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This study examined patterns of association between experiencing 12 traumatic life events, resilience, and substance use at a conservative church-affiliated university. The authors used data (N?=?278) from a Health Risk and Protective Factors Study that was conducted during the 2012 spring semester. Initial bivariate analysis indicated several significant positive and negative associations between three of the traumatic life event variables and alcohol, marijuana, and tobacco use within the past year and between two of the traumatic life event variables and alcohol use within the past 30 days. Preliminarily, resilience was only inversely associated with amphetamine use within the past year for men. When examined further using partial correlations to clarify these relationships while controlling for resilience, strong significant positive associations were found specifically between experiencing a disaster-type event and alcohol use within the past year and within the past 30 days for men only. Overall significant moderate positive associations were found between experiencing parental divorce and alcohol use within the past year, and between experiencing a disaster-type event and alcohol use within the past year and within the past 30 days. Use of two-way between-groups ANOVA found no significant interaction among these variables. Results may suggest that experiencing certain traumatic life events and male gender are more likely connected to alcohol use behaviors, whereas resilience may have multiple pathways for adaptive coping.  相似文献   
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The current longitudinal study examined the role of cumulative social risk on children's theory of mind (ToM) and executive functioning (EF) across early development. Further, we also tested a cascade model of development in which children's social cognition at 18 months was hypothesized to predict ToM and EF at age 4.5 through intermediary language skills at age 3. We then examined whether this developmental mechanism varied as a function of social risk status. Participants were 501 children recruited when they were newborns, at which point eight psychosocial risk factors were assessed and combined into a metric of cumulative social disadvantage. Families were followed up at 18 months, at which point four social‐cognitive skills were assessed using developmentally sensitive tasks: joint attention, empathy, cooperation, and self‐recognition. Language was measured at age 3 using a standardized measure of receptive vocabulary. At age 3 and 4.5, EF and ToM were measured using previously validated tasks. Results showed that there were notable cumulative risk disparities in overall neurocognitive skill development, and these effects became more differentiated over time. Support was also found for a developmental mechanism wherein the effect of social cognition at 18 months on ToM and EF in the preschool period operated specifically through children's receptive language ability at age 3. This pathway functioned similarly for children with both low‐ and high‐risk backgrounds. These results extend previous findings by documenting the role of cumulative social disadvantage on children's neurocognition and the pathways that link key neurocognitive abilities across early development.  相似文献   
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This article seeks to document the characteristics and themes of later trauma recovery using a grounded theory analysis of interviews with trauma survivors enrolled in outpatient treatment. Little research exists that speaks to patients’ own accounts of the process of trauma recovery. Such accounts might elucidate how psychotherapy helps survivors make and remake meaning of their lives, their experience of traumatic events, and the resources they might call on in psychotherapy to secure recovery. This study examined narrative material gathered in a series of interviews with trauma survivors (n?=?14) who had been in treatment for an average of 8 months and could be described as in a later phase of the recovery process. Two significant themes emerged from the analysis: (a) greater coherence to the trauma narrative, and (b) the emergence of a more reflective and observational stance with respect to one's history. Implications for trauma-informed therapy are discussed.  相似文献   
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ABSTRACT

Measures of verbal fluency are widely used in the assessment of cognitive functioning of the elderly. However, limited research has evaluated patterns (across specific timed intervals) of performance on tasks of language fluency in different forms of dementia. The current study investigated semantic fluency in 488 elderly individuals (249 with Alzheimer's dementia, 97 Vascular dementia, 97 Mild Cognitive Impairment and 45 cognitively intact) across 15-second intervals in an animal naming task using retrospective chart review. Normal controls produced significantly more exemplars and AD patients produced fewer animal names than the other groups. After the first 15- second time interval, the demented groups produced significantly fewer exemplars than the non-demented. At the end of 30 seconds it was possible to differentiate normal aging from MCI who no longer differed from the VaD group. Overall, it appears that the greatest and most clinically meaningful differences between the diagnostic groups were detected in the first three 15-second intervals. The present findings support the use of time intervals and total scores on tasks of verbal fluency in clinical settings and for research purposes.  相似文献   
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It is widely acknowledged that S.Y. Agnon's story, “Hanida?” (1919), represents a significant artistic transition for the author. Beyond the transitional and inaugural aspects of the story's themes and structure, I wish to consider how its discursive style itself constitutes a significant development in Agnon's literary work. Particular qualities in the story's narrative discourse, more so than in his previous work, anticipate Agnon's later literary achievements. Drawing on Mikhail Bakhtin's theory of discourse in the novel, I will also seek to demonstrate how the story's dialogic, polyphonic qualities, not only anticipate these later works, but suggest some new hermeneutic avenues to reading Agnon.  相似文献   
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