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We present a review of the literature on Primary Progressive Aphasia (PPA) together with the analysis of neuropschychological and neuroradiologic profiles of 42 PPA patients. Mesulam originally defined PPA as a progressive degenerative disorder characterized by isolated language impairment for at least two years. The most common variants of PPA are: 1) Progressive nonfluent aphasia (PNFA), 2) semantic dementia (SD), 3) logopenic progressive aphasia (LPA). PNFA is characterized by labored speech, agrammatism in production, and/or comprehension. In some cases the syndrome begins with isolated deficits in speech. SD patients typically present with loss of word and object meaning and surface dyslexia. LPA patients have word-finding difficulties, syntactically simple but accurate language output and impaired sentence comprehension. The neuropsychological data demonstrated that SD patients show the most characteristic pattern of impairment, while PNFA and LPA overlap within many cognitive domains. The neuroimaging analysis showed left perisylvian region involvement. A comprehensive cognitive, neuroimaging and pathological approach is necessary to identify the clinical and pathogenetic features of different PPA variants.  相似文献   

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Multilevel modeling (MLM) is rapidly becoming the standard method of analyzing nested data, for example, data from students within multiple schools, data on multiple clients seen by a smaller number of therapists, and even longitudinal data. Although MLM analyses are likely to increase in frequency in counseling psychology research, many readers of counseling psychology journals have had only limited exposure to MLM concepts. This paper provides an overview of MLM that blends mathematical concepts with examples drawn from counseling psychology. This tutorial is intended to be a first step in learning about MLM; readers are referred to other sources for more advanced explorations of MLM. In addition to being a tutorial for understanding and perhaps even conducting MLM analyses, this paper reviews recent research in counseling psychology that has adopted a multilevel framework, and it provides ideas for MLM approaches to future research in counseling psychology.  相似文献   

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IntroductionThis article examines the history and development of Eye Movement Desensitization and Reprocessing (EMDR), from Dr. Francine Shapiro's original discovery in 1987, to current findings and future directions for research and clinical practice.Elements of the literatureAn overview is provided of significant milestones in the evolution of EMDR over the first 20 years, including key events, research and scientific publications, and humanitarian efforts. The authors also describe the Adaptive Information Processing (AIP) model, which is the theoretical basis of the therapy; they address the question of mechanisms of action, and EMDR's specific contribution to the field of psychotherapy.DiscussionEMDR is an integrative psychotherapy, which sees dysfunctionally stored memories as the core element of the development of psychopathology. In its view of memory, it integrates information that is sensory, cognitive, emotional and somatic in nature. The EMDR protocol looks at past events that formed the presented problem, at the present situations where the problem is experienced, and at the way, the client would like to deal with future challenges.ConclusionEMDR is a 25-year-old therapy that has accumulated a substantial body of research proving its efficiency, and is now part of many professional treatment guidelines. The research is pointing to its potentially large positive impact in the fields of mental and physical health.  相似文献   

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This study is a synthesis of biblical and historical material regarding the place of homosexuality in the Christian churches. The author argues that all sexual activity, both heterosexual and homosexual in orientation, should be judged appropriate for Christians when it is a responsible, mutually respectful and loving act between adult persons that is intended to enhance the building and maintaining of whole persons. Therefore, if a person is in all other ways qualified for membership and its contingent responsibilities in the Christian community (or any other community), his or her sexual orientation and behavior should not be a barrier.This study was initially prepared for the Human Sexuality Task Force of the Diocese of Western North Carolina.  相似文献   

