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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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Abstract

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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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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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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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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Abstract

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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