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91.
Comparison of the Effects of Telephone Suicide Prevention Help by Volunteers and Professional Paid Staff: Results from Studies in the USA and Quebec,Canada
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Brian L. Mishara PhD Marc Daigle PhD Cécile Bardon PhD François Chagnon PhD Bogdan Balan MD PhD Sylvaine Raymond MA Julie Campbell MA 《Suicide & life-threatening behavior》2016,46(5):577-587
Research since the 1960s has consistently found that lay volunteers are better at helping suicidal callers than professionals. Yet, professional degrees are increasingly becoming requirements for helpline workers. In our first study, we conducted post hoc comparisons of U.S. helplines with all professional paid staff, all lay volunteers, and a mix of both, using silent monitoring and standardized assessments of 1,431 calls. The volunteer centers more often conducted risk assessments, had more empathy, were more respectful of callers, and had significantly better call outcome ratings. A second study of five Quebec suicide prevention centers used silent monitoring to compare telephone help in 1,206 calls answered by 90 volunteers and 39 paid staff. Results indicate no significant differences between the volunteers and paid employees on outcome variables. However, volunteers and paid staff with over 140 hours of call experience had significantly better outcomes. Unlike the United States, Quebec paid employees were not required to have advanced professional degrees. We conclude from these results and previous research that there is no justification for requiring that suicide prevention helpline workers be mental health professionals. In fact, the evidence to date indicates that professionals may be less effective in providing telephone help to suicidal individuals when compared to trained lay volunteers. 相似文献
92.
为医学"会诊”-当代医学的主要缺憾 总被引:7,自引:2,他引:5
现代医学发展迅速,方兴未艾,由于技术主义抬头,认识局限与医学发展水平的制约。出现某些缺憾性倾向。主要有:破足的医学、分裂的医学。被动的医学、治标的医学、人性淡漠的医学、不公正的医学等。在对上述进行分析与评论的基础上,对医疗服务变革真挚进行了预测与展望。 相似文献
93.
Bonnie McLean Wright David Mitchell Carscaddon Steven Dennis Lambert 《Adultspan: Theory Research & Practice》2000,2(2):113-122
A cross‐sectional study of educated men and women showed that cautiousness, as measured by perceived problem‐solving ability, does not increase with age. Sex differences were nonsignificant. The results are discussed in terms of R. Schultz and J. Heckhausen's (1996) Life Span Model of Successful Aging. 相似文献
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谐音型歇后语是汉语特殊的语汇表达形式, 对其加工常常需要通达后一语节的同音线索来完成语音、语义隐喻映射。本研究通过2个实验探讨相对熟悉度和同音线索类型对谐音型歇后语加工的作用。实验1结果表明, 在高熟悉度条件下, 被试对语汇的加工策略取决于歇后语的同音线索类型。当后一语节为同音字时, 加工较为快速; 当后一语节为谐音字时, 通达歇后语隐喻意义的路径受阻。对熟悉度较高的谐音型歇后语进行加工, 语义通达表现出预存性; 在缺乏同音线索的条件下, 语料加工时间较长, 反应准确率较低, 支持概念隐喻模型和概念合成假说。而对熟悉度较低的歇后语进行加工, 被试更倾向于采用即时(on-line)策略, 支持概念合成理论和基于心理模型的语用推理假说。实验2结果表明, 呈现“错误同音”线索对歇后语的加工形成干扰, 不支持概念合成理论和基于心理模型的语用推理理论。总的结果表明, 相对熟悉度和同音线索类型影响谐音型歇后语的通达, 谐音歇后语加工需要同时激活语音和语义两条通道。 相似文献
96.
近年来, 辱虐管理与员工创造力的关系受到越来越多研究者的关注。在以往研究的基础上, 本研究构建了一个有调节的中介作用模型, 以探讨中国文化情境下辱虐管理影响员工创造力的中介心理机制及边界条件。采用多阶段-多来源的策略, 以93名主管和369名员工为对象, 通过多水平结构方程建模技术对三阶段主管-员工配对调查所获取的数据进行分析, 结果表明:主管的辱虐管理行为会通过心理契约破坏的中介作用, 对员工创造力产生间接的消极影响; 但该负向的间接关系的强度对高中庸思维者而言较弱。本研究有助于揭示辱虐管理影响员工创造力的心理机制及边界条件, 研究结果对企业员工创造力及创新行为的管理实践也有一定启示。 相似文献
97.
Aja Louise Murray Tom Booth Manuel Eisner Bonnie Auyeung George Murray Denis Ribeaud 《Developmental science》2019,22(1)
Previous studies have hinted at sex differences in developmental trajectories in ADHD symptoms; however, little is known about the nature or cause of these differences and their implications for clinical practice. We used growth mixture modelling in a community‐ascertained cohort of n = 1,571 participants to study sex differences in ADHD symptom developmental trajectories across the elementary and secondary school years. Participants were measured at ages 7, 8, 9, 10, 11, 12, 13, and 15. We found that females were more likely to show large symptom increases in early adolescence while males were more likely to show elevated symptoms from childhood. For both males and females, early adolescence represented a period of vulnerability characterized by relatively sudden symptom increases. Females affected by hyperactivity/impulsivity may be more likely to be excluded from diagnosis due to current age of onset criteria. More attention should be paid to early adolescence as a period of risk for hyperactivity/impulsivity symptom onset or worsening. 相似文献
98.
Beth Doll Bonnie K. Nastasi Laura Cornell Samuel Y. Song 《Journal Of Applied School Psychology》2017,33(3):179-194
ABSTRACTSchool-based mental health services are those delivered by school-employed and community-employed providers in school buildings. With the implementation of provisions of the Patient Protection and Affordable Care Act (2010) that funds school-based health centers, school-based mental health services could become more broadly available in communities throughout the United States. Playing a pivotal role in promoting models for school-based services that maximize benefits to children and adolescents while making efficient use of communities' mental health resources are school psychologists. School psychologists, who recognize and respect the separated development of school and community mental health professions, can foster school–agency partnerships to coordinate children's mental health services that are comprehensive, child centered, family focused, and culturally competent. In this article, we provide three case examples using the Participatory Culture-Specific Intervention Model (B. K. Nastasi, R. B. Moore, & K. M. Varjas, 2004) as exemplars for the implementation of community partnerships providing comprehensive culturally and contextually relevant school-based mental health services. 相似文献
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The young adult years are particularly important for accruing the education and work experience needed for long-term economic stability. We examine the effects of symptoms of ODD at baseline (i.e., T1 ages 12 to 18 years; N = 662; 48 % male) and of increases in these symptoms on academic and occupational functioning in young adulthood (i.e., T6 ages 22 to 29 years; N = 478; 45 % male) using multiple measures; including achievement levels (i.e., educational attainment, occupational prestige, and income) and financial and work stress (i.e., debt, financial strain, and perceived workplace stress). Our findings show that both adolescent levels of and increases in symptoms of ODD influence academic and occupational functioning in young adulthood. We discuss the implications of ODD symptoms for accruing economic capital in young adulthood, as well as approaches to detecting and intervening that are needed to halt the potentially cascading effects of ODD symptoms. 相似文献