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31.
A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.  相似文献   
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Case study can be adopted when aiming to understand an individual's lived experience. Such experience produces rich and complex qualitative data for analysis, conducive to counselling and psychotherapy research. Furthermore, grounded theory (GT) can be adopted to produce a theory from qualitative data, fitting well with case study research that explores complex experiences regarding social, psychological and phenomenological processes. This paper aims to guide the counselling researcher to incorporate Strauss and Corbin's model into the main arena of qualitative counselling research. In addition, this paper draws on a multiple case study that adopted Strauss and Corbin's method and identified various phases in the GT process. The aim is to inform the reader how to put the iterative process and pragmatic theoretical sampling into practice to produce a robust theory from clinical case study data.  相似文献   
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Tenth and 11th grade students from Hong Kong (N = 141), Australia (N = 155), and the United States (N = 155) completed questionnaires about the age at which they expected to achieve behavioural autonomy and about their family environments and values. In general, Hong Kong youth had later expectations for autonomy; described their families as less accepting-engaged and less structured; placed less value on individualism, outward success, and individual competence, and more value on tradition, prosocial, and well socialised outcomes. However, in all three cultures, age expectations for behavioural autonomy showed similar patterns of association with family environments and values as revealed by parallelism of regression planes. Expectations for later autonomy were associated with perceptions of parental monitoring, a demanding family environment, low levels of autocratic parenting, and with youths' de-emphasis of individualism, individual competence and outward success. In regression analyses the family environment and values scores reduced by 62% the influence attributed to culture.  相似文献   
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Introduction: This paper describes a qualitative study focusing on counsellors' perceptions of client progression when working with clients who intentionally self‐harm and the impact this has on the therapist. Method: Semi‐structured interviews were employed and the constant comparative method utilised to analyse the data. Findings: Findings indicate that counsellors experience intense emotions in response to self‐harm including: shock; sadness; anxiety; anger; and frustration. Counsellors also struggled to manage the tension between multiple dualities, corresponding to professional opinions of a seemingly polar opposite nature. Although participants indicated a requirement to work in a client‐led way, they all had either an explicit or implicit agenda for change. These two conflicting states create a tension for a counsellor that is difficult to resolve. In addition there were various views of client progression, yet all participants agreed that progression was not simply about stopping self‐harm. Conclusion: There is a significant impact on the counsellor when working with clients who intentionally self‐harm and the complexity of the phenomenon appears to exacerbate their anxiety. Implications: Further research within the counselling field focusing on the ambiguous nature of the subject may increase understanding, which in turn may contribute to greater therapist efficacy when working with this client group.  相似文献   
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Social capital has been widely advocated as a way of understanding and building community participation in the interest of health improvement. However, the concept as proposed by Putnam, has been criticised for presenting an overly romanticised account of complex community relations. This paper presents analysis from a qualitative evaluation of a Healthy Living Centre (HLC) in the North of England, to examine the utility of the concept of social capital in this context. We found the concepts of ‘bridging’ and ‘bonding’ social capital were useful – though not without limitations – in helping to make sense of the complexities and contradictions in participants’ experiences of community group participation. 'Bridging' helped provide an understanding of how the decline in shared social spaces such as local shops impacts on social relationships. 'Bonding' highlighted how community group membership can have positive and negative implications for individuals and the wider community. It was found that skilled group leadership was key to strengthening bridging capital. Politically, in the UK, community participation is seen as having an essential role in social change, for example, its centrality to the coalition government's idea of the ‘Big Society’. A micro‐examination of this HLC using the lens of social capital provides a valuable critical insight into community participation. It shows that this kind of initiative can be successful in building social capital, given conditions such as an appropriate setting and effective leadership. However, they cannot substitute for other kinds of investment in the physical infrastructure of a community. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   
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