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111.
Dr. Claudia Subic-Wrana Dagmar Böhringer Janina Breithaupt Lena Herdt Achim Knebel Manfred E. Beutel 《Psychotherapeut》2010,55(4):306-311
Background
Fonagy (2009) considers the improvement of mentalization, understood as an element of structural change, as a global goal of psychotherapeutic treatment. Yet until now there is little knowledge about the mentalizing skills in clinical populations.Material and methods
We examined the mentalizing skills in 201 patients on admission for complex psychotherapeutic inpatient treatment with the “Reading the mind in the eyes”-Test (RMET). We explored if there are diagnosis-related differences in the RMET and compared our findings to published data on the RMET in clinical and normal populations.Results
Compared to normal populations our sample scored significantly lower in the RMET, however, no diagnosis-related differences were found.Conclusions
Although our data are preliminary, psychotherapeutic inpatient treatment should consider the patients reduced mentalizing skills. 相似文献112.
Lena Jelinek Colette Stockbauer Michael Kellner Steffen Moritz 《Behaviour research and therapy》2010,48(7):680-685
It has been proposed that the organization of the worst moment in traumatic memories (“hotspots”) is of particular importance for the development of PTSD. However, current knowledge regarding the organization and content of worst moments is incomplete.In the present study, trauma survivors with (n = 25) and without PTSD (n = 54) were asked to indicate the worst moment of their trauma and to give a detailed narrative of the traumatic event. The worst moment and the remaining narrative were analyzed separately with regard to organization and emotional content.Results indicated that worst moments of trauma survivors with PTSD differed from the remaining narrative and from worst moments described by trauma survivors without PTSD in that they were characterized by more unfinished thoughts, more use of the present tense and lower levels of cognitive processing. However, hypotheses regarding differentiating emotional content were not supported. Implications for our theoretical understanding of PTSD and potential therapeutic interventions are discussed. 相似文献
113.
Steffen Moritz Anne Külz Ulrich Voderholzer Thomas Hillebrand Dean McKay Lena Jelinek 《Cognitive behaviour therapy》2019,48(2):162-176
Meta-analyses suggest that exposure with response prevention (ERP) is the most efficacious treatment for obsessive–compulsive disorder (OCD) and treatment guidelines for the disorder accordingly recommend ERP. Despite this, many therapists, including those with a cognitive-behavioral therapeutic background, do not perform ERP in patients with OCD. The present study aimed to elucidate the reasons why. German therapists (N = 216) completed an anonymous online survey, the newly developed Reasons for Not Performing Exposure in OCD Scale (REPEX), that inquired whether, to what extent, and how they perform ERP in the treatment of OCD. We also asked their reasons for not applying ERP in the past. Most therapists considered ERP an efficient treatment for OCD. Marked differences emerged between physicians and psychologists, however. The former used exposure less often and for a shorter period, preferred in sensu to in vivo exposure, and conducted exposure less often in the personal environment of the patient than did psychologists. Both groups were familiar with clinical guidelines to a similar extent. A factor analysis of the REPEX scale revealed five factors. Patient lack of motivation, preference for exposure to be self-help as well as alleged organizational difficulties were endorsed most often. The latter was correlated with the age of the therapist and was far more often affirmed by physicians. Fear of side effects was named by a subgroup of clinicians; in the context of patient ambivalence, this may foster “phobie à deux”. Unlike prior research, lack of expertise was rarely identified as a reason not to use ERP. Recommendations for improving adherence to guidelines are discussed. 相似文献
114.
The Personality Psychopathology Five (PSY-5) is a model of personality psychopathology assessed in adult populations with a set of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scales. The authors examine the reliability and validity of recently developed lower-order facet subscales for each of these five domains, with an emphasis on structural invariance, using both confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). MMPI-2 protocols completed by psychiatric patients (N = 693) served as the data source. The reliability and discriminant validity of the subscales were mostly inadequate. Results from the CFAs reveal universally poor statistical fits. Subsequent EFAs extracted alternate latent structures, which also demonstrate mostly inadequate reliability and validity. Overall, results suggest that the item pool that forms the MMPI-2 PSY-5 domain scales may not be able to sustain meaningful facet subscales. 相似文献
115.
116.
