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Most studies of therapeutic alliance have focused on adult populations and been written from the therapist's perspective. Thus, there is a clear need for studies of therapeutic alliance that focus on adolescent populations from the perspective of the adolescents. The current study is an exploratory process investigation using a focus group methodology with a nonclinical sample of adolescents to determine which traits in adults might foster alliance, with the assumption that the same traits would apply to therapeutic settings. A content analytic approach was used and 12 adult qualities found to be preferred by adolescents from most to least cited were: respect, time shared, openness, role characteristics, recognition, guidance, identification, trust, freedom, like/ dislike, responsibility, and familiarity.  相似文献   
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The CEGRM was initially conceived as a simple, concise, visual representation of the social interaction domains of information, tangible services and emotional exchanges (Kenen, R., & Peters, J. (2001). J Genet Counsel, 10, 289–309). A blend of the genetic pedigree, genogram, and ecomap, the CEGRM was developed to facilitate contemporary genetic counseling goals. An exploratory pilot study of 20 subjects showed that it was feasible, comfortable and efficiently accomplished, and that the process was useful both for assessment and as an intervention with study participants (Peters, J. A., Kenen, R., Giusti, R., Loud, J., Weissman, N., & Greene, M. H. (2004). Am J Med Genet Part A, 130A, 258–264). Subsequently, we have extended the CEGRM to 150 women from hereditary breast/ovarian cancer (HBOC) families; three different investigators have successfully administered this tool. The preliminary findings from the exploratory study were confirmed in the larger sample. Engaging in the interactive, insight-promoting CEGRM process provides a novel tool for assessing the social context of genetic testing, and helping high-risk women better understand and integrate genetic information into their personal and family identities, health beliefs, and decisions.  相似文献   
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Larkin J  Rice C 《Body image》2005,2(3):219-232
In this paper we use data from interviews conducted with grades 7 and 8 girls to explore connections between body-based harassment and girls’ body modification practices. We discuss how the elementary health curricula fail to consider harassment and other cultural factors that influence the body modification practices and eating patterns of diverse girls. More specifically, we argue that the “healthy eating, healthy weights” approach of the grades 7 and 8 Ontario health curriculum has five limitations: (1) it sends contradictory messages; (2) it increases anxieties about body weight; (3) it ignores the multiple causes of eating problems; (4) it marginalizes issues most relevant to racialized girls; and (5) it ignores dilemmas associated with physical development. We conclude with suggestions for developing a curriculum on body dissatisfaction and eating disorders prevention that considers the various socio-cultural factors influencing the range of body monitoring and modifying practices taken up by girls.  相似文献   
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Although a deadly form of skin cancer, melanoma is treatable if detected early. However, current rule‐based training practices in melanoma detection are not effective. We assessed an innovative technique to train melanoma detection using the perceptual expertise principles. Participants in the training group were trained to categorize melanoma and benign lesions to 95% accuracy. Participants in the control group received no training. Prior to testing all participants reviewed the ABCDE rules. Training was evaluated by the pre and post tests using the Melanoma Detection Test where participants categorized images of melanoma and benign lesions. As compared to the control group, the training group showed significant improvement in melanoma detection and became less liberal (i.e., bias toward categorizing a lesion as melanoma), and both improvements maintained a week after the training. These findings indicate that perceptual expertise training is a promising approach to train melanoma detection.Copyright © 2016 John Wiley & Sons, Ltd.  相似文献   
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The present study investigated how symptoms of mania—associated with heightened and persistent positive emotion—influence emotion experience and perception during distressing social interactions, whereby the experience of heightened positive emotion may not be socially adaptive. Specifically, mania symptoms were assessed via a validated self-report measure, and used to predict emotion experience and perception during a naturalistic conversation between romantic couples about a time of distress and suffering (N = 68 dyads). Results indicated that mania symptoms were associated with increased positive and decreased negative emotion experience and perception between couples, as well as decreased empathic accuracy for partners’ negative but not positive emotions. These findings suggest that mania symptoms may be associated with “rose-colored” glasses characterized by a positively biased emotional experience and outward perception even during perhaps the most intimate and distressing social situations.  相似文献   
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