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Public financial support for intellectual disability in the United States grew from 2.3 billion in 1955 to 82.6 billion in 2004, and the federal government emerged during this period as the principal provider of such support. Notwithstanding this unprecedented growth in financial support, many inequities persist today in the distribution of financial resources and services across states, communities, families and to individual disabled consumers. Moreover, tens of thousands of persons with intellectual disabilities continue to live in institutions and nursing homes, waiting lists and aging caregivers are growing rapidly, and family support and supported employment programs receive limited funding. Research and training support has declined significantly in comparison to the growing financial commitments for services and income maintenance. To address these and other issues, the author suggests commissioning a new "President's Panel on Intellectual Disability" modeled on President Kennedy's landmark 1961 Panel on Mental Retardation. The new panel would be appointed during the first months of the new presidential administration in 2009 and deliver its report to the President in 2011, commemorating the 50(th) anniversary of the original President's Panel.  相似文献   

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Autumn Fiester identifies an important element in clinical ethics consultation (CEC) that she labels, from the Greek, aporia, "state of perplexity," evidenced in CEC as ethical ambiguity. Fiester argues that the inherent difficulties of cases so characterized render them inappropriate for voting and more amenable to mediation and the search for consensus. This commentary supports Fiester's analysis and adds additional reasons for rejecting voting as a process for resolving disputes in CEC including: it distorts the analysis by empowering individual voters preferences and biases rather than focusing on the interests and wishes of the patient and family; it offers an insufficiently sensitive model for resolving the awesome, nuanced, conflicted, and ethically complex issues surrounding life and death; it marginalizes minority opinions that may have moral validity.  相似文献   

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From 1911 to 1921, Helen Thompson Wooley served as director of the Vocation Bureau of the Cincinnati Public Schools. In this position she designed and supervised a massive longitudinal study comparing the development of adolescents who remained in school with those who left school to go to work. Although the original goals of this study were not accomplished, the achievements of the Vocation Bureau brought national recognition to the city and to Helen Wooley. The accomplishments of the bureau reflected Wooley's view of the role of experimental psychology in contributing to the scientific understanding of adolescents and to educational and social reforms.  相似文献   

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Although most members of the Pavlovian Society properly focus their efforts on empirical research, the scholarly, critical conceptual contributions of some individuals are also relevant to progress in psychology and behavioral neuroscience. This paper discusses the contributions of the late George Windholz (often in collaboration with Peter Lamal) as: (a) a historian of Pavlov's life and work; (b) an analyst of priority issues in psychology as a science; (c) a refuter of myths perpetrated by psychology texts. These contributions provide an example of the scholarly form of the motto "observation and observation," where the data used to test hypotheses comprise original documents (often in languages other than English) examined by the historian's critical eye.  相似文献   

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Since about two decades neuroscientists have systematically faced the problem of consciousness: the aim is to discover the neural activity specifically related to conscious perceptions, i.e. the biological properties of what philosophers call qualia. In this view, a neural correlate of consciousness (NCC) is a precise pattern of brain activity that specifically accompanies a particular conscious experience. Almost all studies aimed at investigating the NCC have been carried out in the visual system. One of the most promising paradigms is based on sensory stimuli which elicit bistable percepts, as they allow to decouple subjective perception from the characteristics of the physical stimulation. Such kind of perception can be produced in the visual modality by using particular images (e.g. Rubin's vase/face figure) or by presenting two dissimilar stimuli separately to the two eyes (binocular rivalry). The stimuli compete for perceptual dominance and each image is visible in turn for a few seconds, while the other is suppressed. The use of this methodology has led to important findings concerning visual consciousness, which are briefly discussed. For the investigation of auditory consciousness, a similar stimulation paradigm can be achieved by using dichotic listening, consisting in two different stimuli presented each to one ear, which compete for perception (binaural rivalry). The principal aim of the present mini-review is to discuss the few contributes facing the issue of auditory consciousness and to advance the use of dichotic listening and binaural rivalry as valid tools for its investigation.  相似文献   

