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71.
Treatment of the depressed client with low self-esteem, external locus of control, and an absent spouse often is frustrating due to the limitations of modifying the social context. An approach to the problem using a systemic view which is based on examining the notion of power and examining the problems in their context is presented. Interventions which sidestep the temptation of emphasizing self-esteem of the client and, instead, utilize client strengths and interactional dynamics within the marriage are presented.  相似文献   
72.
Study of child abusers reveals that many victimizers were once victims and that the behaviors underlying the perspectives of victims and victimizers are related. Three groups of abusing parents using directed self-help were studied at Parents Anonymous by participant observation methodology for two and-a-half years. Four of the 52 participating parents read and commented on a draft of the research. Their violence appeared to be an attempt to gain a sense of control or to deal with the frustration of not feeling in control. Suggestions are made for developing social services that enhance individuals' sense of control.Paper presented at the Groves Conference on Marriage and the Family, London, England, July, 1986.  相似文献   
73.
Business organizations have become interested in recent years in the role of social support in reducing the negative effect of stress. The purpose of this research is to examine the effects of two types of social support (i.e., job and life support) on the relationships between job and life stress and burnout. Participants consisted of 270 males and 254 females. For both males and females job stress and life stress correlate positively with burnout, while job and life support were negatively correlated with burnout. The hypothesis that social support would moderate stress-burnout relationships was not supported. Neither job support nor life support moderated job stress or life stress-burnout relationships. Females exhibited significantly higher levels of burnout, job stress, and life stress than males; however, there was no difference between males and females in the amount of social support received.  相似文献   
74.
This essay critically assesses Plekhanov's famous article on the role of the individual in history. Part I explicates his treatment of the problem of free will and determinism and argues that it is unsatisfactory. The whole issue, however, is held to be largely irrelevant to Marxism. Part II then turns to the question of the explanatory weight given to individual action by historical materialism. Plekhanov's discussion of this issue is more insightful, and the essay endeavors to distinguish between the strong and weak points of his analysis in order to lay the foundations for a more adequate handling of the subject.  相似文献   
75.
Relaxation therapy for tension headache in the elderly: a prospective study   总被引:1,自引:0,他引:1  
We evaluated the effects of an 8-week progressive muscle-relaxation therapy regimen on the headache activity of 10 elderly tension-headache subjects. Posttreatment assessment at 3 months revealed significant decreases in overall headache activity (50% or greater) in 7 subjects. Significant clinical or statistical prepost differences, or both, were also found for the number of headache-free days, peak headache activity, and medication index. This is the first prospective study of tension headache in an elderly population, and, unlike previous retrospective studies, it suggests that relaxation therapy may be an effective intervention in the treatment of such headaches.  相似文献   
76.
Although stress and anxiety have long been assumed to play an exacerbatory role in asthma, no study has systematically documented that daily exacerbations of asthma symptoms are related to stress and/or anxiety. In this study, 24 airways obstruction patients (12 asthmatics and 12 chronic obstructive pulmonary disease patients) were instructed to monitor the severity of daily respiratory symptoms. In addition, subjects recorded their daily anxiety level and the number and perceived impact of daily stressors. The results showed that although there were differences between high- and low-stress days for both groups, there were no differences between groups on symptom severity or between high- and low-anxiety days, as measured by the State-Trait Anxiety Inventory (STAI). Thus, although the number and impact of daily stressors were found to be directly associated with the severity of asthma symptoms, anxiety does not appear to have a direct role in the exacerbation of asthma. The findings failed to support the anxiety theory of asthma but provided an explanation for the poor results obtained in previous treatment studies which employed anxiety management with asthmatics.  相似文献   
77.
A recent clinical study of outpatient psychotherapy groups in a community mental health center explored the linkage between group leadership variables, group climate, and outcome. The study involved nine outpatient therapy groups, over 50 group clients, and several group therapists. A repeated measures design involving assessment of clients' outcome and level of functioning, group leadership style, and group climate was used to assess changes over a 6-month period. The findings suggest: 1) a reduction in symptoms and improved functioning for clients; 2) a similarity of perceptions by members and leaders of perceived leadership behaviors and group climate; 3) the presence of direct and indirect influences of group climate and leadership behavior on clients' outcome; and 4) a linkage between leadership behavior and group climate with the theoretical orientation of the group. The findings of the research are discussed in relation to the understanding of specific effects in group psychotherapy and the implications for construction of group psychotherapy theory.The authors would like to thank Robert Dies, Ph.D., for his helpful suggestions in the early phase of this study; Roy MacKenzie, M.D., for permission to use the Group Climate Questionnaire; Diane DePalma, Ph.D., for permission to use the Global Leadership Behavior Index; Chris Boltwood, B.A., for her untiring efforts in administering the instruments and coding and entering the data; and most importantly, the psychotherapy group members and the group therapists for their cooperation in this endeavor—without their help, this clinical study would not have been possible.A version of this paper was presented at the Annual Meeting of the American Group Psychotherapy Association, 1987, New Orleans, Louisiana. Lenore Phipps, R.N., M.S., C.S., was formerly Director, Group Psychotherapy Program at Park Ridge Mental Health Center, Rochester, now in private practice at Guild Medical Center, Norwood, MA 02062.  相似文献   
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An emergent social science of knowledge applications, drawing on a substantial multidisciplinary literature published over the past twenty-five years, signals an inversion of typical scholarly reasoning about the knowledge-society nexus. Whereas most scholarly research thus far has concentrated on conditions believed to affect the production of scientific and professional knowledge, we pose a new problematic: What must we examine in order to comprehend and consciously shape applications of scientific and professional knowledge to the manifold problems facing contemporary societies? To date, approaches to this problematic have proceeded on the basis of four broadly accepted if abstract theses about the nature of contemporary knowledge systems: subjectivity, corrigibility, sociality, and complexity. Within the boundaries supplied by these commonly accepted theses are unresolved controversies expressed in competing visions of complexity, alternative perspectives of causation, rival images of progress, and conflicting criteria of application.  相似文献   
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