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151.
Heidi L. Lindh Patricia McCarthy Veach Korinne Cikanek Bonnie S. LeRoy 《Journal of genetic counseling》2003,12(1):23-41
Three hundred and thirty-five full members of the National Society of Genetic Counselors completed a survey concerning the nature of clinical supervision for genetic counseling students. Slightly over half (54.3%, n = 182) had provided clinical supervision within the past 5 years. Of those who supervised, 66.7% had 5 years or less supervision experience, and 55% had supervised 10 or fewer students. The majority became supervisors because they enjoy teaching and contributing to the profession. Common reasons for not supervising include no local graduate program, and had never been asked to supervise. Live supervision is the most prevalent student evaluation method: every supervisor reported providing one-on-one oral feedback, and 47.3% indicated that they always provide feedback immediately following a counseling session. The most frequent challenges involve students who lack technical knowledge and who fail to incorporate feedback. Training, policy, and research implications are discussed. 相似文献
152.
This article addresses a crisis in marital therapy caught between concern for individual well-being and marriage as a social institution. Marital therapy would be enriched by conversation with three models of marriage: Roman Catholic subsidiarity theory, Protestant covenant view, and liberation theology and corresponding languages of social goods, covenant, and mutual responsibility. The authors urge therapists to see marriage as private and social at the same time and to help couples explore the meaning of marital commitment, the connection between personal well-being and marriage's wider social goods, and the dynamics of shared power and radical mutuality in marriage. 相似文献
153.
154.
Development of a Congruence Scale Based on the Satir Model 总被引:1,自引:0,他引:1
Bonnie K. Lee 《Contemporary Family Therapy》2002,24(1):217-239
The Congruence Scale derives from the construct of congruence, the goal of therapeutic change in the Satir model. Congruence is conceptualized as a state of awareness, openness, and connection in three human dimensions: the Intrapsychic, Interpersonal, and Universal-Spiritual. Procedures in developing the Congruence Scale are described. Results provide evidence of concurrent validity with the Satisfaction With Life Scale and the Outcome Questionnaire. Four factors of the Congruence Scale are extracted from factor analysis: Intrapsychic-Interpersonal, Spiritual, Creative, and Communal. Further research to confirm the reliability and validity of the congruent construct is recommended. 相似文献
155.
Christina G. Selkirk Patricia McCarthy Veach Fengqin Lian Lisa Schimmenti Bonnie S. LeRoy 《Journal of genetic counseling》2009,18(5):507-519
Knowledge about the etiology of Autism Spectrum Disorders (ASDs) is increasing, but causes remain elusive for most cases.
Genetic counselors are positioned to help families that have children with ASDs despite uncertainty regarding etiology. To
determine how genetic counselors might best provide services, an anonymous survey was conducted with 255 parents whose children
were diagnosed on the autism spectrum. Questions concerned: 1) their perceptions of ASD cause(s) and 2) recurrence risk, 3)
whether perceived risk affected family planning decisions, 4) whether parents had received genetic services, and 5) how genetic
counselors might assist families. The most prevalent perceived cause was genetic influences (72.6%). Most parents’ recurrence risk perceptions were inaccurately high and significantly affected family planning. Only
10% had seen a genetic professional related to an ASD. Parents provided several suggestions for genetic counselor best practices. Findings indicate the importance of genetic counselor awareness of parent perceptions in order to best help families who
have children with ASDs. 相似文献
156.
Sarah Alliman Patricia McCarthy Veach Dianne M. Bartels Fengqin Lian Carolyn James Bonnie S. LeRoy 《Journal of genetic counseling》2009,18(4):379-394
Ethical issues are an inevitable part of genetic counseling practice. Prior research identified 16 domains of ethical and
professional challenges encountered by practitioners in the United States. In order to further validate these domains, the
present study surveyed Australian genetic counselors. Sixty-three respondents rated the frequency with which they encountered
each domain, and 39 individuals also provided personal anecdotes detailing their most challenging ethical and professional
dilemmas. Every domain reportedly was experienced by the Australian sample. However, there were some differences between Australian
respondents and U.S. genetic counselors in frequencies of domain occurrence, and in strategies recommended for resolving them.
