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Changes to definitions and theories of psychopathology result less from scientific advances and more from changes in social and cultural values. Herein, the historical and contemporary diversity in definitions and theories of anorexia nervosa is used to illustrate this point. First, we offer a discussion of diachronic diversity (diversity over time) and synchronic diversity (diversity at a given point in time) in conceptions and theories of psychopathology in general. Second, we elaborate a social constructionist perspective on psychopathology in general. Third, to illustrate this perspective, we provide a diachronic and synchronic analysis of definitions and theories of anorexia nervosa. Fourth, we discuss the implications of this analysis for clinical practice. We conclude that whatever view eventually prevails will depend not on which one is better at rooting out some hidden truth about anorexia nervosa but, rather, on which one is viewed as more compatible with evolving social and cultural standards, views, and norms regarding health and illness in general and self-starvation in particular.  相似文献   
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The ability of therapists to adequately address the presenting problems of couples impacts the process and outcome of therapy. Although research has examined the types of problems that couples commonly experience, little is known about problems among midlife couples. Midlife marital problems were examined using data from a national random sample of 632 married people between the ages of 40 and 50. The results indicated that the most common problems were financial matters, ways of dealing with children, and sexual issues. Values, commitment, spiritual matters, and violence were the least common problem areas. There were few differences when gender, remarriage, and length of marriage were considered.  相似文献   
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abstract   Because we are more comfortable with judgements of conceptual conceivability than with judgements of practical possibility, we content ourselves with imaginary cases, which are useless for making many decisions that practical people most need to make, notably all-things-considered decisions about when to follow an admitted general principle and when to make an exception. The diverse cases of climate change, preventive attack, and torture all illustrate how the avoidance of the difficult task of integrating empirical judgements with conceptual judgements through the flight into the sanitized abstraction of imaginary cases undermines attempts at practical ethics. All three cases involve allegedly exceptional, or emergency, situations, although climate change seems to require more than the usual compliance with general principle while preventive attack and torture supposedly require less than the usual compliance. By my lights the proposed exceptions are, respectively, fully, sometimes, and never justified. But the fundamental point is that one unfortunately cannot decide any of the cases without assessing what is in fact likely as well as what is conceptually possible .  相似文献   
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Does being more religious make one less susceptible to depression? We consider the association between subjective religiosity (religious self‐perception and coping) and depression in the context of social support (from family and friends) and stress exposure (recent negative life events, chronic stress, lifetime trauma, and discrimination). Data come from a sample of 1,803 Miami‐Dade County young adults interviewed between 1997 and 2000. We find higher levels of depression among the moderately religious than among either very religious or nonreligious respondents. Interestingly, when observations are made within gender, this relationship applies only to females. Controlling for socioeconomic status and social support largely accounts for the link between religiosity and depression. However, controlling for stress exposure reveals a suppressor effect wherein religiosity once again emerges as significant. Our interpretation is that, while established patterns of religious coping can routinely mitigate distress, heightened stress exposure may elicit increased prayer among the less religious.  相似文献   
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With particular reference to Yves Congar (1904–95), this article first explores the relationship between ressourcement theology and the emergence of Catholic ecumenism. A critical issue is identified concerning the coherence of Congar's ecumenical work. In support of the reading pursued here – which finds a developing articulation of what has come to be called Receptive Ecumenism – Congar's three great works of ecumenical theology are closely engaged: Chrétiens désunis (1937); Chrétiens en dialogue (1964); Diversités et Communion (1982). The conclusion indicates the abiding significance of Congar's ecumenical work, which articulates a call to the fullness of catholicity into which Catholicism has still to grow.  相似文献   
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Unbalanced social‐exchange processes at work have been linked to emotional exhaustion. In addition to organizational factors, individual differences are important determinants of reciprocity perceptions. This study explored whether broad and narrow personality traits were associated with perceived lack of reciprocity (organizational and interpersonal levels), and whether personality moderated the relationship between reciprocity and emotional exhaustion, in a sample of 322 civil servants. Extraversion, agreeableness, emotional stability, internal locus of control, and Type A behavior predicted reciprocity. The relationship between perceived lack of reciprocity with the organization and emotional exhaustion was stronger for individuals reporting lower negative affect or higher extraversion. These findings highlight the importance of personality for understanding perceived reciprocity at work and its impact on emotional exhaustion.  相似文献   
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