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Great effort is invested in identifying ways to change people's minds on an issue. A first priority should perhaps be enriching their thinking about the issue. With a goal of enriching their thinking, we studied the views of community adults on the DACA issue—young adults who entered the United States illegally as children. A dialogic method was employed, offering dual benefits in providing participants the opportunity to further develop their own ideas and to consider differing ideas. Yet, participants engaged in dialog only vicariously by observing the talk of a pair of actors who held opposing positions on DACA. The effect on participants’ thinking was greatest in the condition in which they viewed a dialog between the two actors, rather than a comparison condition in which the actors individually expressed their positions. In control conditions, no presentation was observed. Probing questions included in all conditions encouraged a participant to examine and clarify for themselves their own position, potentially enriching it. This condition proved unsuccessful in enriching thinking; participants’ justifications for their own positions in fact became simpler and less qualified. In contrast, observing a video of a like-minded and opposing other did enrich observers’ thinking, yet to a greater degree in the dialogic than nondialogic condition. The findings thus suggest observed dialog as a promising practical approach in promoting deeper thinking.  相似文献   
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An NHS Mental Health Trust Medical Psychotherapy Consultation Service using psychoanalytic psychiatry to help the patient and professional is described. The Consultation Service established in 2000 is offered to secondary acute and community mental health teams and primary care. The service was evaluated as a basis for regional and national development. Between 2006 and 2013, 87 consultations from 210 were sampled to ascertain demographic and diagnostic profiles and outcomes of the consultation process. We conducted an online survey of local consultant psychiatrists’ views about the service, and undertook a thematic analysis of the free text comments. We also conducted a survey of members of the Royal College of Psychiatrists’ Medical Psychotherapy Faculty to ascertain whether similar consultation services existed elsewhere in the UK and had been evaluated. The Leeds model of psychoanalytic consultation – a ‘consultation sandwich’ – is described. From a psychoanalytic perspective, the work of consultation is seen as an extension of the dynamic field of the analytic situation. This paper develops the concept of a bastion – an omnipotent reserve in and between the patient and professional derived from adhesive identifications leading to stuck relationships. The adhesive identification in the patient and professional acts like a ‘grievance glue’ – a mutual manifestation in a last bastion of painful limitations not faced, losses not grieved.  相似文献   
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This exploratory research utilizes the lens of uses and gratifications theory (UGT) to examine cross-cultural differences in consumers' motives for using social media to build peer-to-peer (P2P) community. Using a mixed-method approach through two studies, we first conduct in-depth interviews to better understand consumers' motivations for P2P community on social media. Then exploratory factor analysis using Belgian and U.S. survey data and confirmatory composite analysis reveal the factors of curiosity, self-presentation, social interaction, relational connections (Belgium only), the importance of social verification, and communication. Results from partial least squares structural equation modeling explain the relationship between the emerging factors and consumers' need for P2P community. While individualized motivations were found to be significant in both samples, relational motivations were not, as Belgian consumers were less concerned about socially interacting with others. Additionally, consumers' curiosity was not found to be significantly related to the need for community in either sample. This study extends previous research using the UGT framework by generating knowledge on cross-cultural differences of P2P community on social media; theoretical and managerial implications are discussed.  相似文献   
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