explore these using examples from personal experience and psychodynamic theory and concepts. We believe our experience illustrates one of the transitions that are inevitable throughout the process of training, qualifying and practising as therapeutic practitioners. These transitions, whilst often fraught with difficulty, are invariably paramount to the process of reflection and development as a practitioner and teacher. Therefore, this article hopes to formulate a deeper understanding of this edifying, yet challenging transition.  相似文献   

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Pathways to reading: the role of oral language in the transition to reading   总被引:2,自引:0,他引:2  
What is the role of oral language in reading competence during the transition to school? Is oral language in preschool best conceptualized as vocabulary knowledge or as more comprehensive language including grammar, vocabulary, and semantics? These questions were examined longitudinally using 1,137 children from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Children were followed from age 3 through 3rd grade, and the results suggest that oral language conceptualized broadly plays both a direct and an indirect role in word recognition during the transition to school and serves as a better foundation for early reading skill than does vocabulary alone. Implications of these findings are discussed in terms of both theoretical models of early reading and practical implications for policy and assessment.  相似文献   

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Cyberbullying is a reality of the digital age. To address this phenomenon, it becomes imperative to understand exactly what cyberbullying is. Thus, establishing a workable and theoretically sound definition is essential. This article contributes to the existing literature in relation to the definition of cyberbullying. The specific elements of repetition, power imbalance, intention, and aggression, regarded as essential criteria of traditional face-to-face bullying, are considered in the cyber context. It is posited that the core bullying elements retain their importance and applicability in relation to cyberbullying. The element of repetition is in need of redefining, given the public nature of material in the online environment. In this article, a clear distinction between direct and indirect cyberbullying is made and a model definition of cyberbullying is offered. Overall, the analysis provided lends insight into how the essential bullying elements have evolved and should apply in our parallel cyber universe.  相似文献   

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The transition to parenthood is a rite of passage for most adults; however, given the dynamic state of gender roles in society, the parameters surrounding the ease or difficulty with this transition are evolving. The purpose of this paper is to introduce the work included in the special issue, Gender and the Transition to Parenthood. Academic literature has been filled with articles on how women cope with the transition to parenthood from a variety of perspectives, including a feminist perspective. However, much of this literature is dated and cannot account for how today’s gender roles in society (particularly those of fathers) may influence the transition to parenthood. We argue that, with the rapidly changing gender roles in society, it is crucial to consider three perspectives in parenting: hers, his, and theirs. The ten works included in this special issue represent these three perspectives and seek to understand the transition to parenthood and its intersection with today’s gender roles. Based on these works, the authors encourage researchers interested in the transition to parenthood to incorporate both male and female perspectives, as well as the interplay between the genders in making the transition smooth or difficult. Following a brief overview of the existing literature, we introduce the articles in the special issue. All papers in this special issue are based on U.S. samples.  相似文献   

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Children of the Affluent: Challenges to Well-Being   总被引:5,自引:0,他引:5  
Growing up in the culture of affluence can connote various psychosocial risks. Studies have shown that upper-class children can manifest elevated disturbance in several areas-such as substance use, anxiety, and depression-and that two sets of factors seem to be implicated, that is, excessive pressures to achieve and isolation from parents (both literal and emotional). Whereas stereotypically, affluent youth and poor youth are respectively thought of as being at "low risk" and "high risk," comparative studies have revealed more similarities than differences in their adjustment patterns and socialization processes. In the years ahead, psychologists must correct the long-standing neglect of a group of youngsters treated, thus far, as not needing their attention. Family wealth does not automatically confer either wisdom in parenting or equanimity of spirit; whereas children rendered atypical by virtue of their parents' wealth are undoubtedly privileged in many respects, there is also, clearly, the potential for some nontrivial threats to their psychological well-being.  相似文献   

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Unlike our primate cousins, many species of bird share with humans a capacity for vocal learning, a crucial factor in speech acquisition. There are striking behavioural, neural and genetic similarities between auditory-vocal learning in birds and human infants. Recently, the linguistic parallels between birdsong and spoken language have begun to be investigated. Although both birdsong and human language are hierarchically organized according to particular syntactic constraints, birdsong structure is best characterized as 'phonological syntax', resembling aspects of human sound structure. Crucially, birdsong lacks semantics and words. Formal language and linguistic analysis remains essential for the proper characterization of birdsong as a model system for human speech and language, and for the study of the brain and cognition evolution.  相似文献   

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Motivation and Emotion - Mourning constitutes an important human emotion, which might cause—among other things—major depressive symptoms when lasting for too long. To date, no study...  相似文献   

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Asch conformity studies: conformity to the experimenter and-or to the group   总被引:1,自引:0,他引:1  
G I Schulman 《Sociometry》1967,30(1):26-40
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