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111.
The emphases in infant mental health have been in the three areas of supporting the mother-infant dyad through education, psychotherapy to help parents resolve emotional conflicts that interfere with the parent-infant interaction, and support during the acute crisis that follows an abnormal birth. The case described herein involves a child with a genetic defect born to competent parents, a chronic stressful situation that does not fit these categories. It became apparent in the first few months after the birth that both the child and parents were in need of some help in coping with the situation. An intervention was designed to help provide both the necessary stimulation for the baby and the needed emotional support for the family, while it acknowledged their skill and competencies as parents. This was done through the help of college student volunteers, who assisted the mother in the home. Developmental data recorded at birth, 7 months, 12 months, and 39 months indicate that the child is severely multiply handicapped. Interview data with the parents at those times document their personal and family difficulties, the eventual resolution as a family in dealing with this problem, and the importance of the volunteer help during that process.  相似文献   
112.
This paper discusses the theoretical role of parental self-efficacy, or parents' beliefs in their competence and effectiveness in the parental role, as a mediator of relations between parent–child risk and parental sensitivity. Evidence is marshalled from studies of parenting in the contexts of maternal depression and child health risk to support the premise that parent–child characteristics affect parental sensitivity indirectly via their more direct impact on parental feelings of efficacy, and that parenting efficacy represents the ‘final common pathway’ in the prediction of parenting sensitivity. Also considered in this working model are specific social-contextual factors as independent contributors to parenting efficacy and as possible moderators of relations between parent–child characteristics and self-efficacy. Implications for intervention are discussed. © 1996 John Wiley & Sons, Ltd.  相似文献   
113.
The currently available distribution-free confidence interval for a difference of medians in a within-subjects design requires an unrealistic assumption of identical distribution shapes. A confidence interval for a general linear function of medians is proposed for within-subjects designs that do not assume identical distribution shapes. The proposed method can be combined with a method for linear functions of independent medians to provide a confidence interval for a linear function of medians in mixed designs. Simulation results show that the proposed methods have good small-sample properties under a wide range of conditions. The proposed methods are illustrated with examples, and R functions that implement the new methods are provided.  相似文献   
114.
This research experimentally examined the effects of exposure to intergroup conspiracy theories on prejudice and discrimination. Study 1 (N = 166) demonstrated that exposure to conspiracy theories concerning immigrants to Britain from the European Union (vs. anti-conspiracy material or a control) exacerbated prejudice towards this group. Study 2 (N = 173) found the same effect in a different intergroup context – exposure to conspiracy theories about Jewish people (vs. anti-conspiracy material or a control) increased prejudice towards this group and reduced participants’ willingness to vote for a Jewish political candidate. Finally, Study 3 (N = 114) demonstrated that exposure to conspiracy theories about Jewish people not only increased prejudice towards this group but was indirectly associated with increased prejudice towards a number of secondary outgroups (e.g., Asians, Arabs, Americans, Irish, Australians). The current research suggests that conspiracy theories may have potentially damaging and widespread consequences for intergroup relations.  相似文献   
115.
Habit reversal training (HRT) has been a mainstay of behavior analysts' repertoire for nearly the last 50 years. HRT has been effective in treating a host of repetitive behavior problems. In the face of the current coronavirus pandemic, HRT has practical public health importance as a possible intervention for reducing hand-to-head behaviors that increase the risk of viral infection. The current paper provides a brief review of HRT for hand-to-head habits that is designed for a broad audience and concludes with practical suggestions, based on HRT, for reducing face-touching behaviors.  相似文献   
116.
False belief tests seem to show the apparent acquisition at around age 4 of an ability to understand the representational status of mind. In this article, preschoolers' performance on a false belief task was manipulated in terms of their grasp of its narrative base. Five experiments are reported in which 3-year-olds were helped to become familiar with the events that comprise the false belief procedure by going through a picture book version of the task, before being asked to judge the protagonist's mental state. In Experiment 1, children who had failed a traditional task succeeded if they narrated the book version back to the experimenter, particularly if they were fluent in their story recall. Experiment 2 showed that this success occurred either if the child recited the story or if she or he was taken through each page twice in succession. Experiment 3 combined the most effective procedures with a younger group of children (mean age 3;3) and revealed 95% success as long as they could recall the prerequisite events. Experiments 4 and 5 probed possible limiting conditions for success by inserting an extra episode in the story and changing the format of the test question. The results suggest that the structure of 3-year-olds' event memories is central to their poor performance in the traditional false belief task—a clear grasp of the false belief “narrative” is necessary for successful performance. When they are given the opportunity to link discrete events into a coherent narrative, they have no problem demonstrating an understanding of others' minds—being able to recount the narrative is sufficient for successful performance.  相似文献   
117.
