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91.
Recommendations for women with a deleterious BRCA1 or BRCA2 gene mutation include complex medical approaches related to cancer risk reduction and detection. Current science has not yet fully elucidated decision support needs that women face when living with medical consequences associated with known hereditary cancer risk. The purpose of this study was to describe health communication and decision support needs in healthy women with BRCA1/2 gene mutations. The original researchers completed an interpretive secondary qualitative data analysis of 23 phenomenological narratives collected between 2008 and 2010. The Ottawa Decision Support and Patient Centered Communication frameworks guided the study design and analysis. Women described a pattern wherein breast and ovarian cancer risk, health related recommendations and decisions, and personal values were prioritized over time based on life contexts. Knowing versus acting on cancer risk was not a static process but an ongoing balancing act of considering current and future personal and medical values, further compounded by the complexity of recommendations. Women shared stories of anticipatory, physical and psychosocial consequences of the decision making experience. The findings have potential to generate future research questions and guide intervention development. Importantly, findings indicate a need for ongoing, long-term, support from genetics professionals and decision support interventions, which challenges the current practice paradigm. 相似文献
92.
The media, including television, newspapers, and popular films have been implicated in the facilitation of mental illness stigmatization by presenting negative and inaccurate depictions of various diagnoses. The current study examined the impact of film on participants’ knowledge, attitudes, and behaviors towards people with schizophrenia. A total of 106 participants completed questionnaires before and after viewing a 45-min film excerpt. Films viewed included a fear-based inaccurate, likeable-inaccurate, and an educational-accurate depiction of schizophrenia. There was also a control group. There were significant increases in stigmatizing attitudes for participants in the fear-based inaccurate group compared to the accurate and control group. Fear-based participants reported increased negative affect and endorsed statements suggesting that people with schizophrenia were unpredictable, dependent, and dangerous. These results provide support for the hypothesis that negative, inaccurate portrayals of severe mental illness enhance stigmatizing attitudes. Accurate film depictions, advocacy for social equality, and the continued education of individuals, clients, families, communities and organizations will help to mitigate the impact of films on mental illness stigmatization. 相似文献
93.
Carla Adksion‐Bradley Darrell Johnson JoAnn Lipford Sanders Lonnie Duncan Cheryl Holcomb‐McCoy 《Counseling and values》2005,49(2):147-154
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
94.
Georgiou GA Bleakley C Hayward J Russo R Dutton K Eltiti S Fox E 《Visual cognition》2005,12(1):145-158
Evidence suggests that anxiety is associated with a shift of visual attention toward threatening stimuli in the environment, such as facial expressions (Mogg & Bradley, 1999). More recent evidence, however, indicates that anxiety may be better characterized by a failure to rapidly disengage the visual attention system away from threat-related facial expressions (Fox, Russo, Bowles, & Dutton, 2001). The present study further investigates this delayed disengagement hypothesis. Results show that high trait-anxious individuals, in contrast to low trait-anxious individuals, take longer to classify peripheral target letters when fearful facial expressions were presented at fixation relative to sad, happy, or neutral expressions. These findings demonstrate a specific tendency to dwell on fear-relevant stimuli, as opposed to negative information in general. These findings are considered from an evolutionary perspective and the possible role of delayed disengagement from threat in the maintenance of anxiety states is also discussed. 相似文献
95.
96.
Women are underrepresented on the faculties and within the senior leadership ranks of academic health systems. Nevertheless, despite the continuing existence of career development challenges related to gender, it is possible for women to thrive professionally in these settings. Mentorship is extremely important, and it is argued that effective mentorship is facilitated by an understanding of both gender differences in social behaviors and the culture of academic health systems. Furthermore, a systems’ level emphasis on faculty diversity and the career development of women faculty is recommended. 相似文献
97.
Cheryl A. Logan 《Integrative psychological & behavioral science》2005,40(4):169-181
The breeding of albino rats had an enormous impact on experimental psychology in the twentieth century: Rats were, and for
many questions still remain, the “standard animal” for laboratory research in neurology, psychology, and physiology. Albert
Meyer was one of the figures most responsible for developing the albino rat as an experimental model. Despite Meyer’s pioneering
work with albino rats, his rat research has received only sparse attention. Little is known about the way in which the animal
served Meyer’s more famous psychiatric program. In this article, the author discusses the role that albino rats played in
Meyer’s animal research. He then turn to the contrast between the way in which Meyer viewed the animal’s role in research
and the way rats were later used as a laboratory “standard” to assure scientific generality. This comparison highlights the
changes that occurred in comparative psychology in the twentieth century, and it further clarifies some of the concerns associated
with the use of animal models today.
Reprinted from Jaan Valsiner (ed.).Thinking in Psychological Science: Ideas and Their Makers. Transaction Publishers.
Previously published inFrom Past to Future, Vol. 4(1),Animal models in human psychology: The uses of comparative methodologies, pp. 23–36. @ 2003 Frances L. Hiatt School of Psychology, Clark University. Author: Cheryl A. Logan, Ph.D., Departments of
Psychology and Biology, P. O. Box 26170, University of North Carolina at Greensboro, Greansboro, NC.
The author is graterful for permission to quote from the Adolf Meyer papers, which was granted by The Alan M. Chesney Medical
Archives at The Johns Hopkins Medical Institutions. 相似文献
98.
Cheryl A. King 《Journal of clinical psychology in medical settings》2004,11(2):83-90
Psychologists in academic health systems are in a unique position to impact the dynamic interplay among research, clinical practice, and policy domains. In addition to their specialty expertise in psychopathology, particular types of physical illness and disease, and health promotion, psychologists have substantial knowledge of human behavior, refined scientific skills, knowledge and experience in the effective delivery of clinical services, strengths in written expression, and a collaborative orientation. This combination of strengths makes psychologists extremely well-suited for (a) interdisciplinary efforts to develop and implement evidence-based assessment and intervention strategies with biological, psychological, behavioral, and social components, and (b) leadership and advocacy efforts that impact the quality and availability of health care services. 相似文献
99.
The associations between mothers' part-time employment and mother well-being, parenting, and family functioning were examined using seven waves of the NICHD Study of Early Child Care and Youth Development data (N = 1,364), infancy through middle childhood. Concurrent comparisons were made between families in which mothers were employed part time and both those in which mothers were not employed and those in which mothers were employed full time. Using multivariate analysis of covariance with extensive controls, results indicated that mothers employed part time had fewer depressive symptoms during the infancy and preschool years and better self-reported health at most time points than did nonemployed mothers. Across the time span studied, mothers working part time tended to report less conflict between work and family than those working full time. During their children's preschool years, mothers employed part time exhibited more sensitive parenting than did other mothers, and at school age were more involved in school and provided more learning opportunities than mothers employed full time. Mothers employed part time reported doing a higher proportion of child care and housework than mothers employed full time. Part-time employment appears to have some benefits for mothers and families throughout the child rearing years. 相似文献
100.
Julia Bryan Cheryl Moore‐Thomas Norma L. Day‐Vines Cheryl Holcomb‐McCoy 《Journal of counseling and development : JCD》2011,89(2):190-199
Using social capital theory as a framework, the authors examined data from the Educational Longitudinal Study of 2002 (Ingels, Pratt, Rogers, Siegel, & Stutts, 2004) to investigate how student contact with high school counselors about college information and other college‐related variables influence students' college application rates. In addition to some college‐related variables, the number of school counselors and student contacts were significant predictors of college application rates. Implications for school counselors and counselor training are included. 相似文献