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171.
This study examined women’s recall of physician recommendations as well as patient satisfaction following participation in
a breast/ovarian cancer risk and prevention program. Participants were 41 high risk women who attended a cancer risk program
4–6 months earlier. Two-thirds of women who received recommendations for tamoxifen treatment and genetic testing did not recall
these recommendations upon follow-up. A number of women misunderstood recommendations and a quarter of the sample recalled
recommendations that were not made during the consultation. Although these high risk women were generally satisfied with their
counseling visit, those individuals who received particularly complex sets of recommendations reported feeling less understood
and were less satisfied with the counseling. Findings underline the importance of examining recommendation recall, in addition
to perceptions of cancer risk, when evaluating the clinical implications of cancer risk assessment. 相似文献
172.
Rosemary S. L. Mills Wendy S. Freeman Ian P. Clara Frank J. Elgar Bobbi R. Walling Leanne Mak 《Journal of child and family studies》2007,16(3):359-374
We examined the link between parent proneness to shame and two forms of psychological control, overprotection and critical/rejecting
behavior, in parents of preschoolers. Because shame is self-condemning, proneness to shame affects intrapersonal and interpersonal
functioning. We hypothesized that parents’ emotion-regulatory responses to shame would increase the likelihood of psychological
control: anxiety by leading to overprotection mediated by a worrisome approach to the child, and anger/hostility by leading
to critical/rejecting parenting mediated by negative reactivity to the child. Participants were 198 mother-father pairs with
a child 3.6 to 4.5 years of age. Overprotective and critical/rejecting parenting were assessed using both self and spouse
reports of parenting practices. In addition, parents completed measures of proneness to shame, worrisome overconcern about
the child, and negative reactivity to the child. Structural equation modeling yielded results that supported mediation by
negative approach to the child for mothers’ and fathers’ critical/rejecting behavior. For fathers but not mothers, shame was
indirectly associated with overprotective parenting through worrisome approach to the child. Parents’ proneness to shame may
be an important factor leading to the use of psychological control. 相似文献
173.
174.
Rosemary Davies 《The International journal of psycho-analysis》2012,93(5):1101-1114
In this article I consider the implications of our differing psychoanalytic theories of anxiety on clinical technique. Drawing on differentiations between the focus on separation or castration anxiety and the relative neglect of the latter in contemporary writing, I look in detail at two clinical examples of psychoanalysis in borderline young adults to exemplify the issue. 1 相似文献
175.
176.
Recent factor analytic studies in Attention-Deficit/Hyperactivity Disorder (ADHD) have shown that hierarchical models provide
a better fit of ADHD symptoms than correlated models. A hierarchical model includes a general ADHD factor and specific factors
for inattention, and hyperactivity/impulsivity. The aim of this 12-month longitudinal study was to test the generalizability
of the hierarchical models of ADHD within an elementary school population of 6–9 year old children (250 boys, 260 girls).
Examination of differences as a function of informant (parent vs. teacher ratings), sex, and time was conducted. Six potential
factor structures for the 18 items of the SWAN (Strengths and Weaknesses of ADHD-symptoms and Normal-behavior) scale were tested using confirmatory and exploratory factor analyses. Hierarchical models with a general ADHD
factor and two or three specific factors best accounted for parent and teacher reports of symptoms for both boys and girls
and at two time points separated by a 12-month interval. Findings indicate that the 18 SWAN items measure a common latent
trait as well as orthogonal factors or dimensions of inattention and hyperactivity/impulsivity. 相似文献
177.
Rosemary Lowry 《Ethical Theory and Moral Practice》2012,15(4):521-531
Most moral philosophers agree that if a moral agent is incapable of performing some act ф because of a physical incapacity, then they do not have a reason to ф. Most also claim that if an agent is incapable of ф-ing due to a psychological incapacity, brought about by, for example, an obsession or phobia, then this does not preclude them from having a reason to ф. This is because the ‘ought implies can’ principle is usually interpreted as a claim about physical, rather than psychological, capacities. In this paper I argue for an opposing view: if we don’t have reasons to do things that we are physically incapable of doing, then neither do we have reasons to do things we are psychologically incapable of doing. I also argue that extending the ‘ought implies can’ principle to psychological capacities makes the principle more attractive. 相似文献
178.
Objective: To examine factor structures of Diagnostic and Statistical Manual of Mental Disorders (4th ed.) symptoms of ADHD in adults. Method: Two sets of models were tested: (a) models with inattention and hyperactivity/impulsivity as separate but correlated latent constructs and (b) hierarchical general factor models with a general factor for all symptoms and separate specific factors for inattention and hyperactivity/impulsivity. Participants were 751 adults with ADHD. Two models with correlated factors and two general factor models of ADHD symptoms were tested. Results: The general factor model provided a better fit of the data than the correlated models. The general factor model with one general and three (inattention, motoric, and verbal hyperactivity/impulsivity) specific factors best accounted for the adults' symptoms. Conclusion: These results suggest a unitary component to ADHD symptoms as well as dimensional specific factors. The replication of a general factor in adults suggests continuity of symptom presentation from childhood into adulthood. Clinical implications are discussed. 相似文献
179.
Rosemary Rizq 《欧洲心理治疗、咨询与健康杂志》2013,15(1):39-53
The relational, collaborative values of the qualitative research paradigm frequently require us to consider sharing the ongoing analysis of data with our research participants for comment and feedback. However, qualitative researchers may experience some tension between balancing participants' narrative accounts with their own analytic perspective and use of psychological theory. In using a psychoanalytic framework to explore this predicament, this paper adopts the notion of the ‘research couple', analogous to the psychotherapeutic ‘analytic couple', to consider possible oedipal dynamics within the qualitative research interview. The paper explores some of the emotional and ethical tensions in analysing and presenting research results and briefly discusses some implications for research training. 相似文献
180.