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A preliminary version of this paper was presented at the 19th National Convention of the American Association for the Advancement of Slavic Studies, Boston, November, 5, 1987.  相似文献   

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A growing number of studies suggest cultural differences in the attention and evaluation of information in adults (Masuda & Nisbett, 2001; Markus & Kitayama, 1991; Hedden, Ketay, Aron, Markus, & Gabrieli, 2008). One cultural comparison, between Westerners, such as Americans, and Easterners, such as the Japanese, suggest that Westerners typically focus on a central single object in a scene while Easterners often integrate their judgment of the focal object with surrounding contextual cues. There are few studies of whether such cultural differences are evident in children. This study examined 48 monolingual Japanese-speaking children residing in Japan and 48 monolingual English-speaking children residing in the U.S.A. (40 to 60 month-olds) in a task asking children to complete a picture by adding the proper emotional expression to a face. The key variable was the context and shift in context from the preceding trial for the same pictured individual. Japanese children were much more likely to shift their judgments with changes in context whereas children from the United States treated facial expression in a more trait-like manner, maintaining the same expression for the individual across contexts.  相似文献   

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Informed consent, decision-making styles and the role of patient–physician relationships are imperative aspects of clinical medicine worldwide. We present the case of a 74-year-old woman afflicted with advanced liver cancer whose attending physician, per request of the family, did not inform her of her true diagnosis. In our analysis, we explore the differences in informed-consent styles between patients who hold an “independent” and “interdependent” construal of the self and then highlight the possible implications maintained by this position in the context of international clinical ethics. Finally, we discuss the need to reassess informed-consent styles suitable to the needs of each patient regardless of whether he or she resides in the United States or in Japan.  相似文献   

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Informed consent, decision-making styles and the role of patient-physician relationships are imperative aspects of clinical medicine worldwide. We present the case of a 74-year-old woman afflicted with advanced liver cancer whose attending physician, per request of the family, did not inform her of her true diagnosis. In our analysis, we explore the differences in informed-consent styles between patients who hold an "independent" and "interdependent" construal of the self and then highlight the possible implications maintained by this position in the context of international clinical ethics. Finally, we discuss the need to reassess informed-consent styles suitable to the needs of each patient regardless of whether he or she resides in the United States or in Japan.  相似文献   

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An overview of suicide in the U.S. Army is presented in two sections: (1) the epidemiology of U.S. Army suicides, based on biennium reports, and (2) the temporal aspects of those suicides compared with the data for the United States as a whole. A brief historical review documents some of the changes in contemporary military suicide rates compared to those of the past century. The cycles in the number of suicides by day of the week, day of the month, and the month of the year for the U.S. Army are computed and contrasted with those reported for the U.S. resident population.  相似文献   

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We investigated the importance of the role of drill instructors (RDCs) on training and retention of new sailors (N = 34,000). Based on social support and group cohesion literatures, we hypothesized that social support from RDCs would influence completion rates of entry-level Navy training and retention intention of new sailors. We found that perceptions of social support from RDCs had a significant positive relationship with eventual graduation from basic training; encouragement to remain in the Navy was particularly strongly related to graduation when the source of the encouragement was RDCs. Further, those who attrited from training were especially likely to perceive RDCs as encouraging them to leave the Navy. We discuss the implications of our findings in terms of theory, research and practice.  相似文献   

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Pregnancy is a momentous life event experienced by most women that involves biomedical and psychosocial changes that are potentially stressful. High levels of maternal stress in pregnancy contribute to adverse fetal, infant, child, and adult outcomes, including cognitive, emotional, neurodevelopmental, and physical health effects. This article discusses definition, measurement, and effects of stress in pregnancy and describes current research questions such as whether the timing or pattern of prenatal stress accentuates its effects and whether prenatal stress accounts for ethnic disparities in adverse birth outcomes in the United States. We review research on the ways that women cope with prenatal stress and research examining associations of coping with maternal emotional state, health, and birth outcomes. Additionally, we describe important factors that improve women's psychosocial adaptation to pregnancy, their health, and their birth outcomes, specifically trait optimism, social support, and physical activity, and we emphasize interventions that utilize these factors.  相似文献   

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Thirty-two states and the District of Columbia responded to a survey on their school psychology services programs in the period 1966–1974. Ratios of workers to students averaged 1 to 21,900 in the base period, improving to 1 to 8,100 by school year 1974–1975. Rates of growth and rankings are given by state, as well as projected goals for responding states.  相似文献   

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Many activities of doctors in the acute hospital sector do not improve patient outcome because they are inappropriate. Curtailing interventions that are unnecessary (because the patient is not bad enough) or are unsuccessful (because the condition is too advanced) could both save resources and improve care. Rational rationing depends on knowledge about the expected benefits of various technologies when used in different clinical circumstances.  相似文献   

