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161.
Doss BD Rowe LS Morrison KR Libet J Birchler GR Madsen JW McQuaid JR 《Behavior Therapy》2012,43(1):216-227
Despite the numerous challenges facing U.S. veterans and their relationships, there have been no examinations of the effectiveness of couple therapy for relationship distress provided to veterans. In the present study, 177 couples presenting for couple therapy at two Veteran Administration Medical Centers completed assessments of relationship satisfaction prior to therapy and weekly during therapy. Results revealed that the average couple showed significant gains in relationship satisfaction during treatment (d=0.44 for men; d=0.47 for women); gains were larger for couples beginning therapy in the distressed range (d=0.61 for men; d=0.58 for women) than for couples in the nondistressed range (d=0.19 for men; d=0.22 for women). Rates of premature termination were high, with 19% of couples completing fewer than three sessions and 62% rated as not completing a "full course" of therapy. Benchmarking analyses demonstrated that the average gains were larger than would be expected from natural remission and similar to previous effectiveness trials; however, average gains were smaller than those observed in couple therapy efficacy trials. Relationship, psychological, and demographic characteristics were generally unrelated to the amount of change in therapy after controlling for initial satisfaction. However, African American couples showed significantly larger gains than Caucasian, non-Hispanic couples. Thus, though yielding smaller effects than those shown in efficacy trials, the impact of couple therapy for veterans' relationship problems appears to generalize across various demographic, psychological, and relationship characteristics. 相似文献
162.
A long-debated question in the philosophy of health, and contingent disciplines, is the extent to which wise clinical practice ("clinical wisdom") is, or could be, compatible with empirically validated medicine ("evidence-based medicine"--EBM). Here we respond to Baum-Baicker and Sisti, who not only suggest that these two types of knowledge are divided due to their differing sources, but also that EBM can sometimes even hurt wise clinical practice. We argue that the distinction between EBM and clinical wisdom is poorly defined, unsupported by the methodology employed, and ultimately incorrect; crucial differences exist, we argue, not in the source of a particular piece of clinical knowledge, but in its dependability. In light of this subtle but fundamental revision, we explain how clinical wisdom and EBM are--by necessity--complementary, rather than in conflict. We elaborate on how recognizing this relationship can have far-reaching implications for the domains of clinical practice, medical education, and health policy. 相似文献
163.
Kuppens P Sheeber LB Yap MB Whittle S Simmons JG Allen NB 《Emotion (Washington, D.C.)》2012,12(2):283-289
Emotional inertia refers to the degree to which a person's current emotional state is predicted by their prior emotional state, reflecting how much it carries over from one moment to the next. Recently, in a cross-sectional study, we showed that high inertia is an important characteristic of the emotion dynamics observed in psychological maladjustment such as depression. In the present study, we examined whether emotional inertia prospectively predicts the onset of first-episode depression during adolescence. Emotional inertia was assessed in a sample of early adolescents (N = 165) based on second-to-second behavioral coding of videotaped naturalistic interactions with a parent. Greater inertia of both negative and positive emotional behaviors predicted the emergence of clinical depression 2.5 years later. The implications of these findings for the understanding of the etiology and early detection of depression are discussed. 相似文献
164.
Campbell and Di Paula (2002) suggested differentiating Perfectionistic Striving and Importance of Being Perfect subscales when measuring self-oriented perfectionism and Others’ High Standards and Conditional Acceptance subscales when measuring socially prescribed perfectionism. In this study, we investigated the utility of this differentiation by analyzing data from 1,041 students and examining correlations with positive striving and maladaptive evaluation concerns aspects of perfectionism and with positive and negative indicators of well-being and psychological adjustment. As expected, (a) Perfectionistic Striving scores showed higher correlations with positive striving aspects of perfectionism and with positive indicators of well-being and adjustment than Importance of Being Perfect scores, and (b) Conditional Acceptance scores showed higher correlations with maladaptive evaluation concerns aspects of perfectionism and with negative indicators of well-being and adjustment than Others’ High Standards scores. The findings indicate that Campbell and Di Paula's differentiation provides for a more detailed and informative assessment of multidimensional perfectionism and its different aspects. Moreover, it provides for new insights into self-oriented and socially prescribed perfectionism and their relationships and associations. 相似文献
165.
