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241.
This paper explores the consequences of the therapist's two successive pregnancies on a female patient. The second pregnancy was felt to be particularly difficult and disturbing. One of the central reasons was that after the patient's birth, the mother had a disabled child, followed by a stillbirth and soon after that the father left to marry another woman. Using Freud's concept of deferred action I will argue that my second pregnancy revised these earlier traumatic experiences.

The patient seemed to have incorporated and identified with a damaged maternal object that at the time of the original trauma was left husbandless, depressed and suffering from panic attacks. Although the therapist's healthy pregnancies seemed to reassure temporarily, it was difficult for the patient to hold onto a view of a helpful and productive therapist, one separate from this damaged internal mother. This was particularly so during and after the second pregnancy, where there was a marked absence of an idea of a third object, a father or a husband, who could help the patient deal with this pregnancy, her only escape was to retreat and act out.

The acting out was in part identification with a fleeing father and in part a defence against the absence of such a third object, so that it was used as a way of avoiding claustrophobic feelings of being trapped with the damaged mother. Her feelings of triumph then produced much guilt, and impeded reparation.

Another important issue that two successive pregnancies bring, are feelings of guilt in the therapist for exposing the patient to two major disruptions. In this patient's case it exacerbated the internal reality of a damaged maternal figure.  相似文献   
242.
While emerging research suggests psychopathic traits and leadership behaviors may be linked, this proposition requires further empirical investigation. This study aims to examine the relationship between psychopathic traits and the Full Range Leadership Model which includes transformational, transactional, and passive leadership styles. Using a cross-sectional design, survey data was collected from 115 students who reported having management experience. Measures included the Multifactor Leadership Questionnaire and Self-Report Psychopathy Scale-Revised. A four-factor structure of psychopathy positively correlated with passive leadership behavior, namely passive-management-by-exception and laissez-faire, but negatively correlated with individual consideration. This study addresses a research need, and is one of the first to empirically examine the relationship between psychopathic traits and the Full Range Leadership Model. Theoretical and practical implications are discussed.  相似文献   
243.
The purpose of this preliminary study is to expand research on the effects of relational processes on depression treatment outcomes. We tested whether initiator tendency, attachment anxiety, attachment avoidance, and marital satisfaction predicted improvement in depression for women with Major Depressive Disorder enrolled in a depression treatment clinical trial (n = 17). We found that higher baseline levels of partner initiator tendency resulted in less change in depression (worse outcomes), regardless of treatment type; higher baseline levels of attachment avoidance predicted better depression outcomes in treatment. Initiator tendency is discussed as a critical romantic relationship factor for depression treatment outcomes.  相似文献   
244.
Right-handed participants respond more quickly and more accurately to written words presented in the right visual field (RVF) than in the left visual field (LVF). Previous attempts to identify the neural basis of the RVF advantage have had limited success. Experiment 1 was a behavioral study of lateralized word naming which established that the words later used in Experiment 2 showed a reliable RVF advantage which persisted over multiple repetitions. In Experiment 2, the same words were interleaved with scrambled words and presented in the LVF and RVF to right-handed participants seated in an MEG scanner. Participants read the real words silently and responded "pattern" covertly to the scrambled words. A beamformer analysis created statistical maps of changes in oscillatory power within the brain. Those whole-brain maps revealed activation of the reading network by both LVF and RVF words. Virtual electrode analyses used the same beamforming method to reconstruct the responses to real and scrambled words in three regions of interest in both hemispheres. The middle occipital gyri showed faster and stronger responses to contralateral than to ipsilateral stimuli, with evidence of asymmetric channeling of information into the left hemisphere. The left mid fusiform gyrus at the site of the 'visual word form area' responded more strongly to RVF than to LVF words. Activity in speech-motor cortex was lateralized to the left hemisphere, and stronger to RVF than LVF words, which is interpreted as representing the proximal cause of the RVF advantage for naming written words.  相似文献   
245.
Although the age at which a skill is learned (age of acquisition [AoA]) is one of the most studied predictors of success in domains ranging from language to music, very little work has focused on this factor in sports. In order to uncover how the age at which a skill is learned relates to how athletes cognitively represent that skill, we asked a group of skilled golfers who learned to play golf before (early learners) or after (late learners) the age of 10 to take a series of putts on an indoor putting green. Golfers putted in isolation (single-task condition), while monitoring a stream of words presented over a loudspeaker (dual-task condition), or while being instructed to attend to specific aspects of their golf swing (skill-focused condition). Early and late learners putted equally well in the single-task and dual-task conditions. However, in the skill-focused condition, golfers who learned earlier performed worse than those who learned later. The results are consistent with the notion that AoA influences the manner in which sports, like other domains such as language and music, are represented in memory.  相似文献   
