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41.
Is Expressed Emotion an Index of a Transactional Process? I. Parents' Affective Style 总被引:1,自引:0,他引:1
DAVID J. MIKLOWITZ MICHAEL J. GOLDSTEIN JERI A. DOANE KEITH H. NUECHTERLEIN ANGUS M. STRACHAN KAREN S. SNYDER ANA MAGA
A-AMATO 《Family process》1989,28(2):153-167
The degree to which expressed emotion (EE) attitudes in key relatives reflect ongoing transactional processes in families is a topic of controversy. The associations between EE attitudes, as measured during an acute hospitalization (using the Camberwell Family Interview) and during the aftercare period (using 5-minute speech samples), and interactional behavior in parents of recent-onset schizophrenics (this article) and in patients themselves (second article), were investigated. In the first study, EE attitudes manifested by parents during the aftercare period were stronger correlates of their interactional behaviors during the aftercare period than were EE attitudes measured during the inpatient period, despite the frequent correspondence between the two EE measures. The pattern of attitudes shown between the inpatient and outpatient periods also predicted transactional styles in parents during the outpatient period, findings not accounted for by clinical attributes of patients. When high-EE attitudes persist during the aftercare period and are reflected in transactional behaviors, the risk for subsequent patient relapse may be enhanced. 相似文献
42.
KEITH LEHRER 《The Journal of Ethics》1997,1(1):3-25
Philosophers have advocated different kinds of freedom, but each has value and none should be neglected in a complete theory of freedom and responsibility. There are three kinds of freedom of preference and action that should be distinguished. A person S may fully prefer to do A at every level, and that is one kind of freedom. A person S may autonomously prefer to do A when S has the preference structure concerning doing A because S prefers to have that very preference structure, and that is a second kind of freedom. A person S may prefer to do A when S could have preferred otherwise, and that is a third kind of freedom. These forms of freedom may be combined, but they are valuable and essentially independent. They all involve the metamental ascendence of preference over desire, but it is autonomous preference that makes a person the author of his or her preference. The responsibility a person has for what he or she does out of a preference for doing it depends on the kinds of freedom of preference the person has and must be ranked in terms of them. 相似文献
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44.
KEITH BURGESS-JACKSON 《希帕蒂亚:女权主义哲学杂志》1993,8(3):160-166
Feminists, especially radical feminists, have reason to be dissatisfied with contemporary moral theory, but they are understandably reluctant to abandon the theoretical project until it is seen as unsalvageable. The problem is not, however, as Margaret Urban Walker claims, that theory is abstract, that it seeks to guide conduct, or that it postulates moral knowledge. The problem is that contemporary moral theory is foundational. 相似文献
45.
DAVID V. KEITH 《Family process》1980,19(3):269-273
Despite our earnest wish to be useful to patients, we sometimes fail. Part of the difficulty often has to do with the expectations that the patient brings to therapy. Another contribution to an impasse may be the psychiatrist's theoretical orientation. This review illustrates a playful distortion of the doctor-patient relationship so as to develop an alliance with a difficult patient. The involvement of part of her family in the long-term treatment facilitated her growth out of a biopsychosocial swamp. 相似文献
46.
An assessment scale of career concepts found to be reliably related with vocational sophistication is developed. With the renewed emphasis in CETA programs for youth-employment counseling efforts, the relative prevocational maturity of those seeking our services can be an element in deriving baseline data from which the efficacy of vocational counseling services can be judged. 相似文献
47.
This investigation involved the longitudinal assessment of 30 preterm and 39 full-term infants from 2 to 5 years of age. Measures of cognitive outcome at 2 and 5 years of age and mother-child dyadic synchrony and affect during free-play interaction were obtained at 5 years of age. Correlational and regression analyses indicated that 5-year cognitive outcome was predicted by 2-year cognitive status, mother education, and 5-year dyadic interaction. In addition, 5-year maternal positive affect contributed independently to children's cognitive status at age 5, above and beyond the contributions of early cognitive status and maternal education. Also, affect and synchrony interacted in predicting lower cognitive abilities. Findings are discussed in relation to the importance of maternal affect and synchronous interactions in transactional explanations of development during early childhood. 相似文献
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49.
DAVID BASIC ANGELA KHOO DAVID CONFORTI JEFFREY ROWLAND FREDA VRANTSIDIS DINA LOGIUDICE KEITH HILL JAN HARRY KATHERINE LUCERO ROBERT PROWSE 《Australian psychologist》2009,44(1):40-53
Early dementia can be difficult to diagnose in older persons from culturally and linguistically diverse (CALD) backgrounds. The Folstein Mini‐Mental State Examination (MMSE), the General Practitioner Assessment of Cognition (GPCOG) and the Rowland Universal Dementia Assessment Scale (RUDAS) were compared in 151 older, community‐dwelling persons. Receiver operating characteristic (ROC) curve analysis was used to evaluate diagnostic accuracy, while logistic regression was used to evaluate the influence of age, gender, CALD status and years of education. All three instruments were equally accurate in predicting dementia (ROC area under curve 0.92–0.97, p > 0.05 for all comparisons). At the recommended cut‐offs, the RUDAS was best for ruling in dementia (positive LR = 8.77), while the GPCOG was best for ruling out dementia (negative LR = 0.03). All three instruments were influenced by concomitant depression. Whereas the MMSE was influenced by CALD status, the RUDAS and GPCOG were not. While the GPCOG combines participant and informant data, the RUDAS is a stand‐alone measure specifically designed for, and validated in, multicultural populations. 相似文献
50.
ELAINA MARIA KYROUZ KEITH HUMPHREYS 《Journal of community & applied social psychology》1997,7(2):105-118
Previous research has demonstrated that characteristics of the health care workplace influence staff outcomes such as morale and burnout, but the potential effect of health care workplaces on the treatment environment has been little studied. Building on a model proposed by Schaefer and Moos (1993), we propose that the workplace factors of supervisory work environment (e.g. support from supervisors, managerial control) and programme philosophical orientation (e.g. disease model of addiction, psychosocial learning model of addiction) predict four treatment environment elements: patient autonomy, staff control, staff sensitivity, and patient alienation. Multiple regression analysis of data drawn from a survey (response rate = 86%) of 327 staff members at 15 Veterans Affairs (VA) inpatient substance abuse treatment programmes revealed that greater managerial control over staff predicted greater patient alienation, lower staff sensitivity towards patients, and greater staff control over patients. Stronger disease model programme orientations predicted less patient alienation and greater staff sensitivity, whereas stronger psychosocial model programme orientations predicted less staff control. These results suggest that health care workplaces may influence treatment environments. Implications for further research and practice are discussed. © 1997 John Wiley & Sons, Ltd. 相似文献