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This paper deals with describing the dynamics of a certain type of bulimic patient as reflecting a failure in the process of separation. The taking in of food is connected to the process of merging with mother and its expulsion an attempt at separation. A specific treatment plan dealing with these issues is described, with the therapist taking an active role.  相似文献   

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Relatives (N=121) of adult schizophrenia patients were interviewed to investigate predictors of their level of psychological distress and of rejecting attitudes toward the sufferer. The relatives' total stress, particularly that associated with poor communication skills in the sufferer, predicted several measures of their psychological distress, and the same variables plus turbulence of sufferer behavior (i.e., violence and disruptiveness) predicted rejection of the sufferer by the relative. In each case, adequacy of family support moderated the influence of the stressors, although this effect was more marked for distress outcomes than for rejection. The results have important implications for the sorts of professional and peer support which relatives may need to encourage their performance of this potentially burdensome role. In addition, the results fit a classic stress management model and provide a feasible alternative to the Expressed Emotion Model of the relationship between relatives' rejection and patients' illness severity.  相似文献   

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Maternal perceptions were assessed, using the Parental Bonding Instrument (PBI) in 19 subjects with schizophrenia, 14 subjects with borderline personality disorder and 15 non-clinical subjects. Subjects with schizophrenia and subjects with borderline personality disorder reported significantly less care and more overprotection than did non-clinical subjects. No significant differences were found in representations by subjects with schizophrenia and subjects with borderline personality disorders. To the extent that the reported negative maternal behaviour gives a true picture of childhood and adolescent experiences, it does not seem to be specific for schizophrenia, but may be one factor in the development of severe mental disorders.  相似文献   

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《Theology & Sexuality》2013,19(1):29-51
Abstract

This article explores black homophobia as a co-constitutive phenomenon which harbors the fear of the loss of a black archetypal identity that can be understood as (hetero)normative. Using a method of queering black homophobia from a hetero non-normative viewpoint, an exploration of the authenticity of a liberation viewpoint that is multivocal, multidimensional, and offering an interpretation that is inclusive of identities that trouble the waters of black hetero-patriarchal hegemony will be in question as it relates to the role of the Hamitic hypothesis and those interpretations that conflate evil, sexual perversion, and human degeneration within blackness.  相似文献   

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Auditory hallucination is a key characteristic of schizophrenia that seriously debilitates the patient, with consequences for social engagement with others. Hallucinatory experiences are also observed in healthy individuals in the general population who report “hearing voices” in the absence of an external acoustic input. A view on auditory hallucinations and “hearing voices” is presented that regards such phenomena as perceptual processes, originating from speech perception areas in the left temporal lobe. Healthy individuals “hearing voices” are, however, often aware that the experience comes from inner thought processes, which is not reported by hallucinating patients. A perceptual model can therefore, not alone explain the difference in the phenomenology of how the “voices heard” are attributed to either an inner or outer cause. An expanded model is thus presented which takes into account top‐down cognitive control, localized to prefrontal cortical areas, to inhibit and re‐attribute the perceptual mis‐representations. The expanded model is suggested to be empirically validated using a dichotic listening speech perception paradigm with instructions for top‐down control of attention focus to either the right or left side in auditory space. It is furthermore suggested to use fMRI to validate the temporal and frontal lobe neuronal correlates of the cognitive processes involved in auditory hallucinations.  相似文献   

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The Simple Copy Task (SCT) is a figure copying test with inherent appeal due to its short administration time, graded task difficulty, varied stimuli, and potential to eliminate floor effects. Despite this, there is a lack of data regarding its construct validity and diagnostic utility. The present study compared SCT performance of schizophrenia (n = 29), dementia (n = 64), and movement disorder (n = 12) groups with that of unmatched healthy control participants (n = 49). Movement disorder patients committed a high degree of misplacement errors, whereas dementia patients tended to omit items, add extraneous detail, and perseverate. The schizophrenia group was most similar to the dementia group in their performance on the SCT, committing primarily omission and perseveration errors. The SCT was most closely related to the Rey Complex Figure Task (r = 0.68, p < .01) and the Block Design Task (r = 0.62, p < .01). Age (r = ?0.14, p < .01) and education (r = 0.35, p < .01) effects were present; however, there was no impact of gender and handedness. Taken together, these findings provide support for the utility of the task and directions for clinical interpretation.  相似文献   

