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721.
Warren NS 《Journal of genetic counseling》2011,20(6):543-546
This introduction provides an overview of the professional issues and original research papers in this special issue. The
articles address workforce challenges and/or cross-cultural education and communication with culturally and religiously diverse
clients. Additional suggestions are made for moving the profession of genetic counseling toward diversity and cultural competence. 相似文献
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James Phillips Allen Frances Michael A Cerullo John Chardavoyne Hannah S Decker Michael B First Nassir Ghaemi Gary Greenberg Andrew C Hinderliter Warren A Kinghorn Steven G LoBello Elliott B Martin Aaron L Mishara Joel Paris Joseph M Pierre Ronald W Pies Harold A Pincus Douglas Porter Claire Pouncey Michael A Schwartz Thomas Szasz Jerome C Wakefield G Scott Waterman Owen Whooley Peter Zachar 《Philosophy, ethics, and humanities in medicine : PEHM》2012,7(1):1-15
In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM ?C whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. 相似文献
726.
James?PhillipsEmail author Allen?Frances Michael?A?Cerullo John?Chardavoyne Hannah?S?Decker Michael?B?First Nassir?Ghaemi Gary?Greenberg Andrew?C?Hinderliter Warren?A?Kinghorn Steven?G?LoBello Elliott?B?Martin Aaron?L?Mishara Joel?Paris Joseph?M?Pierre Ronald?W?Pies Harold?A?Pincus Claire?Pouncey Michael?A?Schwartz Thomas?Szasz Jerome?C?Wakefield G?Scott?Waterman Owen?Whooley Peter?Zachar 《Philosophy, ethics, and humanities in medicine : PEHM》2012,7(1):14
In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined. 相似文献
727.
This study investigated the relationships between body surveillance, body shame, and contextual body image during sexual activity in American female college students of European, African, Asian, and Hispanic/Latina descent (N = 1174). Responses to self-report questionnaires indicated that body surveillance and body shame were significantly positively correlated with contextual body concern during sexual activities for women of all ethnic groups. Examination of direct and indirect effects using structural equation modeling indicated that body shame partially mediated the relationship between body surveillance and contextual body image during sexual activity for the sample as a whole. However, multiple-group analyses (i.e., path invariance tests) showed that some of these relationships differed by ethnic group, with European American women reporting the strongest relationships. Study results generally support the mediational role of body shame, but highlight that the strength of these relationships and means may differ across ethnic groups. 相似文献
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Individuals may appraise internal states positively or negatively. Positive appraisals involve desiring or pursuing the state or experience, while negative appraisals involve dreading or avoiding the experience. The extent to which individuals make extreme positive or negative appraisals of high, activated, energetic states might determine whether they experience symptoms of high or low mood. This study extends the existing literature by considering the role of opposing appraisals and beliefs about the same internal states and by controlling for the potential correlation between depression and activation symptoms. Extreme, positive and negative appraisals of activated mood states related distinctly to experiences of activation and depression symptoms respectively, in an analogue sample (n=323). Positive appraisals of activated internal states were uniquely associated with elevated activation and hypomania symptoms. Negative appraisals of the same states were uniquely associated with elevated depression symptoms. Opposing appraisals of internal states may underlie mood swing symptoms. 相似文献
729.
Warren Montag 《European Journal of Philosophy》2012,20(1):109-129
Spinoza viewed the book of Ecclesiastes, in its original Hebrew and thus cleared of the interpretations imposed upon it in the guise of translation, as a powerful critique of the two most important variants of the superstition that taught human beings to regard both nature and themselves as degraded expressions of an unattainable perfection. The first was organized around the concept of miracle, the divine suspension of the actual concatenation of things, as if God were an earthly sovereign declaring a state of exception. The second was the apparent opposite of this first, the idea that the concatenation of things has an origin and an end, that is, an order decreed by God. Spinoza reads Ecclesiastes through the lens of Epicurus and Lucretius, as if it were an attempt in the Hebrew idiom, an idiom in certain ways perhaps better suited for this task than either Greek or Latin, to shatter the decrees of destiny and to regard with pleasure those singular things (both human and non‐human) that cannot and need not be made straight. 相似文献
730.
Zannas AS McQuoid DR Steffens DC Chrousos GP Taylor WD 《Stress (Amsterdam, Netherlands)》2012,15(4):425-434
Although the relation between stressful life events (SLEs) and risk of major depressive disorder is well established, important questions remain about the effects of stress on the course of geriatric depression. Our objectives were (1) to examine how baseline stress and change in stress is associated with course of geriatric depression and (2) to test whether polymorphisms of serotonin transporter (5-HTTLPR) and catechol-O-methyltransferase (COMT Val158Met) genes moderate this relation. Two-hundred and sixteen depressed subjects aged 60 years or older were categorized by remission status (Montgomery-Asberg depression rating scale≤6) at 6 and 12 months. At 6 months, greater baseline numbers of self-reported negative and total SLEs and greater baseline perceived stress severity were associated with lower odds of remission. At 12 months, only baseline perceived stress predicted remission. When we examined change in stress, 12-month decrease in negative SLEs and level of perceived stress were associated with improved odds of 12-month remission. When genotype data were included, COMT Val158Met genotype did not influence these relations. However, when compared with 5-HTTLPR L/L homozygotes, S allele carriers with greater baseline numbers of negative SLEs and with greater decrease in negative SLEs were more likely to remit at 12 months. This study demonstrates that baseline SLEs and perceived stress severity may influence the 12-month course of geriatric depression. Moreover, changes in these stress measures over time correlate with depression outcomes. 5-HTTLPR S carriers appear to be more susceptible to both the effects of enduring stress and the benefit of interval stress reduction. 相似文献