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A case study is presented of a client, involved in business dealings and personal relationships with members of organized crime, who upon looking into his mirror one morning recognized for the first time that his life was quickly slipping away. Unless he broke free, he decided, by doing something bold and outrageous—in the style of his free-spirited and violent youth—he was doomed to a depressive existence for the remainder of his days. He stalked women by night. Disturbed by a series of frightening dreams of his involvement in the murder of a stalked and raped woman, he approached the author for psychological help. During the course of treatment it became apparent that the client lacked a sense of personal goodness. An exploration of the problematic nature of virtue and constructive behavior in psychotherapeutic theory is presented here, together with a rationale for the role of the therapist as mentor as well as therapist for people who lack early and present experiences with constructive role models.  相似文献   
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Social network researchers have been divided into two camps: those who propose that social networks have a direct effect on subsequent psychological symptoms and those who posit a stress-buffering effect as well. Previous research has been limited by rudimentary measures of social interaction and the absence of longitudinal data as well as by different approaches to the assessment of possible buffering effects. In the present study, using 19 social network variables, the authors followed 133 elderly residents of mid-Manhattan SRO hotels for 1 year. Three different methods of determining buffering effects were examined: Dividing the sample into high- and low-stress groups and contrasting differences in percentage variance accounted for by social networks between the two groups; Examining the group as a whole to assess if any Network Variable X Stress interactional terms are significant; Examining the group as a whole to assess whether there is a reduction in the beta value of stress with respect to psychological symptoms when network variables are added to the analysis. Method 1 indicated a direct network effect, but none of the methods indicated a buffering effect. Of clinical relevance was the nonlinearity of the network effects, that is, depending upon a person's stressor level, different network dimensions must be emphasized and strengthened.  相似文献   
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Conclusion We have illustrated how our small theory (Lipsey, 1990) of bereavement guided the development and evaluation of a preventive intervention for bereaved children. Our small theory, based on prior empirical research, enabled us to identify family processes that appeared to mediate the effects of parental death on child mental health. Our intervention was designed to attempt to change these processes. The evaluation of our experimental trial of the intervention assessed changes on these processes as well as the more distal mental health outcomes. The experimental trial showed some-what encouraging results, in terms of the program's ability to modify the warmth of the parent–child relationship and to decrease symptomatology in the adolescent children. We also obtained further empirical support for our underlying theoretical model. Finally, implications for redesign of the program were derived from assessing the adequacy of the program components to change each of the mediators in the theoretical model.Support for this research was provided by NIMH grant P5OMH39246 which is gratefully acknowledged. David R. Pillow is now at Western Psychiatric Institute, Pittsburgh; Fred Rogosch is at the University of Rochester; Janette Beals is now at University of Colorado Health Sciences Center; Kim D. Reynolds is now at the University of Alabama, Birmingham; Carl Kallgren is now at the Pennsylvania State University, at Erie; and Rafael Ramirez is now at the University of Puerto Rico.  相似文献   
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Carl F. Grindstaff 《Sex roles》1996,35(3-4):137-151
This research is placed within the framework of the second demographic transition. The focus of the paper is on Canadian women aged 33–38 who began childbearing relatively late in the reproductive years. These women are compared to both single and ever-married or cohabiting women in the same age group who have no children on a series of cultural and economic variables (N= 9682). Approximately 10% of the sample consists of visible minorities. The results indicate that women with young children aged 2–5 present in the home (and no other children present) are disadvantaged in terms of economic outcome, especially labor force participation, full-time work, and income. The findings suggest that having a first child even at an older reproductive age results in women bearing a major opportunity cost for that fertility. Implications are discussed in the context of alternative childrearing behaviors.  相似文献   
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