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To meet the Swedish healthcare legislation’s requirements for evidence-based care, a work model for reflection has been developed, called a reflective team (RT). Because this RT model can be perceived as either a competitor of or a complement to caring supervision, this case study aims to explore what distinguishes these two in psychiatric care. Five members of one RT who are psychiatric nurses with previous experiences in caring supervision were interviewed. The transcribed interviews were analysed according to phenomenography. The findings reveal three qualitatively separated categories, which describe differences in focus, competencies, and relationships between confirmation and demands. It is concluded that an RT by no means replaces supervision. Instead, both can contribute to care improvement by complementing each other and increasing the professionalism of psychiatric nurses.  相似文献   
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The importance of individual response patterns in claustrophobic patients was examined in the present study. Thirty-four psychiatric outpatients with a phobia of enclosed spaces were assessed in a small test chamber. During the test their overt behavior was video-taped, heart-rate was measured continuously, and self-ratings of experienced anxiety were made at certain intervals. On the basis of their reactions in the test situation, the patients were divided into two groups showing different response patterns—behavioral and physiological reactors. Within each group the patients were randomly assigned to one behaviorally-focused method (exposure), one physiologically-focused method (applied relaxation) and a waiting-list control group. The patients were treated individually in eight sessions. The between-group comparisons showed that both exposure and applied relaxation were significantly better than the waiting-list condition. Furthermore, exposure yielded better results than applied relaxation for the behavioral reactors, while applied relaxation was better than exposure for the physiological reactors. The improvements were maintained at a follow-up assessment 14 months after the end of treatment. The results support the hypothesis that greater effects are achieved when the method used fits the patient's response pattern than when it does not.  相似文献   
54.
Many philosophers maintain that artworks, such as statues, are constituted by other material objects, such as lumps of marble. I give an argument against this view, an argument which appeals to mereological simples.
Jens JohanssonEmail:
  相似文献   
55.
    
The genetic and environmental influences on sexual coercion, and to what extent its associations with alcohol use and psychopathy depend on shared genetic and environmental effects, were explored in a Finnish population-based sample of 938 men, aged 33-43 years, using the classical twin study design. All three phenotypes were associated positively and affected by genes (sexual coercion 28%, alcohol use 60%, psychopathy 54%), with 46% of the correlation between sexual coercion and psychopathy, 89% of the correlation between alcohol use and psychopathy and 100% of the correlation between sexual coercion and alcohol use being explained by shared genetic effects. Further, the results showed that a proportion of the variance in sexual coercion was derived from a highly genetic source that was common with alcohol use and psychopathy. This latent factor was hypothesized to reflect a general tendency for antisocial behavior that is pervasive across different situations. Relevant theories on sexual coercion were discussed in light of the results.  相似文献   
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Work involvement (psychological identification with work in general) has generally been considered as a stable, dispositional characteristic, although some studies of unemployment have contradicted this view. Using longitudinal data from a Swedish representative sample (n= 888), this study examines employment status change (e.g. from work to unemployment) and work values development in a 15-month time period. Furthermore, the relationship between employment status change and well-being is explored, with a special focus on the roles played by work values and gender differences. Results indicated that work values are fairly stable over 15 months. As expected, the long-term unemployed (mostly active job seekers) had higher measures of work involvement after 15 months. Further, no gender difference was found with regard to work involvement but females were more likely to agree that there is an entitlement to work. Becoming unemployed was associated with negative health effects, but only among unemployed men.  相似文献   
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Motivation and Emotion - The original version of this article unfortunately contained a mistake. The foot note text has been overlapped with the article text. However, it is now correct and given...  相似文献   
59.
Abstract

Two types of memory processes, declarative and non-declarative have been identified by cognitive scientists. Cognitive science is currently making a distinction between 1) declarative memory and non-declarative memory. This paper is concerned with one type of non-declarative memory, procedural memory. Declarative knowledge refers to the things we know such as names, places, dates. Procedural knowledge is information associated with a highly practiced schema or action which is usually not conscious when the sequence is activated. The implications of procedural knowledge for psychoanalytic treatment are now beginning to be explored. This paper is a further step in this exploration.

It has been hypothesized that because of the automaticity of learned procedures underlying character pathology, character change can best be accomplished by intervening at the procedural level. This paper suggests that such interventions are optimal when they are noninterpretive and occur within the context of an interactive, mutually regulated, dyadic system. Procedures, when they become accessible to the analyst through empathy and introspection, can be, and in the case discussed below, were addressed within the context of the dyad. The psychotherapy of an adult man with difficulties at the procedural level is utilized to illustrate the importance of noninterpretive interventions that address the procedure in order to engage it in the dyad where it can begin to undergo therapeutic transformation. This paper illustrates the importance of understanding procedural knowledge and how this can provide a valuable additional tool to shape the modes of therapeutic action utilized in psychoanalytic treatment.  相似文献   
60.
According to the “deprivation approach,” a person’s death is bad for her to the extent that it deprives her of goods. This approach faces the Lucretian problem that prenatal non-existence deprives us of goods just as much as death does, but does not seem bad at all. The two most prominent responses to this challenge—one of which is provided by Frederik Kaufman (inspired by Thomas Nagel) and the other by Anthony Brueckner and John Martin Fischer—claim that prenatal non-existence is relevantly different from death. This paper criticizes these responses.  相似文献   
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