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Claude Welch, the distinguished historian of nineteenth‐century religious thought, once declared that Samuel Taylor Coleridge (1772–1834) ‘may be seen as the real turning point into the theology of the nineteenth century’ and that he ‘was as important for British and American thought as were Schleiermacher and Hegel’.2 Still, Coleridge remains largely marginalized in the annals of church history and theology despite his unwavering prominence throughout much of the nineteenth century. Perhaps it should come as no surprise, then, that Coleridge's posthumously published Confessions of an Inquiring Spirit (1840), with its rejection of the verbal infallibility of Scripture and elevation of the importance of the individual in rightly discerning the truths of the Christian faith, has often been misread as an attestation of the primacy of the individual subject over the biblical text. It has been treated alternately as a document that signals the emergence of German higher criticism in England,3 a Romantic appeal to the fundamental importance of the subjective in religion,4 and an early form of reader‐oriented literary criticism.5 In this article I suggest that the attention devoted to Coleridge's denial of the verbal inspiration of Scripture, epitomized by the phrase that biblical inspiration is constituted by ‘whatever finds me’, has overshadowed his equally significant attention to the authority of church tradition in that same document. More specifically, rather than arguing for subjectivism in biblical interpretation, Coleridge equally emphasizes the objective sources of revelation expressed in Scripture and the church traditions handed over from the apostles. Rather than proposing a model of biblical inspiration that is wholly individualistic, Coleridge maintains a vision of Christianity that affirms the vitality of both the authority of the church and that of the believer. Thus, Coleridge's theological contribution to religious history is not that of an aberrant, absent‐minded poet, but rather that of a central participant engaged in an ongoing and pivotal debate in the history of England: the relationship between Scripture and church traditions. In order to draw out this important, though neglected, strand of thought in those ‘Letters on the Scriptures’, the name by which the Confessions is sometimes identified,6 I begin by briefly clarifying the nature of the idea of tradition both in relation to Coleridge and English theology in the nineteenth century. I then summarize the argument of the Confessions as a whole and turn more particularly to those sections of the Confessions that suggest the role Coleridge assigns to church tradition in relation to Scripture. Finally, after assessing the authority of the church in relationship to the divine Word, I turn to Coleridge's earlier works and his notes on the Works of William Chillingworth (1602–1644) in order to demonstrate that his views on the respective authority of both the individual and the church were consistently held since near the time of his conversion to Trinitarian Christianity. I conclude that Coleridge's conception of the relationship between Scripture and church traditions calls for a reevaluation of his place in the history of religious thought in England.  相似文献   

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Whereas previous research has shown that ego depletion can lead to an increase in unethical behavior, we suggest that this effect hinges on the social consensus of the unethical behavior. Drawing from theories on social consensus and dual-process decision-making, we hypothesize and confirm that ego depletion is associated with increased unethical behavior of comparatively low social consensus. We then find that, as hypothesized, ego depletion is associated with decreased unethical behavior of high social consensus (Studies 1 and 2). Results further suggest that, controlling for state self-control resources, depleted participants are less likely to engage in unethical behavior of high social consensus as a result of increased subjective fatigue (Study 3). Taken together, our findings challenge a widely-held assumption about the negative effects of ego depletion on ethical decision making.  相似文献   

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The author provides career counselors with an overview of the trend toward spirituality in the workplace and examines its potential pros and cons for workers. The growing openness in organizations to explore work from a spiritual perspective provides a new tool to the career practitioner. Career counselors can help clients draw on their spirituality as another resource for negotiating the increasingly complex world of work.  相似文献   

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Leary的人际理论将人际互动行为划分为"情感"和"控制"两个维度,互动双方在情感维度的一致性和控制维度的互补性统称为人际互补。为探究心理咨询过程中人际互补的发展趋势及其与工作同盟、咨询效果的关系,采用电脑操纵杆方法,编制《咨询会谈人际互补行为评分手册》,对16个个案的48个心理咨询会谈录像进行评估。结果表明:有经验的咨询师在咨询前期的情感轴一致性高于中期和后期,在咨询后期的控制轴互补性高于前期和中期,新手咨询师的情感轴一致性和控制轴互补性均无阶段性差异;咨询中期的情感轴一致性负向预测工作同盟和会谈深度;情感轴一致性呈高-低-高发展趋势的个案咨询效果更好。结论:心理咨询的人际互补三阶段模型得到一定程度的支持,其作用机制有待进一步验证。  相似文献   

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An overview of transpersonal psychology is provided with specific focus on a number of its central themes (nonduality, intrinsic health, self‐transcendence, and inclusivity) and practices (meditation, ritual, and inquiry). The relationship of transpersonal psychology to both mainstream psychology and spiritual wisdom traditions is discussed. The field's implications for diversity issues, research, and service applications are also considered.  相似文献   

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The purpose of this paper is to discuss the veridicality of nonconventional cognitions as they pertain to transpersonal psychological inquiry. It is argued that the validation and efficacy of transpersonal constructs are dependent upon the manner by which they are theoretically and empirically supported, namely, accurately conceptualized and operationalized, and not metaphysicalized. Salient impediments germane to the study of transpersonal phenomena are also reviewed with the concomitant assumption that their ontological and epistemological status should be consistent with objective, nomothetic, empiricism. In response to this scientific appropriation, one measurement instrument is discussed, the Self‐Expansiveness Level Form (SELF; Friedman, 1981; 1983), which is both reliable and valid in measuring transpersonal‐like phenomenon. Taking into consideration these notions, this paper closes with a discussion on the implications of this measurement scale to the field of transpersonal psychology as well as to conventional psychological research and clinical applications.  相似文献   

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