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121.
This paper generalizes thep* model for dichotomous social network data (Wasserman & Pattison, 1996) to the polytomous case. The generalization is achieved by transforming valued social networks into three-way binary arrays. This data transformation requires a modification of the Hammersley-Clifford theorem that underpins thep* class of models. We demonstrate that, provided that certain (non-observed) data patterns are excluded from consideration, a suitable version of the theorem can be developed. We also show that the approach amounts to a model for multiple logits derived from a pseudo-likelihood function. Estimation within this model is analogous to the separate fitting of multinomial baseline logits, except that the Hammersley-Clifford theorem requires the equating of certain parameters across logits. The paper describes how to convert a valued network into a data array suitable for fitting the model and provides some illustrative empirical examples.This research was supported by grants from the Australian Research Council, the National Science Foundation (#SBR96-30754), and the National Institute of Health (#PHS-1RO1-39829-01).  相似文献   
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Hope has many facets to it in the context of cancer. This article outlines an instrumental case study for a patient with aggressive lymphoma who rapidly deteriorated to the point of dying. How her and her family’s hope was managed is outlined here from various perspectives. Interviews were carried out with the patient’s family, medical consultant-in-charge (attending physician) and nurses caring for her at the end of life. The findings outline the transition from hope for cure to hope for a good death and the role that the patient and family’s Christian hope played in this. Religiosity and spirituality of hope in terms of Christian hope is explored from the theological perspective. Practical aspects of care in the face of changing hope are discussed. Conclusions are drawn about reframing hope in a changing clinical situation with reference to theories of hope. The importance of acknowledging hope, coping, spirituality and religiosity, especially at end of life, is emphasised.  相似文献   
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The prevalence of mental health problems in young people with learning disabilities and the disability rights movement provide the background to this paper. The aims are to investigate the inclusivity of counselling; gain insight into inclusive practices; and put forward a model for inclusive counselling practice. Mixed methodology provides quantitative and qualitative data through a survey of counsellors (n = 396) and a series of semi‐structured interviews (n = 15). The results produce six indicators of inclusive counselling, which are used to build a model for inclusive counselling practice: proactive approach to inclusion; focus on building relationships; operationalising equal opportunities policies; inclusive initial assessments; adopting flexible and creative approaches to counselling; and training and awareness raising. The implications for research and practice are to acknowledge the exclusive nature of the profession and address the issue of inclusion through training, professional development and further research in the field. The model for inclusive counselling practice is put forward as a tool for auditing existing counselling provision and as guidance for counsellors and policy makers in increasing inclustion of young people with learning disabilities in mainstream counselling.  相似文献   
126.
Patterns of conceptual and procedural knowledge of addition were examined in 5- to 8-year-olds (N = 80). Conceptual knowledge was measured by assessing children's responses to problems in which addends were reordered or decomposed and recombined. Problems were presented using abstract symbols, numbers, and physical objects. Children were more successful in noticing that addends had been reordered rather than decomposed and in noticing the decomposition of addends presented with objects rather than with symbols. Distinct profiles of procedural competence were derived from an analysis of children's problem-solving accuracy and strategies. Profiles were associated with patterns of conceptual knowledge and with age, although age and conceptual knowledge were not related. Findings highlight the usefulness of identifying profiles of procedural and conceptual knowledge for understanding the development of children's knowledge of addition.  相似文献   
127.
The goal of this study was to examine the linguistic correlates of social anxiety disorder (SAD). Twenty-four individuals with SAD (8 of them with a generalised subtype) and 21 non-anxious controls were asked to give speeches in front of an audience. The transcribed speeches were examined for the frequency of negations, I-statements, we-statements, negative emotion words, and positive emotion words. During their speech, individuals with either SAD subtype used positive emotion words more often than controls. No significant differences were observed in the other linguistic categories. These results are discussed in the context of evolutionary and cognitive perspectives of SAD.  相似文献   
128.
Kantian moral concepts concerning respect for human dignity have played a central role in articulating ethical guidelines for medical practice and research, and for articulating some central positions within bioethical debates more generally. The most common of these Kantian moral concepts is the obligation to respect the dignity of patients and of human research subjects as autonomous, self-determining individuals. This article describes Kant’s conceptual distinction between dignity and autonomy as values, and draws on the work of several contemporary Kantian philosophers who employ the distinction to make sense of some common moral intuitions, feelings, and norms. Drawing on this work, the article argues that the conceptual distinction between dignity and autonomy as values is indispensable in the context of considering our obligations to those who are dependent and vulnerable.  相似文献   
129.
The problem of inferring the validity of a selection test (x) as a predictor of some criterion (y) when completexy data are not available is investigated. The basic approach is to construct the predictive probability distribution of the unobservedy scores and then derive interval estimates of the least squares regression weights, the difference in averagey scores for selected and unselected cases, and the residual variance in predictingy fromx. Further, an approximation to the predictive distribution of the squared correlation betweenx andy in a future group is derived.  相似文献   
130.
The efficacy of family interventions in psychosis is well documented. UK and USA schizophrenia treatment guidelines advocate the practice of family interventions within routine clinical services. However, less attention has been paid to the study of treatment fidelity and the tools used in its assessment. This study reports the inter-rater reliability of a new scale: Family Intervention in Psychosis-Adherence Scale (FIPAS). This measure is designed to assess therapist adherence to the Kuipers et al . (2002) family intervention in psychosis treatment manual. Reliability ratings were based on a sample of thirteen audiotapes drawn from a randomized controlled trial of family intervention. The results indicated that the majority of items of the FIPAS had acceptable levels of inter-rater reliability. The findings are discussed in terms of their implications for the training and monitoring of the effectiveness of practitioners for family interventions in psychosis.  相似文献   
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