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As genetic health care and genetic testing expand from primarily addressing conditions that are exclusively genetic in nature to common diseases with both genetic and environmental components, the scope of genetic counseling has grown. Identification and utilization of a normative model of practice defined by members of the profession is critical as genetic services become more commonplace in medical care. The purpose of this paper is to describe the results of a consensus conference convened to define a model of genetic counseling practice based on the guidance of educators and leaders in the profession. Twenty-three program directors or their representatives from 20 genetic counseling graduate programs in North America listened to presentations and participated in group discussions aimed at determining the elements of a model of practice, including tenets, goals, strategies, and behaviors for addressing patients’ genetic concerns. Their discussion is summarized, training implications and research recommendations are presented, and a model of practice that extends their ideas is proposed.  相似文献   

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The nonlinear random coefficient model has become increasingly popular as a method for describing individual differences in longitudinal research. Although promising, the nonlinear model it is not utilized as often as it might be because software options are still somewhat limited. In this article we show that a specialized version of the model can be fit to data using SEM software. The specialization is to a model in which the parameters that enter the function in a linear manner are random, whereas those that are nonlinear are common to all individuals. Although this kind of function is not as general as is the fully nonlinear model, it still is applicable to many different data sets. Two examples are presented to show how the models can be estimated using popular SEM computer programs.  相似文献   

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Two papers published in 1979 are reviewed, one which looked at theories of family interaction and techniques of intervention, and the other at developments of the focal approach to family therapy which has its base in a dynamic understanding of the nature of relationships, but uses a variety of systemic interventions to create change. The development of the approach is described, along with its application to work in the abuse field. A recent case where two daughters were sexually abused by the grandfather who had abused their mother is used as an illustration.  相似文献   

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Abstract

Over the years, researchers have developed various short versions of the Marlowe-Crowne Social Desirability Scale (D. P. Crowne & D. Marlowe, 1960). The authors used confirmatory factor analyses (J. L. Arbuckle, 1997) as well as item and scale analyses to evaluate the adequacy of the full version and various short versions. Overall, the results from 232 Canadian undergraduates showed (a) that all the short versions in the present study are a significant improvement in fit over the 33-item full scale and (b) that W. M. Reynolds's (1982) Forms A and B are the best fitting short versions. No gender differences were found for the full scale or any of the short versions. The results show that the full scale could be improved psychometrically and that the psychometrically sound short versions should be available because they require less administration time than the full scale.  相似文献   

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探讨原创性科学研究的作用及特点,从遗传学发展史中选取某些典型事例进行分析,遗传学的百年历史记载着一批遗传学大师们的原创性科学研究的光辉业绩,他们的研究工作具有共同的特点,但在某一方面又有独到之处.原创性科学研究是学科形成和发展的原动力.原创性科学研究主要包含四个特点:卓越的科研思想、巧妙的实验设计、恰当的材料选择、精辟的结果分析.  相似文献   

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It was hypothesized that the eight Eriksonian psychosocial stages form a single latent variable or General Factor of Psychosocial Development (GFPD) and that this latent factor is associated with the General Factor of Personality (GFP) and Life History (LH) strategy to the extent that the variables form a higher order Super-K factor. Correlational analyses and confirmatory factor analyses each supported the hypothesized GFPD. Additionally, correlational and confirmatory factor analyses supported the hypothesis that the three variables form a single Super-K factor. The results of Study 3 suggest that the relationship between the psychosocial stages and between the GFPD, GFP, and LH strategy remained after controlling for social desirable response biases.  相似文献   

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This study was designed to adapt and to assess the reliability and factor structure of an Italian translation of the full and short form of the Posttraumatic Growth Inventory. A sample of 1,244 Italian adults who had experienced a range of adverse life events participated in this study. Five models of the underlying structure of the Posttraumatic Growth Inventory were tested via confirmatory factor analyses. Analyses of both the short and full form of the PTGI provided support for the original correlated five-factor structure. Multigroup confirmatory factor analysis supported the invariance of the Posttraumatic Growth Inventory across gender.  相似文献   

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《Women & Therapy》2013,36(3-4):9-17
This paper articulates the personal experiences of a woman with a physical disability who enters therapy to explore issues involving lesbian identity, health and illness, disability oppression and pride, and relationships. Written in the first person, the article uses anecdotes, poetry, and journal entries to chart the author's process of self-discovery. As a woman, a lesbian, and a person with a disability, the author frequently finds herself at odds with the culture around her. This creates conflicts between the author's real self, and the self she must present to others. She discusses how she had learned to "silence the voices" which were not useful in challenging the stereotypes, making others comfortable, or communicating with assistants. The author describes how therapy offered her the opportunity to unlearn the silence, value all of her voices, listen to herself, resolve her internal dilemmas, and develop a deeper sense of self.  相似文献   

