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《Journal of Religion, Spirituality & Aging》2013,25(3-4):147-160
SUMMARY Pastoral care depends on the ability to communicate, most commonly through the medium of speech. The aged person who has suffered illness or accident that has adversely affected their speech, is in great need of pastoral care. Yet chaplains and pastoral carers can feel helpless in the face of such a significant deficit and may not know what to do. At Tregenza Avenue Aged Care Service, the Chaplaincy service has developed helpful individual programs for non-speech based pastoral care. Using visual and tactile symbols, pictures, touch, and music, we have been able to minister to people with a variety of speech problems, with promising results. 相似文献
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The Relation of Exposure to Traumatic Events and Longitudinal Mental Health Outcomes for Children Enrolled in Systems of Care: Results from a National System of Care Evaluation 下载免费PDF全文
Melissa L. Whitson Christian M. Connell 《American journal of community psychology》2016,57(3-4):380-390
This study examined the relation between children's history of exposure to potentially traumatic events (PTEs) and clinical and functional mental health trajectories over a 18‐month period among a national sample of youth referred for services in children's behavioral health systems of care (SOCs). Using data from the national evaluation of the Comprehensive Community Mental Health Services program for communities funded from 1997 to 2000, the study sample included 9556 children and their families. Latent growth modeling was used to assess the effect of history of exposure to PTEs on trajectories in a number of behavioral health outcomes during the 3‐year period following referral to services, controlling for child demographic characteristics (gender, race, and age). Results revealed that, on average, children in SOCs exhibited significant improvements over time on all four outcome measures. Children with a history of exposure to PTEs had higher rates of internalizing and externalizing problem behaviors and functional impairments and fewer behavioral and emotional strengths at baseline, but experienced improvements in these outcomes at the same rates as children without exposure to a traumatic event. Finally, child race, gender, and age also were associated with differences in behavioral health trajectories among service recipients. Implications for SOCs, including approaches to make them more trauma‐informed, are discussed. 相似文献
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Empirical results are presented from school-based interventions in three California counties that are pioneering participants in a carefully evaluated effort to create an innovative system of care for youth with severe emotional disturbance. Data are presented about the educational attendance and achievement of youth enrolled in clinical and academic programs designed to provide collaborative mental health and education services. Attendance levels were uniformly high. The youth were below expected grade level as measured by standardized tests at program admission. Across programs, two counties demonstrated grade level increases of one year or more for one year in school on all subscales of established measures of educational achievement. The third county demonstrated increases of slightly less than one year on two of three subscales of the educational achievement measures. These results are the first from a multisite demonstration of integrated education and mental health programs embedded within a broader system of care for youth. The findings, combined with those from our prior studies, illustrate that is possible to reduce and control placements in restrictive levels of care while improving the academic performance of a vast majority of the youth enrolled in specialized programs within the care systems. 相似文献
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Joyce Ann Mercer 《Pastoral Psychology》2006,54(5):497-515
This article explores children's spirituality and its significance for health care providers seeking to provide “spiritually competent care” of children amidst religious and spiritual diversity. Four metaphors of different spiritualities evidenced among children are explored: mystics, activists, sages, and holy fools. The article addresses issues clinicians face such as the problem of defining spirituality in relation to religion, and countertransference around religious and spiritual matters. Current research shows that spiritual and religious involvements constitute positive factors promoting resiliency and health in children. James W. Fowler's theory of faith development facilitates an exploration of questions concerning how children develop a belief system, leading to a view of children's spirituality as multidimensional. This article preserves the less formal conversational style of an earlier version's presentation in Grand Rounds at the UCLA Medical Center's Neuropsychiatric Hospital on December 10, 2003. 相似文献
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在中国文艺心理学研究中,对弗洛伊德理论进行了简化。出现这一现象既和弗洛伊德理论结构庞大、复杂有关,也和国内相关资料不足和文艺学学者的学术取向有关。弗洛伊德理论的简化主要表现为本能理论的简化、心理人格/心理结构理论的简化和潜意识理论的简化。对弗洛伊德理论的简化,既有适当的取舍,同时也存在着忽视弗洛伊德理论复杂的心理学内涵和对弗洛伊德理论产生误读的问题。对弗洛伊德理论简化后的借鉴,一方面使中国的文艺心理学在文艺创作研究上有所突破,另一方面也导致了对弗洛伊德理论批判上的偏差和理论创新方面的不足。 相似文献
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Jennifer Mundale 《Metaphilosophy》2004,35(5):661-674
Abstract: I argue that philosophical practice is a clinically active and influential endeavor, with both positive (therapeutic) and negative (detrimental) psychological possibilities. Though some have explicitly taken the clinical aspects of philosophy into the therapeutic realm via the new field of philosophical counseling, I am interested in the clinical context of philosophers as philosophers, engaged in standard, philosophical pursuits. In arguing for the clinical implications of philosophical practice I consider the relation between philosophical despair and depression, the cognitive etiology of depression and other clinical disorders, selected DSM‐IV entries, attribution theory, and cognitive therapy. 相似文献
