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911.
    

Changes both within the profession of psychoanalysis and in society as a whole have affected our psychoanalytic training programs and presented new ethical challenges. Whereas in earlier decades training programs needed to be concerned primarily about the inviolability of the training analysis and the choice of appropriate analytic candidates, today there is little support for psychoanalysis as a treatment modality. Institutes are experiencing greater competition in attracting quality candidates and in providing them with adequate training experiences. This strain encourages institutes to operate in unethical ways to attract candidates. On the other hand, within the profession itself we are experiencing much theoretical ferment and the increasing feminization of the profession. These changes are affecting our training institutes and our ethical values in both positive and negative ways.  相似文献   
912.
    
Abstract

In the present study, effects of a health education (INFO) and a PsychoEducational Prevention (INFO + PEP) Programme were Investigated in three hospitals. These programmes were offered to groups of coronary heart disease (CHD) patients and their partners alter discharge from hospital. The INFO was offered to 127 CHD patients in addition to FIT (i.e. standard medical care and physical training). The PEP was offered to 90 Patients in, addition to the INFO and FIT. A control group of 122 patients received only FIT. The INFO and the PEP consisted of four weekly two-hour group sessions each. In addition, the PEP was followed by seven telephone follow-up contacts.

On average, patients improved their lifestyles during the first three months. Between three and twelve months an extra improvement was found for eating habits, whereas there was a relapse for smoking and a sedentary lifestyle. In the short term, angina pectoris and a longer period of heart complaints were parallelled with a decrease in the risk of maintaining unhealthy eating habits, whereas in the long term a longer period of heart complaints a younger age and unemployment predicted a lower risk of maintaining unhealthy eating habits In the short term living with a partner and in the long term female gender were predictive of continued smoking behaviour In the short term, older age, a first CABG and a specific hospital setting decreased the risk of a continued sedentary lifestyle.

The FIT + INFO + PEP had a favourable short-term effect on eating habits. For smoking and a sedentary lifestyle, however, there were negative effects. In the short term patients in the FIT +INFO and those in the FIT +INFO+PEP had significantly more problems in quitting a sedentary lifestyle than those in the FIT intervention in the long term, patients in the FIT + INFO had significantly more problems in stopping smoking compared to these in the FIT.  相似文献   
913.
    
This article traces the development of the World Health Organization's emphasis on psychological and behavioural factors in health and notes its encouragement of recognition of these factors by member states. The article further outlines the reasons for this increasing recognition and stresses the important role of psychological and behavioural factors in the maintenance of health and prevention of illness.  相似文献   
914.
    
This study investigated the effect of family relations on patients’ adjustment to dialysis. The two main aims were to develop a family typology, and to explore the influence of family profile on the patient's anxiety, depression and adherence to nutritional guidelines. The sample consisted of 120 patients (mean age 63 years; 67.5% of men). They completed several measures 1, 6 and 12 months after dialysis initiation. The scales used were the Family Relationship Index and the Hospital Anxiety and Depression Scale. Perceived adherence to nutritional guidelines was assessed using two visual analogical scales. Results showed that family relations remained stable over time. Cluster analysis yielded three family profiles, which were named conflict, communicative and supportive families. Patients belonging to conflict families perceived themselves as less adhering to nutritional guidelines. For these patients, anxiety and depressive moods increased significantly over time, whereas mental health remained stable over time for communicative and supportive families. This research underlines that family relations are essential in global consideration of the care of patients treated by dialysis. Conflict families seem especially at risk. They should be identified early to help them adapt to this stressful treatment.  相似文献   
915.
    
