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101.
Prevalence and risk factors associated with soldiers' suicides 2001–2009 (N = 874) were examined. Army suicide rates increased from 9 per 100,000 in 2001 to 22 per 100,000 in 2009. Soldier suicides were lower than civilians from 2001 to 2007, but higher than civilians after 2007. Army suicides were disproportionately higher for men, deployment experience, and a history of a mental health diagnosis/treatment; and lower for African Americans. Many involved planning (38%), communication (21%), alcohol (19%), or drugs (8%). Many had legal problems (31%), high stress loads (90%), a history of self-injury (10%), and other contributing factors prior to entry into the Army (31%). Implications for understanding suicide among military personnel are discussed.  相似文献   
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Children with medium chain acyl coenzyme A dehydrogenase deficiency (MCADD) have been reported to be at high risk for neurocognitive deficits. However this has not been systematically studied and little is known about the exact nature of neuropsychological sequelae or of the impact of early diagnosis and screening on outcome. We examined cognitive and adaptive outcome in children with MCADD (N?=?38, age range: 2 years, 2 months – 10 years, 3 months) diagnosed either through a newborn screening program (tandem mass spectrometry/MSMS) or upon clinical presentation. There was no evidence of overall intellectual impairment in either groups but there was some suggestion of poorer verbal and specific executive functioning (i.e., planning) abilities in the unscreened cohorts. Adaptive functioning was relatively intact with the exception of reduced Daily Living Skills in both our screened and unscreened groups. Early diagnosis and greater number of hospitalizations were related to higher verbal, communication, and socialization skills. Overall, our results highlight the importance of early diagnosis and management for children with MCADD.  相似文献   
104.
It is widely believed that Twin-Earth-style thought experiments show that the contents of a person's thoughts fail to supervene on her intrinsic properties. Several recent philosophers have made the further claim that Twin-Earth-style thought experiments produce metaphysically necessary conditions for the possession of certain concepts. I argue that the latter view is false, and produce counterexamples to several proposed conditions. My thesis is of particular interest because it undermines some attempts to show that externalism is incompatible with privileged access.  相似文献   
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Objectives: The study aimed to compare the efficacy of eight weekly sessions of a self‐administered online CBT treatment (cCBT; n=51) to a therapist‐assisted email CBT treatment (eCBT; n=50) in University students. Design: The design was a randomised parallel group trial. The study randomised participants with symptoms of depression to one of two available treatments. Method: Participants were offered eight weekly sessions of either cCBT or eCBT. Participants completed the Beck Depression Inventory‐II (BDI‐II) and the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE‐OM) at pre‐and post‐treatment, at weeks 16 and 32 follow‐up. The Working Alliance Inventory‐Short Form (WAI‐SR) was completed at weeks 2, 4, and 6. Results: For both groups, pre‐post within group effect sizes reported were large for the BDI‐II and the CORE‐OM and these were maintained at follow‐up. Perceptions of working alliance were similar in each group, but Bond was significantly stronger for the eCBT condition. WAI scores correlated more positively with the outcome on BDI‐II for those in the eCBT condition than the cCBT condition, but not significantly. Conclusion: There were no significant differences between the two online treatments, both reduced depressive symptoms and improved general functioning. Similarly, at post‐treatment and follow‐up, clinical improvement and recovery was demonstrated for both groups equally. The study demonstrates the possibility for cCBT in a university setting that may contribute to addressing the shortcomings in meeting increasing demands that mental health services presently face.  相似文献   
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How are we to understand the phenomenon of mass identification, epitomised in recent exhibitions of national feeling such as that of South Africa’s 2010 Football World Cup celebrations? Rather than focusing on the concepts of discourse and nationalism, or advancing an analysis of empirical data, this paper outlines a conceptual response to the challenge at hand, drawing on the tools of psychoanalytic theory. Three explanatory perspectives come to the fore. Firstly, such exhibitions of mass emotion might be understood as demonstrations of love, as examples of the libidinal ties that constitute and consolidate mass identification. Secondly, the marked artificiality of such displays of emotion and the fact of the ‘externality’ they entail might be seen, paradoxically, to be essential rather than inauthentic or secondary features of the displays in question. Thirdly, we might advance, via Lacan, that many of our most powerful emotions require not only recourse to the field of the inter-subjective, but reference also to the anonymous, ‘fictional’ framework of available symbolic forms.  相似文献   
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This theoretical essay examines how mental verbs acquire meaning as they emerge in children's lexicon. The article begins by describing the ostension paradigm, which presumes that meaning derives from the relation between a mental verb and a corresponding referent. This paradigm is then critiqued by drawing on Wittgenstein's private language argument. The private language argument contends that meaning is tied to how a person uses a word in everyday discourse as opposed to whether one has correctly mapped a label and referent. Drawing from this argument, the semantic development of mental verbs is considered within the framework of contemporary theories emphasizing semantic development as a process of learning how, when, and for what purpose words are used. The implications of this view for theory of mind development are discussed.  相似文献   
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ABSTRACT

Interpretation research can be and is used to inform and improve interpretation policymaking and planning undertaken by practitioners such as those who work for Australian protected area management (PAM) agencies. This study explores perceptions of the extent to which interpretation research is undertaken and used by these agencies, and the facilitators and constraints to doing so. In-depth telephone interviews were conducted with senior interpretation planners and managers in all Australian PAM agencies. The findings indicate that interpretation research is usually prompted by a crisis or a short-term need such as a specific project and that most research is site-specific and content-focused, while respondents see a need for more longitudinal and evaluation-focused research. Two-thirds of the respondents reported that their agency made poor or no use of research findings for improving interpretation practice. Stated barriers to undertaking and using research included lack of funding, lack of time and that research was not considered an agency priority. Underpinning these were perceptions consistent with diffusion of innovation theory (e.g., that doing or using research is perceived as being too complex, not compatible with agency goals or not offering relative advantage). Strategies for removing these perceptual barriers to undertaking and using interpretation research and research findings are presented.  相似文献   
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