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191.
Multiunit activity was recorded in the CA3 field of the dorsal hippocampus in freely moving rats during classical conditioning and subsequent presentation of the CS on operant baselines for food reward as well as shock avoidance. Rats were first trained in a nonsignaled bar-pressing-dependent shock omission task and in a food-motivated lever-pressing task (60-s VI). Five sessions with presentations of a previously habituated tone as a CS paired with footshock as a US were then given. Testing was carried out by presenting the CS alone while behavioral responses were maintained by reinforcement in both instrumental tasks on alternate sessions. As expected, the CS induced a marked suppression of lever pressing for food reward and a marked enhancement of bar-pressing for shock avoidance. The analysis of the frequency of multiunit discharges to the CS revealed that the hippocampal cellular responses established during classical conditioning were maintained while two different behavioral responses were exhibited to the CS. The results showed that the associative response of hippocampal neurons may be dissociated from the Pavlovian conditioned responses the CS elicits. They support the hypothesis that hippocampal cellular responses represent a neural index of the acquired CS-US associative representation.  相似文献   
192.
This article deals with appropriate communication and interpersonal skills that nurses may use in order to support patients who are experiencing self-concept changes related to their health problems. Three areas of patient need related to self-concept are explored. The stages of adaptation to loss and the crucial task of grief work are reviewed, and nursing interventions designed to strengthen the self-concept and support patients as they adapt to loss are suggested. Sensitive communication, although a low-visibility nursing skill, is cited as critical in assisting the patient to achieve an optimum level of wellness.  相似文献   
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Religious and spiritual issues in mental health are explored in the context of four conceptual models: the medical, the nursing, the humanistic, and the pastoral. This is done by looking at each model in terms of content, diagnostic focus, language and treatment goals, and primary qualities in the health provider.The models are illustrated by case studies gathered from a multidisciplinary setting. The discovery that each model can incorporate the religious and spiritual dimension in mental health care, but that each model does this in distinctive ways, is a key point.  相似文献   
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REMINISCENCES,YOU SAY?   总被引:2,自引:2,他引:0       下载免费PDF全文
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196.
The proliferation of computer-generated psychological reports prompts an examination of the presuppositions of such reports and what they offer in the way of understanding individual clients. This topic is approached primarily through a review of some basics of psychological testing and psychological assessment. Major differences are noted between these two approaches to evaluating clients: They are different processes, and they yield different products. Assessment is a complex set of activities that seeks solutions to specific problems, whereas testing fits a straightforward actuarial paradigm. Testing is readily adapted to an automated data processing system, whereas the complex of assessment procedures cannot be so managed. Serious questions about the validity of computer reports are raised, however, and ethical concerns are expressed over the use of these reports by persons without adequate psychological training to understand them correctly. Limited uses for computer reports are suggested along with the need for further studies of validity and ethics.  相似文献   
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