Samuel Justin Sinclair  Michaela Smith  Wei-Jean Chung  Rachel Liebman  Michelle B. Stein  Daniel Antonius 《Journal of personality assessment》2015,97(2):145-152

The purpose of this study was to extend the validity and clinical application of the Level of Care Index (LOCI) from the Personality Assessment Inventory (PAI) in 2 independent psychiatric samples. In Study 1 (N = 201), the LOCI effectively differentiated level of care (inpatients from outpatients), and was also meaningfully associated with risk factors for psychiatric admission (e.g., suicidal ideation, self-harming behavior, previous psychiatric admission, etc.), even after controlling for other demographic variables (range of Cohen's ds = 0.57–1.00). Likewise, the LOCI also incremented other risk indicators (suicide and violence history) and relevant PAI indexes (i.e., Mean Clinical Elevation, and Suicide and Violence Potential) in predicting level of care, and explained an additional 6% to 12% of variance in the target variable. Diagnostic efficiency analyses indicated LOCI scores in the range of 15 to 18 optimize positive and negative predictive power, and classification rate. In Study 2 (N = 96), the LOCI was found to be significantly higher in those with a recent psychiatric admission within the past 6 months (d = 0.64), as compared to those without an admission. Similarly, those who were admitted for suicide risk had significantly higher mean LOCI scores as compared to those who did not (d = 0.70). The clinical implications of these findings and potential application of the LOCI are discussed.  相似文献   

    

Patrick S. Johnson  Jeffrey S. Stein  Rochelle R. Smits  Gregory J. Madden 《Journal of the experimental analysis of behavior》2013,99(3):290-317

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Stein CH  Mankowski ES 《American journal of community psychology》2004,33(1-2):21-35

We present a framework to describe the process of conducting community-based qualitative research. Qualitative research activities are presented as a series of interrelated acts called asking, witnessing, interpreting, and knowing. Each act in the research process is described in terms of current qualitative research practices, and illustrated with examples from our own research projects on families with schizophrenia and men's mutual support and batterer intervention groups. We critically examine the assumption that qualitative research serves to reveal or amplify the voices of participants. We examine connections between qualitative research and social change and describe the use of qualitative research to not only empower marginalized groups, but also to critique and transform privileged groups. The framework is intended to help community researchers to more fully conceptualize, understand, and engage in the practice of qualitative research.  相似文献   

    

Levinson D  Haklai Z  Stein N  Gordon ES 《Suicide & life-threatening behavior》2006,36(1):97-102

An analysis of all emergency department admissions in Israel classified as an attempted suicide in the years 1996-2002 was done to examine attempted suicide rates by age and gender with particular attention to adolescents and young adults. Gender differences in attempted suicide rates were significant only during adolescence and young adulthood, ages 13 to 26. The highest rate for females was 3 years earlier than the highest rate for males. The results lead to the conclusion that women do not attempt suicide more than men, except for 13-26 year olds.  相似文献   

    

Carlos P. Zalaquett  Katherine M. Fuerth  Carmen Stein  Allen E. Ivey  Mary Bradford Ivey 《Journal of counseling and development : JCD》2008,86(3):364-371

The Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) represents a medical model that can be reframed for more effective use in counseling. To achieve this goal, the authors describe how they can shift from client diagnosis to case formulation. In describing this shift, the authors offer an example of a theory‐based etiology and relate case formulation to specific counseling interventions.  相似文献   

    

Niehaus DJ  Laurent C  Jordaan E  Koen L  Oosthuizen P  Keyter N  Muller JE  Mbanga NI  Deleuze JF  Mallet J  Stein DJ  Emsley R 《Suicide & life-threatening behavior》2004,34(3):320-327

This study investigated demographic variables, including affected sibling pair status, as risk factors for suicidal behavior in schizophrenia patients of African (Xhosa) descent. Xhosa subjects with schizophrenia were interviewed with the Diagnostic Interview for Genetic Studies (DIGS) and then stratified into two groups: those with ( n = 90) and those without ( n = 364) a history of previous suicide attempts. Demographic parameters (including gender, age, and social circumstances, sib ship) were then compared across these groups. Demographic predictors of suicide included sib ship status ( p = 0.038; OR = 1.7) and age of onset of illness ( p = 0.008; OR = 2.5). On further analysis of suicide in siblings, only a minority of sib pairs was found to be concordant for a lifetime history of suicide attempts (3%). These findings raise the possibility that affected sib pair status may be protective in nature. Given the counter-intuitive nature of this finding, further work is needed to replicate it, and to explore possible underlying mechanisms.  相似文献   

    

David S. Stein 《New Directions for Adult & Continuing Education》2002,2002(95):27-40

Learning in community means creating local knowledge from aspects of communal life. Through a six-stage process, adult educators can help community members become independent learners and co-creators of community knowledge.  相似文献   

    

Stein CH  Wemmerus VA 《American journal of community psychology》2001,29(5):725-746

Using a life course perspective, the research examines personal accounts of adults with schizophrenia, and their parents and well-siblings from six families. Accounts of multiple members of the same family, including the family member with schizophrenia, are used to describe how families understand and accommodate life changes that result from the illness. Families describe the loss of a normal life as one of the most devastating aspects of schizophrenia. We present the personal and social losses described by adults with schizophrenia and their well family members, and document families' search for ways that their ill family member can achieve or maintain valued social roles. The concerns of well family members for the future of the ill family member and ways families contemplate transfer of care issues are described. Implications of the study for community research and action are discussed.  相似文献   

    

M K Stein  R W Downing  K Rickels 《Psychological reports》1978,43(2):487-492

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J M Mandler  N L Stein 《Psychological bulletin》1977,84(1):173-192

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