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451.
452.
This article provides a review of the literature on the educational and career development of women of color within the context of social cognitive career theory (Lent, et al, 1994 and Lent, et al, 1996). Specifically, possible gender, ethnic, racial, and cultural influences on career self-efficacy and outcome expectations are explored to delinate the potential mechanisms whereby ethnicity, culture, and ethnic and racial identity development, in interaction with gender, affect career choice and adjustment. Suggestions for future research on social cognitive career theory and the career development of women of color are presented.  相似文献   
453.
The Veterans Health Administration under the direction of Kenneth Kizer, M.D., has faced the challenge of providing high-quality health care while controlling costs. Under Dr. Kizer's direction, VA hospitals are moving toward managed patient centered primary care. Hospital organization, funding, and clinical practices have been changed. Reorganization has meant a variety of possibilities for psychologists employed in the VA system.  相似文献   
454.
This paper will review The Orthodox Jewish community's attitude towards mental health treatment, factors that facilitated attitudinal changes in the past decades, and the efficacy of a peer supervision group for therapists treating this population. A clinical vignette is included.  相似文献   
455.
456.
Children's testimony often plays a central role in prosecutions of child sexual abuse. Nevertheless, research on jurors' perceptions of the credibility of child sexual assault victims remains limited. In three experiments, we examined mock jurors' reactions to children's testimony about sexual abuse. Participant jurors were exposed to videotaped or written scenarios of child sexual abuse trials and then rated victim credibility and defendant guilt. Analyses indicated that: (a) victim age was either inversely related or unrelated to perceptions of victim credibility, (b) women were more likely than men to find child victims credible, (c) corroborating testimony from a child victim increased the credibility of another child victim, and (d) exposure of participants to past criminal acts and other negative defendant character evidence heightened perceived victim credibility and defendant guilt. Implications for understanding jurors' reactions to child witnesses are discussed.  相似文献   
457.
Space and motion discomfort (SMD) refers to the situational specificity of symptoms occurring in some patients with vestibular dysfunction, such as those with balance disorders and some with panic disorder. SMD occurs in situations characterized by inadequate visual or kinesthetic information for normal spatial orientation. We report the results of two studies of the construct validity of the Situational Characteristics Questionnaire (SitQ), which has two subscales, both of which measure SMD: the SMD-I and SMD-II. In Study 1, the SitQ was administered to members of a self-help group for balance disorders, a psychiatric sample consisting of patients with panic disorder, nonpanic anxiety disorders, depression, and a sample of normals. SMD levels were the highest in the self-help balance group, next to the highest in the panic groups, and lowest in the remaining groups. In Study 2, the SitQ was administered to otolaryngological patients with vestibular dysfunction and to patients with hearing loss. SMD levels were higher in the vestibular patients. Data on internal consistency, test-retest reliability, and convergent and discriminant validity are presented. The SitQ, particularly the SMD-II, is recommended for quantifying space and motion discomfort in patients with anxiety and/or balance disorders.Study 1 was funded by MH 40757. Study 2 was funded by a grant from the Upjohn Company and MH 19816.  相似文献   
458.
Retrospective rating scales are widely used for formal assessment of typical performance. Raters who are the most familiar/interactive with ratees are routinely recommended to maximize the quality of ratings. This caveat to use the most familiar/interactive raters fails to distinguish sampling parameters of the observations on which ratings are based that may be important to assessing different classes of behavior. We hypothesized that systematic observational schedules would be of greater importance to ratings of public events than familiarity/interaction, per se, while the caveat would hold for ratings of private events. We used the Psychotic Inpatient Profile (PIP), which provides separate factor scores for ratings of public and private events, to examine these hypotheses in a quasi-experimental study with adult inpatients of mental hospitals. A large multiinstitutional data set provided retrospective PIP ratings by two types of raters. The most familiar/interactive local clinical staff for each client completed the PIP after observing on an ad lib schedule, along with ongoing job duties. Unfamiliar, noninteractive raters completed the PIP for each client after observing on a systematic time-sampling schedule for purposes of coding an entirely different instrument. Data were selected so that each of 189 clients received PIP scores from four raters, reflecting functioning during the same time period based on day-shift observations by one rater of each type and evening-shift observations by one rater of each type. Analyses of variance, consistency/discriminability of ratings, and prediction of social-action outcomes all supported the hypotheses. We discuss alternative strategies that are better for assessing typical performance in most circumstances. We also provide recommendations for improving the adequacy of observations for those circumstances in which the standardized retrospective rating scale could be a cost-effective assessment strategy.This study was the basis of a master's thesis at the University of Houston by the senior author under the direction of the junior authors. Richard M. Rozelle served on the examination committee. This study was partially supported by grants to Gordon L. Paul from the National Institute of Mental Health, Public Health Service (MH-15353; MH-25464); the Illinois Department of Mental Health and Developmental Disabilities; the Joyce Foundation; the MacArthur Foundation; the Owsley Foundation; the Cullen Foundation; and the Center for Public Policy of the University of Houston.  相似文献   
459.
In this study, self‐regulation was examined in relation to maternal limit setting during toddlerhood. Observational coding of limit‐setting interactions was carried out at 12, 24, and 36 months using the Prohibition Coding Scheme (Houck & LeCuyer, 1995; LeCuyer‐Maus & Houck, 2002). At five years, self‐regulation was assessed by observation of self‐imposed delay‐of‐gratification (Shoda, Mischel, & Peake, 1990), and behavior problems were measured by maternal report on a behavior checklist (CBCL; Achenbach, 1991). Maternal limit‐setting patterns at every age differentiated subsequent duration of delay, but not behavior problems. A power‐based maternal pattern in limit setting adversely affected later self‐imposed delay. Although an indirect limit‐setting pattern optimized the child's delay duration, a teaching‐based pattern yielded more consistently positive outcomes at 36 months and normative delay durations at age five years. ©2004 Michigan Association for Infant Mental Health.  相似文献   
460.
For Jacob A. Arlow, understanding unconscious fantasies was central to his clinical work. These fantasies are to be found at the core of those eruptions that break without warning into our ordinary lives, whether in the form of hysterical symptoms, daydreams or nightmares. What, however, could an unconscious fantasy be on a theoretical level, beyond a vehicle for discharge? Although partly unconscious, such fantasies are sometimes composed of fixed verbal content with a high degree of internal organisation. Unconscious fantasies therefore pose many challenges to understanding.  相似文献   
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