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111.
112.
Richard J. Baron 《Theoretical medicine and bioethics》1990,11(1):25-28
The present paper is a commentary on an article by Drew Leder [1]. Leder identifies a series of texts in the clinical encounter, emphasizes the central role of interpretation in making sense of each of these texts, and articulates ordering principles to guide the interpretive work.The metaphor of clinical work as textual explication, however, creates the expectation that there is a text somewhere to be found. Such an expectation invites doctors and patients to search for the text and runs the risk of conceptualizing patients as more static than they are. If one is to use the textual metaphor, one must appreciate the radical extent to which the clinical encounter is a mutually produced and shifting entity. The qualities of mutuality and indeterminacy are not those one usually associates with texts. One might ultimately be better served by a different metaphor based more directly on uncertainty. 相似文献
113.
Larrick Richard P. Nisbett Richard E. Morgan James N. 《Organizational behavior and human decision processes》1993,56(3)
We find three factors to be associated with use of cost-benefit rules in everyday decisions. These are effectiveness in achieving desirable life outcomes, intelligence, and training in economics. We argue that these empirical findings support the claim that cost-benefit reasoning is normative. 相似文献
114.
Richard P. Keeling 《Journal of counseling and development : JCD》1993,71(3):261-274
The human immunodeficiency virus (HIV) causes a chronic, progressive, immune deficiency disease, the most severe phase of which is Acquired Immune Deficiency Syndrome (AIDS). HIV is a newly characterized human retrovirus transmitted only by direct exposure to blood or blood derivatives, certain acts of sexual intercourse, or transfer from infected mother to fetus or infant. In this article the author reviews the most important current epidemiologic, clinical, and virologic information about HIV and HIV disease and provides a factual framework for understanding the issues created by the epidemic. 相似文献
115.
Richard W. Thoreson Peter Shaughnessy Stephen W. Cook Dwight Moore 《Journal of counseling and development : JCD》1993,71(3):337-342
In this study the authors investigated the relationship between the Male Role Norm Scales (MRNS; Thompson & Pleck, 1987) and gender-related attitudes and behaviors in a sample of 367 male counselors drawn from American Counseling Association (ACA), formerly the American Association for Counseling and Development (AACD), members. Results indicated that this group of men did not, in general, endorse traditional male roles as measured by the MRNS. When a degree of affiliation with these roles was found, however, it was predictive of violence proneness, intimacy style, and degree of perceived similarity to father. Implications for training and counseling are discussed. 相似文献
116.
This study investigated the psychological and physical health status of 265 crew members on two U.S. Navy ships (a guided
missile cruiser and a frigate on convoy escort duty for tankers under U.S. flag) during the Persian Gulf conflict at four
time periods during combat-ready operations on a single day. Findings suggest that adaptation occurs to extreme stressors
associated with sustained operations. Suggestions are made relative to measures that may minimize psychological and physical
conditions that adversely affect performance under conditions of heavy stress.
Report No. 89-18, supported by the Naval Medical Research and Development Command, Bethesda MD, Department of the Navy, under
research Work Unit No. 63206N.M0096. The opinions expressed in this paper are those of the author and do not reflect the official
policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government. 相似文献
117.
Personnel Reaction Blank (PRB) scores and biographical data were obtained from two groups of registered nurses; a deviant group, represented by those who had official actions taken against their nursing license by the Minnesota Board of Nursing (n=53) and a non-deviant group of nurses (n=79) randomly selected from a broader population. The hypothesis that the deviant group of nurses would exhibit lower PRB scores, on average, compared to the non-deviant group was confirmed. The mean PRB scores for the deviant nurses (m=32.43) were significantly lower (p.01) than for the randomly selected non-deviant nurses (m=35.06). A multiple regression logit analysis showed that in addition to PRB scores, college degree, sex, and household income variables were also significantly related (p.001) to deviant and non-deviant group assignment; nonetheless, PRB significantly differentiated these groups after holding these variables constant.This study is based on the Masters thesis research of the first author. We acknowledge the help of the study subjects who contributed their time and effort. 相似文献
118.
Naturalistic research methods were used in this study to collect the voices, ideas, and opinions of rural, working poor, Appalachian families from Southeast Ohio about the stress of poverty in family life and family coping in the face of poverty. This data should be of interest to the professional family therapist who practices with the working poor. 相似文献
119.
The current study tests for the presence of differential order effects in evaluation tasks with consistent and inconsistent evidence as predicted by the Hogarth and Einhorn (1992) belief-adjustment model. The results, based on both between-subjects and within-subjects experiments, demonstrate that there were significant recency effects with inconsistent evidence as predicted, larger recency effects when the inconsistent evidence was farther apart in subjective value as predicted, and significant recency effects even when subjects were given training designed to both help them understand the task as completely as possible and to be better able to assess the pieces of evidence. By including a within-subjects design, we were able to demonstrate that the difference in subjective value between two pieces of evidence is the primary factor influencing the magnitude of the recency effect, regardless of whether the evidence is consistent or inconsistent. This latter finding is unique and contrary to previous research and theory. 相似文献
120.
Ralph Norman Haber Lyn R. Haber Charles A. Levin Rebecca Hollyfield 《Attention, perception & psychophysics》1993,54(1):1-13
Five questions concerning the properties of spatial representations are explored. (1) How accurately does a spatial representation correspond to the true scene? (2) If inaccurate, how does it differ? (3) Are representations of a familiar scene more accurate than those of an unfamiliar one? (4) Do representations of a scene currently in view differ from those retained in memory? (5) Do the representations of the blind have properties comparable to those-of the sighted? Seven sighted and 7 highly mobile blind subjects, all familiar with a room, and 6 sighted subjects unfamiliar with it, were asked to estimate the absolute distances between 10 salient objects in the room. The 14 familiar subjects made their estimates twice: while they were in the room, and while they were remote from it. Regression analyses showed that the estimates of all subjects had strong metric properties, being linearly related to true distance, with a true zero point; and multidimensional scaling showed that all subjects produced distance estimates that could be scaled in two dimensions to closely match the actual locations of the objects. Familiarity had no effect. The effect of location of testing was the same for both the sighted and the blind: all subjects displayed better spatial knowledge when tested in the room; and all subjects underestimated true distance substantially when tested out of the room. The results showed no qualitative differences as a function of blindness, at least for these highly skilled blind travelers. 相似文献