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The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals. 相似文献
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James S. Howard MD 《Integrative psychological & behavioral science》1996,31(2):148-154
In this article a brief overview of the treatment of chronic psychosis for the last two centuries is covered, with particular emphasis on many scientifically demonstrated causes of chronic organic psychosis and their medically successful treatment, including recent neurotransmitter manipulations. With respect for the important contributions of Bleuler, the term “schizophrenic” is considered as an unscientific and unprovable nosological construct, which has hampered the successful resolution of chronic psychosis and has outlived its usefulness in the lexicon of modern psychiatry. 相似文献
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Temporal integration of speech prosody is shaped by language experience: an fMRI study 总被引:5,自引:0,他引:5
Gandour J Dzemidzic M Wong D Lowe M Tong Y Hsieh L Satthamnuwong N Lurito J 《Brain and language》2003,84(3):318-336
Differences in hemispheric functions underlying speech perception may be related to the size of temporal integration windows over which prosodic features (e.g., pitch) span in the speech signal. Chinese tone and intonation, both signaled by variations in pitch contours, span over shorter (local) and longer (global) temporal domains, respectively. This cross-linguistic (Chinese and English) study uses functional magnetic resonance imaging to show that pitch contours associated with tones are processed in the left hemisphere by Chinese listeners only, whereas pitch contours associated with intonation are processed predominantly in the right hemisphere. These findings argue against the view that all aspects of speech prosody are lateralized to the right hemisphere, and promote the idea that varying-sized temporal integration windows reflect a neurobiological adaptation to meet the 'prosodic needs' of a particular language. 相似文献
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Under natural conditions, human beings routinely have to choose among multiple alternatives which are associated with specific outcomes of varying desirability. Typically, decisions are based upon the processing of perceptual input, which introduces additional noise to the system. Bayesian decision theory (BDT) allows us to formalize decision under risk and to predict statistically optimal choice behavior. In the present study, human observers performed a classification task characterized by an extensive amount of perceptual uncertainty (auditory localization). In addition, a spatial reward function was imposed on the task. We set up a BDT model with no free parameters to serve as a benchmark for statistically optimal choices, and tested it against a purely perceptual model and a hybrid, heuristic model. In addition, we tested these three models with free rather than fixed parameters for the perceptual uncertainty and the peak of the reward function. The log likelihoods of the models given the empirical data were determined by means of Monte Carlo simulations. Bayesian model comparison (BMC) revealed that the BDT model with two free parameters was the most plausible among the tested models. The fitted parameter values for the peak of the reward function were consistently smaller than the actual peak reward communicated to the participants. The results are discussed in the context of an internal underweighting of the reward function. 相似文献
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