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Epistemic Motivation and the Structure of Moral Intuition: Dispositional Need for Closure as a Predictor of Individualizing and Binding Morality 下载免费PDF全文
Christopher M. Federico Pierce Ekstrom Michal Reifen Tagar Allison L. Williams 《欧洲人格杂志》2016,30(3):227-239
Moral foundations theory argues that morality encompasses both group‐preserving binding concerns about in‐group loyalty, authority and purity and individualizing concerns about harm avoidance and fairness. Although studies have examined the relationship between sociopolitical attitudes and the moral foundations, the relationship between individual differences in epistemic motivation—as indexed by need for cognitive closure—and moral intuition remains unexplored. Given the role of groups in providing epistemic security, we hypothesized that the need for closure would be most strongly related to support for the foundations most central to the regulation of group ties, that is, the binding foundations as opposed to the individualizing ones. Data from three samples provided evidence for this. Unpacking this pattern, we also found that those high in need for closure endorsed all foundations, whereas those low in need for closure emphasized only the individualizing ones. Finally, we found that the relationship between need for closure and the binding foundations was mediated by right‐wing authoritarianism, an orientation closely linked to a desire for the preservation of conventional in‐group morality. Copyright © 2016 European Association of Personality Psychology 相似文献
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Saskia Keville Katherine Nutt Isabel Brunton Carly Keyes Erasmo Tacconelli 《Reflective Practice》2018,19(3):376-388
Music is universal; it can provide a common language that speaks from the heart enabling others to connect with the private felt experiences of others regardless of differences within or between people. This ability to empathise with, and understand, the position of others from differing backgrounds is an important competency within the therapeutic work of Clinical Psychologists. There are many facets to diversity just as there are many facets to music. Diversity in music genres can reflect diversity in people. Indeed, there is music to cater for all tastes, cultural/ethnic backgrounds, gender, age and generations with listening often being guided by individual preferences. In the United Kingdom training to become a Clinical Psychologist consists of a university-based 3-year full time professional research doctorate funded through the National Health Service. Trainees work on placements 3 days a week and attend university for academic and research teaching 2 days a week. As part of the academic programme, Trainees undertake experiential learning through workshops and methods such as Problem-Based Learning (PBL). One of the PBL exercises is based on a typical referral within an Adult Mental Health (AMH) service. For the AMH PBL exercise music is used to enhance trainees’ ability to connect emotionally with the personhood of referrals, consider associated complexities, and to reflect on personal and professional boundaries and reflective practice during training and beyond. This paper reflects on the utility of music and songs to enhance the learning experience. 相似文献
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Hal Childs 《Pastoral Psychology》2003,51(6):491-507
It is remarkable to me that my book became a part of the SBL Dissertation Series. For this I thank Walter Wink who brought the work to the attention of, Wayne Rollins. And I am thankful to Wayne Rollins for bringing the book to the attention of the right people at the SBL, most particularly Rex D. Matthews and Mark Allan Powell. I am grateful to Mark Allan Powell for promoting the process of publication so we would have a book in hand at the Psychology and Biblical Studies book review session, now over two years ago. I am very appreciative of Lewis Rambo, editor of this journal, and J. Harold Ellens, special editor of this issue, for making possible the continued discussion of these ideas. 相似文献
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Miller BD Blau GM Christopher OT Jordan PE 《American journal of community psychology》2012,49(3-4):566-579
The Substance Abuse and Mental Health Services Administration has been instrumental in supporting the development and implementation of systems of care to provide services to children and youth with serious mental health conditions and their families. Since 1993, 173 grants have been awarded to communities in all 50 states, Puerto Rico, Guam, the District of Columbia, and 21 American Indian/Alaska Native communities. The system of care principles of creating comprehensive, individualized services, family-driven and youth-guided care and cultural and linguistic competence, supported by a well-trained and competent workforce, have been successful in transforming the field of children's mental health and facilitating the integration of child-serving systems. This approach has achieved positive outcomes at the child and family, practice and system levels, and numerous articles have been published using data collected from system of care communities, demonstrating the effectiveness of this framework. This article will describe lessons learned from implementing the system of care approach, and will discuss the importance of expanding and sustaining systems of care across the country. 相似文献
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通过对3年级和7年级学龄儿童的追踪研究,探讨儿童群体中Beck抑郁理论认知易感因素在应激事件与抑郁症状间的作用。对追踪数据的多层线性模型和多层结构方程模型分析发现,作为Beck抑郁理论中认知易感因素的失调态度在3年级儿童中既没有显著的中介作用也没有显著的调节作用,而在7年级儿童中虽然失调态度仍然没有显著的调节作用,但却有显著的中介作用。研究结果可能初步揭示了失调态度在应激事件与抑郁症状关系中的发展性特征,这一发现对在儿童群体中实施抑郁的有效干预将具有较为重要的启示意义。 相似文献
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Bradley E. Karlin Gregory K. Brown Shari Jager-Hyman Kelly L. Green Michi Wong Diane S. Lee Andrew Bertagnolli Thekla Brumder Ross 《Behavior Therapy》2019,50(2):446-458
