Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between- and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice. 相似文献
The metaphor of scaffolding has become current in discussions of the cognitive help we get from artefacts, environmental affordances and each other. Consideration of mathematical tools and representations indicates that in these cases at least (and plausibly for others), scaffolding is the wrong picture, because scaffolding in good order is immobile, temporary and crude. Mathematical representations can be manipulated, are not temporary structures to aid development, and are refined. Reflection on examples from elementary algebra indicates that Menary is on the right track with his ‘enculturation’ view of mathematical cognition. Moreover, these examples allow us to elaborate his remarks on the uniqueness of mathematical representations and their role in the emergence of new thoughts.
Psychonomic Bulletin & Review - Normal aging is often associated with a performance decline on various cognitive tests, including paired associate learning (PAL), where participants are asked... 相似文献
AbstractRecently, DeCaro and Van Stockum have suggested that ego depletion following intensive self-control can improve insight problem-solving; this finding was interpreted in terms of insight relying on decreased control over attention and memory. However, DeCaro and Van Stockum used three variants of the single matchstick arithmetic problem. Experiment 1 involved low sample and non-standard problem application, while the more powered Experiment 2 yielded a surprisingly low solution rate. These facts made both studies problematic and called for their replication. In the two present studies, the DeCaro and Van Stockum ego-depletion manipulation and their matchstick problems were administered to a total of 316 people. Furthermore, various other insight problems, subjective ratings of insight experience, analytical problems and executive control tests were applied. The key result was that no reliable effect of ego depletion could be found for any of these measures. 相似文献
Laboratory rats were used to investigate sex and strain differences in the effects of aggression on a cooperative behavior in which pairs learn to coordinate shuttling in a rectangular chamber. The level of aggression was manipulated by comparing males and females of the aggressive S3 strain and a less aggressive Sprague-Dawley-derived strain and by housing same-sex partners either together or individually (eight groups, n = 7 pairs per group). Hormone levels were stabilized by gonadectomy and daily injections of the appropriate sex hormone. The only serious coordination deficits were in individually housed males, associated with violent fighting and an extreme dominance/subordinance relationship that was not observed in females. All other groups readily learned and performed the coordination, with evidence that low and moderate levels of aggression could facilitate coordination by evoking species-typical behaviors that increased proximity, synchrony, and differentiation within pairs. The discussion focused on models of affiliative behavior in the study of aggression and the compatibility between moderate levels of aggression and cooperation. 相似文献
An ethical conflict arises when we must performresearch in the interest of future patients,but that this may occasionally injure theinterests of today's patients.In the case of cognitively impaired persons, thequestion arises whether it is compatible withhumane healthcare not only to treat, but alsoto use these patients for research purposes.Some bioethicists and theologians haveformulated a general duty of solidarity, alsopertaining to cognitively impaired persons, as ajustification for research on these persons. Ifone examines this thesis from the theory ofjustice according to John Rawls, it is revealedthat such a duty of solidarity cannotnecessarily be extrapolated from Rawls'conception of justice. This is at least true ofRawls' difference principle, because accordingto the difference principle only those measuresare justifiable which serve the interest of therespective least well off. Those measures whichwould engender additional injury for the leastwell off could not be balanced by any utilityaccording to Rawls.However, John Rawls' difference principleis subordinate to the first principle,which is that each person has an equalright to the most extensive basic libertycompatible with the same liberty for others.These primary goods are determined by thefreedom and integrity of the person.This integrity of decisionally impaired personswould be in danger if one would abstain fromresearch and thus forego the increase inknowledge related to their disease. Thus onecould conclude, at least from Rawls' firstprinciple, that society must take on a duty toguarantee the degrees of freedom forcognitively impaired persons and thus alsosupport the efforts for their healing. 相似文献
In the bioethical literature, discrimination in insurance on the basis of genetic risk factors detected by genetic testing
has been defended and opposed on various ethical grounds. One important argument in favour of the practice is offered by those
who believe that it is not possible to distinguish between genetic and non-genetic information, at least not for practical
policy purposes such as insurance decision-making. According to the argument from indistinguishability, the use of genetic
test information for insurance purposes should be permitted, because genetic test information is no different from non-genetic
medical information in any relevant respect, therefore it would be inconsistent to prohibit the former whilst permitting the
latter. This paper discusses and defends this argument and suggests a new, more tenable foundation. 相似文献