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161.
Simon Rietveld Annemarie M. Kolk Pier J. M. Prins Ilja van Beest 《Psychology & health》2013,28(4):553-563
Abstract The relevance and significance of the concept of a ‘competition of cues’ for the understanding of symptom perception in childhood asthma was investigated during detection of externally applied resistive loads on breathing. The concept predicts that subjects would respond less frequently and less accurately during external stimulation. The sample consisted of 36 children with and 36 without asthma, aged 7-18 years. Detection of airflow was measured in a neutral and in an external stimulation condition. The children breathed through a facemask and responded to changes in airflow by pressing a button. The stimulus presented and withdrawn was analogous to a decrease in lung function (Forced Expiratory Volume in one second) of 39%. Accuracy of detection of airflow was defined as correct minus false positive responses to load stimuli. The results showed that children with and without asthma responded significantly less frequently during external stimulation than in the neutral condition. However, the accuracy of detection among non-asthmatics was not affected by external stimulation. Children with asthma responded significantly more accurately during external stimulation. The results are discussed in the light of children's accuracy to perceive actual airways obstruction. 相似文献
162.
Simon P. James 《当代佛教》2013,14(2):143-157
Part IIt is a perennial theme in the literature on environmental ethics that the exploitation of the environment is the result of a blindness to (or perhaps a refusal to recognize) the intrinsic value of natural beings. The general story here is that Western traditions of thought have tended to accord natural beings value only to the extent that they prove useful to humans, that they have tended to see nature as only instrumentally valuable. By contrast, it is said that a new, environmentally friendly understanding of the world would value nature ‘for its own sake’, would conceive natural beings as having intrinsic value. In the light of such an understanding, the oak tree, for instance, would be seen not merely as a source of timber or shade or as a decoration for the front lawn, but as valuable ‘in itself’, as having an intrinsic value that ought to be respected (see further, O'Neill 1993, chapter 2). 相似文献
163.
Simon Bronner 《Journal of Modern Jewish Studies》2013,12(1):35-58
Shortly after the Second World War, Jewish communities in the Czech lands began to remember the Jewish victims of the conflict through a ceremony called the “tryzna”. This article investigates the structure and timing of tryzny to understand how Czech‐Jews memorialized the tragedy that had recently befallen their community. By 1952, it became standard practice for Jewish communities to host a tryzna in March to commemorate the Nazi liquidation of the so‐called “Czech family camp” at Auschwitz‐Birkenau in 1944. The proliferation of tryzny ensured that Czech‐Jews mourned and commemorated the dead of the Second World War in a religious and then increasingly public way. What began as small community events, coalesced and grew into national mourning ceremonies. Tryzny link a national story of loss and an awareness of the larger Jewish genocide with Jewish funerary practices. These tryzny evolved within a communist state, in a world where the concept of the “Holocaust” had not yet entered international consciousness. 相似文献
164.
Physicians make some medical decisions without disclosure to their patients. Nondisclosure is possible because these are silent decisions to refrain from screening, diagnostic or therapeutic interventions. Nondisclosure is ethically permissible when the usual presumption that the patient should be involved in decisions is defeated by considerations of clinical utility or patient emotional and physical well-being. Some silent decisions—not all—are ethically justified by this standard. Justified silent decisions are typically dependent on the physician's professional judgment, experience and knowledge, and are not likely to be changed by patient preferences. We condemn the inappropriate exclusion of the patient from the decision-making process. However, if a test or treatment is unlikely to yield a net benefit, disclosure and discussion are at times unnecessary. Appropriate silent decisions are ethically justified by such considerations as patient benefit or economy of time. 相似文献
165.
