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11.
The Heart of the Matter: An Essay about the Effects of Managed Care on Family Therapy with Children*
Ellen Pulleyblank Coffey Ph.d. Mary E. Olson Ph.d. Phebe Sessions Ph.d. 《Family process》2001,40(4):385-399
This essay is based on a pilot study that examined the effects of managed care on the treatment of children and families, with special attention to community mental health. We embarked on the pilot study to test the accuracy and generalizability of our impression that family therapy and other systemic practices have been marginalized in ordinary clinics and agencies, and to understand the reasons why. We interviewed managed care providers, researchers, family therapy trainers, and clinicians in the Northeast. Our findings led to seven themes that support our impression that, even though there is a consensus about the need for coordinated family-based services, there is a disconnection between state policies, contractual requirements and what is actually occurring at the implementation level. This study suggests that our knowledge of human systems may be in danger of being disqualified and lost, with damaging consequences for the care of children. Yet, as systemic thinkers and practitioners, it is our belief that ethical and effective treatment need not be at odds with care that is cost-efficient. The direction of our future research will be to study whether the involvement of all stakeholders at all levels of planning and training leads to systemic family-based practices that consistently save costs and provide high-quality care. 相似文献
12.
Anne Gaboury Robert Ladouceur Genevive Beauvais Lucie Marchand Yves Martineau 《International journal of psychology》1988,23(1-6):283-291
Empirical studies in the psychology of gambling have revealed at least two well supported findings: (1) irrational cognitions outnumber rational cognitions during gambling (Gaboury and Ladouceur, 1987; Ladouceur, Gaboury, Dumont and Rochette 1988); (2) risk-taking behavior increases as a function to exposure to gambling activities (Ladouceur, Mayrand and Tourigny 1987; Ladouceur, Tourigny and Mayrand 1986). The present study compared regular and occasional gamblers on cognitive and behavioral measures during a blackjack session using the thinking aloud method. The results confirmed that regular players emitted more irrational thoughts than occasional gamblers. The theoretical and practical implications of those results are discussed within the general context of the psychology of gambling. 相似文献
13.
Patrick J. Schloss Christine Santoro Constance Ellen Wood Mary Jo Bedner 《Journal of applied behavior analysis》1988,21(1):97-102
Interview skills deficits may limit employment prospects of mentally retarded adults. Although numerous papers highlight the importance of interview skills, few have validated effective strategies for use with mentally retarded persons. Further, there has been a lack of research contrasting rival interview skills training strategies. The present study was conducted with two mentally retarded young adults. It contrasted peer-directed instruction, in which both participants were equally deficient in the target skills, with teacher-directed instruction. Results of the investigation indicated that instruction, rehearsal, and feedback may be effective strategies regardless of who provides instruction. Comparisons of teacher-directed and peer-directed instruction indicated little or no difference in the effectiveness of the two procedures. However, the peer-directed procedure involved considerably less staff time than did the teacher-directed procedure. 相似文献
14.
Robert A. Caldwell G. Anne Bogat William S. Davidson II 《American journal of community psychology》1988,16(5):609-624
A frequently advocated strategy for increasing the efficiency of child abuse prevention programs is to deliver prevention services to "high-risk" populations. This article critically reviews procedures for the reliable and valid assessment of child abuse potential within an ecological perspective. Factors that limit the usefulness of child abuse risk assessment are discussed. These factors include the uncertain criteria of child abuse and neglect, the low base rate of the phenomenon, and the financial and social costs of such procedures. Finally, the prevention implications of the current and future state of the art in child abuse risk assessment are considered and preventive interventions that do not depend on individual case risk screening are advocated. 相似文献
15.
Processing resources and age differences in working memory 总被引:1,自引:0,他引:1
This study investigated the performance of young and old subjects on a modified version of the working memory task developed by Baddeley and Hitch (1974). Subjects were required to verify a set of sentences of varying complexity while they repeated aloud zero, two, or four words. The older subjects took longer to verify the sentences, especially when the sentences were grammatically complex, but the effect of concurrent memory load on verification latency was the same in both groups. These results cast doubt on the notion that there is an age-related decline in one general pool of processing resources. They also suggest that older people have greater difficulty with the active processing aspects, rather than with the passive holding aspects, of working memory tasks. 相似文献
16.
Maternal depression and its relationship to life stress,perceptions of child behavior problems,parenting behaviors,and child conduct problems 总被引:3,自引:0,他引:3
This study examined the relationship of reported maternal depression to prior and current life stressors, and to mother perceptions of child adjustment, parenting behaviors, and child conduct problems. Forty-six depressed mothers and 49 nondepressed mothers and their clinic-referred children (aged 3-8 years) participated. Depressed mothers were more critical than nondepressed mothers, but the behavior of children of depressed and nondepressed mothers showed no significant differences. Depressed mothers were more likely to have experience child abuse, spouse abuse, or more negative life events than nondepressed mothers. Maternal reports of stress related to mother characteristics and to negative life events were the most potent variables discriminating depressed from nondepressed mother families. 相似文献
17.
Within two weeks of the explosion of the space shuttle Challenger, 188 subjects rated and ranked questionnaire items, and completed open-ended questions reporting their responses to and concerns arising from the accident. Analysis of open-ended responses showed females focused more on communal, person-centered aspects of the tragedy than did males. Analysis of ratings showed females viewed person-oriented issues as more important than did males. However, males and females did not differ in rankings assigned the items nor in ratings of the importance of the technological issues. Claims about sex differences in moral orientation are discussed in light of the results of this study. 相似文献
18.
Thirty children and 5 adults participated in two experiments designed to compare visual processing in normal and reading disabled children. The children were aged 8, 10, and 12 years. In Experiment 1, subjects were asked to detect the temporal order of two briefly presented stimuli. In Experiment 2, subjects sorted cards containing bracket stimuli that did or did not produce perceptual grouping effects. Poor readers required more time to make accurate temporal order judgments and showed stronger perceptual grouping effects. For both good and poor readers, the amount of time necessary to make a correct temporal order judgment decreased, and perceptual grouping effects became weaker with age. However, the magnitude of the difference between the groups did not lessen with age. These results suggest that there are visual processing differences between good and poor readers that do not appear to correct by age 12. 相似文献
19.
Anne M. Hoenkamp-Bisschops psychologist 《Journal of religion and health》1992,31(4):327-336
This paper presents some results of an in-depth interview study on the celibate experience of Roman Catholic priests. Twenty-four parish priests who were able and willing to talk about their celibacy were interviewed in five- to six-hour-long sessions. The purpose of the study was to gain more insight into the psychodynamics of being obliged to live a celibate life. Three varieties of celibate experience that we discovered in our research population will be presented. Also the problematic relationship between celibacy and mental health will be discussed.This research was partly supported by the Dutch Centre for Studies in Mental Health (KSGV). 相似文献
20.
Recently, the attitudes held by Australians towards tobacco company advertising and sponsorship have become the focus of much public discussion and the concern of psychological researchers and opinion pollsters. Community attitude surveys have been commissioned by both supporters and opponents of the tobacco industry. Paradoxically, the data obtained from these surveys allow each protagonist to state that the majority of Australians agree with their viewpoint The present authors have identified several sources of possible bias in two surveys as causes of contradictory research findings. A questionnaire was designed which attempted to reduce the sources of bias and which incorporated other methodological refinements. The data obtained highlight how the form of the questions may substantially influence responses in attitude surveys. 相似文献