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61.
Genetic counseling of teenagers is challenging and complex. The ability to think abstractly, a sense of self and independence from family all develop during adolescence. Predictive genetic testing counseling protocols presuppose that these qualities exist, requiring the at-risk individual to consider the short and long term consequences of testing as well as their motivations. Eighteen year olds are in transition from adolescence to adulthood; eligible for predictive genetic testing, they may not yet be independent of their family or able to articulate their feelings. This paper presents case studies from the authors' clinical practice to illustrate some of the difficulties faced by genetic counselors when 18 year olds request predictive testing for Hereditary Non-Polyposis Colorectal Cancer. By reflecting upon their experiences with these young adults and their families, the authors' intention is to generate discussion about genetic counseling strategies, particularly for predictive genetic testing, that are both age-appropriate and family-sensitive. 相似文献
62.
The purpose of this study was to examine the relationships among negative affect, childhood sexual abuse (CSA), thought suppression, and diagnostic symptoms of borderline personality disorder (BPD) in a community sample (n=127). Findings suggest that the temperamental variable negative affect intensity/reactivity was a stronger predictor of BPD symptoms than CSA. In addition, results indicated that higher thought suppression mediated the relationship between negative affective intensity/reactivity and BPD symptoms, after controlling for a history of CSA. Overall, findings suggest that (a) negative affectivity may be a better predictor of BPD symptoms than CSA, and (b) chronic efforts to suppress unpleasant thoughts may be a regulation strategy underlying the relationship between intense negative emotions and BPD symptoms. 相似文献
63.
Using a new set of male figure drawings which(unlike the Stunkard, Sorensen, & Schulsinger, 1983figures) illustrate differing degrees of muscle massrather than body fat, college men and adult men selected their current figure, ideal figure,figure they thought most attractive to women and figurethat they thought would be the ideal for other men.Adult men's choices indicated satisfaction with their current bodies, but college men's selectionsindicated a desire to be larger (partly because theybelieve that a much larger body is what everybody {menand women} finds most attractive). The male body college women find most attractive is largerthan what college men indicate they currently have butsmaller than what the college men want to look like.Adult women chose an ideal male figure which is the same as that which the adult men indicate theyhave. Thus, selections using the new figure drawingsshow a desire for more muscle mass in college men andsatisfaction in adult men, while selections using the Stunkard et al. (1983) figuredrawings indicated satisfaction in college men and adesire for less body fat in the adult men (Rozin &Fallon, 1988). Both sets of figures provide valuableinformation. 相似文献
64.
A reanalysis of a large multi-generational,predominantly Caucasian sample of adults found a largegender difference in self-reported depression involvinganxiety, appetite and sleep disturbance, and fatigue (anxious somatic depression) butnot in pure depression unaccompanied bymany of these other symptoms, replicating earlierfindings on high school and college samples. Anxioussomatic depression was prevalent among women whosefathers reported attitudes of male superiority and amongwomen whose mothers reported emphasizing the importanceof professional success but feeling that the jobs they held were not respected by others. Anxioussomatic depression, but not pure depression, was foundto be prevalent among women who did not attend collegeand among those who attended college but felt that the jobs they held were not respected byothers. 相似文献
65.
Gordon Lynch 《British Journal of Guidance & Counselling》1998,26(4):525-531
Counselling theories have typically assumed a nomenclaturist view of language. This has been subject to increasing criticism in this century. Two alternative views of language and reality to nomenclaturism are discussed as a basis for post-modern therapeutic practice. It is argued that a post-modem view of counselling should recognise both the value and limitations of language, and in doing so should recognise the value and limitations of counselling as a means of therapy. 相似文献
66.
