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251.
Vitevitch and Luce (1998) showed that the probability with which phonemes co-occur in the language (phonotactic probability) affects the speed with which words and nonwords are named. Words with high phonotactic probabilities between phonemes were named more slowly than words with low probabilities, whereas with nonwords, just the opposite was found. To reproduce this reversal in performance, a model would seem to require not merely sublexical representations, but sublexical representations that are relatively independent of lexical representations. ARTphone (Grossberg, Boardman, & Cohen, 1997) is designed to meet these requirements. In this study, we used a technique called parameter space partitioning to analyze ARTphone’s behavior and to learn if it can mimic human behavior and, if so, to understand how. To perform best, differences in sublexical node probabilities must be amplified relative to lexical node probabilities to offset the additional source of inhibition (from top-down masking) that is found at the sublexical level.  相似文献   
252.
Spirituality or religion often presents as a foreign element to the clinical environment, and its language and reasoning can be a source of conflict there. As a result, the use of spirituality or religion by patients and families seems to be a solicitation that is destined to be unanswered and seems to open a distance between those who speak this language and those who do not. I argue that there are two promising approaches for engaging such language and helping patients and their families to productively engage in the decision-making process. First, patient-centered interviewing techniques can be employed to explore the patient's religious or spiritual beliefs and successfully translate them into choices. Second, and more radically, I suggest that in some more recalcitrant conflicts regarding treatment plans, resolution may require that clinicians become more involved, personally engaging in discussion and disclosure of religious and spiritual worldviews. I believe that both these approaches are supported by rich models of informed consent such as the transparency model and identify considerations and circumstances that can justify such personal disclosures. I conclude by offering some considerations for curbing potential unprofessional excesses or abuses in discussing spirituality and religion with patients.  相似文献   
253.
Each year individuals are required to execute millions of authorizations for the release of their health records as a condition of employment, applying for various types of insurance, and submitting claims for benefits. Generally, there are no restrictions on the scope of information released pursuant to these compelled authorizations, and the development of a nationwide system of interoperable electronic health records will increase the amount of health information released. After quantifying the extent of these disclosures, this article discusses why it is important to limit disclosures of health information for nonmedical purposes as well as how it may be possible to do so.  相似文献   
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255.
Abstract— Does group discussion and deliberation on one issue or task influence the members' decisions or opinions on other issues? In contrast to past research looking solely at changes in responses to the same item discussed by the group, this study examined whether group interaction results in members changing the way they make judgments on related items in the future. The results show that group discussion and consensus on one set of judgments led to a significant convergence of judgmental strategies that extended to a related (but different) set of judgments the members made later as individuals.  相似文献   
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The purpose of this paper is to examine factors that affect the calibration of judgments by systematically comparing experts’ judgments to novices’ when solving a complex, real-world problem that varies in its initial characteristics. Calibration in this context refers to the proportion of times decision makers provide a range about their best estimates that includes the actual outcome. We found that experts specify a narrower range and provide more accurate best estimates than novices. But their tighter ranges are not justified by their greater accuracy: they are less likely to encompass the actual outcome than are novices. However, this effect is attenuated when solving more complex problems. Novices apparently underestimate the complexity of difficult problems, hence the accuracy of their best estimates decreases as does the width of their ranges, resulting in worse calibration. The performance of experts was not significantly different across problem solving conditions. Both groups provided asymmetrical ranges about their best estimates, which suggests they account for the effect of subproblem dependencies.  相似文献   
258.
Self-restraint and self-injurious behavior (SIB) are two responses that can sometimes be members of the same functional response class (i.e., maintained by the same contingency). In such cases, a single treatment should be effective for both responses. In this investigation, we examined the effects of providing attention (the presumed reinforcer) both noncontingently and contingent upon either SIB or self-restraint. Results were consistent with our hypothesis that both responses were maintained by attention and suggested that noncontingent reinforcement was a potentially effective treatment.  相似文献   
259.
This paper argued that problems of coordination and integration of community mental health systems are best approached from a network perspective in which all linkages between agencies are considered simultaneously. Structural coordination and integration can be assessed through the analysis of these linkages. The utility of this approach was demonstrated by deriving a typology of system "cracks" from network analytic constructs. A network analysis of a community mental health service network was then generated to illustrate how these cracks can be empirically identified. It is suggested that mental health planners will find both the network analytic approach and the typology of cracks useful for addressing problems of coordination and integration.  相似文献   
260.
Fourth-, fifth-, and sixth-grade students responded to a questionnaire concerning their experiences with electronic videogames and computers. Teacher ratings of academic achievement, personality characteristics, and behavior patterns were also obtained for each student. These data were used to examine a number of hypotheses concerning potential harmful or beneficial effects of electronic videogames on school-age children, and to provide preliminary evidence concerning the correlates of computer usage by school-age children. Videogame usage showed significant positive correlations with teacher ratings of impulsivity, significant negative correlations with ratings of academic achievement, and little relationship to rated sociability. Videogame use also proved positively related to other social activities and to microcomputer use.  相似文献   
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