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Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also.  相似文献   
84.
Major conceptual models for counseling supervision are described and compared: supervision as a counseling analog, as an instruction or teaching analog, and as a role that includes counseling and teaching aspects. Although each of these approaches avails supervisors of familiar roles, none adequately provides the scope and utility required of a model for such a complex function. Thus, a higher order metamodal, supervision as consultation, is presented, and this consultation metamodel is related to the psychoeducational model for counseling psychology.  相似文献   
85.
A BASIC program that requires a minimum 8K core, 32K disk, KW12-A real-time clock, eight extended operation eight-mode DEC relays with peripheral interface, and user-generated special-function assembly language subroutines for clock and relay control was prepared, using advanced OS/8 BASIC, for conducting laterality studies. It is assumed that the user’s system has a dual tape drive. CRT, and Teletype. Modified IEE readouts have been used for stimulus presentation. Laterality effects and results suggesting application of the procedure in clinical neuropsychological testing have been achieved. This paper describes the rationale for development of the task, summarizes administration procedures, and provides flowcharts of the BASIC program and assembly language special functions, as well as a circuit diagram for the peripheral relay interface.  相似文献   
86.
Recent developments in the behavioral treatment of obesity were surveyed. Since the earlier review (Abramson, 1973) no studies of aversive therapy have been published. Three studies of covert sensitization have yielded discouraging results. Any positive effects of this technique appear to be the result of non-specific demand characteristics rather than aversive conditioning. Several demonstrations of the effects of therapist controlled reinforcement indicate that this technique can promote weight loss while the contingencies are in effect. The weight is rapidly regained, however, after the contingencies are withdrawn. It is concluded that self-control treatments, especially complex self-control, are the most consistently successful treatment approaches. Several methodological problems are presented and unresolved issues are discussed.  相似文献   
87.
The author discusses phenomenology as a potential resource for pastoral care generally and then illustrates its implications in two specific areas of pastoral care. After a brief discussion of the development of phenomenology, he defines pastoral care and identifies its methodological problem. Phenomenology, it is argued, offers potentially helpful methods and interpretative categories in its attitude, its attempts at self-aware, ordered discernment, and its anthropology. It serves to militate against the temptation in pastoral care to understand human problems in terms of individual and social pathology, in the case of individuals, and to illumine the ways the community functions as a dimension of pastoral care.He is the author ofEcclesial Man.  相似文献   
88.
Procedures for observing, coding, and analyzing parent-infant interactions are described. Sample data are presented to illustrate the outcome of these procedures and the manner in which developmental issues can be addressed using the hardware and software systems described.  相似文献   
89.
By using the program ALICE, we are able to perform subject- and item-based analyses of randomly ordered sets of data without the usual computational effort. The program allows us to transform data and combine, partition, or systematically manipulate them by simple, readily interpretable instructions. Of equal importance to us is the ease with which students and staff learn to use the program independently.  相似文献   
90.
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