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191.
Danny C. Duke Mary L. Keeley Emily J. Ricketts Gary R. Geffken Eric A. Storch 《Journal of psychopathology and behavioral assessment》2010,32(2):281-292
This study examined the phenomenology of hairpulling in a large nonclinical college student sample. Given that hairpulling
is conceptualized as occurring on a continuum of severity, we expected to inform the assessment and treatment of Trichotillomania
(TTM) by examining hairpulling behavior across its range of presentation. Hairpulling occurred at a rate of 9.7%, while average
age of onset was 13.57 years. Self-reported hairpulling styles were identified with 31.3% endorsing focused hairpulling, while
68.7% endorsed an automatic hairpulling style. The most commonly endorsed ritual was “examine the root (37.3%) while the scalp
was the most frequently endorsed hairpulling site (49%). Eyelashes were more frequently endorsed as a pulling site by focused
(43.8) compared to automatic (5.7%) hairpullers. The hairpulling environments most often endorsed were “while reading” and
“while studying” (75%). Affective states were found to change across the pulling cycle in support of hairpulling serving in
an emotion regulation capacity. Focused hairpullers endorsed significantly higher trait anxiety than automatic hairpullers.
Depression scores (BDI) were elevated for hairpullers compared to non-hairpullers. Implications for assessment and treatment
were discussed and directions for future research were provided. 相似文献
192.
Yuh Ohtaki MD Yuichi Oi MD PhD Shotaro Doki MD PhD Hidetoshi Kaneko MD PhD Kazuya Usami MD PhD Shinichiro Sasahara MD PhD Ichiyo Matsuzaki MD PhD 《Suicide & life-threatening behavior》2017,47(1):54-66
Hotline callers do not always have suicidal ideation and previous studies have noted that the rate of such callers is limited. Crisis hotline counselors must be able to identify high‐risk callers in order to provide appropriate support. This study investigated the characteristics of Japanese crisis hotline callers in 2012 (N = 541,694) and is the first to analyze crisis hotline data for all parts of Japan over 1 year. About 14% of the callers had suicidal ideation and 6% had a history of attempted suicide. The odds ratio for suicidal ideation among those with a history of attempted suicide was 15.5. The suicidal ideation rate was much smaller compared to previous studies in other countries. There is a psychological barrier that must be broken for high‐risk people to use support hotlines. In addition, attempted suicide is a strong exclusive predisposing factor for death due to suicide; therefore, counselors should pay careful attention to callers with a history of attempted suicide. The characteristics of Japanese crisis hotline callers and the features of suicidal ideation revealed in the present study are expected to be useful in developing telephone crisis hotline strategies. 相似文献
193.
Primary shame,mortal wound and tragic circularity: Some new reflections on shame and shame conflicts 下载免费PDF全文
Léon Wurmser MD 《The International journal of psycho-analysis》2015,96(6):1615-1634
Invited to contribute some thoughts on recent developments in psychoanalytic thinking about shame, the author starts off with Aristotle's prescient analysis of shame and then focuses on accumulating experiences in the psychoanalytic treatment of patients with severe neuroses, in particular the close relationship of severe traumatization and chronic states of shame, and how this is reflected in shelfdestructive repetitions. Reminiscent of what we know from tragedy and the tragic dimension of human existence, this repetition compulsion shows a built‐in circularity. These circular dynamics have at their core struggles with deep woundedness that can variably be conceived of as primary pain, primary shame and primary anxiety. Consequently, throughout the experiences with these patients goes the absoluteness both of their conscience and of their ideal, what we know as the “archaic superego:” 相似文献
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Mordecai Kaffman MD Esther Elizur PhD Sheryl Shoham MA Nina Gilead-Roelofs MA Leah Shefatya MA 《Contemporary Family Therapy》1989,11(3):189-211
About two-thirds of a representative sample of kibbutz divorced subjects reached a satisfactory emotional and functioning level of adjustment with a high degree of cooperation between the exspouses by the second postseparation year. This outcome appears to be positively influenced both by a process of habituation and desensitization determined by the continuous physical proximity of the former spouses and by the neutralization of parenting and economic issues as subjects for dispute and litigation. 相似文献
198.
R. Kathryn McHugh Evelyn Behar Cassidy A. Gutner Duke Geem Michael W. Otto 《Anxiety, stress, and coping》2013,26(5):529-545
Abstract Attentional bias toward threatening stimuli is a central characteristic of anxiety and acute stress. Recent small-scale studies have provided divergent perspectives on the association between the stress hormone cortisol and attentional bias toward threat cues. In a larger sample size than previous studies, we examined this association by investigating the impact of cortisol on attentional bias in two studies using a psychological stressor (N=35) and a physical stressor (N=65), respectively. Attentional bias and salivary cortisol were measured prior to and following the administration of a stressful task designed to increase cortisol levels. Results across these studies were equivocal relative to the association between baseline cortisol and baseline attentional bias. In addition, the association between acute change in cortisol and change in attentional bias appeared to differ as a function of the presence or absence of psychological stress. There was a trend toward a stronger negative association between acute cortisol change and attentional bias change among women relative to men. These results imply that the association between cortisol and attentional bias may be moderated by additional factors, such as gender or presence of stress. 相似文献
199.
Subadra Panchanadeswaran PhD MSW Sethulakshmi C. Johnson CMSC Vivian F. Go PhD MPH A. K. Srikrishnan BA Sudha Sivaram DrPh Suniti Solomon MD 《Journal of aggression, maltreatment & trauma》2013,22(3-4):155-178
This article uses the Theory of Gender and Power to examine women's vulnerability to HIV/AIDS in order to: understand the vulnerability of female sex workers/poor women due to poverty and lack of educational resources; explore women's vulnerability in the context of client/partner violence, alcohol use, male partner's high-risk behaviors, and women's lack of control in their intimate relationships; and explore the role of traditional heterosexual gender norms in the outcomes of sexual negotiation. Ethnographic data were collected from 32 women and 38 men in India as part of an ongoing National Institute of Mental Health study. Results highlighted women's vulnerability to HIV/AIDS stemming from partner violence, alcohol use, poverty, dangers of sex work environments, and tacit acceptance of cultural/gender norms. 相似文献
200.
Intimate partner violence (IPV) is pervasive and crosses all boundaries of sexual orientation, race, and class. Scholars contend that the intimidation of another person through abusive acts and words is not a gender issue. Organizations seeking to offer equitable services to survivors of IPV must intentionally establish themselves as inclusive agencies. This article presents a review of common societal myths and barriers to help-seeking for survivors of same-sex partner violence and offers program guidelines for lesbian, gay, and bisexual affirmative outreach services and advocate training. 相似文献