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201.
This paper describes a long-term follow-up of patients with panic disorder who received cognitive behaviour therapy within a randomized controlled trial. Of 89 patients eligible for follow-up, 28 (31.5%) were reassessed 6-8 years after commencement of treatment in the trial. No differences were found between those who were followed up and those lost to follow-up on most baseline measures including measures of panic-related psychopathology, or depression. Outcomes at long-term follow-up were significantly better than baseline measures of panic, avoidance and depression. In this sub-sample the effect of cognitive behaviour therapy for panic disorder appears to maintain over the long-term. 相似文献
202.
Women's exposure to thin-and-beautiful media images: body image effects of media-ideal internalization and impact-reduction interventions 总被引:5,自引:4,他引:1
Exposure to media images of thin-and-beautiful women negatively affects the body image and mood states of young women. However, not all women are equally susceptible to these effects. The present experimental investigation with 123 young college women evaluated the moderating effects of the extent of internalization of media ideals. It also examined the preventative impact of two brief interventions (i.e., media literacy information with and without a dissonance-induction procedure). Results indicated that relative to a control group, the exposure to thin-and-beautiful media images adversely influenced the state body image of participants with high internalization levels. Media-literacy psychoeducation prior to the media exposure prevented this adverse effect. Adding a pre-exposure dissonance-induction procedure did not significantly enhance the preventative effects relative to psychoeducation alone. These results and their implications for the treatment and prevention of body image disturbances are discussed in the context of the empirical literature on the media's effects on body image. 相似文献
203.
Levine SS 《The Psychoanalytic quarterly》2004,73(4):939-969
This paper reconsiders familiar concepts (such as internalization, object representation, and object constancy) in light of the notion of having, in order to facilitate creative thinking about how patients are or are not capable of experiencing analysts-and how analysts allow them to do so. The meaning of Other-having is examined from both a theoretical and a subjective point of view. The author suggests that the sense of having an Other results from positive real experiences, and that the ability to have an Other is the sine qua non, the building block, of all mental functions that require empathy. 相似文献
204.
Michaelis BH Goldberg JF Davis GP Singer TM Garno JL Wenze SJ 《Suicide & life-threatening behavior》2004,34(2):172-176
Impulsivity and hostility are often thought to be interrelated among depressed patients with suicidal behavior, but few studies have examined this relationship empirically. In this study, we assessed trait impulsivity and hostility among 52 DSM-IV bipolar subjects with and without histories of suicide attempts. Impulsivity and hostility were correlated among attempters (r = .41, p = .03) but not non-attempters (r = .22, p = .28). As compared to non-attempters, attempters had significantly higher levels of overall hostility, more extensive subcomponents of hostility, and a trend toward higher overall impulsivity. Associations between lifetime suicide attempts and overall hostility were significant while controlling for current depression severity and lifetime illness duration. Aggression and impulsivity appear linked among bipolar patients with lifetime suicide attempts but may be independent constructs among non-attempters. The presence of both factors may elevate risk for suicidal behavior. 相似文献
205.
206.
Genetic Cancer Risk Assessment and Counseling: Recommendations of the National Society of Genetic Counselors 总被引:4,自引:0,他引:4
Trepanier A Ahrens M McKinnon W Peters J Stopfer J Grumet SC Manley S Culver JO Acton R Larsen-Haidle J Correia LA Bennett R Pettersen B Ferlita TD Costalas JW Hunt K Donlon S Skrzynia C Farrell C Callif-Daley F Vockley CW;National Society of Genetic Counselors 《Journal of genetic counseling》2004,13(2):83-114
These cancer genetic counseling recommendations describe the medical, psychosocial, and ethical ramifications of identifying at-risk individuals through cancer risk assessment with or without genetic testing. They were developed by members of the Practice Issues Subcommittee of the National Society of Genetic Counselors Cancer Genetic Counseling Special Interest Group. The information contained in this document is derived from extensive review of the current literature on cancer genetic risk assessment and counseling as well as the personal expertise of genetic counselors specializing in cancer genetics. The recommendations are intended to provide information about the process of genetic counseling and risk assessment for hereditary cancer disorders rather than specific information about individual syndromes. Key components include the intake (medical and family histories), psychosocial assessment (assessment of risk perception), cancer risk assessment (determination and communication of risk), molecular testing for hereditary cancer syndromes (regulations, informed consent, and counseling process), and follow-up considerations. These recommendations should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular outcome. These recommendations do not displace a health care provider's professional judgment based on the clinical circumstances of a client. 相似文献
207.
Magun-Jackson S 《Science and engineering ethics》2004,10(2):219-224
Ethics has become an increasingly important issue within engineering as the profession has become progressively more complex.
The need to integrate ethics into an engineering curriculum is well documented, as education does not often sufficiently prepare
engineers for the ethical conflicts they experience. Recent research indicates that there is great diversity in the way institutions
approach the problem of teaching ethics to undergraduate engineering students; some schools require students to take general
ethics courses from philosophical or religious perspectives, while others integrate ethics in existing engineering courses.
The purpose of this paper is to propose a method to implement the integration of ethics in engineering education that is pedagogically
based on Kohlberg’s stage theory of moral development. 相似文献
208.
Kimberly A Purdy Susan J Lederman Roberta L Klatzky 《Revue canadienne de psychologie expérimentale》2004,58(1):32-45
The relationship between knowing where a haptic property is located and knowing what it is was investigated using a haptic-search paradigm. Across trials, from one to six stimuli were presented simultaneously to varying combinations of the middle three fingertips of both hands. Participants reported the presence/absence of a target or its location for four perceptual dimensions: rough/smooth, edge/no edge, relative position (right/left), and relative orientation (right/left). Reaction time data were plotted as a function of set size. The slope data indicated no difference in processing load for location as compared to identity processing. However, the intercept data did reveal a cost associated with processing location information. Location information was not obtained for "free" when identity was processed. The data also supported a critical distinction between material and edge dimensions versus geometric dimensions, as the size of the cost associated with processing location was larger for spatial than for intensive stimuli. 相似文献
209.
The authors investigated affective semantic priming using a lexical decision task with 4 affective categories of related word pairs: neutral, happy, fearful, and sad. Results demonstrated a striking and reliable effect of affective category on semantic priming. Neutral and happy prime-targets yielded significant semantic priming. Fearful pairs showed no or modest priming facilitation, and sad primes slowed reactions to sad targets. A further experiment established that affective primes do not have generalized facilitatory-inhibitory effects. The results are interpreted as showing that the associative mechanisms that support semantic priming for neutral words are also shared by happy valence words but not for negative valence words. This may reflect increased vigilance necessary in adverse contexts or suggest that the associative mechanisms that bind negative valence words are distinct. 相似文献
210.
This study extends the data on the efficacy of cognitive interventions for patients with chronic medical problems and describes the case of a 37-year-old woman with an anxiety disorder related to diabetes. The effects on panic frequency, use of safety behaviour and related beliefs were investigated after the introduction of two main cognitive-behavioral interventions. The results are consistent with predictions from the cognitive model of panic. This case demonstrates the usefulness of directly challenging the 'meaning' of the feared situation in order to produce clinically significant improvements in the management of physical disease. 相似文献