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231.
This paper explores Donald Meltzer’s concept of the claustrum, an unconscious phantasy of a space inside the body of the internal mother that has been forcibly entered and occupied. The author proposes that claustrophobic phenomena might be viewed on a continuum from the relatively ordinary to the severely pathological. Following a brief review of the characteristics of Meltzer’s claustral ‘compartments’, this continuum is explored through and illustrated by a psychoanalytic understanding of two films, Coraline, directed by Henry Selick and based on the novella by Neil Gaiman, and The Talented Mr. Ripley, based on the novel by Patricia Highsmith and directed by Anthony Minghella. The degree of entrapment in a claustrophobic world and the possibility of emerging from it into a world of authentic intimate relationships is shown to be influenced by the internal relationship to a parental couple.  相似文献   
232.
Aging bodies stigmatize women. The effects of stigma, health issues, goal disappointment, and a combination of age and minority group status, overwhelm older women’s coping strategies, leading to maladaptive behaviors. General strain theory posits a relationship between negative stimuli and deviant behavior. Advancing age and age-related stigma reflect this strain. This study explores the relationship between strain and substance abuse or dependence, comparing subsamples of middle age (35- to 49-year-old women) and older middle age (50- to 64-year-old) women. Data suggest that minority age status coupled with acute or mental health issues increase substance abuse or dependence by older women.  相似文献   
233.
Mothers in prison are at high risk of depression and other mental health issues and yet access to therapeutic services is limited. This paper describes the development by the author of two prison therapy groups: one for pregnant women, the other for mothers and their babies. Called the ‘Born Inside’ project, both groups are currently held in Bronzefield Prison, Surrey. The theory and principles behind the project are discussed, as well as the processes and practicalities involved in providing the therapy and specialised support to the women and their vulnerable infants. In addition, principles of forensic psychotherapy in relation to this specific prison population are described, and the situational and emotional challenges faced are illustrated through narratives of group members.  相似文献   
234.
This paper examines the degree to which structural family therapy has adapted effectively to client families and professional demands of the twenty-first century. A review of the current professional literature was conducted to assess the structural model’s continued clinical relevance, how the model has changed in adapting to contemporary social and professional contexts, and whether or not the integrity of the model’s core proposition has been eroded or confounded as a result of adaptive changes.  相似文献   
235.
Next generation sequencing (NGS) gene panels are increasingly used in medical genetics clinics for the evaluation of common inherited cancer syndromes, but the clinical efficacy of these tests, and the factors driving clinical providers to order them are unclear. We conducted a patterns-of-care study to compare patients evaluated with NGS gene panels with a reference group. We abstracted demographic, socioeconomic, and clinical information in a retrospective cohort of patients referred to a large medical genetics clinic for evaluation of inherited colorectal cancer and polyposis syndromes. Patients tested with NGS gene panels were more likely to be insured compared to the reference group (85.3 % vs. 69.2 %, p = 0.0068),less likely to have prior tumor tissue testing (29.4 % vs. 54.3 %, p = 0.0004), and less likely to have an abnormal tumor tissue test result (46.7 % vs. 74.5 %, p = 0.01). No significant differences were found between groups in age, gender, race, employment status, personal history of colorectal cancer, or proportion of patients fulfilling Lynch syndrome clinical criteria. Patients with NGS testing were less likely to have a pathogenic/likely pathogenic variant detected (13.7 % vs. 31.9 %, p = 0.002). Patients referred for NGS testing to evaluate inherited colorectal cancer/polyposis risk appear to undergo tumor tissue testing less frequently than non-NGS testing patients. Further studies are needed to assess the most effective and cost-effective approach to genomic diagnosis in this patient population.  相似文献   
236.
The Treatment Outcome Package for children and adolescents (TOP) is a behavioral health and well-being assessment used widely in clinical and child welfare populations. The primary purpose of this study was to examine the concurrent validity of the Child and Adolescent versions of the TOP with the Child Behavior Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ) with a community sample. Children and adolescents (N = 203) 3–18 years of age from a community sample completed the CBCL, the SDQ, and the TOP. Significant correlations emerged between the TOP and theoretically similar scales on the SDQ and the CBCL. Analyses demonstrated that the TOP has excellent concurrent validity on most subscales with both the CBCL and the SDQ. These results provide additional evidence for the TOP’s utility and validity as a measure of psychological well-being and functioning.  相似文献   
237.
Maternal substance use during the prenatal period often results in infants with compromised health outcomes. The American College of Obstetrics and Gynecology recommends screening, brief motivational interviewing, and referral to existing treatment for women who use illicit substances prenatally. However, many of these women do not present for prenatal care and are not identified as using substances until delivery of their infants, many of whom are admitted to the neonatal intensive care unit (ICU). We describe a case from a novel, hospital-initiated intervention study, Moms in ACTion (MIACT) that combines motivational interviewing (MI) and acceptance and commitment therapy (ACT) to target new mothers with an infant in the neonatal ICU who screen positive for illicit substance use prenatally or at delivery. The MIACT program consists of an adaptive intervention that includes up to three sessions. Initiation of substance use treatment and reproductive care via a gynecological visit are the primary targets of the intervention. Urine samples were collected at 2- and 6-month follow-up visits. The participant successfully completed the program, achieved both treatment outcomes, and had negative urine drug screens at follow-up visits. Improvements in readiness to change and psychological flexibility were also observed. The present case report of a new mother who used substances demonstrated feasibility for combining MI and ACT treatments and the potential for MIACT to increase treatment and contraception initiation, ultimately preventing future substance-exposed pregnancies.  相似文献   
238.

Depictions of gender in media are often scrutinized for stereotypical patterns. Disney films are of particular interest, as they are often watched by children and may play a role in children’s gender socialization. The purpose of this paper is twofold: first, to assess gender depictions of characters in animated Disney films (released between 1937 and 2019; 61 films with 323 characters total), and second, to explore depictions of gender in Disney animated films coupled with an analysis of the gender of those involved in the production of these films (producers, directors, and writers). We found a significant difference in the number of male and female characters (roughly 60% male, 40% female), which did not significantly differ by decade. Female characters were more consistently depicted as attractive compared to male characters, although character’s intelligence, ability, popularity, activity level, family role, story role, and romantic engagement did not differ by gender. Male characters were more often represented as parents or children in films written by women, and female characters were more often represented as the antagonist in films written by men. Male characters were over-represented as overly active in films produced by women, and female characters were over-represented as grandparents in films produced by women. These findings revealed few stereotypical gendered depictions of characters in Disney films over nine decades and that the inclusion of women in the production process resulted in more nuanced depictions of both male and female characters.

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239.
Journal of Business and Psychology - Email represents a useful organizational tool that can facilitate rapid and flexible communication between organizations, managers, and employees regardless of...  相似文献   
240.
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