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101.
In the Italian academic system, a student can enroll for an exam immediately after the end of the teaching period or can postpone it; in this second case the exam result is missing. We propose an approach for the evaluation of a student performance throughout the course of study, accounting also for nonattempted exams. The approach is based on an item response theory model that includes two discrete latent variables representing student performance and priority in selecting the exams to take. We explicitly account for nonignorable missing observations as the indicators of attempted exams also contribute to measure the performance (within-item multidimensionality). The model also allows for individual covariates in its structural part.  相似文献   
102.
In the field of counseling, there has been a growing awareness of the important role the Black church plays in African American communities. Although counseling professionals have begun recognizing the influence the Black church has in the lives of African Americans, there seems to be little information on how counselors can collaborate with African American congregations to meet the mental health needs of African American clients. The authors examine how counselors can use the psychological and social strengths of the Black church. Strategies and implications for collaborating with this institution are also discussed.  相似文献   
103.
Every intervention process can be thought of as a journey of partnership between people, as well as an intellectual journey of ideas and an emotional journey of relationships. This exploratory study aims at reaching a better understanding of three questions: (i) What values do individual heads of multi‐problem poor households and practitioners show regarding their relationship? (ii) How might those values inform the interaction between them, in positive and/or negative ways? (iii) What might the value system which organizes the interaction between the participants be? This study was carried out using a critical incidents technique and was based on a sample comprising two sub‐groups: 100 heads of multi‐problem poor families and 97 professionals. Findings reveal the following individual values: heads of multi‐problem poor families value instrumental support, relationships and effectiveness; while professionals' appreciate relationships, obedience to their own instructions and (in)effectiveness. These value systems seem to frame the interaction in games of responsibility avoidance that lead to the individuals' disempowerment, disguised in an aura of ‘adequate impotence’. Copyright © 2005 John Wiley & Sons, Ltd.  相似文献   
104.
In general, people judge their chance of experiencing a health risk as being less than the general base rate because of their favorable status on risk factors (e.g., history of stroke). Presenting base rates for high and low risk groups (conditional base rates) were hypothesized to lessen people's tendency to adjust downward from the base rate because risk factors are included in conditional base rates (CBRs). Young (M= 19 years) and older women (M= 46 years) were presented with either a general base rate (GBR) or CBRs for high‐ and low‐risk groups for 5 health risks. The CBR groups were significantly less likely to adjust their probability judgments from the base rate for the risk group that they believed applied to them (e.g., smoker vs. nonsmoker). The CBR effect was replicated in a second experiment in which women (M = 19 years) were informed of either a GBR, a CBR for a high‐risk group, or a CBR for a low‐risk group. The findings suggest that people might estimate subjective probabilities by considering both the base rate for a health risk and self‐assessments on risk factors. Biases about one's status on risk factors, however, may limit people's identification with relevant risk groups and warrant further investigation.  相似文献   
105.
The purpose of the current study was to examine the criterion validity of the Borderline Personality Features Scale for Children (BPFS-C) by assessing the performance of the self-report and a newly developed parent report version of the measure (BPFS-P) in detecting a borderline personality disorder (BPD) diagnosis in adolescent inpatients. This study also examined parent-child agreement and the internal consistency of the BPFS subscales. An inpatient sample of adolescents (n = 51) ranging from ages 12-18 completed the BPFS and were administered the Child Interview for DSM-IV Borderline Personality Disorder (CI-BPD) by trained clinical research staff. ROC analyses revealed that the BPFS-C has high accuracy (AUC = .931; Se = .856; Sp = .840) in discriminating adolescents with a diagnosis of BPD, as measured by the CI-BPD, while the BPFS-P has moderate accuracy (AUC = .795; Se = .733; Sp = .720). Parent-child agreement on total scores was significant (r = .687; p < .005). Cronbach's alphas suggested internal consistency for the four subscales of the BPFS. These findings support the criterion validity of this measure, particularly the self-report version, in adolescent inpatient settings.  相似文献   
106.
