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81.
This paper explores the historic philosophical contributions ofMill and Marx toward a comprehensive conception of intellectual freedomas a basic educational entitlement. In a perhaps surprising confluence,Marx's theory of a material base for freedom of thought is then extendedin a discussion of contemporary freedoms including, importantly,academic freedom and its implication for teaching, the profession andits training.  相似文献   
82.
This process evaluation study examined what variables moderate and mediate treatment effects on days in stable housing and client satisfaction for homeless mentally ill clients. In general, demographic characteristics did not moderate either outcome variable. Housing contacts, entitlement contacts, mental health contacts, and supportive services were significant mediators of the treatment effect on days in stable housing. Program contacts, mental health contacts, and supportive services were significant mediators of client satisfaction. The authors thank the National Institute of Mental Health for their financial support (MH43248, MH42357) for this project, Dorothy Gano for word processing and editorial assistance, and Gitry Heydebrand, Melissa Dannelet, Betty Tempelhoff, Ruth Smith, and Laeeq Ahmad for assisting in the interviews of clients. We are also appreciative of the cooperation given to us by the staffs of Malcolm Bliss Mental Health Center, St. Patrick's Center, the Community Advocacy and Support Alliance Program, and the St. Louisemergency shelters. Finally, we thank all of the participants in this study; we hope that their homelessness has now ended. (The conclusions presented in this paper are the sole responsibility of the authors and do not necessarily reflect official National Institute for Mental Health policy.)  相似文献   
83.
Emotion Socialization in Families of Children With an Anxiety Disorder   总被引:1,自引:0,他引:1  
Compared emotion socialization in 26 children with anxiety disorders ages 8–12 years and their mothers to 26 nonclinical counterparts without psychopathology. Children and their mothers participated in an emotion interaction task in which they discussed occasions when the child felt worry, sadness, and anger. Responses were coded for length of discussion, proportion of words spoken by child vs. mother, frequency of positive and negative emotion words, explanatory discussion of emotion, and maternal facilitation of emotion discussion. Children and their mothers also completed the Expressiveness and Control scales of the Family Environment Scale. Results indicated that mothers of children with an anxiety disorder spoke less frequently than their child, used significantly fewer positive emotion words, and discouraged their childrens emotion discussions more than did mothers of nonclinical children. Nonclinical children and their mothers indicated significantly more emotional expressiveness in their families than did children with an anxiety disorder and their mothers. These results highlight the potential role of truncated family emotional expressivity in the emotional development and functioning of children with an anxiety disorder.  相似文献   
84.
As genetics and genomics become part of mainstream Medicine, these advances have the potential to reduce or exacerbate health disparities. Gaps in effective communication (where all parties share the same meaning) are widely recognized as a major contributor to health disparities. The purpose of this study was to examine GC-patient communication in real time, to assess its effectiveness from the patient perspective, and then to pilot intervention strategies to improve the communication. We observed 64 English-, 35 Spanish- and 25 Chinese-speaking (n = 124) public hospital patients and 10 GCs in 170 GC appointments, and interviewed 49 patients who were offered testing using the audio recordings to stimulate recall and probe specific aspects of the communication. Data analyses were conducted using grounded theory methods and revealed a fundamental mismatch between the information provided by GCs and the information desired and meaningful to patients. Several components of the communication that contributed to this mismatch and often resulted in ineffective communication included: (1) too much information; (2) complex terminology and conceptually difficult presentation of information; (3) information perceived as not relevant by the patient; (4) unintentional inhibition of patient engagement and question-asking; (5) vague discussions of screening and prevention recommendations. Our findings indicate a need to transform the standard model of genetic counseling communication using evidence-based principles and strategies from other fields of Medicine. The high rates of limited health literacy in the US, increasing access of diverse populations to genetic services, and growing complexity of genetic information have created a perfect storm. If not directly addressed, this convergence is likely to exacerbate health disparities in the genomic age.  相似文献   
85.
86.
This paper presents the rationale, development, and psychometric status of a non-clinical self-report measure for the general population (GP) - including students - derived from the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and hence termed the GP-CORE. In contrast to the CORE-OM, the GP-CORE does not comprise items denoting high-intensity of presenting problems or risk and thereby increases its acceptability in a non-clinical population. Uniquely, over half the items in the GP-CORE are positively keyed. Analyses showed the GP-CORE to have good reliability, to distinguish between clinical and non-clinical populations, and have convergent validity against the full version. Norms for student populations are presented. It is suggested that the GP-CORE has considerable utility as a means of tapping the psychological well being of students and can then interface with counselling and mental health services using the CORE-OM.  相似文献   
87.
The Attentional Focus Model (Karau & Kelly, 1992) predicts that time pressure should lead group members to focus on a restricted range of task-relevant cues and to adopt task completion as their major interaction objective. Although this prediction has been supported in several studies (e.g., Karau & Kelly, 1992; Kelly, Jackson, & Hutson-Comeaux, 1997; Kelly & Karau, 1999; Parks & Cowlin, 1995), the exact processes that underlie information restriction have not been specified. We propose that two processes are involved. Specifically, the restriction of information may occur because time pressure affects the way in which information is initially encoded or attended to before a group enters its decision-making phase, or because group members filter out what they judge to be less important information during group discussion and decision making. We assessed both of these processes within a decision-making experiment where time pressure was manipulated prior to learning information that would be used to perform a task. Recall of information learned prior to group discussion did not differ by time pressure condition, arguing against an encoding process. In contrast, interaction data demonstrated information restriction by group members, arguing for a filtering process. Thought listings collected 1 min into the group discussion in some groups also supported a filtering process, as did questionnaire data. Implications of these findings for the Attentional Focus Model and for effective group decision making are discussed.  相似文献   
88.
89.
The management of information in close relationships plays a critical role in our well‐being (e.g., S. Petronio, 2002 ). Since relational partners often desire to be “in the know” about one another, the relative absence of inquiry into the process of information seeking in close relationships is puzzling. Recently, W. Ickes, J. W. Dugosh, J. A. Simpson, and C. L. Wilson (2003) examined that process and showed important ways in which the motivation to acquire relationship‐threatening information may be harmful to relationships. We extend their work and apply the newly developed Theory of Motivated Information Management (W. A. Afifi, & Weiner, 2004 ) to close relationships. In addition, we test the consequences of information seeking for short‐term changes in relationship commitment. Two hundred and twenty‐two participants thought of something that their relational partner did or said for which they wanted more information, then completed 2 surveys, 3 weeks apart, measuring cognitive and behavioral factors related to the information‐management process. Results reveal several factors that influence the seeking of information in close relationships (e.g., issue importance, anxiety, expected outcomes, and perceived efficacy), show benefits of an indirect search for information in the face of negative expectancies, and suggest several directions for future research.  相似文献   
90.
Past research indicates that faces can be more difficult to ignore than other types of stimuli. Given the important social and biological relevance of race and gender, the present study examined whether the processing of these facial characteristics is mandatory. Both unfamiliar and famous faces were assessed. Participants made speeded judgments about either the race (Experiment 1) or gender (Experiments 2–4) of a target name under varying levels of perceptual load, while ignoring a flanking distractor face that was either congruent or incongruent with the race/gender of the target name. In general, distractor–target congruency effects emerged when the perceptual load of the relevant task was low but not when the load was high, regardless of whether the distractor face was unfamiliar or famous. These findings suggest that face processing is not necessarily mandatory, and some aspects of faces can be ignored.  相似文献   
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