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561.
Poleshuck EL Gamble SA Cort N Hoffman-King D Cerrito B Rosario-McCabe LA Giles DE 《Professional psychology, research and practice》2010,41(4):312-318
Up to 37% of individuals experience chronic pain during their lifetimes. Approximately one-fourth of primary care patients with chronic pain also meet criteria for major depression. Many of these individuals fail to receive psychotherapy or other treatment for their depression; moreover when they do, physical pain is often not addressed directly. Women, socioeconomically disadvantaged individuals, African Americans and Latinos all report higher rates of pain and depression compared to other groups. This article describes a version of Interpersonal Psychotherapy tailored for patients with comorbid depression and chronic pain, Interpersonal Psychotherapy for Depression and Pain (IPT-P). While IPT-P potentially could be delivered to many different patient populations in a range of clinical settings, this article focuses on its delivery within primary care settings for socioeconomically disadvantaged women. Adaptations include a brief 8-session protocol that incorporates strategies for anticipating barriers to psychotherapy, accepting patients' conceptualization of their difficulties, encouraging patients to consider the impact of their pain on their roles and relationships, emphasizing self-care, incorporating pain management techniques, and flexible scheduling. In addition, IPT-P is designed as an adjunct to usual medical pain treatment, and seeks to engage non-treatment seeking patients in psychotherapy by focusing on accessibility and relevance of the intervention to concerns common among patients with pain. Identifying patients with comorbid depression and chronic pain and offering IPT-P as a treatment option has the potential to improve clinical outcomes for individuals with depression and chronic pain. 相似文献
562.
Candice Vinson Debra Mollen Nathan Grant Smith 《Journal of community & applied social psychology》2010,20(5):426-432
The purpose of this study was to examine the impact of ethnicity on perceptions of voluntary childfree women. We were interested in determining whether mothers were viewed as more stereotypically positive than women without children and how the ethnicity of the participant and the target impacted participants' ratings. We utilized vignettes and manipulated motherhood status and ethnicity of the target. Participants (n = 224) were comprised of female university students in the southwestern region of the United States. Results indicated that women view childfree women negatively. Moreover, women view African American mothers more favourably than childfree African American women. Results are discussed in terms of gender roles in communities of colour. Copyright © 2010 John Wiley & Sons, Ltd. 相似文献
563.
Debra L. Maury Roseanne J. Mauch Ashley N. Hammer Verner P. Bingman 《Animal cognition》2010,13(5):733-743
The memory-based recognition of a goal is a capacity well demonstrated in birds, and understanding this ability often involves
determining the relative importance of spatial and feature information in representing the properties of a goal. However,
surprisingly little avian research has examined goal recognition in a field setting. Here, we demonstrate that homing pigeons
can be successfully trained outdoors to fly to and land on a goal platform located in an array of other platforms at a distance
on the order of 100 m. They can do so under conditions when the properties of the goal are stable in time as well as when
the properties of the goal periodically change; the latter condition indicating that homing pigeons can rapidly adapt their
memory representations to take into account changing environmental conditions. When probed for preferential use of either
spatial (location) or feature-based (color) information, the pigeons demonstrated an indifferent capacity to use both independent
of task demands. The homing pigeon memory systems that support goal recognition appear to be opportunistic with respect to
the information exploited, using spatial and feature information equally to guide their behavior. Therefore, and despite strong
natural and artificial selection for navigational ability, spatial information is no more important than feature cues in representing
a goal location for homing pigeons flying outdoors. 相似文献
564.
Debra Breaux 《Counseling and values》2003,47(2):156-157
The author argues that diversification can be the basis of the counseling profession's investment in humanity, attempts to inspire a united stance within the profession, and maintains that counseling professionals have a responsibility to share their knowledge of and respect for embracing all people. These statements attempt to capture the perspective of one aspiring to join the ranks of many dedicated and inspiring counseling professionals. Open your eyes and look for some [person], or some work for the sake of [all people], which needs a little time, a little friendship, a little [empathy], a little sociability, a little human toil. … It is needed in every nook and corner; therefore, search and see if there is not some place where you may invest your humanity, —Albert Schweitzer (As cited in Canfield, Hansen, McCarty, & McCarty, 1997, p. 267) 相似文献
565.