246.
Habit reversal training (HRT) has been proven effective for reducing tics in children with Tourette's syndrome (TS). However, the availability of the intervention is limited. Videoconference technology represents a promising mode through which HRT may be disseminated to underserved areas. Using a multiple-baseline across participants design, the current study tested the effectiveness of videoconference-delivered HRT for 3 children with TS. Similar to results from randomized controlled trials studying face-to-face delivered HRT, videoconference-delivered HRT was effective for reducing tics. All three children demonstrated significant tic reduction following videoconference HRT delivery. All participants and their families rated the delivery modality as acceptable and the therapeutic relationship as strong. These results suggest that videoconference delivery may be a promising method for disseminating behavior therapy for tics.  相似文献   
247.
Infants' ability to represent objects has received significant attention from the developmental research community. With the advent of eye-tracking technology, detailed analysis of infants' looking patterns during object occlusion have revealed much about the nature of infants' representations. The current study continues this research by analyzing infants' looking patterns in a novel manner and by comparing infants' looking at a simple display in which a single three-dimensional (3D) object moves along a continuous trajectory to a more complex display in which two 3D objects undergo trajectories that are interrupted behind an occluder. Six-month-old infants saw an occlusion sequence in which a ball moved along a linear path, disappeared behind a rectangular screen, and then a ball (ball-ball event) or a box (ball-box event) emerged at the other edge. An eye-tracking system recorded infants' eye-movements during the event sequence. Results from examination of infants' attention to the occluder indicate that during the occlusion interval infants looked longer to the side of the occluder behind which the moving occluded object was located, shifting gaze from one side of the occluder to the other as the object(s) moved behind the screen. Furthermore, when events included two objects, infants attended to the spatiotemporal coordinates of the objects longer than when a single object was involved. These results provide clear evidence that infants' visual tracking is different in response to a one-object display than to a two-object display. Furthermore, this finding suggests that infants may require more focused attention to the hidden position of objects in more complex multiple-object displays and provides additional evidence that infants represent the spatial location of moving occluded objects.  相似文献   
248.
The Obsessive Beliefs Questionnaire (OBQ) is a self-report measure in development by the Obsessive Compulsive Cognitions Working Group (OCCWG), who studies cognitive aspects of obsessive–compulsive disorder (OCD). The aim of this paper was to evaluate the dimensionality of the OBQ in students (n = 995). Two models were tested in a confirmatory framework, corresponding to the OCCWG's (a) original six subscales (87 items), and (b) more recent three subscales (44 items). Both models fit the present data poorly; thus, an exploratory analysis was undertaken. Results revealed one large factor that is relevant, but not unique, to OCD, and three factors that are conceptually consistent with the OCCWG's recent three: (a) distorted beliefs about one's own thoughts, (b) perfectionism, and (c) inflated responsibility. Convergent and divergent validity analyses of the present OBQ factors generally supported the preceding interpretations. Readers are referred to the work of the OCCWG for revisions to the OBQ.  相似文献   
249.
Behavior therapy has been widely used as a treatment for trichotillomania. However, behavioral treatments for TTM have tended to focus on behavior reduction, while not paying as much attention to social and economic impact. The current study sought to clarify the social and economic impact of Trichotillomania (TTM) in two samples of persons with TTM. Members of the first sample attended a TTM patient conference (N = 36) and members of the second responded to an online survey (N = 381). Both samples completed self‐report measures that examined the impact of TTM on avoiding activities and relationships, as well as financial costs. Results indicated that both groups reported similar amounts of avoidance in social situations, sought help from multiple health professionals, spent considerable time engaged in hair pulling activities, and had interference in both work and school. The study suggests a number of ways to decrease the negative impact of TTM. Copyright © 2006 John Wiley & Sons, Ltd.  相似文献   
250.
Many self-report measures include some items worded in the direction opposite to that of other items. These so-called reverse-worded (RW) items can reduce the reliability and validity of a scale, and frequently form a separate method factor that does not appear to be substantively meaningful. One possible explanation for factors defined by RW items is respondent carelessness. The purpose of the present study was to evaluate whether relatively few careless responders to RW items can influence confirmatory-factor-analysis model fit enough that researchers would likely reject a one-factor model for a unidimensional scale. Results based on simulations indicated that if at least about 10% of participants respond to RW items carelessly, researchers are likely to reject a one-factor model for a unidimensional scale.  相似文献   
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