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291.
Piagetian concepts explaining normal mental development are applied to delusion, a major psychiatric disorder of thought which can result in bizarre conduct. Piaget constructed problems in which the errors of six to eight year old children fit the standard textbook definition of delusion surprisingly well. When we examined cases of delusional individuals, we concluded that their apparent irrational and bizarre conduct could be explained as problem-solving errors like those of Piaget's young children. In contradistinction to existing theories, we define delusion as a regression under stress to the logic of children of a particular age range, and that what appears bizarre and irrational is the result of an adult attempting to filter experience through a child's logic.Under a different title this paper was presented at the Biennial Congress of the World Federation for Mental Health in Mexico City in August, 1991. 相似文献
292.
Paul V. Trad MD 《Contemporary Family Therapy》1992,14(6):481-503
Because families generally consist of individuals at various developmental levels, family therapists require interventions that are effective regardless of an individual's developmental status. Although metaphor has proven particularly beneficial in therapy, it may be ineffective in families with preschool children who have yet developed sufficient cognitive capacities and knowledge for understanding metaphors. Previewing, a prospective technique derived from interaction between parent and infant, may be used for communicating metaphors about future change to individuals regardless of developmental level. Previewing provides knowledge about development and stimulates the cognitive skills necessary for viewing the present as a metaphor for the future. 相似文献
293.
A major gap in family therapy, the treatment of children and adults together, is addressed. The literature on the children's participation is reviewed and a model which systematizes their involvement is presented. The full participation of the child necessitates the use of play. To create a context of play without alienating the rest of the family, action-promoting methods are used. These methods are implemented through family activities and role playing, which are followed by discussion. The advantages, the indications, and the contraindications to the use of action in family therapy are presented. 相似文献
294.
Viljo Räkköläinen MD Klaus Lehtinen MD Yrjö O. Alanen MD 《Contemporary Family Therapy》1991,13(6):573-582
Need-adapted treatment is a psychotherapeutically oriented approach to psychoses that has been planned and is implemented individually in each case, combining different activities so that they meet the needs of each patient as well as the people making up her or his personal interactional network (usually the family). A systemic initial intervention, carried out as a conjoint session of the patient, the family members, and a team of 3–4 staff members is an essential part of this approach. The name therapy meeting was given to these sessions because of their notable therapeutic significance. Therapy meetings are often continued during the later phases of treatment to follow up the course of treatment and to reassess the therapeutic plans. 相似文献
295.
The authors examine the knowledge, attitudes, and suppositions concerning family therapy among specialists from four professionally and politically quite different cultures. The results of the survey, which was carried out among participants in workshops and specialists' training courses, have shown that: attitudes toward and the place of psychotherapy in a given culture serve as a relevant point of reference for finding out about attitudes toward family therapy; the value of the family as a sociological unit has a formative effect on views regarding family therapy; and professional and political isolation may be a hindrance to the formation of a healthy family therapy approach, but the basic attitude toward psychotherapy is not significantly influenced by ideological factors. 相似文献
296.
The family business is a unique entity that has recently come to the attention of business consultants and family therapists. The unique processes of family business are amendable to the applications of family systems theory, organizational development theory, and various theories that focus on individual growth and development. In this paper we review some of the basic concepts relative to understanding family businesses and briefly outline our approach to consultation with family businesses. 相似文献
297.
The aim of this research project has been, in terms of couple evaluation and therapy, to study structural couplings between individual development and the epigenesis of couple relationships. The epigenesis of couple relations was studied according to the model developed by Wynne in which the epigenetic stages are attachment/ caregiving, communicating, joint problem-solving, mutuality, and intimacy. Attachment/caregiving is crucial for the success of couple therapy. The research on 57 couples makes possible a new paradigm for theoretically understanding interconnections between individual development and development of the couple relation; valuable information for planning integrated and need-specific treatment of the couple relation; and evaluation of the course and prognosis of couple relationship with student.This study was carried out at the Health Care Center for Students, in Turku, Finland, and was financially supported by the Pro Sanitate Studiosorum Institute, Helsinki, Finland. We have been in cooperation with and received invaluable constructive criticism from Lyman C. Wynne, MD, PhD, whose theoretical model we applied in this study. Ms. Birgitta Nolvi's secretarial work was greatly appreciated. 相似文献
298.
In this article we respond to van Hoof's (1999) critique of the identity status paradigm. Our review and evaluation of the existing data on identity statuses lead us to be more optimistic than van Hoof about the convergent and discriminant validity of identity status measures, especially objective measures that provide continuous status scores as well as nominal status classifications. Our review of longitudinal studies revealed that among university students tested annually 3 or more times, change in status classifications is significantly more likely to be observed than stability. Moreover, virtually all longitudinal studies with university students indicate that status changes are more likely to be progressive rather than regressive in terms of the hypothesized identity status developmental sequence. However, considerable status regression and fluctuation is observed and we agree with van Hoof that it may no longer be useful to postulate an invariant sequence of identity status stages. Nonetheless, the data do indicate reliable status differences in self-regulatory control processes including ego development, social-cognitive processing orientations, cognitive complexity, self-integration, moral development, and so on. Consequently, we conclude that a useful strategy, at least with university students, may be to focus on the social-cognitive processes that underpin identity statuses and to conceptualize these identity orientations as different styles of dealing with the demands, challenges, and opportunities afforded by institutionalized moratoria, such as a university context. Two lines of recent research inspired by this conceptualization are discussed. 相似文献
299.
Bowins B 《American journal of psychoanalysis》2006,66(2):173-194
Psychological defense mechanisms are a powerful and often unappreciated force safeguarding mental health. Although rarely directed in this way, the most common forms of psychiatric treatment—psychotherapy and antidepressants—can enhance psychological defense mechanisms. Psychotherapy, through both specific and nonspecific factors, induces positive perspective shifts favoring positive cognitive distortions, including adaptive classical defense mechanisms and healthy attribution biases. Antidepressants, by altering very basic emotional information processing, such as facial expression recognition and emotional memories, also foster positive cognitive distortions. By shifting perceptions and thoughts in a positive direction, psychotherapy and antidepressants improve the capacity to dissociate from negative emotional stimuli.Brad Bowins, M.D., FRCP(C), is a staff psychiatrist at the University of Toronto Health Service and he is in private practice. 相似文献
300.
Koen Luyckx Seth J. Schwartz Michael D. Berzonsky Bart Soenens Maarten Vansteenkiste Ilse Smits Luc Goossens 《Journal of research in personality》2008
Identity exploration has been associated with openness and curiosity but also with anxiety and depression. To explain these mixed findings, the four-dimensional identity formation model [Luyckx, K., Goossens, L., Soenens, B., & Beyers, W. (2006b). Unpacking commitment and exploration: Validation of an integrative model of adolescent identity formation. Journal of Adolescence, 29, 361–378.] was extended using data from two late adolescent samples (total N = 703). A fifth dimension, labeled ruminative (or maladaptive) exploration, was added as a complement to two forms of reflective (or adaptive) exploration already included in the model (i.e., exploration in breadth and exploration in depth). Results indicated that ruminative exploration was positively related to distress and to self-rumination. The two forms of reflective exploration, by contrast, were unrelated to well-being and positively to self-reflection. Ruminative and reflective exploration also helped to distinguish between two types of less adaptive identities (i.e., Ruminative Moratorium and Diffused Diffusion) in a six-cluster solution that also contained adaptive types of identity. Implications for current research on identity formation are discussed. 相似文献