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B J Baars 《Consciousness and cognition》2001,10(2):159-64; discussion 246-58
Surgical patients under anesthesia can wake up unpredictably and be exposed to intense, traumatic pain. Current medical techniques cannot maintain depth of anesthesia at a perfectly stable and safe level; the depth of unconsciousness may change from moment to moment. Without an effective consciousness monitor anesthesiologists may not be able to adjust dosages in time to protect patients from pain. An estimated 40,000 to 200,000 midoperative awakenings may occur in the United States annually. E. R. John and coauthors present the scientific basis of a practical "consciousness monitor" in two articles. One article is empirical and shows widespread and consistent electrical field changes across subjects and anesthetic agents as soon as consciousness is lost; these changes reverse when consciousness is regained afterward. These findings form the basis of a surgical consciousness monitor that recently received approval from the U.S. Food and Drug Administration. This may be the first practical application of research on the brain basis of consciousness. The other John article suggests theoretical explanations at three levels, a neurophysiological account of anesthesia, a neural dynamic account of conscious and unconscious states, and an integrative field theory. Of these, the neurophysiology is the best understood. Neural dynamics is evolving rapidly, with several alternative points of view. The field theory sketched here is the most novel and controversial.  相似文献   

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Two brief periods when Felix and Helene Deutsch were living apart, but communicating by letter, offer a rare glimpse of the inner workings of the Vienna Psychoanalytic Society.  相似文献   

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A democratic state is characterised by more than its particular principles and institutions; its citizens must have the democratic virtues and attitudes. One such important attitude is trust, as commentators on the current attempts to create democratic institutions in the USSR emphasise. The paper gives an account of social trust and also the important, though problematic, role that distrust plays in a democracy. Finally the paper considers how the school can instantiate social trust in its own ethos.  相似文献   

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This article asks why the analogy between humans and computers was understood by cognitive psychologists to mean that "minds exist and that it is our job as psychologists to study them". Earlier psychologists, such as Clark Hull, used analogies between humans and complex machines such as telephone switchboards to defend a rigorous behaviorism. How, then, did the computer metaphor of mind come to be seen as the root concept underlying a paradigm shift from behaviorism to cognitivism? To answer this question, this article examines the life and work of George A. Miller, one of the most prominent of a generation of psychologists who began their careers as "good behaviorists" but later came to embrace cognitivism.  相似文献   

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This paper examines the relationship between the New Psychology and American Protestantism in the late nineteenth century through a consideration of the early career of George Albert Coe. Coe originally aspired to become a Methodist minister but after several years studying evolutionary biology and the New Theology his professional interests came to rest on the New Psychology. His decision to pursue a career in psychology and his subsequent research program is discussed in relation to the religious and institutional context of the period. For Coe, the New Psychology was not an ideologically secular initiative but a methodologically secular means of advancing a religious agenda. His experience suggests that the field's growth in the 1890s is partly attributable to the perception that psychology could help bring Protestantism into line with modern experience.  相似文献   

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For the Malthusian theory of population to be accepted as "scientific," it was essential that the theory be established on wide empirical evidence. A close examination of the "facts" provided by Malthus, however, shows that many of his crucial facts are based on distortions of the available evidence. Malthus was probably aware of much of this weakness, but for rhetorical reasons he persisted with the sandy empirical foundations from which he began.  相似文献   

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The authors of this paper have tried to provide an introduction to the language and problem solving approach called Precision Teaching. Reasons for using a specific language and reporting techniques are listed. Definitions of the terminology and examples taken from the classroom are provided. The main point of this paper is that systematic interventions, precisely described and systematically recorded, lead to the most successful interventions.  相似文献   

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Behavioral, neuropsychological, and brain imaging research points to a dedicated system for processing number that is shared across development and across species. This foundational Approximate Number System (ANS) operates over multiple modalities, forming representations of the number of objects, sounds, or events in a scene. This system is imprecise and hence differs from exact counting. Evidence suggests that the resolution of the ANS, as specified by a Weber fraction, increases with age such that adults can discriminate numerosities that infants cannot. However, the Weber fraction has yet to be determined for participants of any age between 9 months and adulthood, leaving its developmental trajectory unclear. Here we identify the Weber fraction of the ANS in 3-, 4-, 5-, and 6-year-old children and in adults. We show that the resolution of this system continues to increase throughout childhood, with adultlike levels of acuity attained surprisingly late in development.  相似文献   

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This paper explores the relationship between Keats's ballad, "La Belle Dame sans Merci," and some of its precursors, including one of the poet's dreams and a sonnet titled "On a Dream." The process of creativity is examined.  相似文献   

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