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91.
    
The usefulness of psychological support for infertile patients has been highlighted in the literature over the past number of years. This article provides a review of existing research on psychological interventions for infertile patients, and presents the Fertility Group Intervention as an example of the application of existing research. There is clear empirical evidence of high levels of depressive symptoms, anxiety, and distress among infertile patients undergoing assisted reproductive treatment (ART). Infertile patients need and require increased psychological support. Various studies indicate the efficacy of psychological interventions for infertile patients with respect to their mental health and, in part, pregnancy rates. However, many such studies exhibit methodological problems. Therefore, in future research, additional studies of high‐quality design are needed to achieve more definitive answers on the efficacy and indication of psychological interventions for infertile patients. Currently, the Fertility Group Intervention represents a comprehensive therapeutic approach integrating established empirical and theoretical approaches with the aim of helping infertile patients – particularly those undergoing ART – cope with distress related to their infertility and medical treatment. This article further outlines the therapeutic background and structures, treatment goals, practical implications, and feasibility of the Fertility Group Intervention.  相似文献   
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The goal of this study was to determine whether an association between histories of depression and adverse pregnancy outcome could be established using a retrospective analysis. Participants were a convenience sample of 152 pregnant diabetic women for whom prior pregnancy data were available. Prior pregnancy outcome, depression history, and other clinical characteristics were determined from chart review and medical history questionnaires. Logistic regression was used to determine which of the measured clinical factors, including history of depression, had a significant association with history of pregnancy complications. Thirty-nine patients (26%) had a past history of depression. Three pregnancy complications (preterm labor, pre-eclampsia, fetal prematurity) were more common in the group having a history of depression as was the proportion of participants requiring Caesarean section p( < .05 for each comparison). A history of depression was associated with prior pregnancy complications independent of the effects of parity, prepregnancy BMI, tobacco use history, diabetes type, and presence of diabetes complications (OR = 3.6; 95% CI = 1.5–9.0, p = .006). These retrospective data indicate that depression is linked to complications of diabetic pregnancy and support the need for prospective studies to clarify the effects of depression and its treatment on diabetic pregnancy.  相似文献   
94.
We sometimes experience emotions which are directed at past events (or situations) which we witnessed at the time when they occurred (or obtained). The present paper explores the role which such “autobiographically past‐directed emotions” (or “APD‐emotions”) play in a subject's mental life. A defender of the “Memory‐Claim” holds that an APD‐emotion is a memory, namely a memory of the emotion which the subject experienced at the time when the event originally occurred (or the situation obtained) towards which the APD‐emotion is directed. On this view, APD‐emotions might play an important role in our acquiring knowledge about our own past emotions, which renders the view rather attractive. However, as I show in the present paper, none of the various possible versions of the Memory‐Claim are tenable. This leaves us with the “Universal‐New‐Emotion‐Claim”, according to which all APD‐emotions are new emotional responses to the past events (or situations) towards which the relevant APD‐emotions are directed. Further consideration of the “Universal‐New‐Emotion‐Claim” shows that while APD‐emotions do not play the epistemological role they could have played had some version of the Memory‐Claim turned out to be true, a subject's APD‐emotions nevertheless do play a vital role in a subject's mental life: they help the subject to develop a balanced sense of self.  相似文献   
95.
In Anti-Oedipus, Gilles Deleuze and Félix Guattari maintain that nature is a process in which there is neither nature nor human being, except as a single reality produced in the processes of production, distribution and consumption, where distributions are immediately consumed and the consumptions immediately reproduced. In its historical realization, this is the process of capitalism, which must be an effect of such processes, processes of nature and human nature. This gives rise to this question: given the rules governing nature, including human nature, how much contingency is there and how much determinism? And ultimately, is capitalism inevitable?  相似文献   
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Research has identified a variety of effective approaches for responding to errors during discrete‐trial training. In one commonly used method, the therapist delivers a prompt contingent on the occurrence of an incorrect response and then re‐presents the trial so that the learner has an opportunity to perform the correct response independently. Some authors recommend inserting trials with previously mastered targets between the prompted response and opportunities to respond independently, but no studies have directly examined the benefits of this approach. In this study, we manipulated the placement of trials with mastered targets during discrete‐trial training to compare the effectiveness of error correction with and without this recommended insertion procedure. Four children with autism participated, and each was taught 18 targets across 3 target sets. Results indicated that embedding trials with mastered targets into error correction may not confer benefits for most children and that doing so may lead to less efficient instruction.  相似文献   
98.
    
Signals during delays to reinforcement may lessen reductions in responding that typically occur when there is a delay between a response and its reinforcer. Sparse applied research has been devoted to understanding the conditions under which responding may be maintained when delays to reinforcement are introduced. We evaluated the extent to which providing signals during delay fading affected responding in the context of differential reinforcement of communication responses. Three individuals were exposed to gradually increasing signaled and unsignaled reinforcement delays in multiple‐schedule and/or withdrawal designs. Results for 2 of 3 participants suggested that (a) the presence of signals facilitated response maintenance under delayed reinforcement and (b) coordinated basic and applied research may advance both conceptual understanding and clinical outcomes of delayed reinforcement.  相似文献   
99.
  总被引:1,自引:0,他引:1  
The effects of 2 forms of response interruption and redirection (RIRD)-motor RIRD and vocal RIRD-were examined with 4 boys with autism to evaluate further the effects of this intervention and its potential underlying mechanisms. In Experiment 1, the effects of motor RIRD and vocal RIRD on vocal stereotypy and appropriate vocalizations were compared for 2 participants. In Experiment 2, the effects of both RIRD procedures on both vocal and motor stereotypy and appropriate vocalizations were compared with 2 additional participants. Results suggested that RIRD was effective regardless of the procedural variation or topography of stereotypy and that vocal RIRD functioned as a punisher. This mechanism was further explored with 1 participant by manipulating the schedule of RIRD in Experiment 3. Results were consistent with the punishment interpretation.  相似文献   
100.
The Balanced Inventory of Desirable Responding (BIDR; Paulhus, 1994) is a widely used instrument to measure the 2 components of social desirability: self-deceptive enhancement and impression management. With respect to scoring of the BIDR, Paulhus (1994) authorized 2 methods, namely continuous scoring (all answers on the continuous answer scale are counted) and dichotomous scoring (only extreme answers are counted). In this article, we report 3 studies with student samples, and continuous and dichotomous scoring of BIDR subscales are compared with respect to reliability, convergent validity, sensitivity to instructional variations, and correlations with personality. Across studies, the scores from continuous scoring (continuous scores) showed higher Cronbach's alphas than those from dichotomous scoring (dichotomous scores). Moreover, continuous scores showed higher convergent correlations with other measures of social desirability and more consistent effects with self-presentation instructions (fake-good vs. fake-bad instructions). Finally, continuous self-deceptive enhancement scores showed higher correlations with those traits of the Five-factor model for which substantial correlations were expected (i.e., Neuroticism, Extraversion, and Conscientiousness). Consequently, these findings indicate that continuous scoring may be preferable to dichotomous scoring when assessing socially desirable responding with the BIDR.  相似文献   
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