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Sanders et al.'s proposal for a management framework for conflicting interests among program developers is very welcome. The underlying principles of such a framework must nevertheless prioritise the need for researchers and commissioners of services to make objective assessments of the impact of interventions reported in journal articles. This is particularly important in the field of randomised trials which may influence public sector expenditure. Using a strict definition derived from known financial conflict of interest, we have demonstrated that child-based effect sizes are much lower for independent studies than for studies with developer involvement. On this basis, we propose that journals publishing evaluations of psychosocial interventions should agree a standardised format for declarations of conflicts of interest based on that recommended by the International Committee of Medical Journal Editors.  相似文献   
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The issue of forgiveness affects everyone at some time or another; whether young or old, male or female, Christian or not. For the survivor of abuse, the issue of forgiveness journeys with them profoundly influencing their life, their recovery, and even their faith. Surviving Abuse: Shame, Anger, Forgiveness is an attempt to develop a theology of forgiveness from the perspective of a survivor of abuse.  相似文献   
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This paper has two objectives: (1) to develop a more complex measure of work involvement than that typically used, and (2) to correlate this measure with selected lifestyle/family and work variables. The data were drawn primarily from a 1981 survey of 110 female graduates of a large Midwestern university who completed their undergraduate degrees in 1967. Respondents were categorized as high, moderate, or low on a work involvement index based on four variables: work continuity, work status, current or most recent occupation, and educational achievement. Findings in the area of lifestyle/family suggest that high work-involved women are more likely to be single and to marry later when they do marry, less likely to have children, and less likely to perceive conflicts between marriage/relationships and/or children and a career. Findings in the area of work suggest that high work-involved women are significantly more likely to work in male-dominated occupations and to earn salaries of $20,000 or more. High work-involved women are also significantly more likely to be supervisors, to report that most of the people in their work group or branch are below them in rank/position, to be working with all or predominantly men, to have men above them in rank, and to have experienced sex discrimination on the job. In the area of job satisfaction, the differences by work involvement are not as pronounced. High work-involved women are significantly more likely to be employed and not job hunting — one measure of job satisfaction. However, they are no more or less likely than moderate or low work-involved women to perceive their job as a compromise with what they expected or to report overall job satisfaction. Some directions for future research are discussed.Environmental Strategies, Inc.Preparation of this report was supported, in part, by the Providence College Fund to Aid Faculty Research. Thanks are due to the staff of The Henry A. Murray Research Center of Radcliffe College for access to the 1970 questionnaires, to Sharon R. Jenkins for data processing consultation, and to the anonymous reviewers for their helpful suggestions.  相似文献   
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The National Society of Genetic Counselors' (NSGC) recommendations for fragile X syndrome (FXS) genetic counseling are intended to assist health care professionals who provide genetic counseling for individuals and families in whom the diagnosis of FXS is strongly suspected or has been made. The recommendations are the opinions of genetic counselors with expertise in FXS counseling and are based on clinical experience, a review of pertinent English language medical articles, and reports of expert committees. These recommendations should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular outcome. These recommendations do not displace a health care provider's professional judgment based on the clinical circumstances of a particular client.  相似文献   
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Many social welfare and social work students struggle to demonstrate competence in the complex process of critical reflection through to the stage of transformed thinking and action. Examples of how students learn critical reflection as an interpretive experience are scarce. This paper presents, as a case study, the process one of the authors experienced while critically reflecting on teaching critical reflection. The paper explores how this approach unlocked disturbing insights into how personally held values, views and knowledge influenced her performance relating to teaching critical reflection. Experiencing what she asks of her students raised questions regarding the duty of care that social welfare and social work educators have to ensure their students engage in critical, and transformative, self-discovery in safe and supportive ways. We propose that in the early stages of social welfare and social work degrees, rather than assessing students’ critical reflection of an event, educators examine students’ capacity to learn critical reflection in a different way. Drawing on critical hermeneutics, and a theory of visual thinking, the paper outlines the cognitive map of a process of critical reflection on teaching critical reflection. We present this as a metaphor of walking through a rainforest.  相似文献   
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