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951.
What should clinicians know about sleep disorders? This article briefly introduces the reader to sleep medicine and succinctly reviews common sleep disorders. First, the authors describe the diagnostic tools unique to sleep medicine: the over-night polysomnogram and the multiple sleep latency test. Next, the authors review essential features of a subset of the sleep, described in the International Classification of Sleep Disorders-Revised, that sleep disorder specialists commonly evaluate, diagnose, and treat. The disorders reviewed include the intrinsic and circadian rhythm subsets of the dyssomnias group and the parasomnia group of sleep disorders. The authors identify the core signs and symptoms, polysomnogram findings, multiple sleep latency test findings, and treatment of these disorders. 相似文献
952.
Allen G. Jorgenson 《Dialog》2023,62(3):270-276
In this chapter I revisit construals of sin and shame, beginning with a moment of auto-investigation. I then set this data in conversation with historical, theological, and philosophical configurations of shame to reconceive sin and shame. I describe sin as curvatus ex carne (turning from the flesh) to signal sin as a refusal of both our embodied existence and a commodification of the land on which it lives. I then use a carnal hermeneutic to argue for a positive understanding of discerning shame as a resource for an ethical life that contrasts with shame of disgrace. 相似文献
953.
Impact evaluation of the family expectations program and moderation by sociodemographic disadvantage
Lane L. Ritchie Scott M. Stanley Maggie O.T. Allen Galena K. Rhoades 《Family process》2023,62(1):201-215
The federal government, through the Administration for Children and Families (ACF), has funded community-based relationship education programs for couples, individuals, and families, with a strong focus on serving economically disadvantaged and racially diverse families. This study evaluated the impact of a 36-hour, workshop-based couple relationship education program that was funded by ACF using a randomized controlled trial (RCT) design and intent-to-treat (ITT) analyses. Participants were 1320 couples who were either expecting a baby or had a baby within the past 3 months, at the time of enrollment. Follow-up surveys were administered 12 months later. Analyses evaluated program impacts on relationship stability, constructive communication, and destructive conflict compared to a no-treatment control group. Analyses showed a statistically significant impact of the program on destructive conflict (d = 0.10) but not on constructive communication (d = 0.06) or stability (dCox = 0.10). Based on findings from previous evaluations, we also examined whether participants’ levels of sociodemographic disadvantage moderated these effects. There was significant moderation by sociodemographic disadvantage on constructive communication and destructive conflict, but not on stability. Effects were observed for those at higher levels of sociodemographic disadvantage. 相似文献
954.
Alcides Fernandes Margarete Tigges Johannes Tigges J. Allen Gammon Charles Chandler 《Behavior research methods》1988,20(1):11-17
Infant rhesus monkeys were fitted with extended-wear contact lenses (EWCLs) to correct surgically induced aphakia. The protocol that produced the most favorable experimental outcome, including good lens-wear compliance, involved: (1) custom-made EWCLs with parameters adjusted for each animal, (2) selection for study of neonates who seemed to tolerate EWCLs most naturally, (3) individual housing of monkeys, (4) lens check at 2-h intervals around the clock by trained personnel, (5) a large inventory of EWCLs for each animal, (6) periodic ophthalmologic examinations, and (7) darkroom housing of monkeys during treatment of lens-wear-related incidents. The EWCL is a new tool for studies of the visual system and is a useful complement to existing experimental techniques. 相似文献
955.
In this study, we examined whether the cognitive performance of working-class Afro-American children could be enhanced based upon a presumed knowledge of the Black cultural experience. Children (6 and 9 years old) learned to match each of 12 pairs of pictures via a rhythmic movement-coordinated procedure accompanied by a musical beat or through a rote recitation procedure. It was expected and found that subsequent retention of the picture matches was superior in the rhythmic movement condition. Moreover, for the younger children, the effect was stronger for those who came from homes providing high stimulation and who had high levels of movement expressiveness. 相似文献
956.
G O Gabbard L Horwitz S Frieswyk J G Allen D B Colson G Newsom L Coyne 《Journal of the American Psychoanalytic Association》1988,36(3):697-727
The authors draw attention to the problems of establishing and maintaining a therapeutic alliance in the psychotherapy of the borderline patient. They elaborate an extensive methodology designed to study the manner in which shifts in collaboration occur in response to therapist interventions. This report demonstrates how one particular borderline patient increased his ability to collaborate with the therapist in response to a transference focus in the psychotherapy. Methodological problems are noted as are directions for future research. Only a series of patients studied with this or with similar methodology will allow for a sophisticated and empirical rationale for choosing a particular form of psychotherapy for a particular kind of borderline patient. 相似文献
957.
Buchanan A 《哲学与公共事务》1988,17(4):277-302
The value and authority of advance directives such as the living will and the durable power of attorney are discussed, as well as the dangers of loss of personal identity and psychological continuity that these directives present. Differing theories of the degree of psychological continuity necessary for the preservation of personal identity are examined, concluding with the author's "compromise position" that cases of permanent unconsciousness and neurological dementia destroy some of the preconditions for personhood and thereby negate the choice between respecting the wishes of the formerly competent person and the new, different person's life because such beings are not persons at all. 相似文献
958.
Gary L. Allen 《Psychological research》1988,50(3):183-190
Summary Three experiments were conducted to examine the effect of temporospatial discontinuity on route learning. Discontinuity was created by showing subjects in a route-learning task a set of environmental scenes comprising a route in scrambled, rather than logically sequenced, order. Results from Experiments 1 and 2 indicated that discontinuity during learning affected the accuracy and the quantity of the route knowledge acquired, but suggested that the processes underlying acquisition were relatively robust. Results from Experiment 3 suggested that learning routes under conditions of discontinuity leads to a greater exaggeration of distance between route segments than is the case without discontinuity. 相似文献
959.
Improving aerobic capacity in healthy older adults does not necessarily lead to improved cognitive performance 总被引:4,自引:0,他引:4
The effects of aerobic exercise training in a sample of 85 older adults were investigated. Ss were assigned randomly to either an aerobic exercise group, a nonaerobic exercise (yoga) group, or a waiting-list control group. Following 16 weeks of the group-specific protocol, all of the older Ss received 16 weeks of aerobic exercise training. The older adults demonstrated a significant increase in aerobic capacity (cardiorespiratory fitness). Performance on reaction-time tests of attention and memory retrieval was slower for the older adults than for a comparison group of 24 young adults, and there was no improvement in the older adults' performance on these tests as a function of aerobic exercise training. Results suggest that exercise-related changes in older adults' cognitive performance are due either to extended periods of training or to cohort differences between physically active and sedentary individuals. 相似文献
960.
The proposition that in a reduced-cue setting subjects could use cognitive information about an object's distance to make accurate judgments of its size was tested. An improved paradigm was used to determine the effects of distance instructions per se. This paradigm also allowed independent tests of the effectiveness of cue reduction. The data indicated that cue reduction was successful and that the specific distance tendency governed size judgments when there were no distance instructions. When distance instructions were given, they produced size judgments in precisely the ratio predicted by the size-distance invariance hypothesis. However, there was a large constant error, which reflects a tendency of college students to overestimate the amount of distance signified by a verbal instruction. Hence, cognitive information in the form of verbal distance instructions has precise effects on size judgments, but the latter are not veridical, even in the absence of anchor effects from the specific distance tendency and residual perceptual cues. 相似文献