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631.
The authors developed a parent-report measure to enhance findings for diagnoses and evaluations, and therefore, improve on the assessments currently being widely used for this purpose. Data were gathered on 322 clients (4–18 years old) seeking treatment at a private practice setting. Factor analysis revealed 18 subscales. Scores were internally consistent and distinct from other subscales. In addition, the questionnaire showed good diagnostic utility for depression, Oppositional Defiant Disorder (ODD), and Pervasive Developmental Disorder (PDD). This study provides sufficient evidence of the reliability and validity of the Self-Management Questionnaire (SMQ) to recommend its use for skills and needs assessment with children and adolescents.  相似文献   
632.
633.
We established a general genetic counseling clinic (GCC) to help reduce long wait times for new patient appointments and to enhance services for a subset of patients. Genetic counselors, who are licensed in Tennessee, were the primary providers and MD geneticists served as medical advisors. This article describes the clinic referral sources, reasons for referral and patient dispositions following their GCC visit(s). We obtained patients by triaging referrals made to our medical genetics division. Over 24 months, our GCC provided timely visits for 321 patients, allowing the MD geneticists to focus on patients needing a clinical exam and/or complex medical management. Following their GCC visit(s), over 80 % of patients did not need additional appointments with an MD geneticist. The GCC allowed the genetic counselor to spend more time with patients than is possible in our traditional medical genetics clinic. Patient satisfaction surveys (n?=?30) were very positive overall concerning the care provided. Added benefits for the genetic counselors were increased professional responsibility, autonomy and visibility as health care providers. We conclude that genetic counselors are accepted as health care providers by patients and referring providers for a subset of clinical genetics cases. A GCC can expand genetic services, complement more traditional genetic clinic models and utilize the strengths of the genetic counselor health care provider.  相似文献   
634.
This pilot study looked to examine the experiences of women who are “undercover,” the meaning-making of their sexual identity, how they came to negotiate their same-sex sexual desires alongside their primary other-sex unions, and their experience of a secret, compartmentalized life. The study sought to understand their experiences as well as their meaning-making in the course of maintaining a public heterosexual persona while balancing their secret desire for sex with women. The thirty-four women in this study report lifelong incidence of attraction to and encounters with other women as well as men. They are not transitioning toward a lesbian identity nor experiencing fluidity; rather, clandestine encounters are part of an ongoing means to negotiate their opposite-sex marriages. For them, our culture’s limited notions of sexual identity are less than useful. It was important to their self-concept that their sexuality be understood in terms of its intensity and their desire for frequency and diversity of acts. They defined themselves on their own terms and by their sexual personalities and inclination toward what they considered “hypersexuality” or “freakiness.” Despite conventional ideas that women are emotionally driven in their extra-relational affairs and need to “fall in love” to participate in extra-relational sexual activity, all of the women were clear in their desire to limit their association with their same-sex partners to sexual encounters only.  相似文献   
635.
636.
Placebo and three doses of methylphenidate (MPH) were crossed with 3 levels of behavioral modification (no behavioral modification, NBM; low-intensity behavioral modification, LBM; and high-intensity behavior modification, HBM) in the context of a summer treatment program (STP). Participants were 48 children with ADHD, aged 5–12. Behavior was examined in a variety of social settings (sports activities, art class, lunch) that are typical of elementary school, neighborhood, and after-school settings. Children received each behavioral condition for 3 weeks, order counterbalanced across groups. Children concurrently received in random order placebo, 0.15 mg/kg/dose, 0.3 mg/kg/dose, or 0.6 mg/kg/dose MPH, 3 times daily with dose manipulated on a daily basis in random order for each child. Both behavioral and medication treatments produced highly significant and positive effects on children’s behavior. The treatment modalities also interacted significantly. Whereas there was a linear dose–response curve for medication in NBM, the dose–response curves flattened considerably in LBM and HBM. Behavior modification produced effects as large as moderate doses, and on some measures, high doses of medication. These results replicate and extend to social-recreational settings previously reported results in a classroom setting from the same sample (Fabiano et al., School Psychology Review, 36, 195–216, 2007). Results illustrate the importance of taking dosage/intensity into account when evaluating combined treatments; there were no benefits of combined treatments when the dosage of either treatment was high but combination of the low-dose treatments produced substantial incremental improvement over unimodal treatment.  相似文献   
637.
We show that there are infinitely many pairwise non-equivalent formulae in one propositional variable p in the pure implication fragment of the logic T of “ticket entailment” proposed by Anderson and Belnap. This answers a question posed by R. K. Meyer.  相似文献   
638.
Research has shown that social and symbolic cues presented in isolation and at fixation have strong effects on observers, but it is unclear how cues compare when they are presented away from fixation and embedded in natural scenes. We here compare the effects of two types of social cue (gaze and pointing gestures) and one type of symbolic cue (arrow signs) on eye movements of observers under two viewing conditions (free viewing vs. a memory task). The results suggest that social cues are looked at more quickly, for longer and more frequently than the symbolic arrow cues. An analysis of saccades initiated from the cue suggests that the pointing cue leads to stronger cueing than the gaze and the arrow cue. While the task had only a weak influence on gaze orienting to the cues, stronger cue following was found for free viewing compared to the memory task.  相似文献   
639.
Conceiving mission in relation to discipleship entails learning from the margins. This article analyzes the experience and self‐understanding of pan‐African women of faith. Especially in relation to and utilizing the methodology of the ongoing emphasis on an ecumenical “pilgrimage of justice and peace,” their vision of hope is examined under the headings of via positiva, via negativa, and via transformativa. The article concludes by detailing recent and future work of PAWEEN–the Pan African Womens Ecumenical Empowerment Network–in relation to the Sustainable Development Goals of the United Nations.  相似文献   
640.
A total of 636 Grade 11 Chinese students completed measures of risk factors, protective factors, and problem behaviour complemented by achievement data. In terms of risk factors, poor parental management and low school commitment were significant predictors of problem behaviour while low school commitment was a significant predictor of low academic achievement. In terms of protective factors, family attachment, opportunities and recognition for pro‐social involvement in school, and high school expectation of behaviour negatively predict problem behaviour. Pro‐social involvement in school and high expectations of behaviour significantly predict academic achievement. There was also a significant difference on protective factors between resilient and non‐resilient groups from high‐risk family environments.  相似文献   
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