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11.
In an effort to streamline service and generate efficiency, governments have looked increasingly to non-government organizations (usually not-for-profit charities) to deliver service to the public. This new way of subcontracting is often referred to as partnership and has created interesting challenges for both government and non-government sectors. These range from threats to the autonomy of NGOs to the downloading of deficits to the private sector. The field of immigration and settlement provides a particularly interesting example of study.  相似文献   
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Research has failed to consistently show that therapists facilitate better client outcomes as they gain more experience. The present study was designed to examine changes in early client retention over the course of extended periods of time among 2591 therapists in private practice. Naturalistic data collected between 2018 and 2022 was extracted from a technology-enabled practice-research group (PRG). Therapists displayed an increase in client dropout rates as they gained more experience on the PRG. Additionally, larger caseloads on the PRG were associated with lower increases in client dropout over time. Finally, therapists working with clients paying higher out-of-pocket fees (e.g., co-pays) had higher increases in client dropout over time. These findings provide additional evidence supporting the distinction between clinical experience and expertise.  相似文献   
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  总被引:1,自引:0,他引:1  
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In order to examine the concurrent and criterion validity of the questionnaire version of the Eating Disorders Examination (EDE-Q), self-report and interview formats were administered to a community sample of women aged 18-45 (n = 208). Correlations between EDE-Q and EDE subscales ranged from 0.68 for Eating Concern to 0.78 for Shape Concern. Scores on the EDE-Q were significantly higher than those of the EDE for all subscales, with the mean difference ranging from 0.25 for Restraint to 0.85 for Shape Concern. Frequency of both objective bulimic episodes (OBEs) and subjective bulimic episodes (SBEs) was significantly correlated between measures. Chance-corrected agreement between EDE-Q and EDE ratings of the presence of OBEs was fair, while that for SBEs was poor. Receiver operating characteristic (ROC) analysis, based on a sample of 13 cases, indicated that a score of 2.3 on the global scale of the EDE-Q in conjunction with the occurrence of any OBEs and/or use of exercise as a means of weight control, yielded optimal validity coefficients (sensitivity = 0.83, specificity = 0.96, positive predictive value = 0.56). A stepwise discriminant function analysis yielded eight EDE-Q items which best distinguished cases from non-cases, including frequency of OBEs, use of exercise as a means of weight control, use of self-induced vomiting, use of laxatives and guilt about eating. The EDE-Q has good concurrent validity and acceptable criterion validity. The measure appears well-suited to use in prospective epidemiological studies.  相似文献   
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This study examined demographic characteristics, social competence, and behavior problems in clinic-referred children with gender identity problems in Toronto, Canada (N = 358), and Utrecht, The Netherlands (N = 130). The Toronto sample was, on average, about a year younger than the Utrecht sample at referral, had a higher percentage of boys, had a higher mean IQ, and was less likely to be living with both parents. On the Child Behavior Checklist (CBCL), both groups showed, on average, clinical range scores in both social competence and behavior problems. A CBCL-derived measure of poor peer relations showed that boys in both clinics had worse ratings than did the girls. A multiple regression analysis showed that poor peer relations were the strongest predictor of behavior problems in both samples. This study—the first cross-national, cross-clinic comparative analysis of children with gender identity disorder—found far more similarities than differences in both social competence and behavior problems. The most salient demographic difference was age at referral. Cross-national differences in factors that might influence referral patterns are discussed.  相似文献   
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This study compared scores on future time perspective of 50 female prison inmates who were participating in a vocational training program within the Julia Tutwiler Prison. There was no control group. Zimbardo's measure of future time perspective, administered a year earlier, was associated with success or failure in the program. Associations of future time perspectives with education, age, and ethnicity were investigated. An analysis of covariance between the 21 graduates and 16 dropouts while controlling for education was significant. Despite the incomplete design, some implications are of interest.  相似文献   
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Levels of eating disorder psychopathology, impairment in psycho-social functioning and use of health services were compared among probable cases of binge eating disorder (BED) with and without extreme weight or shape concerns ("undue influence of weight or shape on self-evaluation") recruited from a large community sample of women. Data for obese non-binge eaters (n=457), also recruited from the community sample, and for a clinical sample of eating disorder patients (n=128), recruited separately, were included for comparative purposes. BED cases who reported extreme weight or shape concerns (n=51, 46.4%) had significantly higher levels of eating disorder psychopathology and functional impairment than those who did not report such concerns (n=59), after controlling for between-group differences in age and body weight. In addition, BED cases who reported extreme weight or shape concerns were more likely to have sought treatment for an eating or weight problem than those who did not. Whereas levels of eating disorder psychopathology and functional impairment were markedly elevated among BED cases with extreme weight or shape concerns, BED cases who did not report extreme weight or shape concerns resembled obese non-binge eaters in most respects. The findings support the inclusion of an undue influence of weight or shape on self-evaluation as a diagnostic criterion for BED. In the absence of this influence, eating disorders that otherwise resemble BED do not appear to be "clinically significant".  相似文献   
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Smith and colleagues (Smith, L. B., Thelen, E., Titzer, R., & McLin, D. (1999). Knowing in the context of acting: The task dynamics of the A-not-B error. Psychological Review, 106, 235-260) demonstrated that 10-month-olds succeed on a Piagetian AB search task if they are moved from a sitting position to a standing position between A and B trials. These authors explained this result by suggesting that because the reach must be executed by different muscle forces from the standing position, an appropriate reach to B is programmed without the memory of the previous reach interfering with the current reach. In the main study reported here, the influences of postural and spatial factors are separated by adding a condition in which the table containing the hiding wells is moved up at the same time as the infant is shifted to standing, thereby allowing a postural change without a change in the spatial relations between the hand and hiding locations. Results showed that in both a standard control condition and the sitting-to-standing condition in which the table also moved up, performance was poor. Only in the sitting-to-standing condition in which the spatial relation between the hand and apparatus was altered were infants successful. These outcomes demonstrate that perseveration effects are likely to occur at the level of reach planning rather than at the level of execution, thereby narrowing the gap between explanations of improvements in AB performance with age that emphasize prefrontal maturation as opposed to improvements in reaching ability.  相似文献   
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