American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention. 相似文献
Caring for a person with senile dementia of the Alzheimer type places an enormous emotional burden upon the caregiver. Common responses of caregivers include denial, anger, guilt, self-pity and depression. These negative emotions exacerbate the difficulties of caring for the patient, as well as constrict the caregiver's ability to develop appropriate coping skills for his/ her own life. Rational-emotive therapy (RET) specifies the maladaptive cognitions which elicit and sustain maladaptive emotions and behaviors, and provides a model for cognitive, affective and behavioral change. Excerpts from therapy sessions are presented to illustrate the process.Rose Oliver, private practice; Graduate Fellow and Supervisory Faculty, Institute for Rational Emotive Therapy, 45 East 65th Street, New York, NY 10021. Frances A. Bock, private practice; Adjunct Associate Professor, Psychology Department, Hofstra University, Hempstead, NY 11550; Graduate Fellow and Supervisory Faculty, Institute for Rational Emotive Therapy, 45 East 65th Street, New York, NY 10021. 相似文献
This study is to report a cross-cultural comparison on perceptions of icons and graphics and their relationships. Data were ratings of 10 icons and 10 graphics against 21 bipolar semantic differential scales from 325 college students in three countries, Mexico, Columbia, and Japan. Cross-cultural factor analyses resulted in the identification of four semantic (three affective and one denotative) features, three icon factors, and three graphic factors. Indigenous cultural means of these iconic and graphic factors were computed and used to probe cross-cultural similarities and differences in perceptions. Psychosemantics of icon factors were further predicted by graphic factors through canonical correlation. This study concludes the importance of implicit cultural meanings of nonverbal figures in intercultural communications. The implications of this study are also discussed. 相似文献
Thirty‐Five Oriental Philosophers. Diane Collinson & Robert Wilkinson, 1994, London and New York, Routledge, vi + 205 pp., £35
Essays on Indian Philosophy Traditional and Modern. J. N. Mohanty (edited by Purushottama Bilimoria), 1993, Delhi, Oxford University Press, xxxvii + 347 pp., Rs. 500
Gates of Light (Sha'are Orah). Rabbi Joseph Gikatilla, 1994, London, Harper Collins, 400 + xxxiv pp., $30 相似文献
To what extent do differences in biologicalsexand psychological gender identity influence affectivereactions to different genres of film? In order toaddress this question, this investigation examined the impact of sex and gender roleself-perceptions on viewers' responses to neutral,melodramatic, and violent film segments. Working with apredominantly Caucasian population (93% Caucasian) at asoutheastern university, the results emphasize theimportance of sex and gender role self-perceptions onviewers' affective responses to media entertainment. Theimplications of these findings are discussed.
This study explored the extent to which rapid temporal processing and duration contribute to the right-ear advantage (REA) and presumably left-hemisphere processing for stop consonants and the lack of clear-cut laterality effects for vowels. Three sets of synthetic stimuli were constructed: consonant vowel stimuli [ba da ga bi di gi bu du gu] of 300 msec duration (full stimuli) and two shortened stimuli consisting either of a noise burst and 40-msec transitions (40-msec stimuli), or a noise burst and 20-msec transitions (20-msec stimuli). Stimuli were presented dichotically for consonant, vowel, and syllable identification. Results indicated a significant REA for consonants in the full and 40-msec conditions and a non-significant REA in the 20-msec condition. Nevertheless, the magnitude of laterality did not change across the three conditions. These results suggest that although transition information including duration contributes to lateralization for stop consonants, it is the presence of abrupt onsets which crucially determines lateralized processing. For vowels, there was a significant REA only in the full stimulus condition, and a significant decrement in the magnitude of the laterality effect in the two shortened stimulus conditions. These results suggest that for vowel perception, it is the nature of the acoustic cue used for phonetic identification and not duration that seems to be the critical determinant of lateralization effects. 相似文献