Oxytocin (OT) is a neuropeptide that is attracting growing attention from researchers interested in human emotional and social behavior. There is indeed increasing evidence that OT has a calming effect and that it facilitates pair‐bonding and social interactions. Some of OT's effects are thought to be direct, but it has been suggested that OT also may have indirect effects, mediated by changes in behavior. One potentially relevant behavioral change is an increased propensity for “emotional sharing” as this behavior, like OT, is known to have both calming and bonding effects. In this study, 60 healthy young adult men were randomly assigned to receive either intranasal placebo (PL; n = 30) or oxytocin (OT; n = 30). Participants were then instructed to retrieve a painful memory. Subsequently, OT and placebo participants’ willingness to disclose to another person event‐related facts (factual sharing) vs. event‐related emotions (emotional sharing) was evaluated. Whereas the two groups were equally willing to disclose event‐related facts, oxytocin was found to specifically increase the willingness to share event‐related emotions. This study provides the first evidence that OT increases people's willingness to share their emotions. Importantly, OT did not make people more talkative (word counts were comparable across the two groups) but instead increased the willingness to share the specific component that is responsible for the calming and bonding effects of social sharing: emotions. Findings suggest that OT may shape the form of social sharing so as to maximize its benefits. This might help explain the calming and bonding effects of OT.  相似文献   
916.
The authors aimed to investigate the prospective links between normative variation in fathers’ marital satisfaction and the observed quality of father–toddler interactions, as well as the moderating role of child gender in these associations. Sixty-three fathers reported on their marital satisfaction when their children were 15 months of age, and were observed interacting with their child at 18 months. The results suggested that marital satisfaction was positively associated with the quality of father–son interactions, while no relations emerged among fathers of girls. These findings reiterate the importance of marital relationships for the quality of fathers’ parenting, while reaffirming previous suggestions that the role of child gender in the marriage-parenting connections requires further investigation.  相似文献   
917.
    
There is compelling evidence that the quality of maternal and paternal parenting behavior bears critical importance for child development. Yet, less is known of the degree of similarity between maternal and paternal parenting behavior in families, and especially little is known about the factors that may explain variation in degrees of similarity. This article aims to examine (a) the concordance (similarity) between the quality of mothers’ and fathers’ interactive behavior with their child and (b) the sociodemographic determinants of this concordance. The sample included 74 families (mother, father, and their child). The quality of maternal and paternal interactive behavior was assessed independently, and rated with the Maternal Behavior Q-Sort (mother–infant, 12 months; D. R. Pederson et al., 1990) or the Mutually Responsive Orientation scale (father–toddler, 18 months; N. Aksan et al., 2006). The results indicated that the overall correlation between the quality of mothers’ and fathers’ behavior was moderate. The concordance was greater among higher socioeconomic status families or when interacting with a boy, but did not differ according to the presence or absence of siblings in the family.  相似文献   
918.
    
Based on the analysis of 75 in‐depth interviews with managers and businessmen of Chile's main economic conglomerates, this article is concerned with the justification, on religious and moral grounds, of the establishment of a neo‐liberal economic model during Augusto Pinochet's regime (1973–1989) and, most importantly, with the representation of business as a religious vocation. The value granted to wealth creation as a path to salvation, as formulated by the conservative religious movements Opus Dei and the Legionaries of Christ, is one possible response to the Church's call in Vatican II for the greater involvement of the laity in their cultures and societies. In the context of an increase in pluralism during the 1960s and 1970s, the perceived shift of the Catholic Church to the Left, and the threat that the political project of Salvador Allende's socialist government (1970–1973) posed to the elite's centenary lifestyle, the practice of more conservative forms of Catholicism has allowed for a restoration of the historical bond between the elite and its religious tradition. The case of Chile's elite can be seen as an example of an increase in pluralism which does not lead to a weakening of religious belief and practice, but to their strengthening.  相似文献   
919.
    
The current study incorporated principles from the acculturation literature to specify an ethnically relevant general strain theory (GST). This study argues that the acculturation process exposes Hispanics to unique types of strain (e.g., prejudice and discrimination) that may increase the likelihood of delinquency. Further varying levels of Hispanic concentration can moderate the effect of acculturative strain on delinquency, whereby the effect of ethnic-specific strains may be more pronounced where ethnic concentration is low. Responses from self-administered questionnaires of 1,729 Hispanic adolescents were analyzed to test various hypotheses regarding the effects of traditional and acculturation-related strains on violent delinquency. The findings indicated that GST is generalizable to Hispanic adolescents. The analyses also found support for the prediction that, conditional on the level of Hispanic concentration, ethnic-specific strain measures increased the likelihood of violent delinquency among Hispanic adolescents. This study provided a foundation for future empirical analyses of criminological theories among Hispanic populations.  相似文献   
920.
    
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