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Individual and group therapy modalities are common approaches to treating survivors of child sexual abuse (CSA). Survivors have identified a number of interpersonal problems that they experience with romantic partners but little is known about the partner’s perspective. Additionally, partners of abuse survivors are generally excluded from the treatment process. A short-term support group for the partners of adult survivors of sexual abuse was conducted concurrently with an Incest Resolution Group. The goal of the Partner’s Support Group was to gain greater understanding of the interpersonal relational problems as experienced by the partners, and to provide support, insight, and education regarding the impact of CSA. Clinical implications are discussed.  相似文献   
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This article examines the human face as a transmitter of expression signals and the brain as a decoder of these expression signals. If the face has evolved to optimize transmission of such signals, the basic facial expressions should have minimal overlap in their information. If the brain has evolved to optimize categorization of expressions, it should be efficient with the information available from the transmitter for the task. In this article, we characterize the information underlying the recognition of the six basic facial expression signals and evaluate how efficiently each expression is decoded by the underlying brain structures.  相似文献   
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One oft-cited problem with teaching speech skills to autistic children isthe failure of the speech to be spontaneous. That is, the children's speech often remains underthe control of the verbal behavior of others rather than underthe control of other nonverbal referents inthe environment. We investigatedthe effectiveness of a time delay procedure to increasethe spontaneous speech of seven autistic children. Initially, the experimenter presented a desired object (e.g., cookie) and immediately modeledthe appropriate response “I want (cookie).” Gradually, asthe child imitatedthe vocalization, the experimenter increasedthe time between presentation of the object andthe modeled vocalization in an attempt to transfer stimulus control of the child's vocalization fromthe experimenter's model tothe object. Results indicated that allthe children learned to request items spontaneously and generalized this behavior across settings, people, situations, and to objects which had not been taught. These results are discussed in relation tothe literature on spontaneous speech, prompting, and generalization.  相似文献   
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A two-stage epidemiologic study conducted between 1986 and 1988 in the southeastern United States investigated family and psychosocial predictors of obsessive compulsive disorder (OCD) and subclinical OCD in young adolescents. In the first stage, a life-event schedule and a family adaptability and cohesion scale were administered to a community sample of 3,283 adolescents. In stage two, the Schedule for Affective Disorders and Schizophrenia in School Age Children and the Children's Global Assessment Scale were administered to 488 mother-child pairs. In multivariable models family cohesion was the only significant correlate of OCD (odds ratio=0.95, 95% confidence interval 0.91–0.98). Gender, race, age, socioeconomic status, guardian status, adaptability, undesirable life events and desirable life events were not found to be significant predictors of OCD in models adjusting for cohesion. Note of the above variables were significantly associated with subclinical OCD. However, separate analyses of the 41 individual life events indicated seven specific events were significantly associated with OCD or subclinical OCD. These findings are at odds with the theory that overinvolvement of family members is a risk factor for OCD, though an association with overly rigid family structure cannot be eliminated based on these data. Further exploration of family characteristics is warranted.  相似文献   
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We compared the relationship between individual undesirable life-events and comprehensive life-event factors, as well as major depression in adolescents. Students in four public suburban middle schools were screened for depressive symptomatology and life-events by a self-administered questionnaire. Seven of 21 individual events (parents' divorce, parental job loss, problems between parents, problems between the adolescent and his/her parents, failing a grade in school, school suspension, death of a close friend) and three of six life-event factors (conflict/disappointment, marital discord, maladjustment) were significantly related to depression in univariate models. A multivariate examination of the individual events was difficult to interpret, but examination of the event factors found maladjustment and conflict/disappointment significant. Analyses using the undesirable life-event factors provided a clearer picture of the relationships investigated by grouping related events into a more manageable number of independent categories. Specific combinations of life-events suggest stronger associations with adolescent depression than others. Clinicians may identify youths at risk for depression when specific combinations of undesirable life-events occur.  相似文献   
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Recently, feminists like Jane Roland-Martin, Elizabeth Young-Bruehl, and others have advocated a conversational metaphor for thinking and rationality, and our image of the rational person. Elizabeth Young-Bruehl refers to thinking as a “constant interconnecting of representations of experiences and an extension of how we hear ourselves and others. There are numerous disadvantages to thinking about thinking as a conversation.We think there are difficulties in accepting the current formulation of the conversational metaphor without question. First, there is danger that we will lose important dialectical connections like that between the self and society. Second, the conversational metaphor alone cannot fully express the way conversations are constructed. We will want to take up the notion of narrative as a metaphor for thinking advocated by Susan Bordo, Alasdair MacIntyre, Jerome Bruner, and others, including Mary Belenky and her colleagues.Eventually, we want to champion narrative and the dramatic narrative of culture as a metaphor for thinking that involves such expressions as sights, insights, silences, as well as sounds, moments of mood and poetic moments. The dramatic narrative provides the structural possibilities needed to criticize certain kinds of conversations, in order to talk about the relations of public and private, self and society and most importantly, about the drama of our lives within and without.The dramatic narrative for thinking helps dispel the dangerous dualisms of mind and body that not even conversation or narration alone can banish, and allows us to frame questions about education that do not require us to separate mind from body. The dramatic narrative metaphor for thinking lets us show who we are, act out what we think, and reconstruct rationality to reflect what many women, and some men, do.  相似文献   
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