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741.
Bethany A. Jones Walter Pierre Bouman Emma Haycraft Jon Arcelus 《International Journal of Transgenderism》2019,20(2-3):251-262
AbstractBackground: The social challenges that non-binary people experience, due in part to social intolerance and the lack of validation of non-binary gender identities, may affect the mental health and quality of life of this population. However, studies that have distinguished between non-binary and binary transgender identities are lacking.Aim: To compare the mental health and quality of life of a community sample of non-binary transgender adults with controls (binary transgender people and cisgender people) matched on sex assigned at birth.Method: A total of 526 participants were included. Ninety-seven were classified as non-binary and were compared with two control groups: 91 people classified as binary and 338 cisgender people. Only transgender people not on gender affirming hormone treatment or who had not undergone gender affirming surgery were included. Participants were invited to complete an online survey that included mental health and quality of life measures.Results: Non-binary people reported significantly better mental health than binary transgender people, but worse than cisgender people. Overall, there were no significant differences in quality of life between non-binary and binary transgender participants assigned male at birth and transgender females, but non-binary assigned males at birth had better scores on the psychological and social domains of quality of life than transgender males. Quality of life was better across all domains in cisgender people than transgender groups.Conclusion: There is an inequality with regard to mental health and quality of life between non-binary (and binary) transgender people and the cisgender population that needs to be addressed. The better mental health scores in non-binary people may reflect lower levels of body dissatisfaction among the non-binary population. Mental health problems and poor quality of life are likely to have social causes and hence legislative measures and broader government-led inclusive directives should be put in place to recognize and to validate non-binary identifying people. 相似文献
742.
Impact of a Suicide‐Specific Intervention within Inpatient Psychiatric Care: The Collaborative Assessment and Management of Suicidality
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Thomas E. Ellis PsyD Katrina A. Rufino PhD Jon G. Allen PhD James C. Fowler PhD David A. Jobes PhD 《Suicide & life-threatening behavior》2015,45(5):556-566
A growing body of literature indicates that suicidal patients differ from other psychiatric patients with respect to specific psychological vulnerabilities and that suicide‐specific interventions may offer benefits beyond conventional care. This naturalistic controlled‐comparison trial (n = 52) examined outcomes of intensive psychiatric hospital treatment (mean length of stay 58.8 days), comparing suicidal patients who received individual therapy from clinicians utilizing the Collaborative Assessment and Management of Suicidality (CAMS) to patients whose individual therapists did not utilize CAMS. Propensity score matching was used to control for potential confounds, including age, sex, treatment unit, and severity of depression and suicidality. Results showed that both groups improved significantly over the course of hospitalization; however, the group receiving CAMS showed significantly greater improvement on measures specific to suicidal ideation and suicidal cognition. Results are discussed in terms of the potential advantages of treating suicide risk with a suicide‐specific intervention to make inpatient psychiatric treatment more effective in reducing risk for future suicidal crises. 相似文献
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Sophie K. Scott Philip J. Barnard Jon May 《The Quarterly Journal of Experimental Psychology Section A: Human Experimental Psychology》2001,54(3):641-664
The Interacting Cognitive Subsystems framework, ICS (Barnard, 1985) proposes that central executive phenomena can be accounted for by two autonomous subsystems, which process different forms of meaning: propositional and schematic (implicational) meanings. The apparent supervisory role of the executive arises from limitations on the exchange of information between these and other cognitive subsystems. This general proposal is elaborated in four experiments in which a total of 1,293 participants are asked to spontaneously generate a large verbal number to varying task constraints, with the intention of specifying the representations of number and task that underlie responses. Responses change systematically according to participants' use of explicit propositional information provided by the instructions, and inferred implicational information about what the experimenter is requesting. There was a high error rate (between 6% and 24%), participants producing responses that did not fall within the large range indicated by the instructions. The studies support the distinction between propositional and implicational processing in executive function, and provide a framework for understanding normal executive representations and processes. 相似文献
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Marc J Buehner Jon May 《The Quarterly Journal of Experimental Psychology Section A: Human Experimental Psychology》2003,56(5):865-890
Time plays a pivotal role in causal inference. Nonetheless most contemporary theories of causal induction do not address the implications of temporal contiguity and delay, with the exception of associative learning theory. Shanks, Pearson, and Dickinson (1989) and several replications (Reed, 1992, 1999) have demonstrated that people fail to identify causal relations if cause and effect are separated by more than two seconds. In line with an associationist perspective, these findings have been interpreted to indicate that temporal lags universally impair causal induction. This interpretation clashes with the richness of everyday causal cognition where people apparently can reason about causal relations involving considerable delays. We look at the implications of cause-effect delays from a computational perspective and predict that delays should generally hinder reasoning performance, but that this hindrance should be alleviated if reasoners have knowledge of the delay. Two experiments demonstrated that (1) the impact of delay on causal judgement depends on participants' expectations about the timeframe of the causal relation, and (2) the free-operant procedures used in previous studies are ill-suited to study the direct influences of delay on causal induction, because they confound delay with weaker evidence for the relation in question. Implications for contemporary causal learning theories are discussed. 相似文献