166.
Forty-eight middle-class fathers having their first child were divided into three groups: An Experimental Group received a demonstration of physical and behavioral characteristics of their own infants resulting in a doubling of the usual time for interaction during the first two days. A Hospital Group spent the same amount of time viewing a prepared videotape of the same characteristics of a newborn infant who was not theirs. An Office Control Group, without experimental intervention, was recruited to control for effects of demand characteristics of the experimental situation. All three groups attended their infants' one-month well-baby examination where outcome measures were obtained. Analyses of variance showed no differences between groups on demographic or pregnancy variables. Further, 108 analyses of variance for 36 father and infant behaviors scored from videotapes did not reveal significant group differences. It is argued that in addition to amount of early contact and sex of parent, crucial socioeconomic factors need to be considered. 相似文献
167.
Since most studies which employ sociometric measures have either ignored the sensitivity of these measures to changes in group structure or have failed to indicate the relative sensitivity of the different types of measures across time and at different age levels, a way to categorize sociometric responses according to the usefulness in reflecting changes both across time and at various age levels was hypothesized. A total of 607 students in grades four through eight responded to a sociometric questionnaire. These responses were analyzed by obtaining test-retest correlations for choices given, choices received, and reciprocal choices. The results indicate that reciprocal choices are less affected by age and time changes than all other ways of interpreting sociometric data. 相似文献
168.
Willard Johnson 《Religion》2013,43(4):343-354
This paper presents an interview on the visions of the contemporary Native American shaman Luciano Perez. Born of southern Mexican Indian (P'urepecha) ancestry in Laredo, Texas, on 31 December 1950, he was trained in shamanic practice by the Lakota Sioux spiritual leader Leonard Crow Dog. He begins the interview with general comments on visions, how he experiences them and how they have matured him as a visionary providing him with spirit contact, revelation and power. He then remembers visions in childhood of the ‘little people’ and of hearing voices calling him. His first adult experience was a revelatory vision at the beginning of his spiritual quest (1973). Finally, he reports a healing vision from 1989 in a chiropractor's office where he sought medical help for severe back pain. 相似文献
169.
This study of 311 white DUI offenders is based on three sources: (a) survey data, (b) personal interviews, and (c) official arrest histories. All cases were examined along eight research dimensions: arrest charges, sociodemographic variables, perceived self‐drinking attributes, behavioral drinking problems, identities, life histories, personal problems, and life styles. Two hundred and eighty‐nine multiple offenders were found to comprise an identifiable generalized deviant social type. The remaining cases, a residual category of 22 “negative cases,” were first‐time offenders and social drinkers. We suggest that our findings may be applicable to other DUI samples. For the most part DUI offenders are “criminals on the road.” 相似文献
170.
Cognitive theories of religion have postulated several cognitive biases that predispose human minds towards religious belief. However, to date, these hypotheses have not been tested simultaneously and in relation to each other, using an individual difference approach. We used a path model to assess the extent to which several interacting cognitive tendencies, namely mentalizing, mind body dualism, teleological thinking, and anthropomorphism, as well as cultural exposure to religion, predict belief in God, paranormal beliefs and belief in life’s purpose. Our model, based on two independent samples (N = 492 and N = 920) found that the previously known relationship between mentalizing and belief is mediated by individual differences in dualism, and to a lesser extent by teleological thinking. Anthropomorphism was unrelated to religious belief, but was related to paranormal belief. Cultural exposure to religion (mostly Christianity) was negatively related to anthropomorphism, and was unrelated to any of the other cognitive tendencies. These patterns were robust for both men and women, and across at least two ethnic identifications. The data were most consistent with a path model suggesting that mentalizing comes first, which leads to dualism and teleology, which in turn lead to religious, paranormal, and life’s-purpose beliefs. Alternative theoretical models were tested but did not find empirical support. 相似文献