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861.
Relationship of severity of dementia to caregiving stressors 总被引:4,自引:0,他引:4
In studies of individual differences and longitudinal changes in stress and coping among dementia caregivers, assessing severity of patient impairment is critically important. It is proposed that with the progression of dementia, cognitive impairment may steadily increase, but other stressful behavioral symptoms peak at various stages of dementia. Cross-sectional data from 49 caregiving families and longitudinal follow-up data from 48 families suggest that instrumental self-care deficits begin early in dementia, and basic self-care deficits increase with dementia severity, but that many distressing behavioral symptoms decrease in late dementia. Assessments of dementia patient severity should be multidimensional, and increases and decreases in various dementia patient stressors over time should be considered as factors influencing caregiver coping. 相似文献
862.
Models of event causation and affective processes were used to design an experimental intervention for older adults. Ss were 2 at-risk populations, recently disabled and recently bereaved, each with matched nonrisk controls. Ss were randomly assigned to a placebo-contact group, a no-contact control group, or a 4-session, 10-week intervention focused on enhancing perceived control. Dependent variables assessed were personal mastery, psychological well-being and distress, positive and negative affect, and measures of daily events and activities. The intervention was nested within a 16-month longitudinal assessment of stress and adaptation processes in a large sample of community residents. The intervention had mixed effects on reports of personal mastery, but it significantly increased engagement in desirable activities and significantly decreased psychological distress and negative affect. Effects tended to be short-lived, however. Effects of the intervention tended to be particularly significant for the disabled group. 相似文献
863.
JAMES R. SORENSEN 《Journal of counseling and development : JCD》1989,67(7):426-427
Crisis caused by the sudden death of a student or teacher can be averted or diminished via a preplanned team intervention approach. The guidelines and strategies of a field-proven intervention program are described. 相似文献
864.
865.
This research examined the relationship between White racial consciousness development and perceived comfort with Black individuals. Participants were 339 White undergraduate students from a large southeastern state university who were asked to complete a two-part inventory: part one measuring White racial consciousness development (a five-stage scale) and part two measuring perceived comfort in situations involving Black individuals. An eta coefficient was calculated, providing evidence for the existence of a strong curvilinear relationship between White racial consciousness and perceived comfort with Black individuals η =.23 at p<.0001. These findings suggest that Whites who are completely foreclosed (stage one) or who are well acquainted with Blacks (stage five) are more comfortable in situations with Blacks than Whites who had a moderate amount of contact with them (stages two, three, and four). 相似文献
866.
JOHN G. BRUHN 《Journal of counseling and development : JCD》1989,67(8):455-457
The increasing incidence of AIDS has created a societal fear of AIDS that, in turn, has raised the level of fear and anxiety in individuals prone to fear responses. Fears accentuated by AIDS are discussed and guidelines for counseling offered. 相似文献
867.
Frontal lobe dysfunction and memory impairment in patients with chronic progressive multiple sclerosis 总被引:2,自引:0,他引:2
Deficits in semantic encoding have been described in patients with frontal lobe disease who also show memory impairments. As a group, patients with multiple sclerosis (MS) exhibit memory impairment, fail to make effective use of semantic encoding to aid memory, and perform poorly on verbal fluency and concept formation tests which are sensitive to frontal lobe damage. In the present study the semantic encoding capacity of MS patients was measured using a modification of Wicken's release from proactive interference (PI) paradigm. Individual patients varied considerably in the severity of their impairments on verbal fluency, verbal recognition memory and on Wisconsin Card Sorting Task, but even patients who evidenced both memory impairment and signs of frontal lobe dysfunction showed normal release from PI after a categorical shift. Memory disturbances in MS are unlikely to result from an incapacity for semantic encoding, which seems preserved in MS, but may arise instead from deficits in processing information rapidly. 相似文献
868.
The Sentencing Reform Act of 1984, which created the U.S. Sentencing Commission, required that the commisson consider prison capacity in drafting sentencing guidelines. As part of the commission's efforts to meet this requirement, we developed a computer simulation capable of projecting the impact of the commission's guidelines on future sentences and prison populations. According to our projections, “straight” probation sentences will be reduced significantly under the guidelines. However, reducing the use of probation will generate only modest demands on the prisons, and then mostly for community corrections phased in over the course of 5 years. We also project that, while average time served for violent offenses will increase substantially, average time served for most property crimes will remain largely the same. Finally, while we forecast that federal prison populations will grow markedly by the end of this century, this is more a result of the Anti-Drug Abuse Act of 1986 and the career offender provision of the Comprehensive Crime Control Act of 1984 than a result of the guidelines. 相似文献
869.
Steven R. Smith 《Behavioral sciences & the law》1989,7(2):145-180
This article reviews the history of and basis for mental health testimony. It surveys the roles of such experts in the legal system and the concomitant problems with current approaches. Finally, it suggests specific reforms that may improve the use of mental health experts in legal proceedings. 相似文献
870.
John C. Yuille 《Behavioral sciences & the law》1989,7(2):181-196
This article provides a critical review of two major types of expert evidence: (a) clinical assessments, and (b) generalizations drawn from psychological research. Strong arguments both for and against both types of testimony have been offered by legal experts and psychologists. These arguments are evaluated and the conclusion is drawn that there are two fundamental problems for psychologists in the role of expert. First, the types of assessments clinicians are asked to make (e.g., concerning the accused's mental state at the time of committing the offense) may exceed the capacity of the discipline; such assessments are problematic. Second, the research foundation that psychologists employ in court does not always apply to the court situation in the way experts imply; the application of laboratory research findings to real world contexts is sometimes premature. The article concludes with an admonition that psychologists should adopt a more conservative response to requests to provide expert evidence. 相似文献