In this article, we investigate the merits of an enactive view of cognition for the contemporary debate about social cognition. If enactivism is to be a genuine alternative to classic cognitivism, it should be able to bridge the ??cognitive gap??, i.e. provide us with a convincing account of those higher forms of cognition that have traditionally been the focus of its cognitivist opponents. We show that, when it comes to social cognition, current articulations of enactivism are??despite their celebrated successes in explaining some cases of social interaction??not yet up to the task. This is because they (1) do not pay sufficient attention to the role of offline processing or ??decoupling??, and (2) obscure the cognitive gap by overemphasizing the role of phenomenology. We argue that the main challenge for the enactive view will be to acknowledge the importance of both coupled (online) and decoupled (offline) processes for basic and advanced forms of (social) cognition. To meet this challenge, we articulate a dynamic embodied view of cognition. We illustrate the fruitfulness of this approach by recourse to recent findings on false belief understanding. 相似文献
117.
Whitfield Tim Barnhofer Thorsten Acabchuk Rebecca Cohen Avi Lee Michael Schlosser Marco Arenaza-Urquijo Eider M. Böttcher Adriana Britton Willoughby Coll-Padros Nina Collette Fabienne Chételat Gaël Dautricourt Sophie Demnitz-King Harriet Dumais Travis Klimecki Olga Meiberth Dix Moulinet Inès Müller Theresa Parsons Elizabeth Sager Lauren Sannemann Lena Scharf Jodi Schild Ann-Katrin Touron Edelweiss Wirth Miranka Walker Zuzana Moitra Ethan Lutz Antoine Lazar Sara W. Vago David Marchant Natalie L. 《Neuropsychology review》2022,32(3):677-702
Neuropsychology Review - Mindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This... 相似文献
118.
Lena?EkEmail author Anja?Smits Anneli?P?hlson Ove?Almkvist 《Journal of clinical psychology in medical settings》2005,12(2):165-173
All living adults with histopatologically proven diagnosis of low-grade glioma in a Swedish county were identified with help of the Regional Cancer Register, half of them (n = 24) participated in a neuropsychological evaluation. A considerable variation was found in cognitive function within this group of patients, ranging from good ability to severe disturbance. Different patterns of cognitive dysfunction emerged resulting in three subgroups; patients with severe, mild, and minimal selective dysfunction. The patients with severe disturbance had a global dysfunction covering most assessed cognitive domains. Slow information-processing speed was obvious in the subgroups with both severe and mild dysfunction. Cognitive problems present in the best performing group seemed related to tumor localization. Cognitive function in the whole sample was related to histopathological diagnosis of the tumor, as well as to educational level of the patients. The nonworking patients had significantly poorer performance than the working patients. 相似文献
119.
Josefine Waldthaler Lena Stock Charlotte Krüger-Zechlin Zain Deeb Lars Timmermann 《Journal of Neuropsychology》2023,17(2):251-263
Saccade performance has been reported to be altered in Parkinson's disease (PD), however, with a large variability between studies as both motor and cognitive impairment interfere with oculomotor control. The aim of this study was to identify different patterns in saccade alterations in PD using a data-driven approach and to explore their relationship with cognitive phenotypes. Sixty-one participants with PD and 25 controls performed eye-tracking (horizontal and vertical prosaccades, antisaccades) and neuropsychological testing. Hierarchical cluster analysis was applied to the eye-tracking data to subsequently compare the clusters based on demographical, clinical and cognitive characteristics. The three identified clusters of saccade alterations differed in cognitive profiles from healthy controls, but not in PD-related motor symptoms or demographics. The rate of directive errors in the antisaccade task was increased in clusters 1 and 2. Further, cluster 1 was defined by a general disinhibition of reflexive saccades and executive dysfunction in the neuropsychological evaluation. In cluster 2, prolonged saccade latencies and hypometria were accompanied by multidomain cognitive impairment. The cluster 3 showed increased antisaccade latency and vertical hypometria despite lack of evidence for cognitive impairment. Our results suggest that there may be at least two opposing patterns of saccade alterations associated with cognitive impairment in PD, which may explain some of the contradictory results of previous studies. 相似文献
120.
This study compared McCarthy Scale General Cognitive Index (GCI) and Stanford-Binet IQ discrepancies for both normal and handicapped preschool children of low socioeconomic status (SES). Both tests were administered in counter-balanced order to a total of 70 children. The results of these comparisons yielded a significant positive relationship between GCI and IQ, as well as a significant discrepancy between the two scores, favoring IQ, of a relatively small magnitude (3.9 points). There were significant discrepancies favoring IQ for the subgroups of learning-disabled, speech-impaired, and mentally retarded, those for all but mentally retarded being of relatively small magnitude; thus, the learning-disabled group was not uniquely characterized by a large discrepancy. In contrast to results consistently favoring IQ over GCI, when age groups were compared, the younger, 3 year olds, showed the reverse, though nonsignificant, trend. 相似文献