出院精神病患者的职业康复

精神病患者出院后的职业康复研究是目前西方精神疾病康复研究的热点。通过帮助出院后症状稳定的精神病患者就业,来帮助患者获得技能,获取收入,增强自信和自我认同,提升生活质量,较好地回归社会。文章从总体上介绍了职业康复的研究现状与进展,并着重阐述了较新的支持性就业、个体支持性就业、工作社交技能训练和综合性支持性就业等方法,旨在为我国的相关研究提供参考     

Attitudes of Employed Women Toward Parents Who Choose Full-Time or Part-Time Employment Following Their Child's Birth

Perceptions of married parents were examined as a function of their gender and their employment status following their child's birth. Women employed in hourly staff positions at a university (92% White, 8% African American, Asian American, or Hispanic American) evaluated a briefly described married employed parent on thirty-one 7-point bipolar scales that described nurturance behaviors, job performance characteristics, role overload variables, and personal adjustment characteristics. Each participant rated one of four parents portrayed as either a mother or a father who, following their child's birth, either continued to work full-time or reduced her/his work hours. Full-time employees were perceived as experiencing more stress and as being less family-oriented than reduced-hour employees. Mothers were viewed as better adjusted but as experiencing more stress than fathers.     

Noncontingent reinforcement for the treatment of severe problem behavior: An analysis of 27 consecutive applications

Noncontingent reinforcement (NCR) is a commonly used treatment for severe problem behavior displayed by individuals with intellectual and developmental disabilities. The current study sought to extend the literature by reporting outcomes achieved with 27 consecutive applications of NCR as the primary treatment for severe problem behavior. All applications of NCR were included regardless of treatment outcome to minimize selection bias favoring successful cases. Participants ranged in age from 5 to 33 years. We analyzed the results across behavioral function and with regard to the use of functional versus alternative reinforcers. NCR effectively treated problem behavior maintained by social reinforcement in 14 of 15 applications, using either the functional reinforcer or alternative reinforcers. When we implemented NCR to treat problem behavior maintained by automatic reinforcement, we often had to add other treatment components to produce clinically significant effects (five of nine applications). Results provide information on the effectiveness and limitations of NCR as treatment for severe problem behavior.     

Finding Spirits in Spirituality: What are We Measuring in Spirituality and Health Research?

Journal of Religion and Health - What are we asking when we ask about spirituality? When research subjects check survey boxes for “religiosity” and “spirituality” measures...     

Memory for thematically arousing events

Many studies have indicated that emotional arousal improves memory for the center, or gist, of an event but undermines memory for the event's periphery. However, all of these studies have elicited emotion by showing participants some salient visual stimulus intended to arouse them (e.g., the sight of a wound). This stimulus may have served as an attention magnet, and this, not the arousal, may have been the cause of the observed narrowing of memory. In this article, we examine how participants remember events that involve thematically induced arousal, arousal produced by empathy, rather than by a visual emotional stimulus. The data show that emotionality improves memory for all aspects of these events, with no memory narrowing.     

Susceptibility to memory distortion: how do we decide it has occurred?

When given suggestive information, some people can be led to believe that they had experiences that they did not actually have. For example, they may come to believe falsely that they got sick eating particular foods as children, and as a result of that belief they may avoid the foods. But how do we know that someone has developed a false belief or memory in this research? The criteria we choose when classifying whether someone has fallen for the suggestion are somewhat arbitrary. We reanalyze our prior data, using different criteria for deciding that a person fell for the suggestion (called a "believer") or did not (called a "non-believer"). Changing criteria obviously affects the percentage of people who are called susceptible and could conceivably affect the conclusions reached about that group. Comparisons between false memories and true memories could differ, too, depending on how memories are defined.     

