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891.
Lesbian, gay, bisexual, and transgender (LGBT) individuals are at risk of having negative experiences with religion because of mainstream religions’ non‐LGBT‐affirming stance. Negative religious experiences can lead to religious or spiritual (R/S) struggles and loss of R/S identity to maintain sexual identity. The authors describe R/S abuse, R/S struggle, and how these can result in loss of R/S identity in LGBT individuals. They provide a case study and discuss counseling implications and areas for future research.  相似文献   
892.
In this research, we propose that emotions are affected not only by appraisals, but also by a metacognitive sense of confidence versus doubt over the appraisals. Focusing on core-relational themes (CRTs), higher-order appraisals comprising the combined meaning of several appraisals, we predicted and found evidence, over two studies, that the effect of a CRT on the corresponding emotion is stronger if one feels confident about the validity of the CRT compared to feeling doubtful. In Study 1, CRT was manipulated by recall and in Study 2, CRT was manipulated in vivo. Both designs produced consistent support for the hypotheses. These findings demonstrate the need to consider metacognitive processes in understanding the effects of appraisals on emotions.  相似文献   
893.
This review updates similar articles published in the Journal of Family Therapy in 2001 and 2009. It presents evidence from meta‐analyses, systematic literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with various difficulties. In this context, systemic interventions include both family therapy and other family‐based approaches such as parent training. The evidence supports the effectiveness of systemic interventions either alone or as part of multi‐modal programmes for sleep, feeding and attachment problems in infancy; child abuse and neglect; conduct problems (including childhood behavioural difficulties, attention deficit hyperactivity disorder, delinquency and drug misuse); emotional problems (including anxiety, depression, grief, bipolar disorder and self‐harm); eating disorders (including anorexia, bulimia and obesity); somatic problems (including enuresis, encopresis, medically unexplained symptoms and poorly controlled asthma and diabetes) and first episode psychosis.  相似文献   
894.
Modern philosophy recognizes two major ethical theories: deontology, which encourages adherence to rules and fulfillment of duties or obligations; and consequentialism, which evaluates morally significant actions strictly on the basis of their actual or anticipated outcomes. Both involve the systematic application of universal abstract principles, reflecting the culturally dominant paradigm of technical rationality. Professional societies promulgate codes of ethics with which engineers are expected to comply (deontology), while courts and the public generally assign liability to engineers primarily in accordance with the results of their work, whether intended or unintended (consequentialism). A third option, prominent in ancient philosophy, has reemerged recently: virtue ethics, which recognizes that sensitivity to context and practical judgment are indispensable in particular concrete situations, and therefore rightly focuses on the person who acts, rather than the action itself. Beneficial character traits—i.e., virtues—are identified within a specific social practice in light of the internal goods that are unique to it. This paper proposes a comprehensive framework for implementing virtue ethics within engineering.  相似文献   
895.
Biallelic germline mutations in mismatch repair genes predispose to constitutional mismatch repair deficiency syndrome (CMMR-D). The condition is characterized by a broad spectrum of early-onset tumors, including hematological, brain and bowel and is frequently associated with features of Neurofibromatosis type 1. Few definitive screening recommendations have been suggested and no published reports have described predictive testing. We report on the first case of predictive testing for CMMR-D following the identification of two non-consanguineous parents, with the same heterozygous mutation in MLH1: c.1528C > T. The genetic counseling offered to the family, for their two at-risk daughters, is discussed with a focus on the ethical considerations of testing children for known cancer-causing variants. The challenges that are encountered when reporting on heterozygosity in a child younger than 18 years (disclosure of carrier status and risk for Lynch syndrome), when discovered during testing for homozygosity, are addressed. In addition, the identification of CMMR-D in a three year old, and the recommended clinical surveillance that was proposed for this individual is discussed. Despite predictive testing and presymptomatic screening, the sudden death of the child with CMMR-D syndrome occurred 6 months after her last surveillance MRI. This report further highlights the difficulty of developing guidelines, as a result of the rarity of cases and diversity of presentation.  相似文献   
896.
Kramer, Hahn, Irwin, and Theeuwes (2000) reported that the interfering effect of distractors is reduced when participants are aware of the to-be-ignored information. In contrast, recent evidence indicates that distractor interference increases when individuals are aware of the distractors. In the present investigation, we directly assessed the influence of distractor awareness on oculomotor capture, with the hope of resolving this contradiction in the literature and gaining further insight into the influence of awareness on attention. Participants completed a traditional oculomotor capture task. They were not informed of the presence of the distracting information (unaware condition), were informed of distractors (aware condition), or were informed of distractor information and told to avoid attending to it (avoid condition). Being aware of the distractors yielded a performance benefit, relative to the unaware condition; however, this benefit was eliminated when participants were told to actively avoid distraction. This pattern of results reconciles past contradictions in the literature and suggests an inverted-U function of awareness in distractor performance. Too little or too much emphasis yields a performance decrement, but an intermediate level of emphasis provides a performance benefit.  相似文献   
897.
Social integration is fundamental to health and well‐being. However, few studies have explored how neighborhood contexts pattern types and levels of social integration that individuals experience. We examined how neighborhood poverty structures two dimensions of social integration: integration with neighbors and social integration more generally. Using data from the United States Third National Health and Nutrition Examination Survey, we linked study participants to percent poverty in their neighborhood of residence (N = 16,040). Social integration was assessed using a modified Social Network Index and neighborhood integration based on yearly visits with neighbors. We fit multivariate logistic regression models that accounted for the complex survey design. Living in high poverty neighborhoods was associated with lower social integration but higher visits with neighbors. Neighborhood poverty distinctly patterns social integration, demonstrating that contexts shape the extent and quality of social relationships.  相似文献   
898.
899.
It has been reported that females are underrepresented in several areas of psychological research, which may have significant clinical and theoretical implications. No one has reported, however, whether women are underrepresented in behavioral gerontology research. To make this determination we recorded the gender of participants in behavioral gerontology studies published in six journals. In 129 published studies that included older adults (i.e. people 55 or more years of age) there were a total of 3070 participants, and most (69%) were female. Underrepresentation of men is significant insofar as treatment effects are sometimes gender specific, making it inappropriate to generalize results from females to males (or vice versa). Moreover, underrepresentation of older men suggests that their behavioral needs may not be generating the attention they deserve. Copyright © 2015 John Wiley & Sons, Ltd.  相似文献   
900.
Mal de debarquement syndrome (MdDS) is a rare and poorly understood condition of perceived continual motion. Using a multiple‐case design (n = 13; 8 f; 63.5 ± 12.6 years), this study investigated the efficacy of eight 20‐min sessions, over 4 weeks, of repetitive transcranial magnetic stimulation (rTMS) of the dorsolateral pre‐frontal cortex. Compared to sham, rTMS demonstrated improvement in balance and confidence in daily living activities. rTMS shows promise for the treatment of MdDS. However, larger trials with longer intervention periods are required.  相似文献   
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