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181.
Clinical judgments on the treatability and prognosis of mentally disordered offeenders (MDO) may strongly influence legal dispositions and the availability of treatment resources. This study examined 1,238 discharge summaries for MDOs referred for court assessments. Psychiatrists evidenced marked variability in how often they recommended treatment and how frequently they judged patients to have a poor prognosis. Two logit analyses suggested that diagnosis and consultation by other clinicians were associated with (a) treatment recommendations (i.e., Axis I diagnosis and social work consultations) and (b) prognosis (i.e., Axis II diagnosis and psychology consultations).  相似文献   
182.
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   
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The third edition of theDiagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1980), outlines for the student what symptoms to consider when attempting to arrive at an accurate differential diagnosis of eight broad psychiatric categories. This paper describes a program developed to instruct a medical or graduate student in the science of such decision making.  相似文献   
186.
This study examined the usefulness of an 8-week applied problem-solving training program. Specifically, the study examined (a) whether problem-solving training that emphasised self-management principles would be useful, (b) if the effects of training would persist over time, (c) whether an individual difference variable (problem-solving appraisal) would affect training outcomes, and (d) whether the cognitive responses of the subjects during the course of training were related to their problem-solving appraisal or the change process. Results indicated that problem solving training was effective at enhancing students’ problem-solving appraisal, and that the self-report changes were maintained at a 1 year follow-up. In particular, training seemed most useful for students who initially appraised their problem solving very negatively. Finally, the results suggested that the process-oriented cognitive responses were related to students' initial problem-solving self-appraisal as well as the impact of training. Implications of the results are discussed in terms of counselling interventions, problem solving training, the interpersonal influence process, and future research.  相似文献   
187.
Counseling training programs have failed to differentiate between and among behavioral, cognitive, and unconsciousness dimesnsions. This omission has resulted in confusion and competition in many counseling curricula in that valuable programs are competing for space rather than being integrated systematically. This article proposes a multilevel model of intentionality which integrates the several aspects of the counselor-client relationship. In turn, this integration of behavioral, cognitive, and unconscious dimensions will have important applications in counselor daily practice.  相似文献   
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This article presents a simulation-based tutorial system for exploring parallel distributed processing (PDP) models of information processing. The system consists of software and an accompanying handbook. The intent of the package is to make the ideas underlying PDP accessible and to disseminate some of the main simulation programs that we have developed. This article presents excerpts from the handbook that describe the approach taken, the organization of the handbook, and the software that comes with it. An example is given that illustrates the approach we have taken to teaching PDP, which involves presentation of relevant mathematical background, together with tutorial exercises that make use of the simulation programs.  相似文献   
189.
By drawing new distinctions labelled appeal and response to replace traditional rhetorical modes of written discourse, the essay sketches a new perspective about what philosophers are doing rhetorically in doing philosophy. To think of philosophers as simply engaged in argument is an oversimplification and a distortion of what philosophers do. Crucial to doing philosophy are four activities: (1) definition and redefinition of problems and issues that form both the focus of the canonical historical literature of philosophy and what goes on in contemporary philosophy as a discipline, (2) the development and use of formal languages and technical vocabularies to abbreviate and label complexity and to disambiguate and precise distinctions necessary to deal with problems and issues, (3) the development and exploration of argumentative appeals for acceptance or refutation of answers to questions raised by the philosophical problematic, and (4) the development and exploration of explanatory responses to questions raised by the problematic. In so far as these four activities are driven and sanctioned by the current, self-defining philosophical problematic, contemporary philosophy as a body of knowledge is historical, cumulative, and marked by progress, and the doing of philosophy is fundamentally the making of written appeals and responses about its problematic.  相似文献   
190.
Fear of Success (FOS) was originally conceived as a unidimensional motive. However, there is both theoretical and empirical support for the hypothesis that FOS is multidimensional. We factor analyzed the responses of 236 undergraduates to twenty-oneConcern Over the Negative Consequences of Success items and found four factors. Our four factors show considerable overlap with dimensions based on theoretical accounts of FOS etiology as well as with the factor structures obtained from two other factor analytic studies. Thus, there is converging evidence that FOS is multidimensional. The relationship between multidimensional FOS and a multidimensional approach to achievement motivation is discussed.  相似文献   
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