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31.
This research explores the reported experiences of working parents of disabled children with respect to formal and informal sources of child‐care, the need for which extends beyond the childhood years. Forty families with at least one disabled child, representing a variety of family structures and work situations, participated in semi‐structured interviews. The resultant data revealed an analytical axis of disabling and enabling features of child‐care. These are illustrated here with reference to the parents' accounts. Disabling barriers were physical, attitudinal or material. However, some features of either formal or informal care served to dismantle these barriers. Where formal child‐care was available, appropriate, flexible and accommodating to the needs of both the parents and the disabled child, the parents reported being able to combine working and caring roles successfully. However, where formal supports were inadequate or non‐existent, parents who could rely on the support of family and friends to supply emotional and instrumental assistance reported balance between work and caring roles. Whilst all parents need satisfactory child‐care in the early years, these parents' needs extend beyond the childhood years: the parents' accounts highlighted their complex and long‐term child‐care needs. Options for further research were proposed which would emphasize negotiation within families over time, or would focus on intersections of other parts of the work‐family‐community system. Copyright © 1999 John Wiley & Sons, Ltd.  相似文献   
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This paper examines the relationship of Jean-François Lyotard’s aesthetics to phenomenology, especially the works of Mikel Dufrenne and Maurice Merleau-Ponty. It argues that this comparison allows a greater understanding of Lyotard’s late aesthetic writings, which can appear gnomic and which have received relatively little critical attention. Lyotard credits Merleau-Ponty with opening the theme of difference in the aesthetic field, yet believes that the phenomenological approach can never adequately account for it. After outlining Lyotard’s early critiques of Dufrenne and Merleau-Ponty, the paper will demonstrate how his late aesthetics can be understood as returning to phenomenological themes but in the form of a reversal. Lyotard’s “lesson of darkness” is that the secret power of art can never be brought into the light of phenomenal appearance, and that artworks do not testify to the birth of perception, but to its death and resurrection.  相似文献   
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This study aimed to explore the recognition of emotional and non-emotional biological movements in children with severe and profound deafness. Twenty-four deaf children, together with 24 control children matched on mental age and 24 control children matched on chronological age, were asked to identify a person's actions, subjective states, emotions, and objects conveyed by moving point-light displays. Results showed that when observing point-light displays, deaf children showed impairments across all conditions (emotions, actions, and moving objects) compared with their chronological age-matched controls but showed no differences across subjective states. The results are supportive that deaf children present developmental delays in their biological motion apart from the ones relative to their own mental state, and this may be interpreted in relation to the expertise they have acquired in decoding action toward themselves. The findings are discussed in relation to deaf children viewing motion stimuli very differently to hearing children.  相似文献   
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While previous research has identified religion as an influence of fertility, how context changes the nature of that relationship remains little understood. Using census data from Brazil, Chile and Mexico, this study examines whether the high fertility pattern of one pronatalist, American-born religion (The Church of Jesus Christ of Latter-day Saints [LDSs]) translates to the Latin American context. Results indicate that it does, but only among a subgroup as the pronatalist pattern is masked by member’s educational attainment and mixed religion marriages. When these attributes are accounted for LDS fertility is high in Latin America, especially among the more educated. This study highlights both the importance of member characteristics in influencing fertility and the role of selective recruiting in determining how and whether these characteristics vary by context.  相似文献   
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Neurocognitive complications are the most common sequelae of HIV infection if the full spectrum of HIV disease—from initial seroconversion to death from advanced AIDS—is considered. Though resembling subcortical neurological disorders from a neuropsychological standpoint, the presentation is variable, and almost any pattern can be seen. Although neuropsychological impairment is often subtle, it can affect day-to-day life and is associated with earlier mortality. It is not clear if milder forms of neurocognitive disturbance necessarily presage advanced dementia, and current data suggest a two-factor model: a subacute relapsing-remitting condition that can occur at any stage of HIV disease and a progressive, more fulminant dementia. The pathological substrates of these conditions are not well characterized, although recent data support the notion that synaptodendritic damage underlies the neuropsychological impairment, and may precede the neuronal loss and other pathological features more characteristic of HIV encephalitis. Some reversibility of neurocognitive disturbance has been reported with zidovudine therapy, though the data are not consistent. New regimens involving protease inhibitors need to be evaluated in terms of benefit to the central nervous system because many drugs of this class do not penetrate the blood-brain barrier efficiently. Finally, studies utilizing experimental treatments that may affect the putative mechanisms of neural injury are in progress.  相似文献   
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A contingency management program was established in a junior high school to better manage and educate students having histories of severe misconduct. School administrators selected 46 eighth-graders having multiple suspensions for misbehavior. Students (N=32) in two of the schools remained in traditional programs, serving as controls, whereas students (N=14) in the third school participated in a token reinforcement program. Reinforcers provided in the afternoon were contingent upon achievement and discipline during morning academic periods. Home-based reinforcers were established to support school behavior. Compared with the control group, significant reductions in negative school behavior as well as greater increases in academic achievement were obtained for the treatment group, thus supporting the efficacy of contingency management for adolescent school misbehavior.Valuable assistance in developing the reinforcement program and curriculum materials was provided by William Brown, principal of the Anne Arundel County Learning Center. Thanks are also due: Dottie Dpwling and Joe Gentile, the teachers in the program; John Jedlicka, principal of Stemmers Run Junior High; and Donnie Williams, research assistant.  相似文献   
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Previous research has suggested that patients' neuropsychological test scores correlate not only with neurologic status but also with their success in coping with some of the demands of daily living. This study investigated the utility of such laboratory test scores in predicting several vocational variables. Patients who had recieved neuropsychological evaluations were recontacted and questioned about their employment over the previous 6 mo. Of the 78 individuals who participated, 25 had been chronically unemployed. The remaining 53 were asked about job stability, hours worked, and wages earned, and were administered the Minnsota Job Requirements Questionnaire. Patients' scores on the Halstead-Reitan Battery, the WAIS and the MMPI were highly correlated with employment status (employed or chronically unemployed), income, and skills required on the jobs held. The results suggest that these tests may have clinical utility in assessing patients' employability, as well as the types of jobs for which they are suited.  相似文献   
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