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Services for chronic mental patients in this era of deinstitutionalization present a major challenge to clinicians and planners alike. The complexity of these patients' clinical and other programmatic needs requires that an array of viable comprehensive services be made available to them. Following certain established principles of service planning will help facilitate patients' longitudinal, psychological, financial, and geographical access to care. 相似文献
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In the present study, we investigated the phenomenological characteristics of distant trauma memories and the relationship between the vividness of trauma memories, the centrality of event and symptoms of posttraumatic stress in two groups with different types of trauma exposure, namely survivors and bereaved, from the fire on the passenger ferry, Scandinavian Star, 26 years earlier. More than two decades after the fire, the traumatic event was represented as a vivid, emotional recollection for many of the victims. For both the survivors and the bereaved, a higher degree of vividness of trauma memories and centrality of the event were associated with higher levels of posttraumatic stress. The present findings show that even very distant trauma memories can be represented as vivid recollections. Furthermore, the findings suggest that both vividness of trauma memories and event centrality may contribute to explain how posttraumatic stress reactions can remain present over a very long time. 相似文献
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The present experiment pitted three choice shift hypotheses against each other in an attempt to eliminate one or more of the hypotheses and find support for those remaining. Ss responded three times to the 12 CDQ items, once as a pretest and twice following presentation of homogeneous sets of three arguments which advocated either a risky or a cautious position. The risk-as-value, relevant arguments, and conformity/attitude change hypotheses generated three separate predictions for the Ss' responses. Results mirrored the prediction of the relevant arguments hypothesis: New information, whether contained in cautious or risky arguments, caused a shift toward the type of argument presented. The risk-as-value and the conformity/attitude change hypotheses could not explain the present data. 相似文献
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The effects of attitudinal similarity and task-relevant affiliative status, together with three situational factors (presence or absence of a monetary reward, choice of information source or work partner, and choice made before or after Ss completed preliminary work on the task), on the choice of comparison others were examined. The most significant determinant of the comparison other chosen was attitude similarity (p < .01). There was also a significant interaction between attitude similarity, task-relevant affifliative status, and time of choice (p < .05). The nature of the interaction suggested that general impressions such as conveyed by general attitudinal information may be more important in the selection of referent others than comparability on situation-specific factors. 相似文献