Behavior analysis has been at the forefront in establishing effective treatments for children and adults with chronic tic disorders. As is customary in behavior analysis, the efficacy of these treatments has been established using direct-observation assessment methods. Although behavior-analytic treatments have enjoyed acceptance and integration into mainstream health care practices for tic disorders (e.g., psychiatry and neurology), the use of direct observation as a primary assessment tool has been neglected in favor of less objective methods. Hesitation to use direct observation appears to stem largely from concerns about the generalizability of clinic observations to other settings (e.g., home) and a lack of consensus regarding the most appropriate and feasible techniques for conducting and scoring direct observation. The purpose of the current study was to evaluate and establish a reliable, valid, and feasible direct-observation protocol capable of being transported to research and clinical settings. A total of 43 children with tic disorders, collected from two outpatient specialty clinics, were assessed using direct (videotape samples) and indirect (Yale Global Tic Severity Scale; YGTSS) methods. Videotaped observation samples were collected across 3 consecutive weeks and two different settings (clinic and home), were scored using both exact frequency counts and partial-interval coding, and were compared to data from a common indirect measure of tic severity (the YGTSS). In addition, various lengths of videotaped segments were scored to determine the optimal observation length. Results show that (a) clinic-based observations correspond well to home-based observations, (b) brief direct-observation segments scored with time-sampling methods reliably quantified tics, and (c) indirect methods did not consistently correspond with the direct methods.  相似文献   
118.
Jacobs DG  Brewer ML 《CNS spectrums》2006,11(6):447-454
This article presents charts from The American Psychiatric Association Practice Guideline for the Assessment and Treatment of Patients with Suicidal Behaviors, part of the Practice Guidelines for the Treatment of Psychiatric Disorders Compendium, and a summary of the assessment information in a format that can be used in routine clinical practice. Four steps in the assessment process are presented: the use of a thorough psychiatric examination to obtain information about the patient's current presentation, history, diagnosis, and to recognize suicide risk factors therein; the necessity of asking very specific questions about suicidal ideation, intent, plans, and attempts; the process of making an estimation of the patient's level of suicide risk is explained; and the use of modifiable risk and protective factors as the basis for treatment planning is demonstrated. Case reports are used to clarify use of each step in this process.  相似文献   
119.
Plausible (eikotic) reasoning known from ancient Greek (late Academic) skeptical philosophy is shown to be a clear notion that can be analyzed by argumentation methods, and that is important for argumentation studies. It is shown how there is a continuous thread running from the Sophists to the skeptical philosopher Carneades, through remarks of Locke and Bentham on the subject, to recent research in artificial intelligence. Eleven characteristics of plausible reasoning are specified by analyzing key examples of it recognized as important in ancient Greek skeptical philosophy using an artificial intelligence model called the Carneades Argumentation System (CAS). By applying CAS to ancient examples it is shown how plausible reasoning is especially useful for gaining a better understanding of evidential reasoning in law, and argued that it can also be applied to everyday argumentation. Our analysis of the snake and rope example of Carneades is also used to point out some ways CAS needs to be extended if it is to more fully model the views of this ancient philosopher on argumentation.  相似文献   
120.
High levels of ADHD symptoms are related to severe negative outcomes, which underscore the importance of identifying early markers of these behavior problems. The main aim of the present study was therefore to investigate whether neuropsychological deficits in preschool are related to later ADHD symptoms and academic achievement, over and above the influence of early ADHD symptom levels. The present study is unique because it includes a broader range of predictors compared to previous studies and the participants are followed over time for as long as 13 years (i.e., ages 5–18 years). Preschool data included measures of executive functioning and reaction time variability as well as emotional reactivity and emotion regulation of both positive and negative emotions. When controlling for early ADHD symptom levels, working memory, reaction time variability, and regulation of happiness/exuberance were significantly related to inattention whereas regulation of happiness/exuberance and anger reactivity were significantly related to hyperactivity/impulsivity. Furthermore, working memory and reaction time variability in preschool were significantly related to academic achievement in late adolescence beyond the influence of early ADHD symptoms. These findings could suggest that it is possible to screen for early neuropsychological deficits and thereby identify children who are at risk of negative outcomes. Furthermore, our results suggest that interventions need to look beyond executive functioning deficits in ADHD and also target the role of emotional functioning and reaction time variability. The importance of including both the positive and negative aspects of emotional functioning and distinguishing between emotion regulation and emotional reactivity was also demonstrated.  相似文献   
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