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161.
Nancy E. Suchman Cindy Decoste Patricia Rosenberger Thomas J. McMahon 《Infant mental health journal》2012,33(4):360-371
Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual therapy for substance‐using mothers of children birth to 3 years of age. The MTP aims to improve maternal reflective functioning (RF) and representation quality (RQ) to bring about second‐order change in maternal caregiving behavior. Following guidelines from M.K. Nock ( 2007 ), it was hypothesized that (a) therapist adherence to unique MTP treatment components would uniquely predict improvement in RF and RQ and that (b) improvement in RF and RQ would function as unique mechanisms of change (when compared with other potential mechanisms—reduction in depression and increase in abstinence from drug use) in the improvement of caregiving behavior. Findings supported each hypothesis, confirming the proposed mechanisms of the treatment model. However, improvement in maternal depression also uniquely predicted improvement in caregiving behavior. Results underscore the potential value of attachment‐based parenting interventions for improving mother–child relations and the importance of providing these interventions in clinic settings where mothers have access to comprehensive care (e.g., psychiatric services). 相似文献
162.
Psychologists are ethically obligated to ensure their own competence. When problems of professional competence occur, psychologists must take appropriate steps to regain competence while protecting those they serve. Yet conceptualizations of the competence obligation are thoroughly intertwined with Western ideals of individualism and a model of the person as self-contained, self-controlled, and perpetually rational. Research in health care, education, and multicultural and social psychology raise serious doubts about psychologists' capacity for consistently accurate self-assessments of competence. To address this problem, the authors advocate that education, training, professional ethics standards, and credentialing criteria be infused with a robust communitarian ethos and a culturally pervasive ethic of care. The authors propose a shift in discourse about competence to incorporate both competent individuals and competent communities. (PsycINFO Database Record (c) 2012 APA, all rights reserved). 相似文献
163.
Gonzales NA Coxe S Roosa MW White RM Knight GP Zeiders KH Saenz D 《American journal of community psychology》2011,47(1-2):98-113
This study examined family and neighborhood influences relevant to low-income status to determine how they combine to predict the parenting behaviors of Mexican-American mothers and fathers. The study also examined the role of parenting as a mediator of these contextual influences on adolescent internalizing and externalizing symptoms. Study hypotheses were examined in a diverse sample of Mexican-American families in which 750 mothers and 467 fathers reported on their own levels of parental warmth and harsh parenting. Family economic hardship, neighborhood familism values, and neighborhood risk indicators were all uniquely associated with maternal and paternal warmth, and maternal warmth mediated the effects of these contextual influences on adolescent externalizing symptoms in prospective analyses. Parents' subjective perceptions of neighborhood danger interacted with objective indicators of neighborhood disadvantage to influence maternal and paternal warmth. Neighborhood familism values had unique direct effects on adolescent externalizing symptoms in prospective analyses, after accounting for all other context and parenting effects. 相似文献
164.
Community mobilization can increase the effective implementation of evidence-based practices (EBPs) in youth violence prevention. These strategies bring together people and organizations in a community to try to solve or reduce a problem. They help communities address the challenges of identifying EBPs, disseminating them to local decision-makers, and then implementing and sustaining them if they are successful. Science-based systems for implementing EBPs such as PROSPER and Communities That Care can help to integrate this complex work in communities. Further insight about implementing EBPs in youth violence prevention is being developed through the CDC-funded Academic Centers for Excellence in Youth Violence Prevention. Community mobilization approaches for seven of these programs are discussed, highlighting successful approaches and challenges encountered. 相似文献
165.
166.