F W Craig J J Lynch J L Quartner 《Integrative Physiological and Behavioral Science》2000,35(4):272-283
OBJECTIVE: Numerous studies have observed a relationship between social support (SS) and post coronary event survival. Laboratory research suggests one mechanism regulating this relationship may be exaggerated cardiovascular reactivity (CVR). What has not been as well explored is (1) whether the SS-CVR relationship holds up for a heart diseased sample, and (2) whether this relationship is evidenced only in supportive environments or can be found as a function of generalized perception of being socially supported. Thus, the purpose of this study was to examine the relationship of perceived SS and a locally supportive presence to CVR to a speech-induced stressor in post coronary event patients. METHOD: Forty-one Phase II cardiac rehabilitation patients participated in a research protocol that consisted of BP and HR measurement during two identical affective stress interviews where local support was systematically varied by presence or absence of a friendly small pet dog. Perception of SS was assessed by completion of psychosocial questionnaire packet that included measures of SS, anger expression and pet attachment. RESULTS: Repeated measures ANCOVAs revealed that patients who believed they had greater SS available to them during difficult times exhibited significantly less CVR for MAP (p<.007) and DBP (p<.024). No significant main effects for local support (pet presence) and no interactions between local and perceived support were found. CONCLUSIONS: These findings are of interest as they: (a) demonstrate an association between reduced CVR and higher (amounts of) SS in a clinical sample; (b) demonstrate this effect in a sample medicated to dampen CV levels and surges; (c) suggest that perceived amount of SS provides an ameliorative influence on CVR independent of situational support; (d) suggest that for certain conditions pet-models of support may be ineffective at establishing an local support presence. 相似文献
67.
An inhibitor of integrin receptors blocks long-term potentiation 总被引:5,自引:0,他引:5
68.
Parental enabling attitudes and behavior interfere with the child's ability to take responsibility for his or her behavior. Enabling is expressed in overprotectiveness and manipulation in which parents insulate their children from unpleasant circumstances and from making mistakes. Unfortunately, these are the very situations in which most children learn self-control, independence, and strategies to correct aberrant behavior. Children of enabling parents often fail to learn that their actions have consequences. The Lynch Enabling Survey for Parents (LESP), a forty-item questionnaire designed to assess the enabling behavior of parents, was evaluated to establish its psychometric properties. In Experiment 1, 416 parents responded to the LESP. The instrument was determined to be reliable (rs = .84 and .92 for split-half and test-retest reliability, respectively) and valid. Factor analysis established four factors, assessing Direct Enabling Parent Involvement, Indirect Nonenabling Parent Involvement, Direct Nonenabling Parent Involvement, and Indirect Enabling Parent Involvement. In Experiment 2, the LESP and the Nowicki-Strickland Locus of Control Scale were used to assess the differences between ninth-grade at-risk and honors students and their parents. The responses of parents of at-risk students on the LESP were significantly more enabling than were the responses of the parents of honors students. At-risk and honors students were also significantly different in their locus of control. Lastly, there was a significant relationship between parents' LESP scores and their children's locus of control scores. 相似文献
69.
In this study, we examined some of the ways in which broader ecological systems may influence the organization of behavior within the family system. Specifically, links between exposure to community violence and children's relationships with maternal caregivers were investigated in a sample of 127 urban children between the ages of 7 and 13 years. Children were asked to indicate whether they had been exposed to a wide variety of violent events. In addition, their feelings of relatedness and separation anxiety, and their perceptions of maternal behavior were assessed. It was expected that exposure to community violence would be associated with feeling less secure with caregivers. Consistent with predictions from ecological-transactional theory, data supported this hypothesis. Children who reported that they had been exposed to high levels of community violence also indicated that they felt less positive affect when with their caregiver, were dissatisfied with how close they felt to her, felt more separation anxiety, and reported more negative maternal behavior than children exposed to less violence. Findings are discussed in terms of how violence may affect the family system and the protective function of human attachment. 相似文献
70.
Deffenbacher JL Filetti LB Lynch RS Dahlen ER Oetting ER 《Behaviour research and therapy》2002,40(8):895-910
Relaxation and cognitive-relaxation interventions were compared to a no treatment control in the treatment of high anger drivers. The cognitive portion of the cognitive-relaxation condition adapted the style of Beck's cognitive therapy, particularly use of Socratic questions and behavioral experiments and tryouts, to driving anger reduction. Both interventions lowered indices of driving anger and hostile and aggressive forms of expressing driving anger and increased adaptive/constructive ways of expressing driving anger. The cognitive-relaxation intervention also lowered the frequency of risky behavior. Both interventions lowered trait anger as well. Limitations and implications for treatment and research were discussed. 相似文献