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The religious debates of the 1920's in the Soviet Union were marked by an agreement to disagree which no longer seems to exist.  相似文献   

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The aim of this article is to assess the measurement invariance of the Bermond-Vorst Alexithymia Questionnaire (BVAQ) in U.S. Anglo (n = 490) and U.S. Hispanic ( n = 379) samples of college students. The BVAQ items demonstrated invariance of the factor loadings, the latent item intercepts, and unique factor variances. However, Hispanics had higher verbalizing scores and lower fantasizing scores on the latent variables. As a whole, the BVAQ requires additional testing and/or refinement for use with a Hispanic sample. Until such refinements, the authors recommend that the Toronto Alexithymia Scale-20 be used with U.S. Hispanic samples.  相似文献   

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Pastoral Psychology - How does moral injury affect Muslim military personnel (MMP) serving in the United States longest war, Operations Enduring Freedom and Iraqi Freedom? Moral injury in MMP has...  相似文献   

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Using data from the Health and Retirement Study, I examine the relationship between adult mortality and religious affiliation. I test whether mortality differences associated with religious affiliation can be attributed to differences in socioeconomic status (years of education and household wealth), attendance at religious services, or health behaviors, particularly cigarette and alcohol consumption. A baseline report of attendance at religious services is used to avoid confounding effects of deteriorating health. Socioeconomic status explains some but not all of the mortality difference. While Catholics, Evangelical Protestants, and Black Protestants benefit from favorable attendance patterns, attendance (or lack of) at services explains much of the higher mortality of those with no religious preference. Health behaviors do not mediate the relationship between mortality and religion, except among Evangelical Protestants. Not only does religion matter, but studies examining the effect of "religiosity" need to consider differences by religious affiliation.  相似文献   

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Over the past several decades, survey research has found a growing percentage of Americans claiming no religious affiliation. In this article, we introduce a modified religious traditions (RELTRAD) typology to measure religious affiliation. The approach benefits from a more detailed data collection and coding scheme of religious tradition based upon religious family, denomination, and congregation. Using new national survey data from the Baylor Religion Survey, we find: (1) improvement to survey design and measurement makes it possible to accurately locate more Americans within established religious traditions; (2) Americans remain connected to congregations, but less so to denominations or more generic religious identity labels; and (3) religious adherents are considerably more evangelical than prior studies have found. Finally, we consider how affiliation as a form of religious belonging relates to religious beliefs and behaviors.  相似文献   

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The view that once prevailed in the U.S.--that research is no more dangerous than the activities of daily life--no longer holds in light of recent experience. Within the past few years, a number of subjects (including normal volunteers) have been seriously injured or killed in research conducted at prestigious institutions. Plainly, when we are talking about research going wrong, we're talking about something very important. We have seen that experiments can go wrong in several ways. Subjects can be injured--physically, mentally, or by having other interests violated. Investigators can commit fraud in data collection or can abuse subjects. And review mechanisms--such as IRBs--don't always work. The two major issues when research goes wrong in any of these ways are, first: What will be done for subjects who have suffered an injury or other wrong? and second: How will future problems be prevented? The present system in the U.S. is better at the second task than the first one. Part of the difficulty in addressing the first lies in knowing what "caused" an apparent injury. Moreover, since until recently the problem of research-related injuries was thought to be a small one, there was considerable resistance to setting up a non-fault compensation system, for fear that it would lead to payment in many cases where such compensation was not deserved. Now, with a further nudge from the NBAC there is renewed interest in developing a formal system to compensate for research injuries. Finally, I have tried to show that our system of local oversight is only partially effective in improving the design of experiments and the consent process in light of "unexpected (adverse) results." As many observers, including the federal General Accounting Office (GAO), have reported, the requirement for "continuing review" of approved research projects is the weak point in the IRB system. The probable solution would be to more strictly apply the requirement that investigators report back any adverse results, de-emphasizing the "screen" introduced by the present language about "unexpected" findings. Yet, despite its weaknesses, there are good aspects to the local basis of our oversight system, and when problems become severe enough, OHRP is likely to evaluate a system and insist on local improvements. Thus, while the U.S. system is far from perfect in responding when research goes wrong, our experience may be useful to others in crafting a system appropriate to their own circumstances. One of the major tasks will be to adequately define what triggers oversight--that is, who reports what to whom and when? The setting of this trigger needs to balance appropriate incentives and penalties. Any system, including our own, will, in my opinion, work much better once an accreditation process is in place, which will offer much more current and detailed information on how each IRB is functioning and what steps are needed to help avoid "experiments going wrong."  相似文献   

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