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291.
Child sexual abuse is a relational crime that affects not only the people in the child’s and perpetrator’s social network; the whole of society is affected. Child sexual abuse is at the same time extremely personal and pervasively social. Just as healing is required for individuals, so too does society need to tend to its wounds. Conceptualizing child sexual abuse as an emergent property of a limitless multitude of systems and subsystems implies that no one can be considered an innocent, objective observer of doer–done-to relating between victims, perpetrators, and guilty bystanders. We are participants in what we are observing. Our openness to connect with the experience of victims should not be at the expense of openness to listen to the experience of perpetrators and community leaders who must also be heard, in order to heal.  相似文献   
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This study examined subject-collateral reports of alcohol use among a sample of 167 dually diagnosed individuals seeking outpatient treatment at a community mental health clinic. All subjects met Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) criteria for a schizophrenia-spectrum or bipolar disorder and for alcohol abuse or dependence. Subjects were recruited within 2 weeks of treatment entry and completed measures of cognitive functioning, alcohol dependence severity, psychiatric symptoms, and quantity and frequency of substance use over the previous 60 days using the Timeline Follow-Back interview (L. C. Sobell & M. B. Sobell, 1996). They also provided a urine sample, which was screened for recent drug use. Collateral interviews were conducted by phone and included an assessment of the subject's alcohol and drug use over the same 60-day period. Collaterals also reported their confidence in the accuracy of their reports. Overall, the results indicated generally poor subject-collateral agreement. However, subject-collateral agreement appeared better for those individuals (n = 97) with negative urine drug screens. The most consistent predictor of subject-collateral discrepancy scores was subjects' recent drug use. Recommendations for enhancing the validity of self-reports of substance use in a severely mentally ill population are discussed.  相似文献   
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This study examined evaluations of causal and conditional hyptheses on the basis of individual exemplars. Subjects were presented scenes describing something that is malfunctioning and is taken to an expert. The expert makes a causal diagnosis and a prediction concerning an outcome following treatment. Four types of outcome evidence were provided: (1) treatment is provided and the problem is eliminated; (2) treatment is not provided and the problem is eliminated; (3) treatment is provided and the problem is not eliminated; and (4) treatment is not provided and the problem is not eliminated. Subjects were required to judge whether individual exemplars prove the diagnosis, disprove the diagnosis, or fail to test the diagnosis. A second form of problem presented the same scenes but required evaluation of the conditional prediction. A third form of problem did not present the causal scenes; the subject evaluated the conditional predication and no context. Three content domains were used: medical, mechanical, and arbitrary. There were three general results: (1) diagnoses were judged as less open to testing than predictive conditional hypotheses; (2) medical problems were judged differently from mechanical problems; and (3) problems lacking meaningful content or contexts led to more primitive response strategies.  相似文献   
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Despite the importance of interpersonal influence processes in computer-mediated communication (CMC) environments, the emergence and functioning of leaders in CMC settings remains unstudied. An initial model and propositions address the possible extension of selected leadership models beyond face-to-face (FTF) communications and into the non-face-to-face CMC environment. We (1) model relevant variables for CMC leadership, (2) briefly review the implications of selected leadership models regarding these CMC variables, and (3) extend leadership models into the CMC sphere.  相似文献   
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