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81.
We propose a comprehensive explanation for gender differences in responses to supportive communication grounded in a dual-process theory of communication outcomes. Two studies confirmed consistent gender differences in responses by US college students to supportive communication and assessed the mediating effects of an ability factor (cognitive complexity) and two motivational factors (expressive and instrumental orientations) on situation elaboration and message evaluation. Study 1 focused on everyday comforting contexts (N?=?318), whereas Study 2 focused on bereavement (N?=?103). Both studies found that cognitive complexity mediated gender differences in situation elaboration and further found that cognitive complexity and expressive orientation collectively mediated gender differences in evaluative responses to supportive messages. Theoretical and pragmatic implications of the results are discussed.  相似文献   
82.
Self-ratings of health are uniquely predictive of morbidity and mortality, and they encompass people's evaluations of many medical, psychological, and social conditions in their lives. However, the longitudinal trajectory of self-rated health has not been evaluated to date. In the present study, 59-year longitudinal multilevel analyses (1940-1999) of data from 1,411 men and women revealed that self-rated health was relatively stable until age 50 and then began to decrease in an accelerating fashion through the rest of the life course. Men had higher self-rated health throughout most of adulthood than did women but had steeper linear rates of decline. As a result, the gender difference in self-rated health disappeared by late adulthood.  相似文献   
83.
This research examined the sustainability of Canada's At Home/Chez Soi Housing First (HF) programs for homeless persons with mental illness 2 years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five‐site, randomized controlled trial. Qualitative interviews were conducted with 142 participants (key informants, HF staff, and persons with lived experience) to understand sustainability outcomes and factors that influenced those outcomes. Also, a self‐report HF fidelity measure was completed for nine HF programs that continued after the demonstration project. A cross‐site analysis was performed, using the five sites as case studies. The findings revealed that nine of the 12 HF programs (75%) were sustained, and that seven of the nine programs reported a high level of fidelity (achieving an overall score of 3.5 or higher on a 4‐point scale). The sites varied in terms of the level of systems integration and expansion of HF that were achieved. Factors that promoted or impeded sustainability were observed at multiple ecological levels: broad contextual (i.e., dissemination of research evidence, the policy context), community (i.e., partnerships, the presence of HF champions), organizational (i.e., leadership, ongoing training, and technical assistance), and individual (i.e., staff turnover, changes, and capacity). The findings are discussed in terms of the implementation science literature and their implications for how evidence‐based programs like HF can be sustained.  相似文献   
84.
Equine-assisted therapy has become an increasingly popular complementary mental health treatment approach, but there is limited empirical research assessing the effectiveness of this practice. In particular, equine-facilitated psychotherapy has many potential benefits for the treatment of trauma in youth. The purpose of the proposed study was to investigate changes in levels of post-traumatic stress symptomatology and levels of the human-animal bond in children and adolescents ages 10–18 over the course of a 10-week equine-facilitated psychotherapy (EFP) intervention. Youth in the treatment group (n?=?36) participated in 10 weekly two hour EFP sessions, and were compared on changes in post-traumatic stress symptoms with a control group of participants (n?=?32) who continued to receive the already existing traditional therapeutic services provided by their treatment facility or outpatient therapist. Findings suggested a significant decrease in post-traumatic stress symptoms across the intervention for both the treatment and control group, but the treatment group did not decrease significantly more than the control group. These findings suggest that EFP may be an effective additional treatment modality for post-traumatic stress symptoms, but there was no evidence from this initial study that EFP was significantly more effective than traditional office-based therapy. Further research and discussion of the relative benefits of EFP compared to traditional treatment modalities is warranted.  相似文献   
85.
In two studies, the authors investigated the associations between interpersonal forgiveness and psychological well-being. Cross-sectional and prospective multilevel analyses demonstrated that increases in forgiveness (measured as fluctuations in individuals' avoidance, revenge, and benevolence motivations toward their transgressors) were related to within-persons increases in psychological well-being (measured as more satisfaction with life, more positive mood, less negative mood, and fewer physical symptoms). Moreover, forgiveness was more strongly linked to well-being for people who reported being closer and more committed to their partners before the transgression and for people who reported that their partners apologized and made amends for the transgression. Evidence for the reverse causal model, that increases in well-being were related to increases in forgiveness, was also found. However, changes in feelings of closeness toward the partner appeared to account for the associations of forgiveness with well-being, but not vice versa.  相似文献   
86.
ABSTRACT— People feel grateful when they have benefited from someone's costly, intentional, voluntary effort on their behalf. Experiencing gratitude motivates beneficiaries to repay their benefactors and to extend generosity to third parties. Expressions of gratitude also reinforce benefactors for their generosity. These social features distinguish gratitude from related emotions such as happiness and feelings of indebtedness. Evolutionary theories propose that gratitude is an adaptation for reciprocal altruism (the sequential exchange of costly benefits between nonrelatives) and, perhaps, upstream reciprocity (a pay-it-forward style distribution of an unearned benefit to a third party after one has received a benefit from another benefactor). Gratitude therefore may have played a unique role in human social evolution.  相似文献   
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88.
This article draws from Ivan Karamazov a two‐fold challenge to the goodness of God: that no one can forgive the infliction of suffering upon the innocent and that, even when forgiven, this suffering costs more than any good brought out of it. It then looks to Alyosha for a response to these challenges, suggesting that Christ can forgive because of the cross and that his doing so puts the innocent to a choice: either to join their suffering to his – and so maintain God's goodness – or to lose their innocence. This response helps supply another defect of theodicies that appeal to the compensatory goods that God brings out of innocent suffering, namely that it seems to make some kind of salvation necessary and not gratuitous. For here all innocent suffering is joined to the cross and so part of the economy of redemption, not something prior to redemption that renders it necessary.  相似文献   
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90.
Relational depth is an emergent counseling construct that captures the profound connection felt by client and counselor in moments of therapeutic encounter. We used interpretative phenomenological analysis to understand how 10 doctoral counseling students perceived curricular experiences designed to facilitate their ability to engage in relational depth. We identified the following themes: mutuality, counselor growth, externalized to internalized expectations, authenticity, impact of relational depth educational experiences, and relational depth reflection and articulation.  相似文献   
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