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191.
Jessica L. Mester Angela M. Trepanier Cheryl E. Harper Laura S. Rozek Beverly M. Yashar Wendy R. Uhlmann 《Journal of genetic counseling》2009,18(4):357-365
This study by the Michigan Genetic Counselor Licensure Committee is the first known published documentation of genetic counselors’ beliefs and attitudes about licensure. The response rate from genetic counselors in Michigan was 66% (41/62). Ninety-five percent of respondents were supportive of licensure. Respondents believed licensure would legitimize genetic counseling as a distinct allied healthcare profession (97.5%), increase the public’s protection (75%), and allow genetic counselors to practice independently (67%). While 45% felt licensure would increase counselor involvement in lawsuits, this did not impact licensure support (p?=?0.744). Opinions were split regarding physician supervision and ordering tests. Even though 28% favored physician supervision, there was overwhelming support for genetic counselors performing some components of genetic testing (95%) and ordering some types of genetic tests (82%) independent of a physician. Use of this survey may be helpful in other states to assess genetic counselors’ interest in licensure and for drafting legislation. 相似文献
192.
Beverly Bernstein 《Infant mental health journal》1984,5(1):34-46
The public school is discussed as a milieu in which to provide parent education for parents of preschool children. Primary prevention within the public school setting is designated as a means by which many children and families can be reached while the mental health of infants and young children is addressed as an integral concern of the community. The Parent and Preschooler's Program is described as an example of the implementation of a preschool parent education program in a public school which was initiated by community members and is eagerly supported by the school system. 相似文献
193.
Normal auditory perception relies on accurate judgments about the temporal relationships between sounds. Previously, we used a perceptual-learning paradigm to investigate the neural substrates of two such relative-timing judgments made at sound onset: detecting stimulus asynchrony and discriminating stimulus order. Here, we conducted parallel experiments at sound offset. Human adults practiced approximately 1 h/d for 6-8 d on either asynchrony detection or order discrimination at sound offset with tones at 0.25 and 4.0 kHz. As at sound onset, learning on order-offset discrimination did not generalize to the other task (asynchrony), an untrained temporal position (onset), or untrained frequency pairs, indicating that this training affected a quite specialized neural circuit. In contrast, learning on asynchrony-offset detection generalized to the other task (order) and temporal position (onset), though not to untrained frequency pairs, implying that the training on this condition influenced a less specialized, or more interdependent, circuit. Finally, the learning patterns induced by single-session exposure to asynchrony and order tasks differed depending on whether these tasks were performed primarily at sound onset or offset, suggesting that this exposure modified circuitry specialized to separately process relative-timing tasks at these two temporal positions. Overall, it appears that the neural processes underlying relative-timing judgments are malleable, and that the nature of the affected circuitry depends on the duration of exposure (multihour or single-session) and the parameters of the judgment(s) made during that exposure. 相似文献
194.
Bonanno GA Neria Y Mancini A Coifman KG Litz B Insel B 《Journal of abnormal psychology》2007,116(2):342-351
There is growing interest in complicated grief reactions as a possible new diagnostic category for inclusion in the Diagnostic and Statistical Manual of Mental Disorders. However, no research has yet shown that complicated grief has incremental validity (i.e., predicts unique variance in functioning). The authors addressed this issue in 2 studies by comparing grief, depression, and posttraumatic stress disorder (PTSD) symptoms with different measures of functioning (interviewer ratings, friend ratings, self-report, and autonomic arousal). The 1st study (N = 73) used longitudinal data collected at 4 and 18 months postloss, and the 2nd study (N = 447) used cross-sectional data collected 2.5-3.5 years postloss. With depression and PTSD controlled, grief emerged as a unique predictor of functioning, both cross-sectionally and prospectively. The findings provide convergent support for the incremental validity of complicated grief as an independent marker of bereavement-related psychopathology. 相似文献
195.
Encouraging and facilitating homework completion is a core cognitive behavior therapy (CBT) skill. Consequently, it represents an important part of training practitioners. Oftentimes the process of integrating homework into therapy is rushed, poorly executed, or forgotten, and trainees are surprised to find that some patients do not complete homework. We advocate for increased therapist responsibility in accounting for homework nonadherence. Therefore, problems with the use of homework in therapy are frequently an agenda item in the supervision of trainee cognitive behavior therapists. In our experience, trainee CBT practitioners exhibit a number of interrelated automatic thoughts, assumptions, and in-session behaviors that influence their use of homework assignments. The Cognitive Behavior Therapy Homework Project has proposed a “model for practice” to guide the use of homework in CBT [Kazantzis, N., MacEwan, J., & Dattilio, F. M. (2005). A guiding model for practice. In: Kazantzis, N., Deane, F. P., Ronan, K. R., & L’Abate, L. (Eds.), Using homework assignments in cognitive behavior therapy (pp. 359–407). New York: Routledge]. The present article will draw from those practice recommendations and discuss the role and impact of the therapeutic relationship and therapist beliefs on the use of homework assignments, with reference to the different levels of CBT conceptualization. Clinical examples from the supervision of trainees enrolled in the practicum component of the Massey University Postgraduate Diploma in Cognitive Behavior Therapy are used to illustrate supervising the use of homework assignments. 相似文献
196.
