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401.
A three-factor model of personality pathology was investigated in a clinical sample of 183 female patients in an outpatient eating disorders treatment program. Cluster analysis of MCMI-II personality scales (Millon, 1987) yielded three distinct personality profiles, which were consistent with previous studies. First, 16.9% of the sample comprised a High Functioning cluster, which manifested no clinical elevations on the MCMI-II and had significantly lower scores on the Eating Disorder Inventory (EDI; Garner; 1991) scales than the other two clusters. Second, 49.1% of the sample comprised an Undercontrolled/Dysregulated cluster. Finally, the remaining 34% of the sample comprised an Overcontrolled/Avoidant cluster. This final cluster had significantly higher EDI Ineffectiveness scale scores than the Undercontrolled/Dysregulated cluster group. Cluster membership was not associated with eating disorder subtype, suggesting that there is considerable variance in personality pathology within eating disorder diagnostic categories. 相似文献
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403.
Amanda M. Pearl Brian F. French Jean E. Dumas Angela D. Moreland Ron Prinz 《Journal of child and family studies》2014,23(2):177-188
This study investigates the bidirectional perspective of parent–child effects by examining the extent to which parenting quality predicted child externalizing behavior and vice versa. Data was collected over four time points from primary caregivers and early school age children in low-income, primarily single parent homes (N = 249, mean age of children at Time 1 = 6.41 years). Parenting quality was operationalized as primary caregiver perceptions of positive parenting, effectiveness of parenting discipline, parenting efficacy and satisfaction. Child externalizing behavior data was captured via an assessment of the frequency of externalizing behavior as reported by caregivers. We hypothesized that parenting quality and child externalizing behavior would remain stable over time and that a bidirectional relationship would be present. Data was analyzed using structural equation modeling and results indicated that child externalizing behavior predicted subsequent parenting quality, and parenting quality predicted subsequent child externalizing. Specifically, our research team found that the influence of child externalizing behavior on parenting quality decreased with time, while the influence of parenting quality on child externalizing behavior increased with time. Overall results reveal the complex transactional influences of child externalizing behavior and parenting quality in our sample. Findings support the notion that parenting quality and child externalizing behavior are interactive processes which might best be handled by continual assessment and which may be potentially strong targets for interventions. 相似文献
404.
Bruce Bongar Ronald W. Maris Allan L. Berman Robert E. Litman Morton M. Silverman 《Suicide & life-threatening behavior》1993,23(3):245-256
The most common legal action involving psychiatric care is the failure to reasonably protect patients from harming themselves. In this regard it is critical to understand that courts have tended to impose much stricter standards on inpatient than on outpatient care; that at the present time, most malpractice actions involve clinical activities related to inpatient care (negligent admission, treatment, supervision, discharge, etc.). This article reviews the current climate in the legal and clinical formulation of standards of care for hospitalized adult suicidal patients. It suggests general guidelines for effective assessment, management, and treatment procedures that balance the need for high-quality care by a reasonable and prudent practitioner with the requirements of court-determined and statutory standards. The authors specifically discuss court cases that show common failure situations in inpatient care, discharge planning, and follow-up (e.g., problems in pharmacotherapy, the decision to hospitalize, the assessment of imminence and lethality, etc.). The paper also emphasizes the crucial element of clinical judgment in developing any inpatient standard of care. 相似文献
405.
Morton M. Silverman Alan L. Berman Bruce Bongar Robert E. Litman Ronald W. Maris 《Suicide & life-threatening behavior》1994,24(2):152-169
The authors elaborate on the standards of care for the assessment, management, and treatment of hospitalized suicidal patients. The authors attempt to synthesize the concepts of the minimal standard of care with clinical risk management and clinical judgment. They point out the areas of overlap and where optimum care diverges from legal standards of care. Case examples are provided to illustrate major areas of concern. Alleged failures of omission and commission are discussed. Tables are provided that differentiate duties and responsibilities between and among clinicians, hospital staff, and hospital administration. 相似文献
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407.
Eeske van Roekel Thao Ha Ron H. J. Scholte Rutger C. M. E. Engels Maaike Verhagen 《欧洲人格杂志》2016,30(1):19-30
A socio‐cognitive model of loneliness states that lonely people are characterized by two characteristics, hypersensitivity to social threat and hyposensitivity to social reward. However, these characteristics have not yet been examined in the daily lives of young adults. Therefore, the main aim of the present study was to examine these two characteristics in young adults and whether relationship status, living situation, and type of company moderated the relationship between sensitivity to threat and reward and feelings of loneliness. The Experience Sampling Method was used, and data were collected among 219 first‐year college students (M age = 19.60, 91% female). Participants filled out questionnaires on their smartphone at five random time points per day, on 11 consecutive days. Multilevel analyses showed support for hypersensitivity to social threat, in that students high in loneliness were more negatively affected by negative perceptions of company. Results for hyposensitivity to social reward were in the opposite direction; students high in loneliness were more positively affected by positive perceptions of company than students low in loneliness. These relations were not moderated by relationship status or living situation. Our findings may indicate that loneliness serves as a motivational state that increases susceptibility to the environment in order to restore social relationships. Copyright © 2015 European Association of Personality Psychology 相似文献
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409.
We have gathered protocols of subjects in their first 30 hours of learning LISP. The processes by which subjects write LISP functions to meet problem specifications has been modeled in a simulation program called GRAPES (Goal Restricted Production System). The GRAPES system embodies the goal-restricted architecture for production systems as specified in the ACT* theory (Anderson, 1983). We compare our simulation to human protocols on a number of problems. GRAPES simulates the top-down, depth-first flow of control exhibited by subjects and produces code very similar to subject code. Special attention is given to modeling student solutions by analogy, how students learn from doing, and how failures of working memory affect the course of problem-solving. Of major concern is the process by which GRAPES compiles operators in solving one problem to facilitate the solution of later problems. 相似文献
410.