Lisa M. Pastore Logan B. Karns Karen Ventura Myra L. Clark Richard H. Steeves Nancy Callanan 《Journal of genetic counseling》2014,23(1):97-107
About 10 % of infertile/subfertile women are diagnosed with diminished ovarian reserve (DOR), of which?<?5 % will become pregnant spontaneously. Fragile X (FMR1) genetic testing may provide a reason for her early ovarian aging and/or have reproductive implications. Seven women with DOR (genetic study subset) and the male partners of six of these women were separately interviewed about the experience of being asked to undergo this unanticipated genetic test. Three interviews were conducted (before, within 1 week after, and 3 months after learning the test results). None of the participants carried the FMR1 premutation (largest FMR1 allele 27–50 CGG repeats). For women, their pregnancy-seeking journey was long and exhausting. Women understood the reproductive implications of carrying the FMR1 premutation, and hoped for a negative result. Being offered a genetic test caused women to pause and re-think their future reproductive plans. Husbands viewed the infertility journey as filled with unknowns, of which the genetic test results would be one more puzzle piece. The expense of fertility testing/treatment was mentioned by both spouses, though more notably by husbands. The introduction of a possible genetic cause of infertility, with additional potential health consequences for future biological children, caused women to re-think their quest for pregnancy. In contrast, the genetic test was viewed as an additional source of information for their husbands as opposed to raising concern regarding potential reproductive ramifications. 相似文献
167.
Nancy E. Schauber 《Ethical Theory and Moral Practice》2014,17(4):731-745
Can a virtuous person act contrary to the virtue she possesses? Can virtues have “holes”—or blindspots—and nonetheless count as virtues? Gopal Sreenivasan defends a notion of a blindspot that is, in my view, an unstable moral category. I will argue that no trait possessing such a “hole” can qualify as a virtue. My strategy for showing this appeals to the importance of motivation to virtue, a feature of virtue to which Sreenivasan does not adequately attend. Sreenivasan’s account allows performance alone to be a reliable indicator of the possession of virtue. I argue that, at least with respect to a classical, Aristotelian conception of virtue, this assumption is mistaken: a person is said to possess a virtue only when she is properly motivated. In my view, the nature of motivation required for the possession of Aristotelian virtue does not admit of blindspots. I am not primarily interested in details about the situationist critique of virtue theory but rather the implications that blindspots have for our conception of virtue. I argue that because the practical reasoning of the virtuous requires both cognitive and motivational coherence, the motivational structure of the virtuous agent cannot accommodate blindspots. My conclusion is neither a defense of motivational internalism nor of an idealized conception of Aristotelian virtue. My aim is to show that because blindspotted virtue does not cohere well with Aristotle’s conception of virtuous agency, friends of virtue theory must choose one or the other; they cannot have both. 相似文献
168.
169.
Dana H. Z. Robinson Susan M. Gerbensky Klammer Jennie P. Perryman Nancy J. Thompson Kimberly R. Jacob Arriola 《Journal of religion and health》2014,53(6):1857-1872
African Americans are overrepresented on the organ transplant waiting list and underrepresented among organ and tissue donors. One of the most highly noted reasons for lack of donation is the perception that donation is contrary to religious beliefs. The purpose of this cross-sectional study is to explore the complexities of religion (beliefs, religiosity, and religious involvement) and its association with willingness to donate and the written expression of donation intentions. Findings from a sample of 505 African American participants suggest that religion is a multidimensional construct and results differ depending on how the construct is measured and operationalized. 相似文献
170.
David N. Rapp Scott R. Hinze Kristine Kohlhepp Rachel A. Ryskin 《Memory & cognition》2014,42(1):11-26
People learn from the texts that they read, but sometimes what they read is wrong. Previous research has demonstrated that individuals encode even obvious inaccuracies, at times relying on the misinformation to complete postreading tasks. In the present study, we investigated whether the influence of inaccurate information might be reduced by encouraging the retrieval of accurate knowledge. Participants read an extended text that contained both accurate and inaccurate assertions, after which they evaluated the validity of statements associated with those assertions. In general, participants made more mistakes in their evaluations of statements after having read inaccurate as compared to accurate assertions, offering evidence of the influence of misinformation. However, when participants were tasked with correcting inaccuracies during reading, their mistakes were substantially reduced. Encouraging the retrieval of accurate knowledge during reading can reduce the influence of misinformation. These findings are discussed with respect to the contributions of episodic traces and prior knowledge on learning, as well as to the conditions that support successful comprehension. 相似文献