Jody L. Jensen Esther Thelen Beverly D. Ulrich Klaus Schneider Ronald F. Zernicke 《Journal of motor behavior》2013,45(4):366-367
In this article, the development of the increasingly differentiated control of the joints necessary to transform the spontaneous leg movements of early infancy into adaptive and functional actions is described. The hypothesis—that increasing joint control requires the capability for disassociation of joint action, the active modulation of joint stiffness, and a transition from proximal to distal control of the joints—is proposed. Kinematic and kinetic analyses of the vertical kicks of infants 2 weeks, 3 months, and 7 months of age (as well as a comparative group of adults) indicated increasing joint independence as well as phase-dependent and joint-dependent control modifications. The kicks of the younger infants were dominated by a proximal control strategy and minimal adjustments of the limb energetics during the flexion and extension phases of the kick. By 7 months of age, much larger modulations of the kick phases were observed as well as increasing evidence of distal control. These results revealed kinematic and kinetic patterns of emerging limb control between 2 weeks and 7 months of age. 相似文献
197.
Burlew K Larios S Suarez-Morales L Holmes B Venner K Chavez R 《Cultural diversity & ethnic minority psychology》2011,17(4):345-356
Underrepresentation in clinical trials limits the extent to which ethnic minorities benefit from advances in substance abuse treatment. The objective of this article is to share the knowledge gained within the Clinical Trials Network (CTN) of the National Institute on Drug Abuse and other research on recruiting and retaining ethnic minorities into substance abuse clinical trials. The article includes a discussion of two broad areas for improving inclusion-community involvement and cultural adaptation. CTN case studies are included to illustrate three promising strategies for improving ethnic minority inclusion: respondent-driven sampling, community-based participatory research, and the cultural adaptation of the recruitment and retention procedures. The article concludes with two sections describing a number of methodological concerns in the current research base and our proposed research agenda for improving ethnic minority inclusion that builds on the CTN experience. 相似文献
198.
Cheryl L. Holt Emily Schulz Beverly R. Williams Eddie M. Clark Min Qi Wang 《Journal of community & applied social psychology》2012,22(4):346-362
Spiritual and religious capital are forms of the broader construct of social capital. The present study, using probability‐based sampling methods, surveyed a national sample of African American adults to examine the relative contributions of spiritual and religious capital to their physical and emotional functioning. Analyses were conducted to determine if these constructs made a unique contribution above and beyond general social capital. African American men and women (N = 803) were interviewed by telephone. Hierarchical linear regressions revealed that, across the full sample, although social capital was a positive predictor of physical and emotional functioning (p < .05 and p < .001), neither religious nor spiritual capital made an additional contribution to these outcomes. However, the relationships among these variables differed for men and women. Among men, social capital predicted positive emotional functioning (p < .001) but not physical functioning; spiritual and religious capital made no additional contribution to either outcome variable. Among women, social capital predicted positive emotional functioning (p < .01) but not physical functioning. However, religious capital did make a significant additional contribution to the prediction of emotional functioning (ΔR2, p < .01). Dividing the sample into different age groups did not produce any different findings from those found with the sample as a whole. Findings are discussed in terms of implications for church‐ and faith‐based health promotion interventions aimed at health disparities reduction. Copyright © 2011 John Wiley & Sons, Ltd. 相似文献
199.
We examined the development of some features of morphosyntactic ability, specifically the acquisition of auxiliaries and use of agreement marking, along with sentence processing capacity. We used a conceptually simple task called the Tags Question Task, which is a method for evaluating a number of language processes in the production of a commonly used, familiar linguistic device. We compared the performance of children with early focal lesions (N=21), children with specific-language impairment (N=24), and typically developing children (N=24) matched in age and nonverbal ability; additional analyses involved comparisons of children matched on performance level. The data converge to support a "delayed" development of language behavior in our clinical groups, as overall patterns of performance and age-related changes on individual tag features and tag questions were strikingly similar in all three groups across a number of methods of comparison. Implications for theories of the development of brain-language relationships as they pertain to early focal brain damage, specific-language impairment, and the language acquisition process in typically developing children are discussed. 相似文献
200.
Engagement With Self‐Practice/Self‐Reflection as a Professional Development Activity: The Role of Therapist Beliefs 下载免费PDF全文
A number of research studies support self‐practice/self‐reflection (SP/SR) as an experiential learning process that facilitates the acquisition of therapeutic skill in a number of cognitive‐behavioural therapy (CBT) competencies and as showing potential as a valuable professional development activity. Engaging therapists to participate in SP/SR programmes is sometimes difficult, and when they are offered the option to participate in SP/SR programmes as part of professional development, relatively few volunteer. This study investigates the role of therapist beliefs about SP/SR as a potential obstacle to engagement. An online survey was developed to assess the strength of 14 commonly held therapist beliefs concerning the consequences of participating voluntarily in a SP/SR programme. Participants were a combined sample of 44 Psychological Wellbeing Practitioners and high‐intensity CBT therapists employed by an Improving Access to Psychological Therapies service in the United Kingdom. Few negative beliefs about SP/SR emerged. The majority of respondents believed SP/SR programmes were relevant to their work situation, but perceived “lack of time” as a significant barrier to participation. Three factors are considered in relation to introducing SP/SR as a workforce professional development activity: (a) The importance of managing therapist perceptions regarding time; (b) SP/SR as a mechanism to increase self‐care and reduce burnout; and (c) The need to focus mental health services' attention on the potential of SP/SR programmes to increase staff morale and improve service delivery. 相似文献