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231.
This study examines the relationship of anxiety disorder and dysthymia comorbidity to the generation of life events prior to major depression episode onset in a cross-sectional community sample of 76 women. Those with comorbid anxiety and dysthymia experienced higher rates of events that were at least partly dependent on their own behavior but did not differ from those without these clinical risk factors on independent life events outside of their control. This relationship remained significant even after controlling for overall severity of depression and demographic covariates. The implications of these results for understanding the increased rates of major depression onset and recurrence among those with comorbid anxiety and dysthymia are discussed as avenues of future research. 相似文献
232.
Kirk A. Bingaman 《Pastoral Psychology》2009,58(5-6):619-628
The life and work of Donald Capps has transformed my thinking and practice as a teacher, minister, and counselor. Incorporating his research into my clinical practice has led me to greater compassion and grace toward those clients who present with personality disorders and characterological disturbances. 相似文献
233.
Patricia J. Robinson Kirk D. Strosahl 《Journal of clinical psychology in medical settings》2009,16(1):58-71
This article provides an overview of 20 years of professional experiences with developing and implementing a model for integrating
behavioral health services into primary care. The Primary Care Behavioral Health (PCBH) model is designed to provide immediate
access to behavioral care for a large number of primary care patients by positioning a behavioral health consultant in the
exam room area to function as a core member of the primary care team. In an initial era of discovery, the authors were directly
involved in developing and testing a variety of new approaches to providing behavioral health services in general medicine.
In a second era focused on feasibility, the authors worked with Kaiser Permanente, the United States Air Force and Navy, the
Veteran’s Administration, and the Bureau of Primary Care to system test this innovative model of integrated care. Now in an
era devoted to dissemination, the authors review the various roles formal research, system level quality improvement initiatives
and stakeholder analysis play in promoting integrated care. The authors also describe current efforts to (1) create a tool
that helps systems develop integration targets and (2) use the PCBH model as a platform for teaching medical residents and
behavioral health providers to work together in a redesigned primary care team model. 相似文献
234.
235.
Because transgender individuals experience widespread employment discrimination, counselors need to understand and be able to work with members of the gay, lesbian, bisexual, and transgender communities. The aim of this article is to help counselors become more transgender literate by (a) defining gender dysphoric disorder and related terms; (b) discussing the causes, diagnosis, and treatment of gender dysphoria; (c) highlighting career realities faced by transgender employees; (d) touching upon legal issues pertaining to transgender workers; and (e) offering a few suggestions to counselors working with transgender clients. 相似文献
236.
The effect of visual search efficiency on response preparation: neurophysiological evidence for discrete flow 总被引:1,自引:0,他引:1
Most models assume that response time (RT) comprises the time required for successive processing stages, but they disagree about whether information is transmitted continuously or discretely between stages. We tested these alternative hypotheses by measuring when movement-related activity began in the frontal eye field (FEF) of macaque monkeys performing visual search. Previous work showed that RT was longer when visual neurons in FEF took longer to select the target, a finding consistent with prolonged perceptual processing during less efficient search. We now report that the buildup of saccadic movement-related activity in FEF is delayed in inefficient visual search. Variability in the delay of movement-related activity accounted for the difference in RT between search conditions and for the variability of RT within conditions. These findings provide neurophysiological support for the hypothesis that information is transmitted discretely between perceptual and response stages of processing during visual search. 相似文献
237.
Kirk R. Blankstein David M. Dunkley January Wilson 《Current psychology (New Brunswick, N.J.)》2008,27(1):29-61
We examined the mediational role of self-esteem in the relation between evaluative concerns (EC) and personal standards (PS)
perfectionism, and measures of personal concerns, academic concerns, and estimated grade point average (EGPA) in 386 university
students. Self-esteem partially mediated the relation between EC perfectionism and students’ personal and academic concerns.
EC perfectionism was a weak predictor of EGPA. PS perfectionism was not related to academic concerns. Although PS was associated
with personal concerns both directly and indirectly through low levels of self-esteem in women only, these findings did not
hold when controlling for EC perfectionism. PS perfectionism had a direct positive relation with EGPA. Neither PS nor EC perfectionism
interacted with self-esteem to predict unique variance in personal or academic concerns or EGPA. The results are consistent
with our view that a perfectionism dimension that is primarily maladaptive can be distinguished from a dimension that can
be adaptive. The implications for research and treatment are considered.
相似文献
Kirk R. BlanksteinEmail: |
238.
The UK government announced the establishment of an NHS National Genetics Education and Development Centre in its Genetics
White Paper. The Centre aims to lead and coordinate developments to enhance genetics literacy of health professionals. The
nursing program takes a strategic approach based on Ajzen’s Theory of Planned Behavior, using the UK nursing genetics competences
as the platform for development. The program team uses innovative approaches to raise awareness of the relevance of genetics,
working collaboratively with policy stakeholders, as key agents of change in promoting competence. Providing practical help
in preparing learning and teaching resources lends further encouragement. Evaluation of the program is dependent on gathering
baseline data, and the program has been informed by an education needs analysis. The challenges faced are substantial and
necessitate international collaboration where expertise and resources can be shared to produce a global system of influence
to facilitate the engagement of non-genetic nurses. 相似文献
239.
Perfectionism,Hopelessness, And Suicide Ideation: Revisions to Diathesis-Stress and Specific Vulnerability Models 总被引:1,自引:0,他引:1
Kirk R. Blankstein Crystal Hillis Lumley Alison Crawford 《Journal of Rational-Emotive & Cognitive-Behavior Therapy》2007,25(4):279-319
The current study examined variables (daily hassles, self-esteem, dispositional optimism, coping modes, and perceived social
support) that could potentially moderate associations between dimensions of perfectionism and current feelings of hopelessness
and suicide ideation in university students (144 women; 61 men). Our study revealed several significant findings: (1) socially
prescribed perfectionism was a significant predictor of suicide ideation, interpersonal hopelessness, and achievement hopelessness
for both women and men; (2) self-oriented perfectionism did not have an independent relation with any of the suicide risk
outcome variables in either women or men; (3) other-oriented perfectionism was associated negatively with both current hopelessness,
particularly interpersonal hopelessness, and suicide ideation in men; (4) the cluster of proposed moderators accounted for
additional unique variance in all suicide risk variables in women but in achievement hopelessness only in men; (5) optimism
and social hassles were unique predictors but the results varied as a function of gender and outcome; (6) each perfectionism
component interacted with specific moderators to enhance or buffer the link between perfectionism and suicide risk. The findings
indicate that self-oriented and other-oriented perfectionism are possibly adaptive or maladaptive under certain conditions.
Implications for the development of comprehensive, multidimensional, integrated models of the perfectionism–suicide risk link
and for prevention and treatment in perfectionists at risk of suicide are discussed.
相似文献
Kirk R. BlanksteinEmail: |
240.