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201.
Aleksandra Luszczynska Alicja B. Durawa Marta Dudzinska Marta Kwiatkowska Brygida Knysz Nina Knoll 《Psychology & health》2013,28(10):1227-1243
Individuals confronted with a life-threatening illness often report posttraumatic growth (PTG) or finding benefits in disease. These positive evaluations of personal strength, perceptions of improved personal relations and new possibilities may represent a defensive response (cf Janus-face model). Three studies investigated the effects of mortality reminders on reports of PTG or benefit findings among people living with life-threatening illness or their caregivers. 80 people living with HIV (Study 1), 164 breast cancer survivors (Study 2) and 50 family caregivers for a patient with Huntington Disease (Study 3) were randomly assigned to the experimental (mortality reminders) or control conditions. Across three studies, those exposed to mortality reminders reported lower PTG or benefit finding, compared to the controls. These effects were moderated by time elapsed since diagnosis: mortality reminders led to lower PTG/benefit finding among those who received the diagnosis more recently. The results provide an insight into the defensive character of PTG/finding benefits in illness and changes in the function of these beliefs over time elapsing since diagnosis. 相似文献
202.
The authors describe study and teaching links between the Early Intervention Institute in St Petersburg and the Anna Freud Clinic in London. Some brief clinical examples from a variety of settings are given as well as a longer case presentation. The impact of widespread institutional care, alcoholism and terrible housing conditions on child mental health are illustrated. This raises questions about the role of child psychotherapy when social conditions are so harsh. The case material indicates that, despite this, children can be helped in some measure to feel more secure, by the therapist providing constancy and reliability within an often frightening and dangerous external world. 相似文献
203.
Parental anxiety has been linked to child anxiety in various studies. However, specific mechanisms responsible for this relationship in the context of child social anxiety are still largely unknown. A potential mediator between parental and child social anxiety may be parental fear of negative child evaluation (FNCE). To investigate this concept, we collected self-reported data from families with 9- to 16-year old children in a non-clinical sample (458 mother-child dyads and 336 father-child dyads). While both paternal and maternal FNCE predicted child social anxiety, only maternal FNCE mediated the association between maternal and child social anxiety. Maternal report of FNCE was also found to mediate the association between maternal social anxiety and general childhood emotional problems but not externalising problems. Overall, this study is the first to identify a mediator variable that may explain the association between mother and child social anxiety in school-age children. The results shed new light on the mechanisms by which fear and anxiety may be transmitted across generations. 相似文献
204.
Social phobia is characterized as pervasive social timidity in social settings. Although much is known about this disorder, aspects of its clinical presentation remain unexplored, in particular characteristics that distinguish the generalized and non-generalized subtypes. For example, it remains unclear whether patients with the non-generalized subtype display social skills deficits in social interactions, and if so, are these deficits clinically, as well as statistically, significant? In this study, adults with either the non-generalized (NGSP; n = 60) or generalized (GSP; n = 119) subtype of social phobia and adults with no psychological disorder (n = 200) completed an extensive behavioral assessment of social skill and social anxiety. As expected, adults with NGSP and GSP reported equal distress and displayed similar rates of avoidance during an Impromptu Speech Task when compared to adults with no disorder. In contrast, the three groups were distinctly different when interacting with another person in various social situations. Adults with NGSP displayed social skill deficits when compared to individuals with no disorder, but they had fewer deficits than the GSP subtype. However, the identified skill deficits were clinically as well as statistically significant only for the GSP subtype. The results are discussed in terms of the contribution of skill deficits to the conceptualization and treatment of social phobia. 相似文献
205.
Sandra T. Sigmon Janell G. Schartel Nina E. Boulard Geoffrey L. Thorpe 《Journal of Rational-Emotive & Cognitive-Behavior Therapy》2010,28(1):42-56
Research suggests that depression has negative consequences on physical health. One of the mechanisms driving this link may
be the decrease in physical activity characteristic of individuals before and during a depressive episode. However, the factors
that influence changes in physical activity across the seasons remain unclear. For instance, weather has been proposed to
play an important role in the frequency of activities and enjoyment derived from them. In addition, research has not investigated
how weather variables influence activity levels across the seasons in individuals with seasonal versus nonseasonal depression.