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Several studies have reported that nonreward facilitates subsequent performance; other studies have found that failure is followed by a performance decrement. Experiments that have shown facilitating effects of nonreward have used interresponse intervals of at least 5 sec, whereas those that have shown decremental effects of failure have used 0-sec interresponse intervals. The present study examined the effects of .5-, 1.0- and 5.0-sec interresponse intervals on children's lever-pulling responses following success and failure on a ball tower task. Second- and third-grade children responded slower following failure relative to success with .5- and 1.0-sec interresponse intervals. Speeds following success and failure did not differ when the interresponse interval was 5.0 sec. Increases in interresponse interval were associated with increases in speeds following failure, but speeds following success were not related to interresponse interval. These results were discussed in terms of frustration-produced competing responses and Elliott (1970) analysis of the influence of preparatory intervals on children's reaction-time performance.  相似文献   

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An 8-month-old infant with a developmental quotient of 112 months was given response-contingent stimulation using a pressure-sensitive pillow which turned an overhead mobile. The subject learned to control the mobile by kicking the pillow, and concurrently began smiling at both the mobile and her mother for the first time. After mastering three contingencies on arm, head, and leg movement, she displayed what appeared to be a Piagetian coordinated secondary circular reaction, in which one response provided 4 seconds of access to another contingency. Although the subject remains severely retarded, the results suggest that some forms of developmental delay may be treated at least in part as a failure to develop contingency awareness.  相似文献   

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Expressed emotion (EE) is a measure of the amount of criticism and emotional over involvement expressed by a key relative towards a relative with a disorder or illness. Research has established that living in a high EE environment, which is characterised by increased levels of critical and emotionally exaggerated communication, leads to a poorer prognosis for patients with a mental illness when compared to low EE environments. Despite evidence that EE is a strong predictor of the course of the illness, there continue to be questions concerning why some family members express excessive levels of high EE attitudes about their mentally ill relatives while others do not. Based on indirect evidence from previous research, the current study tested whether religious and nonreligious coping serve as predictors of EE. A sample of 72 family members of patients with schizophrenia completed an EE interview, along with questionnaires assessing situational nonreligious coping and religious coping. In line with the hypotheses, results indicated that nonreligious coping predicted EE. Specifically, less use of adaptive emotion-focused coping predicted high EE. Also consistent with predictions, maladaptive religious coping predicted high EE above and beyond nonreligious coping.  相似文献   

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People often make decisions without reference to vital information, even when such information is readily available. In the present research, the authors addressed the possibility that this tendency may derive from failure to have pertinent information immediately available in the decision context. Participants rated the utility of decisions in either the presence or absence of simple pertinent information. The information provided required no training and was relatively obvious (e.g., if money is spent on a given item, that money will not be available for other expenditures). Presentation of such information in the immediate context of decisions significantly improved participants' abilities to understand their negative consequences. These results indicate that the presentation of pertinent information in immediate decision contexts, even information that is already available through participants' long-term memory, can improve the understanding of decision situations and reduce "mindlessness" in decision processes.  相似文献   

