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The case of a 36-year-old man who suffers dense retrograde and anterograde amnesia as a result of closed-head injury that caused extensive damage to his left frontal-parietal and right parieto-occipital lobes is described. Patient K.C. has normal intelligence and relatively well-preserved perceptual, linguistic, short-term memory, and reasoning abilities. He possesses some fragmentary general knowledge about his autobiographical past, but he does not remember a single personal event or happening from any time of his life. He has some preserved expert knowledge related to the work he did for 3 years before the onset of amnesia, although he has no personal recollections from that period. Some features of K.C.'s retrograde amnesia can be interpreted in terms of the distinction between episodic and semantic memory, and in terms of the distinction between episodic and semantic autobiographical knowledge. K.C.'s semantic knowledge, but not his episodic knowledge, showed progressive improvement, or priming, in the course of the investigation. 相似文献
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McLachlan GJ 《心理学方法》2011,16(1):80-1; discussion 89-92
I discuss the recommendations and cautions in Steinley and Brusco's (2011) article on the use of finite models to cluster a data set. In their article, much use is made of comparison with the K-means procedure. As noted by researchers for over 30 years, the K-means procedure can be viewed as a special case of finite mixture modeling in which the components are in equal (fixed) proportions and are taken to be normal with a common spherical covariance matrix. In this commentary, I pay particular attention to this link and to the use of normal mixture models with arbitrary component-covariance matrices. 相似文献
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The current research explored 16 of Young's schemas in relation to trait anger and to anxiety and depression symptoms among 262 non‐clinical Australian adults with low‐level symptomatology and average anger levels. The study partially replicated previous work with a sample of Spanish students that investigated the relationship between anger, depression, and anxiety and Young's schemas. Predictions derived from Beck's notion of cognitive specificity were examined using structural equation modelling and showed that of the sixteen schemas, Vulnerability was linked to anxiety, Social Isolation and Enmeshment were linked to depression, and Entitlement, Insufficient Self‐Control, Mistrust and Abuse, Subjugation (negatively), and Abandonment were linked to anger. The discrepancies between these and the Spanish findings and the difficulties of other researchers in establishing higher order aggregations of Young's schemas prompted further consideration of the range of such schemas with respect to anger, depression, and anxiety, and the possibility that sample characteristics may play a critical role in determining the varying affect—schema relationships. 相似文献
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Dr CS Mizen MBBS MRCPsych 《Psychoanalytic Psychotherapy》2013,27(1):17-35
An account is given here of a rather unorthodox approach to psychodynamic therapy with Borderline patients in part of the therapeutic community at the Cassel Hospital. ‘Combined therapy’ here refers to the setting in which one therapist sees patients in groups and individual sessions concurrently. The paper demonstrates the manner in which this approach brings to the fore the massive destructiveness and rage which so often lies at the core of these patients' difficulties. This is done by describing the development of the group over its first nine months. The therapist comes to be split in the patient's perception, the group sessions representing separation in all its most hated aspects rather than as a prerequisite for differentiation and growth. The resultant rage and destructiveness threaten to render the group unworkable and dangerous. The individual sessions, by contrast, represent a fantasy of being regressed and at one with the ideal mother. It is my belief that these difficulties can be contained only within a therapeutic community. The strength of this approach lies in the vivid reconstruction of a central conflict for these patients and corresponding potential for working through difficulties in the area of separation and individuation. It is also particularly effective in bringing the therapeutic community alive within the therapy. The discussion attempts to address some of the complex theoretical issues raised by the transformation of the transference in both settings which occurs when they are used together and with the same therapist. 相似文献
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Marilyn Lewis Lanza Rn DNSc CS Helene Satz PsyD. James Stone Herbert L. Kayne Ph.D. 《Group》1995,19(4):195-219
The purpose of this research was to determine if psychodynamic group psychotherapy decreases the occurrence of physical assault by male group members. The design of the study was a randomized clinical trial. Patients assigned to the control group received the customary clinical care. Patients assigned to the Group Therapy attended a psychodynamic psychotherapy group to help them cope with their aggressive impulses. Both quantitative and qualitative measures were used. Group members showed decreased expression of anger at followup, increased effort to control anger at followup, and decline in aggressive behavior. Control subjects demonstrated no change in level of angry feelings, increased expression of anger at follow-up, decrease in effort to control anger at follow-up, and no change in aggressive behavior. A model for conducting a psychodynamic psychotherapy group for assaultive men was developed which describes process and content aspects as well as leader interventions by group phase. 相似文献
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Abstract The present study utilised a cognitive paradigm to examine attentional biases in mildly depressed persons. Twelve depressed and 12 nondepressed subjects completed an attentional task similar to that employed by MacLeod, Mathews, and Tata (1986). A tachistiscope was used to present subjects with a series of word pairs, each with one word printed above the other. Three types of word pairs were presented: manic-neutral, depressed-neutral, and manic-depressed. Selective attention to one member of a word pair was assessed using ac perception task. Based on cognitive models of depression, it was hypothesised that the depressed subjects would attend more to depressed-content words than to manic- or neutral-content words, whereas the nondepressed subjects would not exhibit any attentional biases. In contrast to these predictions, analyses indicated that whereas the depressed subjects attended equally to depressed-, manic-, and neutral-content words, the nondepressed subjects attended more to manic-content than they did to neutral- or depressed-content words. These results add support to the documentation of evenhandedness in the cognitive functioning of depressed subjects, and of self-sewing biases in nondepressed subjects. The present findings are discussed in terms of a zoom lens model of attention, in which depressed persons attempt to exhaustively process their sensory world, but with a loss of attentional resolution. In contrast, nondepressed individuals attempt to process a more limited portion of their sensory world, but with an increase in attentional power. Finally, directions for future research in this area are offered. 相似文献