Several anecdotes illustrate challenging situations due to Australia’s geography, universal healthcare system, and the genetic
counseling profession’s evolution in that country. The results generally validate domains identified for U.S. genetic counselors.
They further suggest that certain ethical issues may manifest in ways unique to a given country, and therefore they must be
addressed in a culturally-appropriate manner. 相似文献
157.
158.
Hyun Kyung Lee Patricia McCarthy Veach Bonnie S. LeRoy 《Journal of genetic counseling》2009,18(3):287-299
As racial and ethnic diversity increase in the U.S., genetic counselor multicultural competence is growing in importance.
In mental health counseling, supervisor multicultural competence has been shown to promote supervisees’ multicultural competence.
Moreover, developmentally-advanced supervisors tend to be more effective. This study was designed to investigate relationships
among genetic counselor supervisors’ perceived multicultural counseling competence and development as supervisors, and their
ability to evaluate a supervisee’s multicultural skills. One hundred twenty-two supervisors completed an online survey of
demographics, the Multicultural Counseling Knowledge and Awareness Scale, the Supervisor Development Scale, and a hypothetical vignette in which they evaluated a supervisee’s multicultural skills and provided written feedback. Stepwise
multiple regression yielded five significant predictors accounting for 31% of the variance in accuracy of supervisor evaluations
of the student: multicultural awareness, multicultural knowledge, age, supervision experience, and supervisor development.
Six feedback themes were identified from written responses. Practice and research suggestions are provided. 相似文献
159.
Bonnie Auyeung Simon Baron‐Cohen Emma Ashwin Rebecca Knickmeyer Kevin Taylor Gerald Hackett 《British journal of psychology (London, England : 1953)》2009,100(1):1-22
Studies of amniotic testosterone in humans suggest that fetal testosterone (fT) is related to specific (but not all) sexually dimorphic aspects of cognition and behaviour. It has also been suggested that autism may be an extreme manifestation of some male‐typical traits, both in terms of cognition and neuroanatomy. In this paper, we examine the possibility of a link between autistic traits and fT levels measured in amniotic fluid during routine amniocentesis. Two instruments measuring number of autistic traits (the Childhood Autism Spectrum Test (CAST) and the Child Autism Spectrum Quotient (AQ‐Child)) were completed by these women about their children (N=235), ages 6–10 years. Intelligence Quotient (IQ) was measured in a subset of these children (N=74). fT levels were positively associated with higher scores on the CAST and AQ‐Child. This relationship was seen within sex as well as when the sexes were combined, suggesting this is an effect of fT rather than of sex per se. No relationships were found between overall IQ and the predictor variables, or between IQ and CAST or AQ‐Child. These findings are consistent with the hypothesis that prenatal androgen exposure is related to children exhibiting more autistic traits. These results need to be followed up in a much larger sample to test if clinical cases of ASC have elevated fT. 相似文献
160.
Libbe Kooistra Barbara Ramage Susan Crawford Marja Cantell Shirley Wormsbecker Ben Gibbard Bonnie J. Kaplan 《Human movement science》2009,28(4):529-542
There is an ongoing debate regarding the diagnostic overlap between Attention Deficit Hyperactivity Disorder (ADHD) and Fetal Alcohol Spectrum Disorder (FASD). Differential diagnosis is important because of treatment implications. Children aged 7–10 years (47 ADHD, 30 FASD, 39 controls) participated. The Movement Assessment Battery for Children (M-ABC) and the Clinical Observations of Motor and Postural Skills (COMPS) were used. Force plate and electromyography data were collected during static balance and balance perturbation. On the M-ABC both children with ADHD and FASD had more motor problems than controls. The ADHD-Combined and the ADHD-Predominantly Inattentive subgroups were similarly affected in their fine motor skills. On the COMPS, the majority of children in both groups performed in the normal range, but for those children clinically affected, it was the children with ADHD who were more likely to be severely impaired. The children with ADHD were characterized by early onset latencies of the tibialis anterior muscles and increased amplitudes of the gastrocnemius muscles. Difficulty scaling muscle force reflecting medial cerebellar involvement may be the key problem in ADHD. Cerebellar involvement in the postural instability in FASD awaits further study. 相似文献