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Conditioned lick suppression in rats was used to examine the effectiveness of three different “reminder” treatments in reactivating associations to a blocked stimulus in a Kamin blocking paradigm. Experiment I indicated that with our parameters prior tone-footshock pairings could block manifestation of a light-footshock association that would otherwise be evident following pairings of a light-tone compound stimulus with footshock. In Experiment II, exposure to either the US, the blocked stimulus (light), or the apparatus cues between the compound conditioning trials and testing decreased blocking. Experiments III(a) and III(b) replicated the unblocking effects seen in Experiment II and included control groups that received the identical training and reminder treatments except for the omission of the light from the compound stimulus. These latter animals failed to display behaviour comparable to the blocked and reminded subjects, thereby establishing the associative basis of suppression to the light in the animals reminded following treatment known to produce blocking. Experiment IV also replicated the results of Experiment II and included control groups that received identical light-tone compound trials and reminder treatments without prior conditioning to the tone alone. In these control groups, reminder treatments tended to disrupt rather than increase evidence of conditioning to the light. The results suggest that associations are formed to the added element of a compound despite prior conditioning to the initial element, and that failure on the test trial to retrieve these associations to the blocked CS, rather than a failure to attend to or learn about the added element, is at least in part responsible the Kamin blocking effect.  相似文献   

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The problem of epistemic bootstrapping requires explaining, in a principled manner, why a subject who engages in bootstrapping fails to know the conclusion of her reasoning. Existing proposed solutions to the problem provide unsatisfactory explanations regarding the bootstrapper's ignorance. This paper puts forward a novel solution and argues that it satisfactorily explains the ignorance of the bootstrapper, while avoiding the difficulties that other proposals face. Section 1 explains what epistemic bootstrapping is, defines the problem it poses for a theory of knowledge, and outlines the basic desiderata demanded of any acceptable solution to the problem. Section 2 explicates the proposal I defend throughout the rest of the paper. Here, I contend that the wrong−making feature of bootstrapping which ultimately explains the bootstrapper's ignorance is a failure to use an independent source in checking the accuracy of the reports of a given source. I call this explanation the “Independence proposal.” Section 2 also argues that the phenomenon of bootstrapping is broader than is usually assumed; there are cases of bootstrapping that do not fit the superficial structure of the prototypical cases discussed in the literature, and any good proposal should apply to these as well. Section 3 argues that the independence proposal does better than other current proposals in fulfilling the desiderata identified in Section 1. Section 4 sums up the central contributions of the paper.  相似文献   

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Importance of attributions as a predictor of how people cope with failure   总被引:1,自引:0,他引:1  
This study examined the extent to which causal attributions were predictive of depressed mood in college students who experienced a negative event. In a replication and extension of a study by Metalsky, Abramson, Seligman, Semmel, and Peterson (1982), we evaluated students' attributional style and their attributions for an examination performance in the college classroom. Additionally, an indirect probe was used to assess unsolicited attributions. Subjects were asked about their plans to prepare for the next examination in order to test for the motivational deficits predicted by the reformulated learned helplessness (RLH) model. Unlike Metalsky et al., attributional style did not predict depressed mood following a disappointing examination performance. Attributions for the particular examination performance were predictive of depressed mood for students who were disappointed in their examination performance. Few subjects, 31%, gave attributions in response to the indirect probe, and there was no support for the prediction that unexpected negative events would lead to subjects' making more attributions. Internal, stable, and global attributions for poor examination performance resulted in students making more plans to study for the next examination, a finding contrary to what is predicted by the RLH model.  相似文献   

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When an act is interpreted as emotional, the responding individual generally is considered less responsible than if the act were interpreted as deliberate. This leads to the hypothesis that the self-attribution of emotion will more likely occur when behavior has undesirable rather than desirable consequences. Three experiments were conducted to explore this hypothesis. In these experiments, the self-attribution of emotion was assessed indirectly by having the subjects judge potentially arousing stimuli (e.g., nudes and corpses) after these stimuli had been associated with either failure or success on a problem-solving task. As predicted, the nudes were judged more attractive and the corpses more disturbing when they were associated with failure. This tendency was most apparent among subjects who perceived the task to be a valid indication of intellectual ability.  相似文献   

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