The advent of integration as a feature of contemporary medical curricula can be seen as an advantage for the medical humanities in that it provides a clear implementation strategy for the inclusion of medical humanities content and/or perspectives, while also making its relevance to medical education more apparent. This paper discusses an example of integration of humanities content into a graduate medical course, raises questions about the desirability of an exclusively integrated approach, and argues for the value of retaining a discrete and coherent disciplinary presence for the medical humanities in medical curricula. 相似文献
Valid measures of behavioral health integration have the potential to enable comparisons of various models of integration, contribute to the overall development of high-quality care, and evaluate outcomes that are strategically aligned with standard improvement efforts. The Practice Integration Profile has proven to discriminate among clinic types and integration efforts. We continued the validation of the measure’s internal consistency, intra-rater consistency, and inter-rater consistency with a separate and larger sample from a broader array of practices. We found that the Practice Integration Profile demonstrated a high level of internal consistency, suggesting empirically sound measurement of independent attributes of integration, and high reliability over time. The Practice Integration Profile provides internally consistent and interpretable results and can serve as both a quality improvement and health services research tool.
Abstract This study examined whether process variables predict an outcome of complicated grief. A turbulent and prolonged grief was predicted to occur after the death of a spouse in subjects who had self-blame, used the deceased for an extension of self, had ambivalence toward the deceased, or overcontrolled emotional responses. Ninety subjects were examined at 6, 14, and 25 months after the loss via a self-report battery of process variables and a structured clinical interview designed to assess symptoms. Subjects with complicated grief were compared with those with normative grief. Predictions were supported only in tertiary data analyses; they were not supported well in the primary and secondary statistical analyses. The authors concluded that either self-reports of process variables are inadequate measures or the theory that led to these measures and predictions is in need of revision. 相似文献
A primary goal of scientists, be they psychologists or physicists, is the detection of cause‐and‐effect relationships. In whatever field of study, the impact of the independent variable upon the dependent variable is assessed either indirectly through presumed change (comparing groups cross‐sectionally) or directly through observed change (comparing a single entity or groups of entities longitudinally). Researchers' conceptualization of change varies quite dramatically, even within the field of psychology, with attendant variation in research designs and statistics commonly employed. We discuss the array of options available to conceptualize, capture, and model change, including their strengths and weaknesses, using examples from our own research in personality lifespan development, along with others' related research. 相似文献
Although computer models have been extensively used in recent years to understand the way physical systems operate and interact, the enormous power of mathematical modeling and computer simulations has been difficult to implement for the benefit of neuroscientists studying the human motor control system. Nevertheless, homeomorphic models are now being used to explain and predict the neural and biomechanical aspects of different human movements. This paper argues for the importance of regarding model simulations as a supplementary approach to traditional methods of experimental investigation by drawing examples from both the experimental and the modeling literature. The discussion focuses on studies of the triphasic control signal for fast, goal-directed movements and on aspects of sampled data control for slow, tracking movements. The aim of this viewpoint article is to promote a more widespread use of modeling and simulation in the field of motor control. 相似文献
The present study examines a transactional, interpersonal model of depression in which stress generation (Hammen, 1991) in romantic relationships mediates the association between aspects of interpersonal style (i.e., attachment, dependency, and reassurance seeking) and depressive symptoms. It also examines an alternative, diathesis-stress model in which interpersonal style interacts with romantic stressors in predicting depressive symptoms. These models were tested in a sample of college women, both prospectively over a four-week period, as well as on a day-today basis using a daily diary methodology. Overall, there was strong evidence for a transactional, mediation model in which interpersonal style predicted romantic conflict stress, and in turn depressive symptoms. The alternative diathesis-stress model of depression was not supported. These results are interpreted in relation to previous research, and key limitations that should be addressed by future research are discussed. 相似文献
Data from the long-term Intergenerational Studies are used to explore men’s and women’s psychological health trajectories
from early adolescence to late adulthood, as elucidated by Nagin’s (Group-based modeling of development. Harvard University
Press, Cambridge, MA, 2005) finite mixture modeling method. Two separate measures of psychological health, one from the California Q-sort (CQS; Block
in The Q-sort method in personality assessment and psychiatric research. Thomas, Springfield, IL, 1961) and one from the California Psychological Inventory (CPI; Gough and Bradley in CPI manual, 3rd edn. Consulting Psychologists
Press, Palo Alto, CA, 1996) are used, with a maximum of six pooled points of data collection. Distinct subtypes of developmental trajectory are uncovered,
including patterns of nearly life-long trajectories of stability, as well as trajectories of increasing psychological health.
For both measures of psychological health, the most common path (53% for CQS data, and 46% for CPI data) is that of relatively
high initial psychological health with a subsequent modest linear increase. Results from the two measures neither perfectly
replicate nor completely contradict one another. Both indicate the existence of discrete subgroups of change, including stability
of psychological health for some and significant increase for others. 相似文献
This essay examines the language of the Heng Xian and suggests that the text purposefully plays with Ru-style rhetoric, particularly that associated with the “Heart Method” for self-cultivation. The playful rhetoric is reminiscent of writings collected in the Zhuangzi and the use of parables associated with fourth century BCE philosopher Hu Shi. 相似文献