Rachel L. Anderson John S. Lyons Debra M. Giles Judith A. Price George Estle 《Journal of child and family studies》2003,12(3):279-289
We examined the interrater reliability of the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) scale among researchers and between researchers and clinicians. All children presenting to a treatment facility for either protective or mental health needs were eligible to be included in the study. As part of standard assessment procedure, all children entering the facility were described by caseworkers using the CANS-MH. A random sample of 60 cases was selected and researchers made retrospective assessments using the CANS-MH based on chart review. Results of the interrater reliability support previous findings that the CANS-MH is a reliable measure of clinical and psychosocial needs and strengths. Results also suggest that ratings on the CANS-MH based on medical record abstraction by researchers relate to ratings performed by clinical staff, demonstrating the clinical and research utility of the CANS-MH. The CANS-MH can be used reliably to assess the type and severity of problem presentation, risk behaviors, functioning, care intensity and organization, caregiver capacity and strengths among children with protective and mental health needs. In addition, items of the CANS-MH appear to be reliable supporting the use of these items individually. Findings are relevant to the ongoing delivery of clinical services, monitoring of quality assurance, and outcomes. 相似文献
566.
The purpose of this study is to identify prevalent motherhood ideologies and myths in contemporary women's magazines. The results indicate that contemporary magazines promote a traditional motherhood ideology, yet perpetuate motherhood myths that undermine mothers who stay home. Traditional motherhood, which excludes Women of Color and employed mothers, is promoted. Mothers are almost exclusively presented in the domestic, rather than the public or integrated domestic–public, contexts. Myths that employed mothers are busy, tired, and guilty, and that employed mothers neglect and are unattached to their children, are not upheld. However, negative myths that at-home mothers are confused, overwhelmed, and interested only in superficial topics are upheld in the magazines analyzed. The implications of these results on the perpetuation of patriarchy are discussed. 相似文献
567.
Natalie R. Holt Debra A. Hope Richard Mocarski Nathan Woodruff 《International Journal of Transgenderism》2019,20(1):49-62
Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections. 相似文献
568.
Previous research has identified two processes that play an important role in anaphor resolution. An activation process increases the accessibility of an anaphor’s referent; a suppression process diminishes the accessibility of its nonreferents. In this study, we examined how these processes operate when reference to two story characters shifts rapidly, as it does in story dialogue. Dialogue raises interesting questions about how the antecedent of an anaphor becomes the most activated entity in the reader’s discourse model. Do readers suppress an anaphor’s nonreferent even though that same entity is likely to be the referent of a subsequent anaphor? Are activation and suppression processes triggered by the anaphor itself or by cues that signal a change of speaker? We found that an anaphor’s antecedent is activated differently in dialogue than it is elsewhere in a narrative. Our results suggest that readers use knowledge about the structure of dialogue to anticipate the referent of an upcoming anaphor. 相似文献
569.
Resilience in Community: A Social Ecological Development Model for Young Adult Sexual Minority Women 下载免费PDF全文
Lindsey Zimmerman Doyanne A. Darnell Isaac C. Rhew Christine M. Lee Debra Kaysen 《American journal of community psychology》2015,55(1-2):179-190
Family support and rejection are associated with health outcomes among sexual minority women (SMW). We examined a social ecological development model among young adult SMW, testing whether identity risk factors or outness to family interacted with family rejection to predict community connectedness and collective self‐esteem. Lesbian and bisexual women (N = 843; 57 % bisexual) between the ages of 18–25 (M = 21.4; SD = 2.1) completed baseline and 12‐month online surveys. The sample identified as White (54.2 %), multiple racial backgrounds (16.6 %), African American (9.6 %) and Asian/Asian American (3.1 %); 10.2 % endorsed a Hispanic/Latina ethnicity. Rejection ranged from 18 to 41 % across family relationships. Longitudinal regression indicated that when outness to family increased, SMW in highly rejecting families demonstrated resilience by finding connections and esteem in sexual minority communities to a greater extent than did non‐rejected peers. But, when stigma concerns, concealment motivation, and other identity risk factors increased over the year, high family rejection did not impact community connectedness and SMW reported lower collective self‐esteem. Racial minority SMW reported lower community connectedness, but not lower collective self‐esteem. Families likely buffer or exacerbate societal risks for ill health. Findings highlight the protective role of LGBTQ communities and normative resilience among SMW and their families. 相似文献
570.
Drawing on thirty in-depth interviews with individuals who have experienced verbal violence in intimate and family relationships, this article utilizes constructivist grounded theory to examine the tensions inherent in representations of verbal violence in the interview context. The authors find that participants discursively construct verbal violence as a normalized experience, discuss it as an escalating problem, and retrospectively define it as an intolerable form of abuse. These discursive constructions are related to social understandings of verbal violence as both a normal experience (fighting) and a stigmatized behavior (abuse). Normalization and defensive othering are discussed as techniques of identity management in light of the stigma attached to being a victim of abuse. 相似文献