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An innovative employment counseling model, Customized Employment Supports, was developed for methadone‐treatment patients, a population with historically low employment rates. The effectiveness of a key component of the model, “vocational fieldwork,” the delivery of services in the community rather than only within the clinic, was assessed through a quasi‐experimental study of the first 55 patients receiving the model in 2 clinics. Employment outcomes after 6 months were compared between patients who received vocational fieldwork (n = 18) and those who did not (n = 37). Logistic regression analysis demonstrated that patients receiving vocational fieldwork had significantly better outcomes for competitive work, informal work, and any paid work.  相似文献   
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Forget about equality.   总被引:1,自引:0,他引:1  
Justice is widely thought to consist in equality. For many theorists, the central question has been: Equality of what? The author argues that the ideal of equality distorts practical reasoning and has deeply counterintuitive implications. Moreover, an alternative view of distributive justice can give a better account of what egalitarians should care about than can any of the competing ideals of equality.  相似文献   
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Violent rhetoric online is becoming increasingly relevant to the practice of forensic mental health assessment as examinee's virtual lives may transform into real-world acts of violence. With the rise of a diverse subculture of violent online communities, the aim of the present study was to inform how concerns with online sources of collateral data and racial/ethnic biases may influence determinations of violence potential. Using an experimental design, jury-eligible participants (N = 278) and forensic mental health experts (N = 78) were presented with mock Twitter (now referred to as X) posts that varied by data source (i.e., how information was accessed) and the examinee's race/ethnicity. Results showed no differences in participants' ratings of data credibility, how much weight they would place on the posts in a threat assessment, or how likely the examinee was to act violently against his intended target. Implications regarding the interpretation of social media evidence, relevant limitations, and future research are discussed.  相似文献   
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Many universities sponsor student-oriented transit services that could reduce alcohol-induced risks but only if services adequately anticipate and adapt to student needs. Human choice data offer an optimal foundation for planning and executing late-night transit services. In this simulated choice experiment, respondents opted to either (a) wait an escalating delay for a free university-sponsored “safe” option, (b) pay an escalating fee for an on-demand rideshare service, or (c) pick a free, immediately available “unsafe” option (e.g., ride with an alcohol-impaired driver). Behavioral-economic nonlinear models of averaged-choice data describe preference across arrangements. Best-fit metrics indicate adequate sensitivity to contextual factors (i.e., wait time, preceding late-night activity). At short delays, students preferred the free transit option. As delays extend beyond 30 min, most students preferred competing alternatives. These data depict a policy-relevant delay threshold to better safeguard undergraduate student safety.  相似文献   
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Despite the initial understanding of the word ‘triggered’ as relating to the clinical phenomenon of post-traumatic stress disorder (PTSD), this language has become a common part of the vernacular today, used by many people to apply to a wide variety of experiences and events. Counselling students are particularly sensitised to trauma, as well as identity politics, and are familiar with trigger warnings at college. They themselves have experienced trauma at high rates. Therefore, we were interested to understand how they might be using the word and interpreting the experience of being ‘triggered’, whether different sources of being triggered are related to emotional reactions, and whether a discourse analysis might indicate how and why the term has become useful and for what other experiences it might be serving as a stand-in. In this mixed-methods study, 79 counselling students from around the country shared their definitions and experiences of being ‘triggered’. Participants completed surveys and wrote narratives, which, via thematic qualitative analysis, were coded into five themes. The quantitative analysis focused on the relationship of feelings to themes and the relationship between anger suppression and coping with each theme. Discourse analysis explored how individuals wrote about responsibility and anger. It was discovered that those who wrote about being triggered from a past sexual assault did not discuss anger, nor the responsibility of others to protect them (as those who wrote about microaggressions did), but positioned themselves as overreactors. Results are discussed with regard to training and practice.  相似文献   
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In-person sources of social support buffer effects of stress on mental health. However, online social support inconsistently demonstrates stress-buffering effects. Highly stressful circumstances, such as the first month of COVID-19 lockdown, may be necessary to benefit from support received from online networks. We investigated whether online support demonstrated an increased stress-buffering effect on depressive symptoms during the first month of COVID-19 lockdown. We collected cross-sectional data on three distinct groups of participants from February to April 2020—preceding lockdown (pre-COVID; n = 53), up to four weeks following university closures (initial lockdown; n = 136), and the final weeks of the semester (later lockdown; n = 127). Initial lockdown participants reported significantly more stress than pre-COVID but not later lockdown participants. The online social support by stress by COVID phase interaction was only significant for the initial versus later lockdown comparison. Online support buffered stress during initial lockdown but not later lockdown. Stress-buffering effects of offline support were observed and did not depend on COVID phase. Online support may only buffer stress when stress is heightened and offline support is less available.  相似文献   
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Vann McGee has argued that, given certain background assumptions and an ought‐implies‐can thesis about norms of rationality, Bayesianism conflicts globally with computationalism due to the fact that Robinson arithmetic is essentially undecidable. I show how to sharpen McGee's result using an additional fact from recursion theory—the existence of a computable sequence of computable reals with an uncomputable limit (a Specker sequence). In conjunction with the countable additivity requirement on probabilities, such a sequence can be used to construct a specific proposition to which Bayesianism requires an agent to assign uncomputable credence—yielding a local conflict with computationalism.  相似文献   
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