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A recent clinical study of outpatient psychotherapy groups in a community mental health center explored the linkage between group leadership variables, group climate, and outcome. The study involved nine outpatient therapy groups, over 50 group clients, and several group therapists. A repeated measures design involving assessment of clients' outcome and level of functioning, group leadership style, and group climate was used to assess changes over a 6-month period. The findings suggest: 1) a reduction in symptoms and improved functioning for clients; 2) a similarity of perceptions by members and leaders of perceived leadership behaviors and group climate; 3) the presence of direct and indirect influences of group climate and leadership behavior on clients' outcome; and 4) a linkage between leadership behavior and group climate with the theoretical orientation of the group. The findings of the research are discussed in relation to the understanding of specific effects in group psychotherapy and the implications for construction of group psychotherapy theory.The authors would like to thank Robert Dies, Ph.D., for his helpful suggestions in the early phase of this study; Roy MacKenzie, M.D., for permission to use the Group Climate Questionnaire; Diane DePalma, Ph.D., for permission to use the Global Leadership Behavior Index; Chris Boltwood, B.A., for her untiring efforts in administering the instruments and coding and entering the data; and most importantly, the psychotherapy group members and the group therapists for their cooperation in this endeavor—without their help, this clinical study would not have been possible.A version of this paper was presented at the Annual Meeting of the American Group Psychotherapy Association, 1987, New Orleans, Louisiana. Lenore Phipps, R.N., M.S., C.S., was formerly Director, Group Psychotherapy Program at Park Ridge Mental Health Center, Rochester, now in private practice at Guild Medical Center, Norwood, MA 02062. 相似文献
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Homosexuals, bisexuals, and heterosexuals were compared on self-reported love preferences and ideals. In general, the three groups tended to agree on ideal characteristics of love objects, love relationships, and love related beliefs. Nevertheless, the groups differed significantly on preferences and beliefs related to love-object sex, residential proximity, ethnic background, physical intimacy, freedom from feelings of jealousy, sexual fidelity, emotional intimacy, and the importance of religious or legal acknowledgment.An early version of this paper was presented at the Annual Meeting of the National Council on Family Relations, in San Francisco, October 1984, Journal Series No. 2973 of the Hawaii Institute of Tropical Agriculture and Human Resources. 相似文献
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Lenore W. Harmon 《Journal of counseling and development : JCD》1967,45(9):895-900
The data used in this study were made available through the Center for Interest Measurement Research and the Student Counseling Bureau, University of Minnesota. Computer analysis was provided by the Numerical Analysis Center, University of Minnesota. While attempting to increase the number of A and B+ scores on the women's SVIB by varying the composition of the criterion group on marital status, it was found that the desired effect was achieved by using a different item selection and weighting system from Strong's original one and not by varying the marital status of the criterion group. The experimental scoring keys developed in the study also acted selectively on original scores of B and B—, raising or lowering them, and generally reducing their number. These findings went beyond the original hypotheses and intent of the study and suggested an explanation for the apparent heterogeneity of women's interests and the resulting difficulty in measuring them. 相似文献
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Engel JD Kane G Jones DL Lynn-McHale D Swartz M Durbin P Klingen D 《The Journal of medical humanities》1997,18(3):193-208
This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs. 相似文献
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Lenore D. Ralston 《Journal of Fluency Disorders》1981,6(2):119-133
Speech communities in the British West Indies typically include two major dialect or code distinctions: (1) a standard variety of British West Indian English, and (2) a local variety of English-based dialect. Each dialect or code is intimately linked with political, social, racial, and economic class distinctions. In bicultural settings, characterized by diglossia, there are special situations in which loyalty to one's mother tongue conflicts with social, economic, and political expediency. “No win” speech events or contests, the product of conflicting sociocultural values, become salient features of this particular kind of bicultural setting. A comparatively high incidence of teacher-reported stammering found in two British West Indian speech communities supports this notion and suggests that stress, originating at a sociocultural level, is symbolically expressed through attitudes toward and usages of language. These results further suggest that the classroom, now a “battleground”, will suffer as an effective teaching/learning environment. This paper presents arguments for the teaching of Standard English as a second language with an emphasis on giving regional dialects appropriate and long overdue recognition. 相似文献
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Changes in depressive-symptom experiences over a 5-year period were investigated in a community sample of 251 women between the ages of 51 and 92 years. Findings from a confirmatory factor analysis of the SCL-90-R Depression and Additional Symptoms scales (Derogatis, 1983) indicate that two phenomenally different syndromes underlie symptom-reporting patterns. A depressive syndrome, more classic in form, shows decreasing levels with increasing age, although a depletion syndrome, marked by feelings of enervation and a loss of interest in things, shows increasing levels with advancing age. The relative independence of the two syndromes, as well as their differing relations to four more delimited forms of distress that were identified in the analyses, have important implications for future research on the age-depression relation. 相似文献
10.
Kathryn L. Engel Gordon L. Paul 《Journal of psychopathology and behavioral assessment》1979,1(3):221-238
The utility of the observational assessment systems at different levels — from local clinical to systemwide management — is outlined. An overview is provided of TSBC information applied to individualized problem identification and programming/monitoring, discharge and competency determinations, and both absolute and comparative program evaluation. The utility of SRIC information for prgoramming/monitoring and for staff training and evaluation is outlined in addition to the applied uses of the information of the assessment systems in combination. Once implemented, the continuous data from the systems allow for empirically based self-corrective improvements in the quality of mental health services while automatically providing a basis for legal documentation and accurate cost/effectiveness comparisons of mental health programs.Preparation of this article and the research and development on which the article is based were supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from The Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.Presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979, as part of a symposium on New assessment systems for residential treatment, management, research, and evaluation. 相似文献