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11.
Shimon Shiri Jeanna Tsenter Ram Livai Isabella Schwartz Jean-Jacques Vatine 《Journal of clinical psychology in medical settings》2003,10(3):193-199
The psychological profile of 17 Complex Regional Pain Syndrome type I (CRPS) and 20 Conversion Disorder (CD) patients were compared, using the Minnesota Multiphasic Personality Inventory (MMPI) and standardized, semistructured psychological interviews. Both groups presented abnormally high somatization scores. Low anxiety scores in both groups indicate that somatization may have served as a defense mechanism to bind anxiety. Depression was apparent in both groups, indicating that psychological distress accompany these syndromes. About one third of the participants in both groups presented comorbid Axis I disorders, mostly depression and PTSD. CRPS patients have traditionally been looked upon as suffering from mainly organic symptoms, whereas CD patients have been labeled as psychiatric patients. These results may indicate the need to reexamine the traditional classifications in respect to disorders that involve body and mind. 相似文献
12.
Introduction
The non-urgent care requests depending on the continuity of care system have to be regulated by a regulating doctor of a medical emergency service call center. We aim to determine the risk factor of litigations about the regulation of the continuity of care system. So, the cases with friendly complaint and those with litigation have been compared.Methods
The all calls to the medical emergency service of the Var depending on the continuity care system between the January 1st, 2014 and December 31st, 2010 and with friendly complaint or litigation have been included. All the medical regulation files, call records, complaint letters, expert reports and summons have analyzed.Results
On the 342,400 calls within the field of the continuity of care system, eighteen friendly complaints et ten litigations with or without claims for compensation have been included. Proportionally, complaints and litigations mainly affect the cases treated during dark night hours (00:00 to 08:00). The workload in the call center does not represent a risk factor of litigation. However, in the three cases in which the caller did not agree with the regulating doctor's decision the patient died. Moreover, pressured by the disagreement with his decision, the regulating doctor has to reevaluate the severity of the situation and has to remain empathetic in these words. In fact, in case of conflict during the call, the doctor may be punished because of his words.Conclusion
The prevention of fatigue is important. The malfunctions of the medical regulation center must be declared by staff to prevent and anticipate litigations. Moreover, that should help to improve procedures and individual practices. Finally, we enhanced the involvement of the managers during legal procedures in order to explain to the judge the specific difficulties of medical regulation. 相似文献13.
Emilie Schmetz David Magis Jean-Jacques Detraux Koviljka Barisnikov Laurence Rousselle 《Child neuropsychology》2019,25(2):232-262
The present study aims to assess how the processing of basic visual perceptual (VP) components (length, surface, orientation, and position) develops in typically developing (TD) children (n = 215, 4–14 years old) and adults (n = 20, 20–25 years old), and in children with cerebral palsy (CP) (n = 86, 5–14 years old) using the first four subtests of the Battery for the Evaluation of Visual Perceptual and Spatial processing in children. Experiment 1 showed that these four basic VP processes follow distinct developmental trajectories in typical development. Experiment 2 revealed that children with CP present global and persistent deficits for the processing of basic VP components when compared with TD children matched on chronological age and nonverbal reasoning abilities. 相似文献
14.
In the present study we asked whether lemurs could learn to manipulate information in order to deceive a human competitive
trainer. Four brown lemurs were trained to communicate about the location of a hidden reward to a cooperative trainer, who
rewarded the subject if he indicated the baited bowl. Next, a competitive trainer was introduced who kept the reward for himself
if the subject indicated the baited bowl. In a first experiment, sessions were randomly assigned to be with either the cooperative
or competitive trainer. No subject was able to show an efficient tactic with both trainers. In a second experiment, the participation
of the two trainers was randomized across the trials for each session. When trials were mixed, one subject significantly chose
baited location when interacting with the cooperative trainer, and reliably increased his choices of the unbaited location
when presented with the competitive trainer. As with most other primate species tested under the same paradigm, associative
learning may explain deceptive pointing by lemurs in this study. 相似文献
15.
The authors hypothesized that the modulation of coordinative stability and accuracy caused by the coalition of egocentric (neuromuscular) and allocentric (directional) constraints varies depending on the plane of motion in which coordination patterns are performed. Participants (N = 7) produced rhythmic bimanual movements of the hands in the sagittal plane (i.e., up-and-down oscillations resulting from flexion-extension of their wrists). The timing of activation of muscle groups, direction of movements, visual feedback, and across-trial movement frequency were manipulated. Results showed that both the egocentric and the allocentric constraints modulated pattern stability and accuracy. However, the allocentric constraint played a dominant role over the egocentric. The removal of vision only slightly destabilized movements, regardless of the effects of directional and (neuro)muscular constraints. The results of the present study hint at considering the plane in which coordination is performed as a mediator of the coalition of egocentric and allocentric constraints that modulates coordinative stability of rhythmic bimanual coordination. 相似文献
16.
Correlates of Mental Disorders in the Quebec General Population of 6 to 14-Year Olds 总被引:2,自引:0,他引:2
Bergeron L Valla JP Breton JJ Gaudet N Berthiaume C Lambert J St-Georges M Smolla N 《Journal of abnormal child psychology》2000,28(1):47-62
Previous epidemiological studies of correlates of child and adolescent mental disorders in the general population have focused more on child/adolescent and socioeconomic/sociodemographic characteristics than on family characteristics. Moreover, there are no generally accepted methods to analyze and interpret correlates. The purpose of the Quebec Child Mental Health Survey in this regard was twofold: (1) to identify correlates of DSM-III-R internalizing and externalizing disorders according to informant (youth, parent, teacher), for three age groups (6–8, 9–11, and 12–14 years), including relevant family characteristics not considered in previous studies; and (2) to interpret the relative importance of risk indicators by ranking correlates according to strength and consistency of association across age groups. Logistic regression models suggest the inconsistency of correlates across informants. The ranking of correlates reveals that individual and family characteristics make a more important contribution than do socioeconomic characteristics, thereby supporting the relevance of proximal variables in the development of psychopathology. 相似文献