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131.
Evaluating Genetic Counseling: Client Expectations,Psychological Adjustment and Satisfaction with Service 总被引:1,自引:0,他引:1
Periodic evaluations of genetic counseling services are useful for determining the effectiveness of counseling in meetings its psycho-educational aims, as well as identifying where improvements to the service may be made. This study aimed to evaluate the genetic counseling services provided by Genetic Services of Western Australia (GSWA) to determine the impact of counseling on client expectations, satisfaction with the service, and psychological adjustment, defined as wellbeing and perceived personal control (PPC). A total of 122 clients participated in a self-administered survey conducted pre- and post-counseling. Client expectations of the service as a means of providing information were met, and opportunities for counselors to meet client’s expectations of psychological support were identified. Furthermore, counseling was found to maintain and enhance psychological wellbeing of clients. The role of counseling in facilitating the development of PPC was a key contributor to a high sense of satisfaction in clients. 相似文献
132.
In the Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998) involving race classification (white vs. black),
an apparent compatibility effect is found between the “pleasant” attribute and the “white” category. This race IAT effect
has been interpreted in terms of “implicit prejudice”—that is, more positive evaluation of whites than of blacks that is not
open to consciousness. We suggested instead that the race IAT effect is better interpreted in terms of the salience asymmetry
account proposed by Rothermund and Wentura (2004), whereby greater familiarity with the white category makes it more salient.
Evidence that has been presented against the familiarity interpretation is considered, and alternative interpretations of
findings related to the race IAT effect are discussed. 相似文献
133.
Freeman R 《CNS spectrums》2005,10(9):698-706
Neuropathic pain is responsible for a significant amount of the morbidity associated with generalized and focal peripheral neuropathies. It is a consequence of alterations in neuronal function, chemistry, and structure that occur secondary to nerve injury. These manifestations of neuronal plasticity occur in the peripheral nerve, spinal cord, and brain. A variety of agents from diverse pharmacologic classes, the so-called adjuvant analgesics, have been used to treat neuropathic pain. These include antidepressants, first- and second-generation anticonvulsants, antiarrhythmic agents, topical agents, N-methyl-D-aspartate receptor antagonists, and opioid analgesics. The use of these adjuvant analgesics, either alone or in combination, should result in the alleviation of neuropathic pain in most patients. Recent advances in the understanding of pain mechanisms at multiple central nervous system levels should pave the way toward more effective treatment modalities. 相似文献
134.
In this paper, the distributional properties and power rates of the Lz, Eci2z, and Eci4z statistics when they are used as item fit statistics were explored. The results were compared to t-transformation of Outfit and Infit mean square. Four sample sizes were selected: 100, 250, 500, and 1000 examinees. The abilities were uniform and normal with mean 0 and standard deviation 1, and uniform and normal with mean -1 and standard deviation 1. The pseudo-guessing parameter was fixed at .25. Two ranges of difficulty parameters were selected: +/- 1 logits and +/- 2 logits. Two test lengths were selected: 15 and 30 items. The results showed important differences between the T-infit, T-outfit, Lz, Eci2z, and Eci4z statistics. The T-oufit, T-infit, and Lz statistics showed poor standardization with estimated parameters because their distributional properties were not close to the expected values. However, the Eci2z and Eci4z statistics showed satisfactory standardization on all conditions. Further, the power rates of Eci2z and Eci4z were 5% to 10% higher than the power rates of Lz, T-outfit, and T-infit to detect items that do not fit Rasch model. 相似文献
135.
In the context of a medium-term study designed to integrate the simulation of different types and processes of learning-such as classical, operant, and some cognitive types--one must start with other more elementary ones that are facilitators of the more complex types and processes. Of special interest is habituation, owing to the filtering out of irrelevant stimuli, which means that the simulated agent does not have to respond to them. This paper presents two difference functions constructed to computationally simulate the characteristics that define habituation. The behavior of these functions is described, as are differences arising from stimulus intensity and interstimulus intervals. Results are compared with existing empirical data. 相似文献
136.
Contrasting linguistic and nonlinguistic processing has been of interest to many researchers with different scientific, theoretical,
or clinical questions. However, previous work on this type of comparative analysis and experimentation has been limited. In
particular, little is known about the differences and similarities between the perceptual, cognitive, and neural processing
of nonverbal environmental sounds and that of speech sounds. With the aim of contrasting verbal and nonverbal processing in
the auditory modality, we developed a new on-line measure that can be administered to subjects from different clinical, neurological,
or sociocultural groups. This is an on-line task of sound to picture matching, in which the sounds are either environmental
sounds or their linguistic equivalents and which is controlled for potential task and item confounds across the two sound
types. Here, we describe the design and development of our measure and report norming data for healthy subjects from two different
adult age groups: younger adults (18–24 years of age) and older adults (54–78 years of age). We also outline other populations
to which the test has been or is being administered. In addition to the results reported here, the test can be useful to other
researchers who are interested in systematically contrasting verbal and nonverbal auditory processing in other populations. 相似文献
137.
