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This article attempts an exploration of the limits of our capacity to weave suffering into patterns of meaning. I try to show that something like an apophatic moment in our response to some kinds of suffering is both necessary and difficult to sustain. From this emerges a question about the relationship between this ‘something like apophasis’ before suffering, on the one hand, and unknowing in face of the mystery of God, on the other. I argue against a tendency in some modern theology to elide one into the other – against a tendency to absorb the ‘mystery of suffering’ into the ‘mystery of God.’ The article concludes with the suggestion that in order to avoid such an elision, and other forms of false reconciliation with suffering, Christian theology needs to maintain a commitment to a future-oriented eschatology, a real – if unimaginable – eschatological hope.  相似文献   
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Multiracial people experience an accumulation of racial stress for both their minority and their multiracial identities, yet no research has examined the physiological impact of this stress. This within-groups experimental study examined whether two race-related stressors—identity invalidation and discrimination from family—affect cardiovascular reactivity for Black/White multiracial adults (N = 60). The authors found a Condition × Phase interaction effect indicating that discrimination from family affected blood pressure. Invalidation had no effect on blood pressure. Las personas multirraciales experimentan una acumulación de estrés racial tanto a causa de su identidad multirracial como de su identidad como minoría, pero no hay investigaciones que hayan examinado el impacto psicológico de este estrés. Este estudio experimental dentro de grupos examinó si dos factores causantes de estrés relacionados con la raza (la invalidación de la identidad y la discriminación por parte de la familia) afectan a la reactividad cardiovascular de personas adultas multirraciales blancas/negras (N = 60). Los autores hallaron un efecto de interacción Condición × Fase que indica que la discriminación por parte de la familia tuvo un efecto sobre la presión sanguínea. La invalidación no tuvo efecto sobre la presión sanguínea.  相似文献   
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The association between patients' dietary nonadherence and spouses' involvement in patients' diabetes diet was examined, with spouses' anxiety about nonadherence considered as a mediator of this association. Daily diary data from 128 older adult patients with type 2 diabetes and their spouses were analyzed using multilevel models. Results revealed that on days when patients reported less adherence to their diabetes diet than usual, spouses reported greater anxiety about patients' diabetes management, which, in turn, was related to greater spousal persuasion and pressure the same day. The association between patients' nonadherence and diet‐related support on the same day was not mediated, however, through spouses' anxiety. The findings contribute to an understanding of spouses' responses to patients' nonadherence to their diabetes regimen.  相似文献   
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The potential applicability of concepts and methods of the paradigm of precision medicine to the field of applied behavior analysis is only beginning to be explored. Both precision medicine and applied behavior analysis seek to understand and classify clinical problems through identification of their causal pathways. Both aim to develop treatments directly targeting those causal pathways, which also requires an understanding of the mechanisms by which treatments produce change (treatment-action pathways). In the current study, we extend the data-analytic methods and concepts described by Hagopian et al. (2018) toward the identification of variables that predict response to functional communication training (FCT). We discuss emerging conceptual issues, including the importance of distinguishing predictive behavioral markers from predictor variables based on their purported involvement in the causal or treatment-action pathways. Making these discriminations is a complex undertaking that requires knowledge of these mechanisms and how they interact.  相似文献   
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Australian Aboriginal and Torres Strait Islander communities have been targets of social and emotional wellbeing programs for many years. However, the few health-care programs and services that are evaluated rarely provide insight into the participants' perspectives of program success or failure. This systematic review assessed 33 social and emotional wellbeing programs across Australia to better understand what Aboriginal community members think about the programs and how they could be improved. Results highlighted the interesting and valuable insights provided by Aboriginal participants, including what kinds of program activities and approaches are most suitable, what program characteristics are successful or desired, and their experiences of wellbeing change before and after program participation. They likewise voiced opinions about poorly received programs, culturally inappropriate services and negative experiences. This review highlighted how health and wellbeing programs must better engage Aboriginal and Torres Strait Islander clients to ensure that services are culturally safe, holistic, integrate appropriate staffing, include culturally relevant activities and value patient/participant experiences. These findings have significant implications for the health and wellbeing sector; specifically, research, policy, program design and implementation, evaluation methods, and self-determination.  相似文献   
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This study examined how academic distress changed over the course of counseling and predicted retention. The sample comprised students receiving services at the campus counseling center (n = 404), students from a psychology department subject pool (n = 311), and students from the general campus population (n = 75,748). The analyses performed included t test, analysis of covariance, chi‐square test, and logistical regression. The results suggested that students whose academic distress did not decrease had lower retention rates than both clients whose academic distress improved and the general student body.  相似文献   
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