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851.
Meaning in life has been identified as an important element of well-being. Recently attention has been directed to examining the differences between having meaning in life and searching for meaning in life. Theory has speculated that if an individual is searching for meaning in life, he/she may be distressed. Researchers of late have begun to focus on the process of searching for meaning in life to gain a better understanding of the individual differences which may exist. Interest has also been directed towards exploring whether any moderators of the possible negative effects of the searching process may exist. This research investigated the hypothesised negative link between high levels of searching for meaning in life and subjective well-being and the positive moderating effects of presence of meaning in life while also exploring the influence of the demographic variables which were treated as control variables. From an exploratory stance further analysis examined the hypothesised positive moderating effects of self-actualisation, self-efficacy and achievement motives on the relationship between searching for meaning and subjective well-being. One study (n?=?500) was conducted to assess the hypothesized relationships. The study confirmed the negative relationship between high levels of searching for meaning in life and subjective well-being and positive moderating effects that presence of meaning in life and self-actualisation have on happiness scores when individuals are searching for meaning in life. Self-efficacy and achievement motives were shown to have no significant moderating effects on searching for meaning in life and subjective wellbeing. Overall the results suggest that individuals who record high levels of searching for meaning in life are protected from the negative outcomes of this process by holding high levels of presence of meaning in life and self-actualisation.  相似文献   
852.
In the current study we compare college students exposed to a potentially traumatic event (PTE) meeting self-report criteria for Posttraumatic Stress Disorder (PTSD), PTE-exposed students not meeting criteria for PTSD, and non-exposed students on measures of perceived social support, self-esteem, and optimism (i.e., personal resources) and report use of specific coping strategies. Results indicate that the PTE-exposed/probable PTSD group reported fewer personal resources, greater use of avoidance-focused coping, and less use of approach-focused coping than the other two groups. The PTE-exposed/no PTSD group reported greater perceived social support and less use of avoidance-focused coping than the non-exposed group. We discuss the findings' implications for the prevention and treatment of trauma-related psychopathology.  相似文献   
853.
The Service Delivery Model Task Force (SDMTF) was appointed in 2009 by the leadership of the National Society of Genetic Counselors (NSGC) with a charge to research and assess the capacity of all existing service delivery models to improve access to genetic counseling services in the context of increasing demand for genetic testing and counseling. In approaching this charge, the SDMTF found that there were varying interpretations of what was meant by "service delivery models" and the group held extensive discussions about current practices to arrive at consensus of proposed definitions for current genetic service delivery models, modes of referral and components of service delivery. The major goal of these proposed definitions is to allow for conversations to begin to address the charge to the committee. We propose that current models of service delivery can be defined by: 1) the methods in which genetic counseling services are delivered (In-person, Telephone, Group and Telegenetics), 2) the way they are accessed by patients (Traditional referral, Tandem, Triage, Rescue and Self-referral) and 3) the variable components that depend upon multiple factors unique to each service setting. This report by the SDMTF provides a starting point whereby standardized terminology can be used in future studies that assess the effectiveness of these described models to overcome barriers to access to genetic counseling services.  相似文献   
854.
Facioscapulohumeral muscular dystrophy (FSHD), is a dominantly inherited, late onset, progressive disease. At present, no treatment or prevention of symptoms are available. There is considerable clinical variability, even within families. The gene whose defect causes FSHD has not been identified, but molecular diagnosis can be made by analyzing D4Z4 repeat length on chromosome 4q35. The results can support or rule out the clinical diagnosis of FSHD, but there are also "gray zone", non-conclusive results. During the years 2000-6, 66 individuals (including 7 asymptomatic individuals), were tested in our institute for D4Z4 repeat number. In 77% of the cases the results were conclusive: two thirds of them supported a diagnosis of FSHD while in a third this diagnosis was ruled out. In 23% the results were in the gray zone. Cognitive involvement was rare, occurring only when the D4Z4 repeat size was very small (<15 kb). Maximal utilization of the existing molecular test for FSHD demands detailed clinical and family pedigree information. We recommend that comprehensive genetic counseling always be given before and after molecular testing for FSHD, in addition to the neurological follow-up. Presymptomatic testing should only be offered when complete molecular evaluation can be offered, including 4qA and 4qB variant analysis.  相似文献   
855.