Background: To introduce a person with multiple disabilities to a microswitch-aided program, one has to select a plausible response(s),
that is, a response(s) that can be performed reliably and without excessive effort by the person and can successfully activate
the microswitch(es) available (producing preferred stimuli). This paper provides an overview of the responses adopted for
microswitch activation in research studies during the last 20 years. Method: Computerized and manual searches were carried out to identify the studies published between 1986 and 2005. Forty-eight research
studies were identified. They concerned the use of (1) a single (typical) response, (2) a single (non-typical) response, (3)
multiple (typical and non-typical) responses, and (4) multiple (vocal) responses. Results and discussion: The results showed that 151 of the 190 participants involved in the studies had a positive outcome (i.e., clear increases
in their responding, which suggested that they had learned the association between responding and consequent preferred stimuli).
Failures were largely concentrated in the first group of studies. The discussion focused on (a) the importance of selecting
plausible responses for increasing the chances of success, (b) the need of non-typical responses for persons with minimal
motor behavior, (c) implications of programs with multiple responses on engagement and choice, and (d) relevance of using
vocal utterances. Some suggestions for future research concerning these points were also examined. 相似文献
138.
Dorothée?LegrandEmail author Franck?Grammont 《Phenomenology and the Cognitive Sciences》2005,4(3):249-257
We discuss the justification of Bickle's “ruthless” reductionism. Bickle intends to show that we know enough about neurons
to draw conclusions about the “whole” brain and about the mind. However, his reductionism does not take into account the complexity
of the nervous system and the fact that new properties emerge at each significant level of integration from the coupled functioning
of elementary components. From a methodological point of view, we argue that neuronal and cognitive models have to exert a
mutual constraint(MC) on each other. This approach would refuse to award any priority of cognitive approaches over neuroscience, and reciprocally,
to refuse any priority of neuroscience over cognitive approaches. MC thus argues against radicalreductionism at the methodological level. 相似文献
139.
Two purported cues to perceived female physical attractiveness are body mass index (BMI) and body shape as measured by the waist-to-hip ratio (WHR). This study examined the relative contribution of both cues in several culturally socio-economically distinct populations. Six hundred and eighty-two participants from Britain and Malaysia were asked to rate a set of images of real women with known BMI and WHR. The results showed that BMI is the primary determinant of female physical attractiveness, whereas WHR failed to emerge as a significant predictor. The results also showed that there were significant differences in preferences for physical attractiveness along a gradient of socio-economic development, with urban participants preferring images of women with significantly lower BMIs than their rural counterparts. The findings are discussed in terms of evolutionary psychological explanations of mate selection, and sociocultural theory, which emphasises the learning of preferences for body sizes in social and cultural contexts. 相似文献
140.
Neurophysiological experiments with monkeys have demonstrated that working memory (WM) is associated with persistent neural
activity in multiple brain regions, such as the prefrontal cortex (PFC), the parietal cortex, and posterior unimodal association
areas. WM maintenance is believed to require the coordination of these brain regions, which do not function in isolation but,
rather, interact to maintain visual percepts that are no longer present in the environment. However, single-unit physiology
studies and traditional univariate analyses of functional brain imaging data cannot evaluate interactions between distant
brain regions, and so evidence of regional integration during WM maintenance is largely indirect. In this study, we utilized
a recently developed multivariate analysis method that allows us to explore functional connectivity between brain regions
during the distinct stages of a delayed face recognition task. To characterize the neural network mediating the on-line maintenance
of faces, the fusiform face area (FFA) was defined as a seed and was then used to generate whole-brain correlation maps. A
random effects analysis of the correlation data revealed a network of brain regions exhibiting significant correlations with
the FFA seed during the WM delay period. This maintenance network included the dorsolateral and ventrolateral PFC, the premotor
cortex, the intraparietal sulcus, the caudate nucleus, the thalamus, the hippocampus, and occipitotemporal regions. These
findings support the notion that the coordinated functional interaction between nodes of a widely distributed network underlies
the active maintenance of a perceptual representation. 相似文献