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Eighteen patients with blood phobia were shown a film of thoracic operations containing large amounts of blood. Their heart rate (HR) and blood pressure (BP) were measured continuously before, during and after the watching of the film. The group data showed a diphasic response; an increase in HR and BP from baseline to the beginning of the film, and then a sharp drop in these parameters with the lowest values 4 min after the film was turned off. Individual data from 5 patients who fainted or were on the edge of doing so, showed massive bradycardia or drop in BP or both. In all of these patients at least one (range 1–33) 5-sec period of asystole was recorded. Possible theoretical explanations for this characteristic response pattern are discussed. 相似文献
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The epistemological soundness of controlled clinical trials is questioned. It is argued that the real effect of therapies cannot be determined by such experiments because there is a significant interaction between the placebo effect and real effect created by the individual therapist and treatment situation which, however, is neglected in controlled clinical trials. This critical standpoint is supported by several pharmacological examples. 相似文献
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Previous research has documented that children of depressed mothers are at risk for a variety of emotional/behavioral problems and impairments in mother-child interaction. Depressed mothers have been characterized as withdrawn and unavailable. The present study examined behavior of preschool children of depressed and nondepressed mothers in response to their mothers' feigned sadness. The study assessed maternal depression and maternal emotional availability to determine how these related to preschoolers' expression of empathy. Sixty-two mothers and their 3 1/2-year-olds participated in the study. Mother-child interaction was coded from four tasks: free play, eating a snack, problem solving, and sadness simulation. Children of depressed mothers were not less empathic than children of nondepressed mothers. However, the mother's mood on day of testing related to child response. Maternal emotional availability interacted with the credibility/intensity of her simulation of sadness to predict child empathy. 相似文献
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Susan Hart Stine Lindahl Jacobsen 《Journal of Infant, Child, and Adolescent Psychotherapy》2019,18(2):185-195
The practice of assessing children’s emotional development based on a theoretical foundation of attachment theory, developmental psychology, and brain research is fast developing within the field of clinical psychology and family social work. The Emotional Development Scale (EDS) has been developed to assess the current emotional functioning level of 4–12 year olds within the theoretical framework of neuroaffective developmental psychology. Included in the pilot study were eight family treatment centers in Denmark, with 36 families participating. The psychometric investigation included analyses of interrater reliability, test-retest reliability, and internal consistency, while construct validity was analyzed by correlating EDS results between referred and nonreferred groups. The analysis between nonreferred and referred groups was based on the data from the empirical study and a preliminary ad hoc sample from Hogrefe Ltd. (n = 213). We concluded the EDS appears to be a reliable and partially valid tool that could aid in assessing the emotional development of 4–12 year olds. Further research on psychometric properties and clinical application of EDS is needed. 相似文献
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Marital conflict, family processes, and boys' externalizing behavior in Hispanic American and European American families 总被引:4,自引:0,他引:4
Used self-report and observational measures to explore associations among marital conflict, triadic family processes, and child adjustment in Hispanic American, European American, and biethnic families. One hundred and thirteen families with a 7- to 11-year-old son participated. More similarities than differences were found between European American and Hispanic American families. A hierarchical parenting style was associated with externalizing behaviors for European American and biethnic families but not for Hispanic American families. Marital conflict and disengaged family alliances were associated with child externalizing behavior for all ethnic groups. Ethnicity was not found to moderate the relation between marital conflict and family functioning, and greater levels of marital conflict were associated with disengaged family interactions and also with lax or inconsistent parenting. Implications for understanding cross-ethnic issues in family systems and child adjustment are discussed. 相似文献
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Many concepts in legal texts are “intermediaries”, in the sense that they serve as links between statements of legal grounds, on one hand, and of legal consequences, on the other. In our paper, an algebraic representation of normative systems is used for distinguishing between different kinds of intermediaries and making the idea of a joining between grounds and consequences more precise.In Section 1, the idea of intermediaries is presented and earlier discussions of the subjects are outlined. In Section 2, we introduce the algebraic framework and develop the formal theory. After introducing our approach to the representation of a normative system, we here present a theory of “intervenients”, seen as a tool for analysing intermediaries. In Section 3, dealing with applications, after presenting a model of the formal theory, suited for the analysis of concepts in normative systems, we apply the theory to a number of examples, introduced in the first part. Finally, in Section 4, we make some remarks on the methodology of intermediate concepts. 相似文献