Among the masses of migrant populations driven to leave their countries against the backdrop of European decolonialization, North African Jews occupy a special place. Within several competing versions of the history of Moroccan Jews, recent historiographical debates reveal the political and memorial importance that this history represents for its various participants. Because the boundaries of memory are unstable, this article aims at understanding the interactions between memory and history. It outlines, first, the historical and historiographical context and presents the results of two oral history surveys, one conducted in the 1980s (N?=?27 in 1984–1986), the other more recently (N?=?15 in 2009–2010), and which draw upon a collection of life stories of men and women who left Morocco and went to Montreal in the 1980s and 1990s. It presents their answers to the questions of the circumstances under which these migrations took place and their memories of them today. These stories could then be transcribed and transmitted within a narrative that embodies both its historical meaning and their memory of it. Within this coping system, which denies the trauma associated with their departure en masse from Morocco, the interviewees hope to be considered as full members of the Sephardi diaspora and as Quebec citizens.  相似文献   
856.
857.
Poststroke depression (PSD) is the most frequent psychological sequela following stroke. While previous studies describe the impact of age on brain infarct volume, brain edema, and blood–brain barrier (BBB) breakdown following ischemia, the role of age on PSD has yet to be described. Here, we examine the influence of age on PSD progression in a rat model of PSD by middle cerebral artery occlusion (MCAO). One hundred forty-three rats were divided into three groups. 48 rats 20 weeks of age underwent a sham procedure, 51 rats 20 weeks of age had MCAO, and 44 rats 22–26 months of age had MCAO. Groups were further divided into two subgroups. The first subgroup was used to measure infarct lesion volume, brain edema, and BBB breakdown at 24 h. In the second subgroup at 3 weeks after MCAO, rats were subjected to a sucrose preference test, two-way shuttle avoidance task, forced swimming test, and a brain-derived neurotrophic factor (BDNF) protein level measurement. Total and striatal infarct volume, brain edema, and BBB breakdown in the striatum were increased in older rats, as compared with younger rats. While both old and young rats exhibited depressive-like behaviors on each of the behavioral tests and lower BDNF levels post-MCAO, as compared with control rats, there were no differences between old and young rats. Although older rats suffered from larger infarct volumes, increased brain edema and more BBB disruption following MCAO, the lack of behavioral differences between young and old rats suggests that there was no effect of rat age on the incidence of PSD.  相似文献   
858.
Is madness medical disease, problems in living, or social labeling of deviance? Does the word merely refer to behavior peculiar enough to be disturbing? Are the mad mad because of mental, physical, or environmental vulnerabilities? No one knows the answers to these questions because there is no scientific validation for any theory or specific causes of madness. Nonetheless, a view of madness as medical/bodily disease has been receiving concrete and rhetorical support from the government mental health bureaucracy, Big Pharma, mental health lobby groups, the organized profession of psychiatry, hundreds of thousands of providers of mental health services and countless books and articles. This article explores the role that medicalized language and its use by seven noted historians of psychiatry (Norman Dain, Albert Deutsch, Gerald Grob, Roy Porter, Charles Rosenberg, Andrew Scull, and Edward Shorter) might have played in shaping the contemporary view of madness as mental illness. The evidence we uncover suggests that historical “facts” about madness, much as psychiatric “facts” supporting the disease model, are shaped by belief, bias, error or ambiguous rhetoric rather than the facts of the matter.  相似文献   
859.
This paper addresses how to be an available and responsive therapist to a controlling and narcissistically vulnerable young girl. It presents an overview of the treatment relationship and specific vignettes from sessions. The paper describes an impasse that posed a quandary: how to find a balance between staying in control of the treatment while being responsive to the kind of object the child needs the therapist to be—being empathic without being intrusive—and meeting her aggression without getting into a power struggle. The author discusses how asserting her subjectivity by playfully role-playing aspects of the patient, by spontaneously using humor, and by surviving her destructiveness allows the treatment to move forward. Trial and error, reflection on practice, and informed intuition contributed to the author's understanding of the child and of the transference. Various theoretical perspectives influenced the work.  相似文献   
860.
Abstract

A spreading activation model was applied, to explain. some aspects of retrieval failure for proper names. The fact that retrieval failures occur more frequently for well-known names than for unfamiliar names, and the increased incidence of name blocking in the elderly, are both interpreted in terms of the fan effect. Fanning is created when multiple far are known about a single person and results in slower and more error-prone retrieval, but the fan effect can be counteracted if the facts form an integrated set. Three groups of subjects—young, middle-aged, and elderly—learned sets of name-attribute statements in three conditions. In the no-fan condition, each name was uniquely paired with a single attribute; in the fan condition, each name was linked with three different attributes; in the crossed-fan condition, different names shared some of the same attributes. Verification RTs and cued recall responses showed that all subjects found the crossed-fan condition most difficult, but, when name-attribute links were not crossed, young and middle-aged subjects were able to counteract the fan effect by integrating the facts into a unified representation. Elderly subjects were less able to integrate effectively and were more susceptible to the fan effect.  相似文献   
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