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This paper emphasizes the impact of the setting, space, and general physical properties of the clinic upon the difficult patient's profound neediness and absence of inner regulatory structure. Moreover, the clinic's administrative style and requirements often related to fiscal restraints, demands for accountability for both how funds are spent and treatment outcome, all impinge upon the patient. Humanizing clinics so they have the capacity for psychotherapeutic holding and provision of safety for difficult patients are discussed in detail in this contribution.  相似文献   
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The research was intended to identify the dimensions underlying self-perceived information needs and concerns of an elderly population. The spontaneously mentioned needs and concerns expressed in 271 letters from a sample of the population were extracted and a multidimensional scaling procedure was used to represent the 58 most frequently mentioned items in configurations of varying dimensionality. To interpret the multidimensional spaces, another sample of 176 elderly subjects was asked to rate the 58 concerns on eight properties. These ratings were then regressed onto the multidimensional configurations. The results indicate that the most frequently mentioned information needs and concerns of elderly persons can be parsimoniously understood in terms of three underlying dimensions: (1) Improving the Quality of Life vs Securing the Necessities of Life, (2) Health-related vs Not Health-related, and (3) Individual vs Societal Responsibility.  相似文献   
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ABSTRACT The purposes of the present investigation are to examine theoretical issues in androgyny theory by testing the effect of participation in the Outward Bound program on measures of masculinity (M) and femininity (F) Bipolar conceptualizations of MF posit that an increase in either M or F must lead to a decrease in the other, whereas androgyny theory posits M and F to be independent constructs Consistent with a priori predictions based on the nature of the Outward Bound program, participation substantially enhanced M and had a small positive effect on F The results were reasonably consistent for male and female participants, for single-sex and mixed-sex groups, and across responses to three different MF measures Results support the androgyny interpretation of MF and demonstrate the effectiveness of the Outward Bound program in changing MF The results contradict the bipolar perspective that an increase in M must be accompanied by a decrease in F  相似文献   
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The operant conditioning of response variability under free-operant and discrete-response procedures was investigated. Two pigeons received food only if their pattern of four pecks on two response keys differed from the patterns emitted on the two immediately preceding trials. Under the free-operant procedure, the keys remained illuminated and operative throughout each trial. There was little variability in the response patterns that resulted, and the pigeons received fewer than one third of the available reinforcers. Under the discrete-response procedure, a brief timeout period followed each response. Variability increased under this procedure, and the pigeons obtained three fourths of the available reinforcers. Previous successes and failures to produce response variability may have been due to the use or failure to use, respectively, a discrete-response procedure. Respondent effects inherent in the free-operant procedure may encourage the development of response stereotypy and, in turn, prevent the development of response variability.  相似文献   
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