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In the context of a growing aging population, this paper begins with the notion that the traditional resources of pastoral care will remain relevant, cffective and basic. However, the Church must redefine its images of "successful" ministry to emphasize the inhercnt value of the gray church. Gerontological stud~es need to become integrated in the whole enterprise of theological education and should be recognized as both presenting a special opportunity for female clergy and for developing a new model of m~nistry. Discussed are three needs for adequate preparation for the pastoral care of the aged: (1) Training in group process, (2) Skills in conflict resolution, and (3) A theology of aging that rests on Grace rather than works and that separates aging as a process distinct from death and dying. Finally, the author insists upon the involvement of the aged as a prerequisite for authenticity in each of these areas.  相似文献   

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What’s wrong with begging the question? Some philosophers believe that question-begging arguments are inevitably fallacious and that their fallaciousness stems from a shared “formal” deficiency. In contrast, some philosophers, like Robinson (Analysis 31:113–117, 1971) deny that begging the question is fallacious at all. And others characterize begging the question as an “informal” fallacy of reasoning that can only be understood with the aid of epistemic (as opposed to syntactic and semantic) notions. Sorensen (Analysis 56:51–55, 1996) joins this last camp by offering a powerful argument against both Robinson’s skepticism and fully formal approaches to the phenomenon. According to Sorensen’s view, question-begging is fallacious because it compromises the rationality of the question-beggar’s position. Though his argument forces Robinson into a peculiar dialectical position, it does little to elucidate the reasons why Robinson’s position is unstable and it fails to embody Sorensen’s own conception of rationally persuasive argumentation. I utilize this conception to show how Robinson is left with no easily identifiable grounds on which to deny the fallaciousness of begging the question. By advancing the dialectic between Sorensen and Robinson, I aim to show that our argumentative practices must take the perspectives of others seriously, whether or not those perspectives are rational.  相似文献   

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Self-report measures are much used in social psychology. However, such measures are susceptible to response bias. The 33-item Marlowe–Crowne Social Desirability scale (Crowne & Marlowe, 1960) is widely used to detect social desirability in responding. This study used confirmatory factor analyses and item and scale analyses to evaluate different, time-saving, short versions of the scale. The results from 633 management undergraduates showed that all the short versions and the 2-factor model are a significant improvement in fit over the full scale. There were no gender differences on the 14 measures. It is recommended that when the full scale is used, the separate attribution and denial scores are also used. Researchers who decide to use a short version should seriously consider Ballard's (1992) Scale 1 or composite versions because the present study identified these as the best short versions.  相似文献   

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Americans understood the Revolution by means of a developmental metaphor: the thirteen rebellious colonies were like children outgrowing their dependence on their parents and asserting their own autonomy. On this analogy, their Declaration of Independence was a natural unfolding of “things in the womb of time.” But the bitterness and bite of this developmental view of the Revolution went beyond a bland assertion of biological maturity. In the American apprehension of the matter, British parents mistreated their colonial offspring and provoked their wish to be free. The familial relationship was a dysfunctional one. And such an outlook made sense to Americans because their familial experience conditioned their familial imagery. In early America, colonists routinely left home at an early age, some because their parents sent them away, others because they chose to go. Patterns of precocious autonomy were widespread, impelled not only by withering mortality but also by an array of intergenerational animosities. Such strained, unloving ties between parents and children persisted long beyond 1776. Indeed, they set the terms of the American developmental ideal to this day, in ways which rupture the relation between generations and leave the American future both open and empty.  相似文献   

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For centuries the Spaniards have celebrated ‘Moors and Christians’, a popular enactment of the arrival of Islam in Spain and the subsequent Reconquista of the peninsula by Catholic forces. In this article we shall analyze how this celebration has evolved from being a religious commemoration and has become a secular holiday through which the population project their image of Muslims, drawing on historical perceptions. In addition, the changes introduced into ‘Moors and Christians’ during the past decades reflect developments in Spanish society in relation to gender issues, as well as adjustments to accommodate the increasing Muslim population.  相似文献   

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《未来哲学纲领》是本雅明早期思想的结晶。他质疑康德学说中的经验概念,指出原初、无蔽、自明的经验概念已不足以满足未来哲学发展的需要,未来哲学的发展要求一个更有确定意味的经验概念,这种经验取消了主客体的界限,划分出一个中立的领域,并且包含作为真正经验的宗教,它是一种形而上学的经验。以这种经验概念为基础,将会产生一种与之一致的新的知识概念,这就是本雅明为我们勾勒出来的未来哲学的图景。  相似文献   

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