Spatial reversal as a measure of executive functioning in children with autism

The purpose of this experiment was to compare the executive functioning performance of children with autism with chronological- and verbal-matched controls in a spatial-reversal task. Three groups of children participated in this experiment. One group was identified as having autism (7 boys), the 2nd group contained 7 typically developing children (6 boys, 1 girl) who were matched to the 1st group based on their verbal performance, and the 3rd group contained 7 typically functioning children (6 boys, 1 girl) matched to the 1st group based on chronological age. Each group was given a spatial-reversal task containing 2 problems. In the 1st problem, children selected a toy on a particular side in a pair. In the 2nd problem, the contingencies were reversed such that children were to choose the toy on the opposite side. Children with autism generally performed worse than comparison groups as indicated by their overall higher rate of errors. However, these results must be qualified by considering the performance for each problem: Errors for the children with autism were infrequent during the 1st problem but increased in the 2nd, whereas errors for comparison children showed the opposite pattern. When these results from the spatial-reversal task were interpreted from the perspective of hypothesis-testing theory, the executive functioning deficiency of children with autism was found to involve the selection and testing of stereotypic response sets that were not likely to be revised or changed flexibly according to feedback from the environment or the demands of the task.     

The role of lexical competition and acoustic-phonetic structure in lexical processing: evidence from normal subjects and aphasic patients

This study examined the effects that the acoustic-phonetic structure of a stimulus exerts on the processes by which lexical candidates compete for activation. An auditory lexical decision paradigm was used to investigate whether shortening the VOT of an initial voiceless stop consonant in a real word results in the activation of the lexical-semantic network of its voiced competitor, i.e., does acoustically modified time prime penny via dime. Results for normal subjects showed semantic priming for related pairs and mediated priming for voiced competitors, consistent with cascade models of language processing allowing for interaction between phonological and semantic levels of processing. Although Broca's aphasics showed semantic priming (dime primed penny), they failed to show priming in the context of a lexical competitor. These results are consistent with the hypothesis that these patients have a lexical processing deficit characterized by an overall reduction in lexical activation.     

Savoring with Intent: Investigating Types of and Motives for Responses to Positive Events

To contribute to a growing literature on positive affect (PA) regulation, we report on two studies investigating college students’ responses to hypothetical positive events using a new measure, the Positive Events and Responses Survey (PEARS). The PEARS includes various responses, including savoring (up-regulating PA) and dampening strategies (down-regulating PA), and novel responses (e.g., mass-sharing using Facebook). We examined its convergent and concurrent validity, its relationship with the value of happiness, and motives underlying savoring. Factor analyses supported a 3-factor model: natural savoring (e.g., expressing PA), intentional savoring (e.g., reflecting on the self), and dampening (e.g., minimizing the event). Both natural and intentional savoring were linked to other savoring behaviors, but only natural savoring was linked to perceived savoring ability and (in some bivariate results) to well-being. In contrast, dampening was consistently linked to less savoring and more dampening on other measures, lower well-being, and more depressive symptoms. People reporting valuing happiness more reported higher likelihood of all three types of responses. Qualitative data provided partial support for the hypothesis that intentional savoring strategies are more often used for instrumental reasons (e.g., boosting self-esteem), whereas natural savoring responses may sometimes be more automatic or stem from feeling PA. These studies validate a new measure and suggest that reasons underlying people’s savoring matter.     

A meta‐analytic review of the relationship between emotional dissonance and emotional exhaustion

This meta‐analysis examined the relationship between emotional dissonance and burnout. We collected 57 independent samples that included self‐report measures of emotional dissonance and emotional exhaustion from 16,165 employees. As predicted, a reliable relationship (r = .34) between the two variables was found, indicating that employees who “fake” their emotions at work also suffer from emotional exhaustion, a key component of job burnout. Moderation analyses indicate that effect sizes strengthen as an increasing function of publication year, and are strongest in police work, compared with other service job types. As predicted from a gender role perspective, effect sizes are more pronounced as the percentage of women increases in a sample. Results suggest that emotional dissonance may be added to the growing list of job stressors that lead to emotional exhaustion.