Notwithstanding its empirical status and strong recommendation in clinical practice guidelines, cognitive behavioral therapy (CBT) continues to be delivered infrequently and with low fidelity on the clinical front lines. Recently, organized efforts and policies within the public sector to disseminate and implement CBT and other evidence-based psychotherapies have yielded encouraging results and provided optimism for bridging the research-to-practice-gap. Following from these efforts, the current article examines the initial impact and experience of the implementation of an individualized approach to CBT training and treatment within the Kaiser Permanente health care system. Initial training outcomes, including changes in general and specific competencies, were assessed using divergent assessment methods within the initial cohort of therapists undergoing training. Initial patient outcomes, including changes in depression and anxiety, were assessed among patients receiving treatment from therapists in training. Results revealed training in and implementation of CBT-D was associated with overall large improvements in therapist competencies and in clinically significant improvements in both depression and anxiety among patients. Findings from the initial phase of dissemination and implementation within a large private system provide support for, and extend recent findings related to, the feasibility and effectiveness of training in and implementation of CBT-D in a real-world context. 相似文献
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住院分娩是否应该纳入新型农村合作医疗的补偿范围,目前在学术界和实践中仍然存在争议。以陕西省镇安县为案例,从公共政策分析的角度,通过对该县定额住院分娩制度运行效果的分析,论证了把住院分娩纳入合作医疗补偿范围的积极意义,同时针对该制度运行过程中出现的问题提出了相应的政策建议。 相似文献
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The present experiment arranged a series of inverted U-shaped feedback functions relating reinforcer rate to response rate to test whether responding was consistent with an optimization account or with a one-to-one relation of response rate to reinforcer rate such as linear system theory's rate equation or Herrnstein's hyperbola. Reinforcer rate was arranged according to a quadratic equation with a maximum at a unique response rate. The experiment consisted of two phases, during which 6 Long Evans rats lever pressed for food. In the first phase of the experiment, the rats responded on six fixed-interval-plus-quadratic-feedback schedules, and in the second phase the rats responded on three variable-interval-plus-quadratic-feedback schedules. Responding in both phases was inconsistent with a one-to-one relation of response rate to reinforcer rate. Instead, different response rates were obtained at equivalent reinforcer rates. Responding did vary directly with the vertex of the feedback function in both phases, a finding consistent with optimization of reinforcer rate. The present results suggest that the feedback function relating reinforcer rate to response rate imposed by a reinforcement schedule can be an important determinant of behavior. Furthermore, the present experiment illustrates the benefit of arranging feedback functions to investigate assumptions about the variables that control schedule performance. 相似文献
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The purpose of this research was to select from the health belief model (HBM), theories of reasoned action (TRA) and planned behaviour (TPB), information–motivation–behavioural skills model (IMB) and social cognitive theory (SCT) the strongest longitudinal predictors of women's condom use and to combine these constructs into a single integrated model of condom use. The integrated model was evaluated for prediction of condom use among young women who had steady versus casual partners. At Time 1, all constructs of the five models and condom use were assessed in an initial and a replication sample (n?=?193, n?=?161). Condom use reassessed 8 weeks later (Time 2) served as the main outcome. Information from IMB, perceived susceptibility, benefits, and barriers from HBM, self-efficacy and self-evaluative expectancies from SCT, and partner norm and attitudes from TPB served as indirect or direct predictors of condom use. All paths replicated across samples. Direct predictors of behaviour varied with relationship status: self-efficacy significantly predicted condom use for women with casual partners, while attitude and partner norm predicted for those with steady partners. Integrated psychosocial models, rich in constructs and relationships drawn from multiple theories of behaviour, may provide a more complete characterisation of health protective behaviour. 相似文献
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Shull RL 《Journal of the experimental analysis of behavior》2005,84(1):99-110
The relation between the rate of a response (B) and the rate of its reinforcement (R) is well known to be approximately hyperbolic: B = kR/(R + Ro), where k represents the maximum response rate, and Ro indicates the rate of reinforcers that will engender a response rate equal to half its maximum value. A review of data reported in 17 published papers revealed that, under variable-interval schedules of reinforcement, Ro was usually lower when pigeons were the subjects than when rats were the subjects. The value of k, in contrast, did not differ consistently between pigeons and rats. Some accounts interpret Ro as the rate of alternative, unscheduled reinforcers in the situation, expressed in units of the scheduled reinforcer. So interpreted, the difference in Ro implies that less alternative reinforcement (relative to the scheduled reinforcement) typically is available to pigeons in their operant conditioning chambers than it is to rats in theirs. Whether or not that interpretation of Ro is valid, the pigeon-rat difference in Ro ensures that for reinforcer rates above about 10 per hour, response rate will be noticeably less sensitive to changes in reinforcer rate (and presumably to changes in other incentive and motivational operations) with pigeons than with rats as subjects, at least with the experimental conditions typically employed. 相似文献