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11.
Psychological interventions in cocaine dependent patients have demonstrated efficacy. Remarkable approaches are Contingency Management (CM) and Cognitive Behavioral Therapy (CBT). Lack of treatment adherence is the most important limitation. Motivational Interview (MI) has been shown to be an adherence enhancer. The objective of this study is to evaluate retention and abstinence in a combined CM and CBT group treatment in patients who have reached maintenance stage according to Prochaska and DiClemente's transtheoretical model (1982). Therefore, a longitudinal study was carried out with cocaine dependent patients with or without concomitant mental health disease. A 12-session open group was conducted weekly. Nineteen patients were included (78.9% men, mean age 36.6 years), 95% consumed intranasally and 47% had another psychiatric comorbidity. Treatment retention was 84%. During treatment and the first month of follow-up, all patients remained abstinent whereas at three months, 3 patients relapsed. These data confirm that using combined CM and CBT group therapy in cocaine dependents undergoing maintenance treatment enhances adherence and is effective to achieve abstinence.  相似文献   
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ABSTRACT. We explored the utility of analyzing within- and between-balloon response patterns on a balloon analogue task (BAT) in relation to overall risk scores, and to a choice between a small guaranteed cash reward and an uncertain reward of the same expected value. Young adults (n = 61) played a BAT, and then were offered a choice between $5 in cash and betting to win $0 to $15. Between groups, pumping was differentially influenced by explosions and by the number of successive unexploded balloons, with risk takers responding increasingly on successive balloons after an explosion. Within-balloons, risk takers showed a characteristic pattern of constant high rate, while non-risk takers showed a characteristic variable lower rate. Overall, results show that the higher number of pumps and explosions that characterize risk takers at a molar level, result from particular forms of adaptation to the positive and negative outcomes of choices seen at a molecular level.

Color versions of one or more of the figures in the article can be found online at www.tandfonline.com/vgen.  相似文献   

14.
The purpose of this study was to examine the role of goal orientation, motivational climate, and dispositional flow in physical education lessons on extracurricular involvement in physical activity. Questionnaires were administered to 1,103 (792 athletes; 311 nonathletes) secondary school students (M age = 14.3 yr., SD = 0.7). Analysis showed significant mean differences between groups on goal orientation and dispositional flow in physical education lessons, but none for perception of motivational climate. These findings suggest that dispositional variables are related to extracurricular involvement in physical activity.  相似文献   
15.
The current study aimed to determine potential differences in dynamic stability control during perturbed walking across the adult female lifespan and to test the hypothesis that such differences can be assessed by a reduced kinematic model. 11 young-aged (22–30 years), 9 middle-aged (41–59 years) and 14 old-aged (62–75 years) female adults walked on a treadmill while the right leg was unexpectedly perturbed once during the swing phase. Margin of stability (MS) at touchdown was investigated using a full body and a reduced kinematic model. After the perturbation, all age groups showed a lower MS compared to non-perturbed gait (baseline), leading to negative MS. Four old-aged adults failed to cope with the task (only preventing a fall by grasping). The remaining ten old-aged and the middle-aged subjects required three more recovery steps than the young-aged adults to get back to baseline MS. Moreover, there were no differences between kinematic models, and both methods demonstrated similar age-related findings. We concluded that the ability to control dynamic stability during perturbed walking by enlarging the base of support has already begun to deteriorate by middle age. Further, the valid agreement between kinematic models shows that such differences can be assessed by using just four body markers.  相似文献   
16.
Abstract

During the last years, different types of violence have severely damaged Mexico. In this paper we examine the consequences that violence could have in children, one of the most vulnerable segments of society. In short, we predict that exposure to any type of violence will lead to higher depression and that this could be explained through the effects of violence on childhood well-being. Our hypothesis was supported in two studies, showing that exposure to street violence (Study 1, N = 607) and exposure to collective violence (Study 2, N = 172) can increase childhood depression. Moreover, in both studies, this effect was explained by the decrease of childhood well-being caused by violence exposure. The implications of these results are discussed.  相似文献   
17.

In a study of radiation effects in SnO we have found that electron-beam damage is observable from changes in a high-resolution electron microscopy image or electron diffraction pattern. The early stage of the damage is not accompanied by a change in composition or a loss of crystallinity. The dose required for this damage (about 600 C cm?2) is approximately independent of electron energy (between 100 and 400 keV) and specimen temperature (between 100 and 300 K). The damage is believed to start with displacement of oxygen atoms from their lattice position through a radiolytic mechanism with an efficiency of approximately 10?4.  相似文献   
18.
Subjective Situations and Logical Omniscience   总被引:1,自引:0,他引:1  
Moreno  Antonio  Cortés  Ulises  Sales  Ton 《Studia Logica》2002,72(1):7-29
The beliefs of the agents in a multi-agent system have been formally modelled in the last decades using doxastic logics. The possible worlds model and its associated Kripke semantics provide an intuitive semantics for these logics, but they commit us to model agents that are logically omniscient. We propose a way of avoiding this problem, using a new kind of entities called subjective situations. We define a new doxastic logic based on these entities and we show how the belief operators have some desirable properties, while avoiding logical omniscience. A comparison with two well-known proposals (Levesque's logic of explicit and implicit beliefs and Thijsse's hybrid sieve systems) is also provided.  相似文献   
19.
Erna was one of the child patients treated by Melanie Klein in Berlin, employing her recently discovered play technique. Since Erna died in Chile, the authors considered the IPA Congress in Santiago an opportunity to present a paper as a homage both to Erna and, especially, to Klein. She learned much from that very disturbed child, which she later used to sustain the ongoing development of her theories. The paper explores biographic data relevant to understanding both the case and the theories. It analyses the case material to follow Klein in the discovery and the handling of the child's transference and the harsh expressions of hate, jealousy and envy, which are brought in, with sad consequences, by strong persecutory feelings. Klein's comparison of this case with that of Freud's Wolf-man is also considered, mostly to show that the similarities were less than originally claimed, and that Klein, perhaps, was introducing a theoretic shift which led her technique to gradually change from ' Nachträglichkeit ' to the 'signification-resignification' pair, akin to Strachey's concept of the mutative interpretation. Lastly, the comprehension of Erna's strong psychotic traits and the links with later developments of the theory on psychosis are studied.  相似文献   
20.
Simple and conditional discrimination training may produce various types of controlling relations. Responses may be controlled primarily by the positive stimulus (select–control relation) or by the negative stimulus (reject–control relation; the subject excludes the negative stimulus and chooses the positive). Bees learn to respond in simple and conditional discriminations. However, no study has searched for reject–control responding in Melipona bees. We trained Melipona quadrifasciata on a simple discrimination task (S+ vs. S‐; e.g., blue vs. yellow) and then probed for stimulus control with two types of probe trials, S+ versus a new stimulus (Select–control probes) and S‐ versus a new stimulus (Reject–control probes). For Group Different, a new‐stimulus color (e.g., white) was used in one type of probe and another color (e.g., black) was used in the other type. For Group Same, a single new‐stimulus color was used in both types of probes. On Select probes, the bees always preferred S+ to the new stimulus. On Reject probes, results were mixed. Depending on the colors used in training and probing, bees responded to both stimuli, and even preferred the S‐. The data suggest no control by the negative function of the S‐ and support the select‐stimulus control hypothesis of responding.  相似文献   
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