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Psychiatric and psychological assessment after parasuicide is characterized by a number of difficulties. The interview is a strategically complex task for the patients trying to accommodate the wishes of the psychiatrist/psychologist and their own goals. The psychiatrist/ psychologist on the other hand needs to gain information about the event and the patient's mental state, has to assess the risk of further suicidal behaviour, and has to motivate the patient for treatment. In our experience a routine video prompted recall or self-confrontation interview, can be a helpful means of talking with the patient about his or her feelings and cognitions during the interview. Furthermore, it allows clarification of the processes leading to parasuicide. The procedure of administering a self confrontation interview is described, the theoretical background for interpreting the results is outlined and some examples of patient interviews are presented. It is demonstrated that this method allows access to additional information on the patients' thinking and emotions during the interview and that it also provides more details of the suicidal process.  相似文献   
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Since the inception of the empirical study of personality, and even before it, individual differences in anxiety and distress have been viewed as key predictors of behavioral performance. Yet such literatures have always entertained 2 perspectives, one contending that anxious individuals are "driven" and the other contending that anxious individuals are "distracted." The present 3 studies (total N=289) sought to reconcile such discrepant views according to an ex-Gaussian parsing of reaction time performance tendencies in basic cognitive tasks. As hypothesized, a particular pattern marked by faster responding on the preponderance of trials (in terms of the ex-Gaussian μ parameter) in combination with slower responding on other trials (in terms of the ex-Gaussian τ parameter) was predictive of higher levels of anxiety. Implications for understanding neuroticism, distress, the anxiety-performance interface, and cognitive models of personality processes are discussed.  相似文献   
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Starting from the analysis of a seemingly irritating intervention of the therapist in the first encounter with a patient after an attempted suicide, the authors examine the question of the humorousness of this intervention and of the significance of such a potentially risky intervention for the development of the relationship. On the basis of the conversation-analytical examination of this particular episode, the article concerns itself with the conceptual relationship between the humorous attitude of Freud and the modern technical concept of giving credit. The concept of giving credit refers to a development-encouraging therapeutic attitude based on a benevolent but demanding attitude towards the patient. Humor in therapy may be seen as the manifestation of such a benevolent but demanding stance towards the patient as it offers the patient an alternative positioning of himself. The impertinent aspect of humor may be seen as a playful therapeutic invitation to try a different self-state. Theoretical and technical considerations on the relationship of the concept of giving credit and the classic concept of the humorous attitude are discussed.  相似文献   
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The history of careers guidance in Northern Ireland has many similarities but also many differences from experiences in other parts of the UK. The Careers Service has remained within central government for the duration, and this has provided a degree of consistency in service provision over time. In line with the Department for Employment and Learning's Corporate Plan for 2005-2008, the new Careers Service for Northern Ireland will aspire to be an all-age guidance service. The development of careers education provision in the education sector is examined, as is the emergence of adult guidance as a province-wide provision. Issues considered include staffing, training, evaluation, targeting need, the merits and demerits of locating the Careers Service within the Civil Service, and potentially conflicting responsibilities to clients and to the employing department.  相似文献   
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Humans make moral judgments every day, and research demonstrates that these evaluations are based on a host of related event features (e.g., harm, legality). In order to acquire systematic data on how moral judgments are made, our assessments need to be expanded to include real-life, ecologically valid stimuli that take into account the numerous event features that are known to influence moral judgment. To facilitate this, Knutson et al. (in Social Cognitive and Affective Neuroscience, 5(4), 378–384, 2010) developed vignettes based on real-life episodic memories rated concurrently on key moral features; however, the method is time intensive (~1.4–3.4 h) and the stimuli and ratings require further validation and characterization. The present study addresses these limitations by: (i) validating three short subsets of these vignettes (39 per subset) that are time-efficient (10–25 min per subset) yet representative of the ratings and factor structure of the full set, (ii) norming ratings of moral features in a larger sample (total N?=?661, each subset N?=?~220 vs. Knutson et al. N?=?30), (iii) examining the generalizability of the original factor structure by replicating it in a larger sample across vignette subsets, sex, and political ideology, and (iv) using latent profile analysis to empirically characterize vignette groupings based on event feature ratings profiles and vignette content. This study therefore provides researchers with a core battery of well-characterized and realistic vignettes, concurrently rated on key moral features that can be administered in a brief, time-efficient manner to advance research on the nature of moral judgment.  相似文献   
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