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891.
Relatives (N=121) of adult schizophrenia patients were interviewed to investigate predictors of their level of psychological distress and of rejecting attitudes toward the sufferer. The relatives' total stress, particularly that associated with poor communication skills in the sufferer, predicted several measures of their psychological distress, and the same variables plus turbulence of sufferer behavior (i.e., violence and disruptiveness) predicted rejection of the sufferer by the relative. In each case, adequacy of family support moderated the influence of the stressors, although this effect was more marked for distress outcomes than for rejection. The results have important implications for the sorts of professional and peer support which relatives may need to encourage their performance of this potentially burdensome role. In addition, the results fit a classic stress management model and provide a feasible alternative to the Expressed Emotion Model of the relationship between relatives' rejection and patients' illness severity.  相似文献   
892.
893.
Patients with insufficient financial resources place physicians in a conflict of interest between the patients' needs and the financial interests of the physician, other patients, and society. Not only must physicians act ethically, but they must avoid liability for violating their legal duties to their patients. The traditional rules of contract and malpractice law that govern the patient-physician relationship do not provide satisfactory guidelines. Better answers are found in the rules of fiduciary law, but only with regard to direct conflicts between patients and physicians and only at the risk of reducing patient access to care. Certain types of legislative action can resolve these conflicts by altering the traditional legal rules, but care must be taken to preserve patient-physician trust, which the legal rules were designed to enhance.  相似文献   
894.
Extensive historical sleuthing reveals that the word "bioethics" and the field of study it names experienced, in 1970/1971, a "bilocated birth" in Madison, Wisconsin, and in Washington, D.C. Van Rensselaer Potter, at the University of Wisconsin first coined the term; and André Hellegers, at Georgetown University, at the very least, latched onto the already-existing word "bioethics" and first used it in an institutional way to designate the focused area of inquiry that became an academic field of learning and a movement regarding public policy and the life sciences. A further comparison of the Potter and the Hellegers/Georgetown understandings of bioethics and the relative acceptance of the two views will appear in the March 1995 issue of this journal.  相似文献   
895.
A systems analysis of the behaviors of schooling   总被引:1,自引:0,他引:1  
Summary and conclusions Thus, the existing nonsystematic system, and the various vested interests associated with it, targets groups of students rather than individuals. Prior to the advent of a science of schooling, the tutorial approach associated with the privileged or ruling classes did not seem feasible for educating the masses, simply because there was no adequate science of behavior for the individual. Even after that science showed promise for pedagogy, there was still no systems-wide science for applying what was known to groups and organizations in which the individual was pivotal. In order to determine whether behavioral conceptions of schooling work on a larger scale, we must experimentally test whether or not thoroughgoing applications are feasible to educate the masses individually. Findings from 8this research can be used to design and modify systems of schooling that are measurably effective, workable year in and year out, automatically self-correcting, and beneficial to all of the parties involved. CABAS has demonstrated how such a system can work on a small scale; other attempts may show us how to make a large scale system work. We have not yet seen what man can make of man (Skinner, 1971, p. 215).  相似文献   
896.
Contrast sensitivity was measured for 12 healthy young males while sober, after ingestion of an alcohol placebo, and after ingestion of alcohol (95% grain alcohol; mean estimated blood alcohol level = .088%). Observations were made for both stationary gratings and gratings that traveled through a circular path and required pursuit eye movements. The significant alcohol-related reduction in contrast sensitivity was 2.6 times greater for moving (.29-log-unit reduction) than for stationary gratings (.11-log-unit reduction). The loss in contrast sensitivity for the moving gratings of high spatial frequency (12 cpd) was particularly severe (.37 log unit). Estimated blood alcohol level was correlated with the loss in contrast sensitivity for moving gratings (r = .61), but not with the loss for stationary gratings. Estimated blood alcohol level was strongly correlated with the difference between the loss in contrast sensitivity to moving and stationary gratings (r = .75). These results are consistent with reports that alcohol consumption degrades the ability to make pursuit eye movements. Subjects’ perceived intoxication level was not a reliable predictor of any index of visual performance.  相似文献   
897.
The present study investigated 2-month-olds’ abilities to discriminate allophonic differences that are potentially useful in segmenting fluent speech. Experiment 1 investigated infants’ sensitivity to the kind of distinction that may signal the presence or absence of a word boundary. When tested with the high-amplitude sucking procedure, infants discriminated pairs of items, such as “nitrate” versus “night rate” and “nikrate” versus “nike rate.” By greatly reducing the potential contribution of prosodic differences to these contrasts, Experiment 2 evaluated whether the allophonic differences for /t/ and /r/ were sufficient for infants to distinguish the “nitrate” versus “night rate” pair. Infants distinguished “nitrate” from a cross-spliced version of “night rate,” which differed only in the allophones for /t/ and /r/ that it included. Thus, infants appear to possess one of the prerequisite capacities (i.e., the ability to discriminate allophonic distinctions) necessary to use allophonic information in segmenting fluent speech.  相似文献   
898.
899.
Two common methods of measuring personality variables are examined with respect to the ways in which they control respondent biases. A form of the mental-test theory model is developed which makes explicit differences in score components that result from different methodological constraints imposed by the two methods. From the model, it is possible to specify the operations necessary to provide equivalent information from the two sets of data. Performance of these operations in an empirical test supports the model by producing generally higher correlations between the variables having score components which are more closely matched.  相似文献   
900.
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