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181.
182.
    
Chronic pain affects 35% to 57% of the adult population in the United States and results in billions of dollars spent annually in direct health‐care costs and lost productivity. Extensive research confirms the considerable role psychological factors play in the experience and expression of chronic pain. The author discusses implications for counseling adult clients experiencing chronic pain, specifically interventions, interdisciplinary treatment approaches, treatment planning, diversity, and ethical/legal considerations.  相似文献   
183.
    
Repetition priming is one of the most robust phenomena in cognitive psychology, but participants vary substantially on the amount of priming that they produce. The current experiments assessed the reliability of repetition priming within individuals. The results suggest that observed differences in the size of the repetition priming effect across participants are largely reliable and result primarily from systematic processes. We conclude that the unreliability of semantic priming observed by Stolz, Besner, and Carr (2005) is specific to uncoordinated processes in semantic memory, and that this unreliability does not generalize to other processes in visual word recognition. We consider the implications of these results for theories of automatic and controlled processes that contribute to priming. Finally, we emphasize the importance of reliability for researchers who use similar paradigms to study individual and group differences in cognition.  相似文献   
184.
    
Accumulating evidence suggests that North Americans tend to focus on central objects whereas East Asians tend to pay more attention to contextual information in a visual scene. Although it is generally believed that such culturally divergent attention tendencies develop through socialization, existing evidence largely depends on adult samples. Moreover, no past research has investigated the relation between context‐sensitivity and other domains of cognitive development. The present study examined children in the United States and Japan (= 175, age 4–9 years) to investigate the developmental pattern in context‐sensitivity and its relation to executive function. The study found that context‐sensitivity increased with age across cultures. Nevertheless, Japanese children showed significantly greater context‐sensitivity than American children. Also, context‐sensitivity fully mediated the cultural difference in a set‐shifting executive function task, which might help explain past findings that East Asian children outperformed their American counterparts on executive function.  相似文献   
185.
    
Cardiomyopathy is a genetically and clinically heterogeneous, life threatening disease which affects people of all ages. Recent guidelines provide recommendations for cardiac screening and genetic testing in at-risk relatives, but the uptake and impact of these measures in the United States is unknown. This is a single institution retrospective study that characterizes the uptake of cardiac screening and genetic testing for relatives of a cohort of 57 probands with hypertrophic (HCM) and dilated cardiomyopathy (DCM) who underwent both clinical evaluation and genetic testing. Cardiac screening was indicated for 302 relatives. One hundred and seventy-three (57 %) completed cardiac screening. Forty of the 57 probands were mutation positive and genetic testing was indicated for 213 relatives. Eighty-four (39 %) completed genetic testing. The uptake of cardiac surveillance was greater than the uptake of genetic testing (p?<?0.0001) among relatives of mutation positive probands. Within the group of at-risk, asymptomatic relatives of probands, cardiac screening and genetic testing were positive in 25 % and 40 % of cases, respectively. These data demonstrate the important role and utility of cascade cardiac screening and genetic testing in the care of patients and families with HCM or DCM. The approach to cardiac screening and genetic testing should be family-specific and requires expertise in the genetics of cardiomyopathy.  相似文献   
186.
    
This study tested the hypothesis that family members showing greater commonality (similarity) and sociality (predictive accuracy) in their construing of family relationships would display greater satisfaction with those relationships than would individuals in families whose relational construing was more discrepant and unpredictable. Forty-seven family triads participated in the study, including a mother, father, and adolescent from each family. Measures of commonality and sociality in the construction of family relationships derived from a family relationships grid were compared to measures of family structure, including the Family Cohesion and Adaptability Evaluation Scale (FACES-II) (Olson, Portner, & Bell, 1982) and the Parent-Adolescent Communication Scale (PACS) (Barnes & Olson, 1982). The findings suggest that members' perceptions of the family as emotionally close, flexible, and communicative may not represent independent aspects of the family structure, at least within the present nonclinical sample. Comparison of the family relationship grids with the FACES-H and PACS demonstrated that commonality and sociality among family members was highly related to mothers' and adolescents' family satisfaction, but was much less predictive of that of the father.  相似文献   
187.
    
