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231.
The ability to tell a coherent and rich story about one’s personal life is an important marker of an individual’s capacity and willingness to contemplate personal change. We review research on correlations between the coherence of parents’ narrative accounts of life experiences and their responsiveness during interactions with their children. Based on this review, we explore ideas about the nature of narrative coherence, how parents might be taught to improve this structural feature when telling their stories, and why a well constructed story might enhance the parents’ objective study of the here and now. We discuss how the effects of narrative restructuring may enable parents to be more cognitively mindful of their interactions with their children. We present our speculations in the spirit of promoting discussion of new clinical strategies for parents and new research strategies aimed at experimental analyses of observed connections between parent narratives and their willingness to contemplate personal change.  相似文献   
232.
Why are snakes such a common target of fear? One current view is that snake fear is one of several innate fears that emerge spontaneously. Another is that humans have an evolved predisposition to learn to fear snakes. In the first study reported here, 9‐ to 10‐month‐old infants showed no differential spontaneous reaction to films of snakes versus other animals. In the second study, 7‐ to 18‐month‐old infants associated snakes with fear: As predicted, they looked longer at films of snakes while listening to a frightened human voice than while listening to a happy voice. In the third study, infants did not look differentially to still photos of snakes and other animals, indicating that movement is crucial to infants’ association of snakes with fear. These results offer support for the view that humans have a natural tendency to selectively associate snakes with fear.  相似文献   
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234.
It has long been stated that six people are left behind following every suicide. Despite a lack of empirical evidence, this has been extensively cited for over 30 years. Using data from a random‐digit dial survey, a more accurate number of people exposed to each suicide is calculated. A sample of 1,736 adults included 812 lifetime suicide‐exposed respondents who reported age and number of exposures. Each suicide resulted in 135 people exposed (knew the person). Each suicide affects a large circle of people, who may be in need of clinician services or support following exposure.  相似文献   
235.
Recent studies of people exposed to suicide point to a continuum of effects moderated by a perception of closeness to the deceased. We investigated the importance of perception of impact of the death on mental health outcomes of those exposed to suicide. Female sex, younger age, and multiple exposures to suicide were associated with greater risk for poorer outcomes. Suicide exposed with high impact was more likely to have depression, anxiety, posttraumatic stress disorder, prolonged grief, and suicide ideation. Findings can help focus postvention resources for suicide‐exposed individuals.  相似文献   
236.
237.
When, why, and how clinicians decide to write about clients are ethical concerns. There are risks and potential clinical ramifications as well as responsibilities for how these decisions are made. On the basis of 141 interviews with psychoanalysts who have published in 3 major national and international psychoanalytic journals, the author explores decisions about whether to only disguise the client's material or whether, in addition, to ask consent outlines and some of the clinical consequences. The author concludes that clinicians need to individualize their decision making based on the particular client and the nature of the therapeutic relationship and offers ways to go about making these judgments.  相似文献   
238.

Purpose  

To present the Organizational Courage Assessment (OCA) and explore its construct validity.  相似文献   
239.
Benjamin Libet has argued that electrophysiological signs of cortical movement preparation are present before people report having made a conscious decision to move, and that these signs constitute evidence that voluntary movements are initiated unconsciously. This controversial conclusion depends critically on the assumption that the electrophysiological signs recorded by Libet, Gleason, Wright, and Pearl (1983) are associated only with preparation for movement. We tested that assumption by comparing the electrophysiological signs before a decision to move with signs present before a decision not to move. There was no evidence of stronger electrophysiological signs before a decision to move than before a decision not to move, so these signs clearly are not specific to movement preparation. We conclude that Libet’s results do not provide evidence that voluntary movements are initiated unconsciously.  相似文献   
240.
Telegenetics offers an alternative model of delivering genetic counseling to rural and outreach areas; however there is a dearth of qualitative research into the patient’s experience. Twelve women who had received telemedicine genetic counseling for hereditary breast and/or ovarian cancer (HBOC) within the previous 12 months participated in a semi-structured telephone interview. The interview explored women’s experience with telegenetics, satisfaction, perceived advantages and disadvantages and quality of the interaction with their genetic professionals. Overall women were highly satisfied with telegenetics. Telegenetics offered them convenience and reduced travel and associated costs. The majority of women described feeling a high degree of social presence, or rapport, with the off-site genetic clinician. One woman with a recent cancer diagnosis, reported that telemedicine was unable to meet her needs for psychosocial support. This finding highlights the need to be mindful of the psychosocial support needs of women with a recent diagnosis being seen via telegenetics. Patients attending for HBOC genetic counseling are generally highly satisfied with the technology and the interaction. Care should be taken, however, with patients with more complex psychosocial needs.  相似文献   
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