This issue's "Legal Briefing" column covers recent legal developments involving institutional healthcare ethics committees. This topic has been the subject of recent articles in JCE. Healthcare ethics committees have also recently been the subject of significant public policy attention. Disturbingly, Bobby Schindler and others have described ethics committees as "death panels." But most of the recent attention has been positive. Over the past several months, legislatures and courts have expanded the use of ethics committees and clarified their roles concerning both end-of-life treatment and other issues. These developments are usefully grouped into the following eight categories: 1. Existence and availability. 2. Membership and composition. 3. Operating procedures. 4. Advisory roles. 5. Decision-making and gate-keeping roles. 6. Confidentiality. 7. Immunity. 8. Litigation and court cases.  相似文献   
107.
This issue's "Legal Briefing" column covers recent legal developments involving futile or non-beneficial medical treatment. This topic has been the subject of recent articles in JCE. Indeed, it was the subject of a "Legal Briefing" in fall 2009. Accordingly, this column focuses on legal developments from the past two years. These developments are usefully grouped into the following 11 categories: 1. Texas Advance Directives Act, 2. Ontario Consent and Capacity Board, 3. Surrogate selection, 4. Ex post cases for damages, 5. Ex ante cases for injunctions, 6. Coercion and duress, 7. Assent and transparency, 8. Brain-death cases, 9. Criminal and administrative sanctions, 10. Conscientious objection, 11. Penalties for providing futile treatment.  相似文献   
108.
Transition is important in the career literature as it identifies times at which people are often likely to consult counselors about issues for which they need help. However, the counseling literature has not provided a conceptualization of, or research on, the joint, goal-directed actions and projects of the counselor and the client, which explicitly reflect the goal-directed nature of the transition itself. To address this issue, 12 counseling dyads, representing 37 counseling sessions, were studied. In these dyads, counseling was observed as the joint, goal-directed action between professional counselors and youth who sought assistance with their transition to adulthood. The data were collected using the action-project method. The counseling sessions were video-recorded, then immediately played back for the counselor and client separately to gather their recalled thoughts and feeling during counseling. Detailed qualitative analysis of the data set addressed the research question, “What are the goal-directed projects that counselors and their clients jointly construct, articulate, and enact relevant to the transition to adulthood?” The findings indicated the relationship and identity are intertwined goal-directed projects within counseling as well as outside of it. These projects contributed to the reframing and reorganization of clients' transition projects outside of counseling in occupational, educational, and familial domains. The findings suggest important implications for counseling youth in transition, that is, counselors and clients explicitly address their joint relationship and identity goals in an effort to realize a mutually satisfactory and important transition to adulthood.  相似文献   
109.
The present work aims to investigate the relation between appraisals, emotions, and emotion regulation strategies by creating a structural equation model which integrates these three aspects of the emotion process. To reach this aim, Italian students (N = 610) confronted with their high school diploma examination completed a questionnaire 3 weeks before the beginning of the exam. Results showed that they experienced primarily three types of emotions—anxiety/fear, frustration/powerlessness, positive emotions—which were related to specific appraisal profiles. Importantly, these appraisal profiles and emotions were associated with the use of different strategies for regulating emotions: anxiety/fear was associated with focusing on the exam, drug use, and an inability to distance oneself from the exam; frustration/powerlessness, with use of suppression, distancing, and drugs; positive emotion, with reappraisal and problem focused strategies. The effectiveness of these different strategies will be discussed.  相似文献   
110.
Adaptive behavior in autism is highly variable and strongly related to prognosis. This study explored family history as a potential source of variability in adaptive behavior in autism. Participants included 77 individuals (mean age = 18) with average or better intellectual ability and autism. Parents completed the Family History Interview about the presence of broader autism phenotype symptoms and major psychiatric disorders in first degree relatives. Adaptive behavior was assessed via the Vineland Adaptive Behavior Scales (VABS). Based on family history variables, age, and intelligence quotient (IQ), 87% of participants were correctly classified as having impaired or average VABS scores. Family history of depression and shyness accounted for the most variance in VABS scores, and they had the greatest influence on VABS Socialization scores in particular. Possible underlying mechanisms include genetics, psychosocial factors, and social resources. This study provides initial evidence of the importance of family history to adaptive behavior in autism and has implications for genetics and treatment.  相似文献   
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