How would religion and a life event carrying an existential threat (LEET) jointly impact a person's life goals of becoming wealthy and successful in one's career? Goal reprioritisation, socioemotional selectivity, and gerotranscendence theories predict a shift away from material goals following a LEET, independent of the effect of religion. However, terror management theory (TMT) predicts that the effect of death thoughts depends on one's prevailing cultural values. As religion can be regarded as a culture, it is possible that Christians' and non-believers' material life goals would be differentially altered by LEET. Data from 1259 young Chinese adults reveal no main effect of LEET, but a strong effect of religion. Moreover, there was an interaction effect between LEET and religion on material life goals: LEET weakened material goals for Christians but not for non-believers. These findings suggest that TMT is more suitable than the other theories for predicting life goal changes.  相似文献   
188.
    
The election of the first African‐American President of the United States, Barack Obama, has been widely recognised as an extraordinary milestone in the history of the United States and indeed the world. With the use of a discursive psychological approach combined with central theoretical principles derived from social identity and self‐categorisation theories, this paper analyses a corpus of speeches Obama delivered during his candidacy for president to examine how he attended to and managed his social identity in his political discourse. Building on a social identity model of leadership, we examine specifically how Obama mobilises political support and social identification by building an identity for himself as a prototypical representative of the American people, notwithstanding the protracted public debate within both the White and Black American communities that had questioned and contested Obama's identity. Moreover, we demonstrate how Obama managed the dilemmas around his identity by actively crafting an in‐group identity that was oriented to an increasingly socially diverse America—a diversity that he himself exemplified and embodied as a leader. As an ‘entrepreneur’ of identity, Obama's rhetorical project was to position himself as an exceptional leader, whose very difference was represented as ‘living proof’ of the widely shared collective values that constitute the ‘American Dream’. Drawing on social identity complexity theory, we suggest that by providing more inclusive and complex categories of civic and national identity, Obama's presidency has the potential to radically transform what it means to be a prototypical in‐group member in America. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   
189.
    
Rationale: To date relatively little research has examined the effectiveness of psycho‐educational courses provided in a primary care setting to adults with mild‐to‐moderate mental health concerns. Aims: To determine whether group psycho‐education could be a viable alternative to individual counselling by (1) assessing the clinical effectiveness of an 8‐week psycho‐educational course, and (2) examining the group outcomes in comparison with individual treatment outcomes from a previous study in the same counselling service. Method: A total of 57 participants attending a psycho‐educational course provided data over a 36‐month period, using the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE‐OM) pre‐ and post‐intervention. A comparison was then made with the data of 58 previous participants of individual counselling evaluation, using the same CORE‐OM system. Results: Participants reported significantly lower levels of psychological distress after attending the course and these results are comparable to outcomes measured in the same service for individual counselling, indicating that group interventions could be considered a legitimate alternative to individual counselling, thus increasing cost effectiveness and reducing waiting times. Limitations of the study and implications for practice and further investigation are considered.  相似文献   
190.
    
The effects of reinforcer magnitude and response requirement on pigeons' say choices in an experimental homologue of human say-do correspondence were assessed in two experiments. The procedure was similar to a conditional discrimination procedure except the pigeons chose both a sample stimulus (the say component) and a comparison stimulus that corresponded to it (the do component). Correspondence was trained on red, green, and white key colors before the duration of food presentations following correspondence on each key color (Experiment 1) and the number of key pecks required as the say response on each key color (Experiment 2) were manipulated in an attempt to influence the initial say response. The frequency of say responses on each key color coincided with programmed changes in the duration of food presentations and the key-peck requirements assigned to each key color. Correspondence accuracy remained stable in all conditions, even those in which the say responding occurred primarily on two of the three key colors. Implications for human behavior are discussed.  相似文献   
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