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281.
Individuals who do not possess the verbal skills to express meaningful choice in the absence of its consequences may have difficulty indicating their preference for protracted activities that are unavailable until some time in the future (e.g., taking a walk, riding a bike). When we examined the preferences of 4 individuals with developmental disabilities by showing them pictorial representations of various activities, their initial choices showed no clear preferences. In a subsequent condition, selecting a photograph resulted in brief access to the depicted activity. When selections produced differential consequences (i.e., access to the activity), clear preferences emerged. In addition, 3 individuals' preferences were later shifted to an initially less preferred but more socially desirable option by superimposing additional reinforcement contingencies for engaging in the less preferred activity. Results are discussed in terms of the conditions under which choice functions as an indicator of preference and how those conditions may be altered to improve the quality of choice making without limiting access to preferred options.  相似文献   
282.
In courses in the twenties and early thirties, Heidegger argues that in Aristotle the question of the being of beings (ontology) and that of the unity of beings (theology) are distinct. Although he treated the two questions as part of one science, prôtē philosophía, Aristotle did not, in Heidegger's view, discuss the way in which these questions belong together. Being is determined theoretically as presence; and God, the first mover, is an aítion, an explanatory ground of motion in sensible ousía. God is required as a ground for the presence of beings as a whole. Heidegger no longer seeks explanatory grounds, nor does he prioritize theory. Rather, he inquires into the essence of ground, and the poietical involvement of Dasein in understanding being. The unity of Aristotle's questions is found in a groundless ground: Dasein as transcendence. The metaphysical god is thus no longer required in Heidegger's phenomenology.  相似文献   
283.
Generalization across three stimulus parameters was examined for 5 individuals whose self-injurious behavior was maintained by escape from task demands. Prior to treatment, three stimulus parameters (therapist, setting, and demands) were systematically varied across baseline sessions. These variables were held constant during treatment, which consisted of escape extinction. When treatment was completed, three novel stimulus parameters were probed. If the rate of self-injury was high during this probe, treatment was reimplemented with one new stimulus parameter (the other two were the same as in the original treatment condition). Following this second treatment, another probe with three novel stimuli was conducted. If the rate of self-injury was again high, treatment was implemented again while a second stimulus parameter was changed. This sequence continued until generalization was observed across the three parameters. Results showed idiosyncratic differences in generalization. The behavior of 2 subjects showed complete generalization during the first novel probe. A 3rd subject's behavior showed generalization following treatment across two stimulus parameters (setting and therapist). The behavior of the 2 remaining subjects showed a complete lack of generalization across the three parameters; both subjects required training for novelty by randomly varying the stimulus parameters for a substantial number of sessions.  相似文献   
284.
Although there has been some study of clients who miss psychotherapy appointments, very little attention has been given to therapists' responses in such circumstances. A questionnaire survey of student counsellors working in British higher education institutions invited them to consider whether or not they would initiate any further contact with each of eight hypothetical non-attenders, described in case vignettes. It was predicted that responses would be influenced both by the subjects' theoretical approach to counselling and by their level of interpersonal dependency, as measured with the Interpersonal Dependency Inventory (Hirschfeld et al., 1977). It was found that the majority of counsellors were not subject to institutional guidelines about contacting non-attenders, and that responses ranged from contacting none to contacting all of the clients. Psychodynamic counsellors were found to be significantly more likely to initiate contact than were humanistic counsellors. There were no significant correlations between contact scores and intepersonal dependency scores but women were significantly more likely to initiate contact than were men. Many of the psychodynamic subjects had commented on their therapeutic use of written communications to interpret non-attendance to their clients.  相似文献   
285.
In the era of “culture wars,” instances where client and practitioner discuss political issues in therapy may become more frequent. This paper introduces the way in which “culture wars” manifest in today's societies and highlights the importance of therapeutic practitioners to engage with and explore their own views in relation to these polarising political debates. In doing so, this paper reflects upon the existing research focussing on the way in which “culture wars” enter the therapeutic encounter and highlights the feelings of anxiety and conflict that arise when practitioners are tasked with “talking politics” with clients. It considers the implications for practice and policy and concludes with recommendations for future scholarship, arguing for more culturally specific studies that examine how “culture wars” issues impact therapeutic work in a variety of international settings.  相似文献   
286.
Spencer and Hanley (2003) showed that Welsh-speaking children aged between 5 and 7 years who were learning to read Welsh (a transparent orthography) performed significantly better at reading both real words and nonwords than did English-speaking children living in Wales who were learning to read English (a deep orthography). In this study, the reading skills of these children were reexamined three years later, during their sixth year of formal reading instruction. The children learning to read English continued to perform poorly at reading low- and medium-frequency irregular words but no differences were observed in reading regular words or nonwords. These findings emphasize how long it takes to acquire a large sight vocabulary in English, but indicated that the reading skills of the majority of the English-speaking children had caught up with those of their Welsh-speaking counterparts. However, the poorest 25% of the English readers continued to perform much worse than the lowest performing 25% of Welsh readers on both words and nonwords. An underachieving tail of this kind was not observed in the reading performance of the Welsh-speaking group. Overall, these findings suggest that in the long term the detrimental effects of an opaque orthography are most damaging to the poorest readers.  相似文献   
287.
The aim of this study was to explore the effects of organisational change upon staff working in a Community Mental Health Team (CMHT). A grounded theory methodology was employed to analyse data from eight interviews with a range of staff. Analysis identified one core category and five key categories. ‘Corrosion of good work: an ethos in decline’ represents the core category and refers to the staff members’ sense of demoralisation of their professional values and integrity. The first key category, ‘Cultural change’, refers to staff members’ perception of change within the CMHT, with an increased emphasis on regulation, performance management and proceduralisation. Three further key categories were identified: ‘Caring clinicians and uncaring managers’, ‘Confusion regarding professional roles’ and ‘Disconnecting and isolating’. The fifth key ‘Staff departing and increasing risk for clients’, describes the impact of the working culture. These categories and emerging theory were interpreted through a psychodynamic lens, and identified the need for better management practice, support, training and supervision of staff as the foundations of safe practice.  相似文献   
288.
289.
Studies of the prevalence and impact of aggression among school-age children and adolescents document the pervasiveness of bully-victim problems and indicate clear linkages between bully-victim problems, psychological distress, and, in rare instances, lethal attacks on perceived tormentors or towards the self. Evidence is slowly accumulating to show how well-conceived school-based strategies can be effective in addressing bully-victim problems—if implemented and sustained. However, anecdotal evidence suggests many comprehensive school-based initiatives suffer from incomplete implementation, resulting in limited effectiveness. We propose that multiple factors nested within different levels of social ecological complexity (e.g., individual, school, community, and culture) limit the widespread use of schoolwide approaches to reducing bully–victim–bystander problems. Challenges arise at each of these levels and can potentially thwart efforts to produce meaningful changes in the problems of peer victimization in and around school. Drawing from efforts to implement and evaluate bully–victim–bystander programs, we describe a core set of potential barriers at each ecological level and offer possible strategies for action.  相似文献   
290.
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