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271.
Measures of religiosity are linked to health outcomes, possibly indicating mediating effects of associated psychological and social factors. We examined cross-sectional data from 92,539 postmenopausal participants of the Women’s Health Initiative Observational Study who responded to questions on religious service attendance, psychological characteristics, and social support domains. We present odds ratios from multiple logistic regressions controlling for covariates. Women attending services weekly during the past month, compared with those not attending at all in the past month, were less likely to be depressed [OR = 0.78; CI = 0.74–0.83] or characterized by cynical hostility [OR = 0.94; CI = 0.90–0.98], and more likely to be optimistic [OR = 1.22; CI = 1.17–1.26]. They were also more likely to report overall positive social support [OR = 1.28; CI = 1.24–1.33], as well as social support of four subtypes (emotional/informational support, affection support, tangible support, and positive social interaction), and were less likely to report social strain [OR = 0.91; CI = 0.88–0.94]. However, those attending more or less than weekly were not less likely to be characterized by cynical hostility, nor were they less likely to report social strain, compared to those not attending during the past month.  相似文献   
272.
Psychotherapists need to perform tasks such as being empathetic, performing an ongoing assessment of cases, self-disclosing, making explicit treatment contracts, validating patients' experiences and promoting awareness of psychological experience, if they are to be effective in treating personality disorder (PD). Successful therapy also requires a systematic accurate PD model. We suggest here that it is still unclear how, when, and according to what session markers therapists need to perform specific operations to maximize therapeutic gains. This article describes and operationalizes a step-by-step procedure for organizing and delivering the interventions necessary for effective outcomes, such as maintaining a good therapeutic relationship, increasing understanding of mental states, reducing symptoms and improving social adaptation. The procedure is illustrated by reference to the treatment of cases of emotionally overly-constricted PDs. We include a theoretical proposal to facilitate the development of measures for evaluating the efficacy of therapist actions.  相似文献   
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ABSTRACT

In this article, we propose reflexivity can be revealed through a deliberate adjunct to the interpretative phenomenological analysis (IPA) process. This adjunct, which we refer to as “echoes,” is a mixture of the participant’s and researcher’s words and experiences resonating with each other during the research process. We argue that explicitly recognising echoes gives a heightened sensitivity to both the researcher’s own place and being in the research, and to the other in relation to the researcher. Exploring the echoes enables the researcher to work with, rather than dismiss, his or her own presuppositions and exposes greater phenomenological sensibility toward the research subject and is-ness of that phenomenon. The purpose of this article is to outline how attending to echoes is a strategy for IPA researchers to promote and overtly journal reflexivity as central within their research practices. To exemplify how echoes can be used, practical examples from a doctoral research project are given to demonstrate how resonance can explicate reflexivity in the IPA process.  相似文献   
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