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31.
Prospective Study of Major Loss Life Events and Risk for Suicidal Thoughts and Behaviors Among Adolescents and Young Adults 下载免费PDF全文
Stephanie S. Daniel PhD David B. Goldston PhD Alaattin Erkanli PhD Nicole Heilbron PhD Joseph C. Franklin PhD 《Suicide & life-threatening behavior》2017,47(4):436-449
This prospective, naturalistic study examined the association between major loss life experiences, other psychiatric risk factors (depression, hopelessness, and anxiety), and suicidal thoughts and behaviors (STBs) among adolescents followed through young adulthood for up to 14 years. Major loss life events were related to subsequent increases in STBs. Major loss life events were primarily related to increases in suicide ideation in the presence of lower levels of other risk factors. There was a bidirectional relationship between major losses and other risk factors. Implications for the association between loss experiences, other risk factors, and future STBs are discussed. 相似文献
32.
Helen Blair Simpson Allan M. Zuckoff Michael J. Maher Martin E. Franklin Andrew B. Schmidt 《Behaviour research and therapy》2010,48(10):941-948
Exposure and response prevention (EX/RP) is an efficacious treatment for obsessive-compulsive disorder (OCD). However, patients often do not adhere fully to EX/RP procedures. Motivational interviewing (MI) has been shown to improve treatment adherence in other disorders. This pilot study used a randomized controlled design to examine whether MI can be successfully added to EX/RP and whether this intervention (EX/RP + MI) could improve patient adherence to between-session EX/RP procedures relative to EX/RP alone. Thirty adults with OCD were randomized to 18 sessions of EX/RP or EX/RP + MI. Therapists rated patient adherence at each exposure session. Independent evaluators assessed change in OCD and depressive symptoms, and patients completed self-report measures of readiness for change and quality of life. The two treatment conditions differed in degree of congruence with MI but not in conduct of EX/RP procedures. Both groups experienced clinically significant improvement in OCD symptoms, without significant group differences in patient adherence. There are several possible reasons why EX/RP + MI had no effect on patient adherence compared to standard EX/RP, each of which has important implications for the design of future MI studies in OCD. We recommend that MI be further evaluated in OCD by exploring alternative modes of delivery and by focusing on patients less ready for change than the current sample. 相似文献
33.
Franklin JC Hessel ET Aaron RV Arthur MS Heilbron N Prinstein MJ 《Journal of abnormal psychology》2010,119(4):850-862
Although research on the reasons for engaging in nonsuicidal self-injury (NSSI) has increased dramatically in the last few years, there are still many aspects of this pernicious behavior that are not well understood. The purpose of this study was to address these gaps in the literature, with a particular focus on investigating whether NSSI (a) regulates affective valence in addition to affective arousal and (b) serves a cognitive regulation function in addition to an affect regulation function. To elucidate these issues, the present study utilized a sample of 112 participants (33 controls, 39 no pain controls, 16 NSSI individuals, and 24 controls matching the affect dysregulation levels of the NSSI group), employed psychophysiological measures of affective valence (startle-alone reactivity) and quality of information processing (prepulse inhibition), and used experimental methods involving an NSSI-proxy to model the NSSI process. Results largely were consistent with predictions, supporting the hypotheses that NSSI serves to regulate cognitive processing and affective valence. On this latter point, however, the control groups also showed a decrease in negative affective valence after the NSSI-proxy. This unexpected finding is consistent with the hypothesis that opponent processes may contribute to the development of self-injurious behaviors (Joiner, 2005). Overall, the present study represents an important extension of previous laboratory NSSI studies and provides a fertile foundation for future studies aimed at understanding why people engage in NSSI. 相似文献
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N. Franklin Stump 《The Journal of general psychology》2013,140(1):25-32
Two experiments were performed having in common the use of sucrose concentration and volume as amount of reinforcement variables, and in situations permitting contrast between concentrations. The following conclusions are reached: 1. It is important to distinguish between the case in which separate subjects are exposed to different concentrations or volumes, and the case in which the same subjects receive different concentrations and volumes. 2. A distinction must be drawn between reinforcement contingencies in which force of response is or is not systematically related to concentration received. In nonforce contingent situations, emitted force is inversely related to concentration, when the same subjects are exposed to the different concentrations. In contingent situations, the relationship tends to be direct. 3. Rate and force of response vary inversely with nonforce contingent volume of sucrose reinforcement, when the same subjects are exposed to the different volumes. 4. Regardless of concentration and volume used, and presumably because of within-session satiation effects, there is a general tendency for rate to decline during nonforce contingent sessions. 相似文献
36.
Christopher Evan Franklin 《Philosophical Studies》2013,163(2):479-502
A familiar feature of our moral responsibility practices are pleas: considerations, such as “That was an accident”, or “I didn’t know what else to do”, that attempt to get agents accused of wrongdoing off the hook. But why do these pleas have the normative force they do in fact have? Why does physical constraint excuse one from responsibility, while forgetfulness or laziness does not? I begin by laying out R. Jay Wallace’s (Responsibility and the moral sentiments, 1994) theory of the normative force of excuses and exemptions. For each category of plea, Wallace offers a single governing moral principle that explains their normative force. The principle he identifies as governing excuses is the Principle of No Blameworthiness without Fault: an agent is blameworthy only if he has done something wrong. The principle he identifies as governing exemptions is the Principle of Reasonableness: an agent is morally accountable only if he is normatively competent. I argue that Wallace’s theory of exemptions is sound, but that his account of the normative force of excuses is problematic, in that it fails to explain the full range of excuses we offer in our practices, especially the excuses of addiction and extreme stress. I then develop a novel account of the normative force of excuses, which employs what I call the “Principle of Reasonable Opportunity,” that can explain the full range of excuses we offer and that is deeply unified with Wallace’s theory of the normative force of exemptions. An important implication of the theory I develop is that moral responsibility requires free will. 相似文献
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38.
Franklin Perkins 《Dao》2013,12(2):225-240
This essay argues that the “Heng Xian” bridges between two distinct discourses that were both prevalent in the late fourth century. One discourse focused on the origination of the natural world through a spontaneous process of differentiation, a position familiar from the Daodejing and “Tai yi sheng shui.” The other focused on the specific ways in which different kinds of things live, a position known primarily from Ru discussions centering on the concept of xing 性, the nature or spontaneous reactions of a particular kind of thing. The “Heng Xian” attempts to account for the specificity of human life—including language and social organization—while remaining within a naturalistic view grounded in spontaneity. The essay concludes by reflecting on what the “Heng Xian” tells us about the status of human institutions. 相似文献
39.
Walter C Buboltz Jr Barlow Soper Franklin Brown Steve Jenkins 《Counselling psychology quarterly》2002,15(3):229-237
College students face many challenges and live experiences that may lead to sleep difficulties, including: varied and changing schedules, repeated deadlines, increased freedom and self-responsibility, and group living arrangements, to name but a few. A high frequency of sleep difficulties is commonly reported among college student and others who encounter similar life experiences. The prevalence of sleep difficulties is explored and a rationale provided for treatment. It is suggested that interventionists need to consider the impact of sleep difficulties on their clients' immediate and long-term functioning. To help psychologists, counsellors, and therapists better ameliorate sleep problems a number of proven techniques are reviewed which are applicable to individuals in both clinical and non-clinical settings. 相似文献
40.
Clinical pragmatism: bridging theory and practice 总被引:2,自引:0,他引:2
This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics. 相似文献