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Successful reports of behavioral treatment of encopresis describe interventions as unpleasant as the disorder: hospitalization, laxatives, prompted toileting, aversive consequences. The focus on soiling rather than on the constant constipation that precedes encopresis, on the reduction of soiling rather than on the acquisition of effective toilet use. Five normal chronically constipated children (four of whom were encopretic) were treated at home with combinations of: preparatory instructions, rewards for clean pants, reward for appropriate toileting (bowel movement in toilet). Once soiling was eliminated and appropriate bowel movements occured regularly, all families were taught to fade treatment contingencies. To determine the contribution of the toileting reward to treatment effectiveness, this reward was added to the other two treatment components in a multiple baseline across four cases; it provided a significant ingredient in short-term success. A fifth child achieved short-term success with only the instructions and the clean pants reward. Long-term results (11-20 months) revealed that the fifth child, who never received the toileting reward, was the only one who relapsed.  相似文献   

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Mining the Soul: From the Inside Out. 2000. By Robin Robertson. York Beach: Nicholas-Hays.

The Soul in Grief: Love, Death and Transformation. 1999. By Robert Romanyshyn. Berkeley, CA: North Atlantic Books.

Healing Dreams. 2000. By Marc-Barasch. New York: Riverhead Books.

The Wounded Body. 2000. By Dennis Slattery. Albany, NY: State University of New York Press.  相似文献   

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A quasi-experimental design was used to statistically compare academic achievement among 277 students in single-grade and multigrade classrooms in the Pacific Northwest. Adjustments were made using analysis of covariance to help insure comparable group means. Results indicate that academic achievement with a single exception is not related to enrollment in single grade or multigrade classrooms even after the effects of gender and length of years in classroom were held constant. Less direct instruction and more process time was observed in multigrade rooms.  相似文献   

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This single-case-design experiment examined an intervention to decrease bed-sharing in children, ages 2 through 6. Three sessions were conducted with each parent. At the first session, parents described bed-sharing history and began collecting baseline data. At the second session, parents were instructed to employ the intervention. At the third session, parents were interviewed and offered continued support, if needed. Participants included three children who slept with their parents 4 or more nights per week. The intervention resulted in a substantial decrease in bed-sharing behavior for all participants, and parents reported being satisfied with the intervention.  相似文献   

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In the brief essays that follow, failing narcissistic defenses are associated with two tragic events: the murder of a young woman by her ex-boyfriend that became a national media event, and the portrayal in a major motion picture of the gradual disintegration of a marriage that ended in the wife's death.  相似文献   

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Consideration is given to our cognitive, volitional, and emotive functions as they are experienced in the I‐It and I‐Thou realms of our existence, focusing on our emotive function. Feelings in the I‐It realm are limited to the physical and psychical parts of ourselves. They are defensive and motivate our survival in the world. In the I‐Thou realm, they permeate our whole being, including that part of ourselves that is beyond phenomenological manifestation that lies at the ground of our being as potential awaiting actualization. Our ontology necessitates the experience of our primary feelings in our struggle to become what we are uniquely “created” to be. Dialogical psychotherapists consider this as crucial to our therapeutic endeavors.  相似文献   

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We report a study that addressed behavior data recording by direct-care staff at a child services program. In response to a decreasing percentage of daily data recording in two community-based group homes, a supervisory intervention was implemented, consisting of a revised data recording form and providing performance feedback to the direct-care staff. The intervention increased and maintained the percentage of daily data recording each month across the two group homes and seven sets of child behavior data. The study represents one approach toward staff performance improvement within child services programs.  相似文献   

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A 5-year old subject was treated for molestation-induced behavior problems consisting of excessive verbal ruminations and concamitant negative emotional responding. Treatment invovled utilization of a modified operant DRO procedure using the subject's mother as primary behavior change agent. Data based observations predicated on home-environment and generalization probe sources demonstrated dramatic reductions in problem behaviors targeted for intervention. Treatment gains remained stable over a 12-month period as indicated by extended follow-up assessment queries.  相似文献   

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Previous research demonstrates that children with attention-deficit/hyperactivity disorder (ADHD) can experience social difficulties. Therefore, the current study examined the effects of cross-age peer coaching on social behaviors of first graders with significant symptoms of ADHD using a multiple baseline design. Four students who met criteria for ADHD participated, along with four third- or fourth-grade coaches without ADHD. Coaching pairs met each morning to establish a goal for the younger child to meet during free time. Although results were variable, findings suggested that the cross-age coaching program led to decreases in negative social behavior, and was highly acceptable to participants.  相似文献   

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In a questionnaire study of 56 couples in which one or both spouses was a teacher with a long summer vacation, couples high on school year measures of potential for problems (values differences, physical violence when angry, disrespect) had higher levels of general tension during the summer the more they were in contact. Couples low in potential for problems had lower levels of general tension during the summer the more they were in contact. Apparently one can predict with some accuracy how a relationship system will operate when there is opportunity for great togetherness. The findings are of relevance in counseling couples claiming to desire greater togetherness and in counseling couples experiencing greater togetherness due to vocation, retirement, reduction in employment, or illness.  相似文献   

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