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181.
The issue of how to provide support for patients with a life-threatening illness continues to be a problem for pastors and chaplains. The authors discuss the significance and reasons for looking at the present day social support patterns as an unnatural problem. Unless the unnatural nature of support in the modern medical setting is understood pastors and chaplains can miss the target on answering the question of how to provide support. The authors conclude the article by addressing this question from the position of reserving the unnatural nature of providing support.Dr. Bergen is Professor of Psychiatry, Dartmouth Medical School, Hanover, NH 03755. Dr. Nelson is affiliated with the Chaplain Service, Veterans Administration Center, White River Junction, VT 05001 and Assistant Professor of Clinical Psychiatry, Dartmouth Medical School.  相似文献   
182.
Efron'sMonte Carlo bootstrap algorithm is shown to cause degeneracies in Pearson'sr for sufficiently small samples. Two ways of preventing this problem when programming the bootstrap ofr are considered.  相似文献   
183.
This paper is concerned with the study of covariance structural models in several populations. Estimation theory of the parameters that are subject to general functional restraints is developed based on the generalized least squares approach. Asymptotic properties of the constrained estimator are studied; and asymptotic chi-square tests are presented to evaluate appropriate model comparisons. The method of multipliers and the standard reparametrization technique are discussed in obtaining the estimates. The methodology is demonstrated by a set of real data.Computer facilities were provided by the Computer Services Center, The Chinese University of Hong Kong. The authors are indebted to several anonymous reviewers for suggestions for improvement of this paper.  相似文献   
184.
The paper concerns time, change and contradiction, and is in three parts. The first is an analysis of the problem of the instant of change. It is argued that some changes are such that at the instant of change the system is in both the prior and the posterior state. In particular there are some changes from p being true to p being true where a contradiction is realized. The second part of the paper specifies a formal logic which accommodates this possibility. It is a tense logic based on an underlying paraconsistent prepositional logic, the logic of paradox. (See the author's article of the same name Journal of Philosophical Logic 8 (1979).) Soundness and completeness are established, the latter by the canonical model construction, and extensions of the basic system briefly considered. The final part of the paper discusses Leibniz's principle of continuity: Whatever holds up to the limit holds at the limit. It argues that in the context of physical changes this is a very plausible principle. When it is built into the logic of the previous part, it allows a rigorous proof that change entails contradictions. Finally the relation of this to remarks on dialectics by Hegel and Engels is briefly discussed.  相似文献   
185.
Adoption of a child is an event in which a number of crises have converged. Both the biologic and adoptive families have contributed their failures and crises, and the subsequent interpretations of these by the adopted child can lead to polarized themes of goodness and badness. The absence of the biologic parents and of a coherent history reinforces the tendency to splitting. This paper explores these operations and raises questions about prevailing adoption practices.Paper presented at Spence-Chapin Symposium on Identity Problems of Children in Non-Nuclear Families, April 11, 1981.  相似文献   
186.
This paper deals with the impact of adding group to individual treatment of patients with neurotic character problems and attempts to illustrate the efficacy of this dual approach. The formidable task for the individual therapist is to make these patients see that their habitual ways of reacting are pathological and stem from repressed intrapsychic conflicts. This task is facilitated in a group in a number of ways since the group setting becomes an arena that affords wider therapeutic scrutiny. Having become aware that behavioral characteristics disguise anxiety, other group members initiate independent efforts to extract the underlying meanings for their fellow members. Their interventions are often more effective and acceptable because they are less likely than the therapist to be perceived in the projected image of the bad parent.Copyright, 1980, Washington Square Institute for Psychotherapy and Mental Health, which published this paper in No. 7 of the Group Psychotherapy Monograph Series, after the paper had been presented at the Seventh Annual Conference of the Group Psychotherapy Department.  相似文献   
187.
The attached (to mother) fetus-infant finds his religious expression in Buddhism. The attached (to group) juvenile finds his religious expression in Judaism and other tribalisms. The attached (to spouse) adult finds his religious expression in agnosticism and secularism. Attached phases are placid and of progressively decreasing emotional intensity. The three detaching phases are hurtful and hence soteriological, and are also of progressively decreasing emotional intensity. The toddler-young child finds his religious expression in Christianity, the adolescent in atheism and/or Marxism, and the aged, sick or dying plucks at any religious or secular aid.He has written numerous papers on aspects of child care, medical history, interrelations between medicine and religion, and between Judaism and Christianity.  相似文献   
188.
The position of Jewish writings on homosexuality is the topic of inquiry. Overt homosexuality, child homosexuality, and lesbianism are examined in the light of Jewish Halacha (law). Though Talmudic writings view homosexuality with severe disapproval, a sprrit of tolerance and compassion is also voiced in them. It is suggested here that Jewish law placed overt homosexuality in the category of illness to evoke compassion for it Halachic insights also suggest that homosexualities be viewed differentially. Activities involving minors and lesbians are not given equal weight in the realm of retribution. There are efforts to obviate social stigma. Prevention and rehabilitation are given major concern. To conclude the article, the role of the Jewish religious practitioner and his responsibilities vis-à-vis the homosexual client are given a brief examination.  相似文献   
189.
To determine whether poor sleepers have a unique personality constellation significantly different from that of good sleepers, a sample of 162 emotionally disturbed adolescent poor sleepers was compared to a sample of 153 emotionally disturbed adolescent good sleepers on standardized personality instruments. Poor sleepers were found to have a high incidence of neurotic psychopathology with personality patterns characterized by depression, fearfulness, inhibition, anxiety, and rumination. In contrast, good sleepers showed quasi healthy and/or characterological patterns. While this study does not resolve cause and effect relationships, it does establish a highly significant relationship between neuroticism and sleep disturbance for adolescent boys and girls, and also demonstrates a similarity of personality dynamics and patterns between adult and adolescent samples of patients with sleep disturbances.  相似文献   
190.
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