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91.
    
We are facing devastating effects of the climate emergency and systemic environmental breakdown. These impact on mental health and wellbeing. Family therapy has only marginally engaged with these crises and the relationship between people and ecosystem. This Delphi survey identifies key elements to include in family therapy training to attend to the ecosystem and the climate and ecological emergencies. Participants generated ninety-six statements that were clustered into six overarching ‘topic areas’ (theories, orientations, schools, integrations/transformations, methods, and techniques). There were sixty-six statements agreed at a high level of consensus and seventeen with a moderate level of consensus, while there was no consensus over the remaining thirteen items. All participants opted to suggest references, which form a reading list to accompany these ideas.  相似文献   
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The impact of partner violence on women's employment and career development is profound. Career counselors may contribute substantially to these women's rehabilitation. This study examined employment and career counseling needs, barriers experienced, and counseling satisfaction of female survivors of partner violence (N = 71). The women participated in community‐ and research‐based individual career counseling services designed to promote their short‐ and long‐term career development. The authors conducted correlational, t‐test, and logistic regression analyses and found that barriers differed by race/ethnicity, age, number of children, and career service needs. Results provide important information about survivors' career counseling service access and needs.  相似文献   
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Abstract

This article presents an exploration of the concept of student poverty from a psychoanalytic perspective. The hypothesis is made that the state of poverty, when applied to students in higher education, is a highly individual matter and relates as much to a construct of the mind as to financial hardship and associated environmental and social privations. Poverty status, it is postulated, is caused by an interplay between the unconscious and the external world of die student. Focus is concentrated on the differences in toleration and the coping strategies of students in the face of financial stringencies. This results in a body of knowledge which might aid counsellors in the task of assisting students to remedy, or appropriately manage, hardships which appear to be germane to student life in contemporary Britain.  相似文献   
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Despite documented effects on fetal brain development, little is currently known about the relationship between maternal pregnancy hypertension and child neuropsychological outcomes. This brief report examined the association between maternal hypertension during pregnancy and children’s social cognition and executive functioning when children were 18 months, 3 years, and 4.5 years. A community sample of 501 families (23 hypertensive mothers; 478 nonhypertensive) was recruited when children were newborns. Social cognition (including theory of mind [ToM]) and executive functioning (EF) were measured using a battery of age-appropriate standardized and/or observational tasks. Information on pregnancy and prenatal factors were measured via maternal report when children were newborns. After controlling for prenatal and demographic covariates, the presence of hypertension difficulties during pregnancy was associated with all measures of social cognition, ToM, and EF. A secondary analysis comparing the hypertension group (n = 23) to a nonhypertensive matched control group (n = 23) supported the effect of pregnancy hypertension on children’s social-cognitive and EF development. Future studies using obstetrical records are encouraged based on these preliminary findings.  相似文献   
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This paper addresses issues of infantile gender identity as they are demonstrated through group processes amongst the carers of disturbed adolescents. It uses this and other clinical material to explore gender narcissism – both male and female. It examines how such narcissism is linked to sado-masochism, and how it can impede a healthy development towards bisexual and triadic functioning.  相似文献   
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Research considering the role of attitudes in prenatal testing choices has commonly focused on the relationship between the attitude towards undergoing testing and actual testing behaviour. In contrast, this study focused on the relationship between testing behaviour and attitudes towards the targets of the behaviour (in this case people with Down syndrome (DS) and having a baby with DS). A cross-sectional, prospective survey of 197 pregnant women measured attitudes towards the targets of prenatal testing along with intentions to use screening and diagnostic testing, and the termination of an affected pregnancy. Screening uptake was established via patient records. Although attitudes towards DS and having a baby with DS were significantly associated with screening uptake and testing and termination intentions, unfavourable attitudes were better than favourable ones at predicting these outcomes. For example, in the quartile of women with the ‘most favourable’ attitude towards people with DS 67% used screening although only 8% said they would terminate an affected pregnancy. Qualitative data suggested that not all women considered personal attitudes towards DS to be relevant to their screening decisions. This finding has implications for the way in which informed choice is currently understood and measured in the prenatal testing context.  相似文献   
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