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21.
This article studies the impact of outpatient group therapy on medical care at a large city–county hospital. Of the 65 group therapy outpatients, 33 persons met the criterion of having attended at least 12 group sessions over the course of a year. We compared a control period (the year prior to initiating group therapy) with a study period (months 6–18 after starting group) and found a sharp decrease in the number of hospitalizations and in-hospital days. There was significantly increased use of neuroleptics and nonpsychotropics and increased attendance at nonpsychiatric clinics.  相似文献   
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There continues to be a debate on whether addiction is best understood as a brain disease or a moral condition. This debate, which may influence both the stigma attached to addiction and access to treatment, is often motivated by the question of whether and to what extent we can justly hold addicted individuals responsible for their actions. In fact, there is substantial evidence for a disease model, but the disease model per se does not resolve the question of voluntary control. Recent research at the intersection of neuroscience and psychology suggests that addicted individuals have substantial impairments in cognitive control of behavior, but this “loss of control” is not complete or simple. Possible mechanisms and implications are briefly reviewed.  相似文献   
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This study proposes to investigate perceived and desired methods of conflict resolution by school psychologists, social workers, and learning disability specialists. Data were based on responses to a questionnaire which requested information on how decisions were reached or should have been reached when their child study teams were required to classify a child and there were conflicting opinions between professional groups. While majority vote and resolution by the psychologist accounted for the methods most often used in actual resolutions, there were great disagreements between professions as to how resolutions should have been made. Analysis indicates that the school psychologists are generally satisfied because they are the single group most often making final decisions, but they are generating feelings of discontent among other the other groups which suggst that team functioning and decision making, especially during voting, may be overly affected by interprofessional rivalry rather than objective data.  相似文献   
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The concept of the “just world” is established as a key explanation for how people make sense of inequality so that those deemed to score high in belief in a just world are more likely to hold prejudicial beliefs and to blame people in poverty for their situations. However, this is an inadequate explanation for such complicated and controversial issues. To better understand talk about the just world and the controversial issue of the distribution of unemployment benefits (an issue of inequality), a discursive psychological approach to the just world is used. Therefore, a discourse analysis focusses on 2 feature length British televised discussions about benefit claimants called “The Big Benefit Row: Live” (Channel 5 3/2/2014) and “Benefits Britain: the Debate” (Channel 4 17/2/2014). The analysis demonstrates that people draw on both just and unjust world arguments simultaneously and also topicalise what counts as just so as to support their positions on unemployment benefits, rather than in the consistent way that just world theory would predict. It is therefore argued that the just world should be recast as a cultural value that facilitates arguments about benefits, rather than an internally held belief.  相似文献   
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This paper argues that we need to distinguish between two different ideas of a reason: first, the idea of a premise or assumption, from which a person’s action or deliberation can proceed; second, the idea of a fact by which a person can be guided, when he modifies his thought or behaviour in some way. It argues further that if we have the first idea in mind, one can act for the reason that p regardless of whether it is the case that p, and regardless of whether one believes that p. But if we have the second idea in mind, one cannot act for the reason that p unless one knows that p. The last part of the paper briefly indicates how the second idea of a reason can contribute to a larger argument, showing that it is better to conceive of knowledge as a kind of ability than as a kind of belief.  相似文献   
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This article demonstrates the use of mixed-effects logistic regression (MLR) for conducting sequential analyses of binary observational data. MLR is a special case of the mixed-effects logit modeling framework, which may be applied to multicategorical observational data. The MLR approach is motivated in part by G. A. Dagne, G. W. Howe, C. H. Brown, & B. O. Muthén (2002) advances in general linear mixed models for sequential analyses of observational data in the form of contingency table frequency counts. The advantage of the MLR approach is that it circumvents obstacles in the estimation of random sampling error encountered using Dagne and colleagues' approach. This article demonstrates the MLR model in an analysis of observed sequences of communication in a sample of young adult same-sex peer dyads. The results obtained using MLR are compared with those of a parallel analysis using Dagne and colleagues' linear mixed model for binary observational data in the form of log odds ratios. Similarities and differences between the results of the 2 approaches are discussed. Implications for the use of linear mixed models versus mixed-effects logit models for sequential analyses are considered.  相似文献   
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