The present study compared patterns of activity level and enjoyment in samples of women with seasonal and nonseasonal depression
and controls. Women with Major Depressive Disorder (MDD) and MDD with a seasonal pattern (Seasonal Affective Disorder, SAD)
reported similar patterns of activity; engaging in less frequent activity and deriving less enjoyment from activities than
controls across the entire year, most notably during the winter months. Women with SAD also reported being significantly impacted
by the weather such that their mood and energy levels increased with warmer temperatures an increased sunshine. Results suggest
that women with seasonal depression may be at similar health risks as women with nonseasonal depression and activity patterns
may have implications for behavioral activation treatments for depression. 相似文献
206.
207.
Men’s Decision-Making About Predictive <Emphasis Type="Italic">BRCA1/2</Emphasis> Testing: The Role of Family 总被引:1,自引:0,他引:1
Hallowell N Ardern-Jones A Eeles R Foster C Lucassen A Moynihan C Watson M 《Journal of genetic counseling》2005,14(3):207-217
Men who have a family history of breast and/or ovarian cancer may be offered a predictive genetic test to determine whether or not they carry the family specific BRCA1/2 mutation. Male carriers may be at increased risk of breast and prostate cancers. Relatively little is known about at-risk men’s decision-making about BRCA1/2 testing. This qualitative study explores the influences on male patients’ genetic test decisions. Twenty-nine in-depth interviews were undertaken with both carrier and noncarrier men and immediate family members (17 male patients, 8 female partners, and 4 adult children). These explored family members’ experiences of cancer and genetic testing, decision-making about testing, family support, communication of test results within the family, risk perception and risk management. Implicit influences on men’s testing decisions such as familial obligations are examined. The extent to which other family members—partners and adult children—were involved in testing decisions is also described. It is demonstrated that mothers of potential mutation carriers not only perceive themselves as having a right to be involved in making this decision, but also were perceived by their male partners as having a legitimate role to play in decision-making. There was evidence that (adult) children were excluded from the decision-making, and some expressed resentment about this. The implications of these findings for the practice of genetic counseling are discussed. 相似文献
208.
Susan Goodrich Leslie Henderson Nina Allchin Anita Jeevaratnam 《The Quarterly Journal of Experimental Psychology Section A: Human Experimental Psychology》1990,42(4):763-775
Two experiments are reported in which high-compatibility reaction time (RT) tasks were performed with, and without, a concurrent secondary task. In both experiments, the secondary task interfered to a greater extent with simple RT than with choice RT. In fact, the effect of adding a secondary task was to eliminate the advantage of simple RT over two-alternative-choice RT. Previous studies of this phenomenon employed a task in which subjects raised a finger when it received tactile stimulation, while engaging in continuous reading aloud. The present experiments show that the effect can be obtained using a different stimulus modality (vision) as well as other responses (vocal) and secondary tasks (shadowing, auditory step-tracking). The paradigm provides a means of isolating preparatory processes that are peculiar to the simple RT task. 相似文献
209.
Mordecai Kaffman MD Esther Elizur PhD Sheryl Shoham MA Nina Gilead-Roelofs MA Leah Shefatya MA 《Contemporary Family Therapy》1989,11(3):189-211
About two-thirds of a representative sample of kibbutz divorced subjects reached a satisfactory emotional and functioning level of adjustment with a high degree of cooperation between the exspouses by the second postseparation year. This outcome appears to be positively influenced both by a process of habituation and desensitization determined by the continuous physical proximity of the former spouses and by the neutralization of parenting and economic issues as subjects for dispute and litigation. 相似文献
210.
Nina Farhi Ph.D. 《Psychoanalytic Dialogues》2013,23(5):478-503
This paper represents the fruits of a long friendship and collaboration between Marion Milner and Nina Farhi. At the heart of the paper sits a famous treatment conducted by Milner over a 17-year period. The presentation of clinical material; many drawings, and the questions raised by Milner in one generation and Farhi in another gives shape to a unique and historically and theoretically meaningful document. Farhi uses the work and her collaboration with Milner to push theory into new ground, to examine the complexity and intersubjectivity of regression and primitive states, to assess the long shadow of maternal destructiveness, and to propose her own ideas of the power of prenatal intersubjective process, the potential (ill or good) for communication before the child is born. Issues of intergenerational communication of trauma and prenatal sensitivity allow Farhi to bring a new dimension to this long-ago case. 相似文献