Nicky Dekker Eleonora B. L. van Dorst Rob B. van der Luijt Marielle E. van Gijn Marc van Tuil Johan A. Offerhaus Margreet G. E. M. Ausems 《Journal of genetic counseling》2013,22(3):345-357
Referral of patients with endometrial (EC) and/or ovarian cancer (OC) for genetic counseling is based on age at diagnosis and family history. Many patients with hereditary cancers are missed by following this strategy. We determined acceptance and mutation detection rate of offering genetic counseling and testing to unselected EC and OC patients. Therefore, in 2007, EC and OC patients were invited for genetic counseling and testing. Patients were asked for their reasons to accept or decline. Nineteen out of fifty-two EC patients (36 %) and twenty-two out of thirty-five OC patients (63 %) accepted genetic counseling, mainly to receive risk assessment for themselves and relatives. Counseling was declined mainly because patients did not want more tests or had no relatives for whom it was relevant. Eighteen out of nineteen EC patients (95 %) and twenty out of twenty-two OC patients (91 %) underwent genetic testing. One EC patient carried an MSH6 mutation (mutation detection rate: 6 %). BRCA1/2 mutations were found in two out of twenty OC patients (10 %). Eleven patients (29 %) received surveillance recommendations for themselves and their relatives. Finally, family history recorded by the gynecologist was compared to that taken by the clinical geneticist. Gynecologists reported family history in ten out of forty-one participants (24 %). In conclusion, genetic counseling and testing are acceptable to patients with OC and/or EC. The 10 % BRCA1/2 mutation detection rate and underreporting of family history by gynecologists warrant referral for genetic counseling for all OC patients, followed by BRCA1/2 testing if indicated. We recommend that microsatellite instability and immunohistochemical analysis be performed in all EC patients, followed by genetic counseling if appropriate. These strategies will lead to better cancer prevention in gynecological cancer patients and their relatives. 相似文献
166.
Simon O'loughlin 《Journal of constructivist psychology》2013,26(2):143-147
Seven couples referred to a clinical psychologist for marital therapy or psychosexual counseling were asked to complete a variety of repertory grid ratings and a marital satisfaction questionnaire. Links between understanding, similarity, perceived similarity, and marital satisfaction were examined; sex differences were also considered. In this small sample, understanding, similarity, and marital satisfaction were not found to be related. The men did tend to be better than the women at predicting their respective partner's grid. These findings are discussed in relation to previous research on marital satisfaction within the personal construct literature. 相似文献
167.
This article reports three experiments that investigated the relationship between working memory capacity and syllogistic and five-term series spatial inference. A series of complex and simple verbal and spatial working memory measures were employed. Correlational analyses showed that verbal and spatial working memory span tasks consistently predicted syllogistic and spatial reasoning performance. A confirmatory factor analysis showed that three factors best accounted for the data—a verbal, a spatial, and a general factor. Syllogistic reasoning performance loaded all three factors, whilst spatial reasoning loaded only the general factor. The implications of these findings are discussed in the context of reasoning theories and contemporary accounts of the structure of working memory. 相似文献
168.
Stephen E. Newstead Peter Bradon Simon J. Handley Ian Dennis Jonathan St. B. T. Evans 《Thinking & reasoning》2013,19(1):62-90
The aim of the present research was to develop a difficulty model for logical reasoning problems involving complex ordered arrays used in the Graduate Record Examination. The approach used involved breaking down the problems into their basic cognitive elements such as the complexity of the rules used, the number of mental models required to represent the problem, and question type. Weightings for these different elements were derived from two experimental studies and from the reasoning literature. Based on these weights, difficulty models were developed which were then tested against new data. The models had excellent predictive validity and showed the relative influence of rule based factors and factors relating to the number of underlying models. Different difficulty models were needed for different question types, suggesting that people used a variety of approaches and, at a wider level, that both mental models and mental rules may be used in reasoning. 相似文献
169.
Simon Hope 《Res Publica》2013,19(1):37-52
It is sometimes held that modern institutionally-focussed conceptions of social justice are lacking in one essential respect: they ignore the importance of civic friendship or solidarity. It is also, typically simultaneously, held that Aristotle’s thought provides a fertile ground for elucidating an account of civic friendship. I argue, first, that Aristotle is no help on this score: he has no conception of distinctively civic friendship. I then go on to argue that the Kantian distinction between perfect and imperfect duties is more useful than talk of civic friendship in capturing the non-institutional demands of social justice. 相似文献
170.
Simon Heyland 《欧洲心理治疗、咨询与健康杂志》2013,15(3):345-347
This article seeks to explore how John Rolland's Family Systems Illness Model can be utilized by counselling psychologists working with individuals or families experiencing medical problems. Based on systemic theory the model provides a psychosocial typology of illness and examines how the demands of an illness over time can provide a number of hurdles to be overcome by the client and his/her family. Specific examples and techniques are described to illustrate how the application of the model can be used to guide the interventions employed in a counselling session. the model applies a biopsychosocial approach to health care, and the applicability of this within a British NHS healthcare setting is discussed with the conclusion that such an approach may be in its infancy in this country. Limitations and ideas for expansion of the model from chronic physical illness into spheres of mental health are discussed. 相似文献