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171.
Christine Gallas Horst Kächele Susanne Kraft Dr. Hans Kordy Bernd Puschner 《Psychotherapeut》2008,53(6):414-423
This paper summarizes the major results of the study ?Optimizing psychotherapy service provision via transparency and outcome orientation: evaluating outpatient psychotherapy“ (TRANS-OP). Between September 1998 and February 2000, all insured persons of a major German health insurance company (?Deutsche Krankenversicherung“) who requested reimbursement of outpatient psychotherapy were asked to participate in the study. Comprehensive data concerning structural, process and outcome criteria of outpatient psychotherapy were collected from 714 participants and from the majority of their psychotherapists during a 2-year observation period. Participants applied for the following treatments eligible for reimbursement in the German health insurance system: psychodynamically oriented psychotherapy (52%), cognitive behavioral therapy (31%), and psychoanalytic psychotherapy (17%). The amounts of sessions claimed for reimbursement were approved almost without exception. Participants in the three treatment modalities did not differ in socio-demographic characteristics, or in initial symptom severity as assessed by standardized measures. Even though courses of improvement of the symptoms varied, therapy outcome after 2 years was similar in the three forms of treatment. In addition, a cost offset was found, i.e. medical costs, especially for hospital days, substantially decreased during the course of psychotherapy. These findings support the effectiveness as well as the economic significance of outpatient psychotherapy across different treatment modalities in routine care. However, allocation of psychotherapeutic resources should be more considerate of individual patient needs and treatment outcome. 相似文献
172.
Two experiments refined procedures to study Pavlovian influences on goal-directed behavior in mice and studied the effects of CS-US relations in Pavlovian-instrumental interactions. Independent groups of mice underwent Pavlovian training to associate either a 10-sec or 2-min auditory stimulus (CS) with reward. We next assessed the ability of the response-contingent CS presentations to reinforce novel instrumental responding (conditioned reinforcement; CRf) or the ability of noncontingent CS presentations to increase ongoing instrumental responding (Pavlovian-instrumental transfer; PIT). Whereas 10-sec training conditions produced strong CRf (and no PIT), 2-min training conditions produced robust PIT (but no CRf). 相似文献
173.
174.
In an information state where various agents have both factual knowledge and knowledge about each other, announcements can
be made that change the state of information. Such informative announcements can have the curious property that they become
false because they are announced. The most typical example of that is ‘fact p is true and you don’t know that’, after which you know that p, which entails the negation of the announcement formula. The announcement of such a formula in a given information state
is called an unsuccessful update. A successful formula is a formula that always becomes common knowledge after being announced.
Analysis of information systems and ‘philosophical puzzles’ reveals a growing number of dynamic phenomena that can be described
or explained by unsuccessful updates. This increases our understanding of such philosophical problems. We also investigate
the syntactic characterization of the successful formulas.
An erratum to this article is available at . 相似文献
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177.
Hans Albert 《Journal for General Philosophy of Science》2006,37(2):355-371
Summary
Religious Faith and Criticism of Religion of Enlightenment. Restrictions of the Use of Reason in the Light of Critical Philosophy. In the this paper I analyse the present problem situation of the christian faith with respect to the assumption of the existence
of God and the role of Jesus and I criticize the problem-solutions offered by Bultmann, Ratzinger, Küng and Habermas. I try
to show that all these solutions imply a similar arbitrary restriction of the use of reason. 相似文献
178.
179.
In the established guidelines for providers of services to ethnic, linguistic, and culturally diverse populations, the American Psychological Association addressed the need for practitioners to consider the role that culture and ethnicity plays in the psychosocial development of culturally diverse populations. Currently, there are over 24 million Latinos in the United States, and this population is expected to quadruple in size to over 81 million in the year 2050. This discussion of a case example highlights the appropriateness of utilizing the outline for cultural formulation in working with Latino adolescents diagnosed with Conduct Disorder. As indicated by the DSM-IV's outline for cultural formulation, this discussion addresses the importance of assessing the following: 1) Cultural identity of the individual; 2) Cultural explanations of the individual's illness; 3) Cultural factors related to psychosocial environment and levels of functioning; 4) Cultural elements of the relationship between the individual and the clinician; 5) Overall cultural assessment for diagnosis and care. In particular, the discussion focuses on specific reasons why the utilization of the outline for cultural formulation can greatly assist the clinician in understanding many psychosocial elements unique to treating Conduct Disorder in the Latino adolescent. 相似文献
180.
Issues like faith and Church, religion and religiousness are not valued particularly highly among the young. At the same time a search for the meaning of life and an orientation in one’s own behaviour still seem to be significant and transcendent focal points are being sought to deal with these issues. This article questions the value that religion, faith and the Church have for young people on the basis of empirical data. Five types of religious orientation of young people are identified: a churchly Christian type, an autonomously Christian type, a conventionally religious type, an autonomously religious type and, finally, a non‐religious type. The empirical data are taken from a study of about 800 pupils in the Grade 11 (age 16–17 years) from grammar schools (Gymnasien) in Germany. 相似文献