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871.
    
This paper extrapolates an outline for a theory of value from Winnicott's reflections on war in ‘Discussion of war aims’ (1940). The author treats Winnicott's discussion as an occasion for a critical reconstruction of his theory of life‐values. He discerns an implicit set of distinctions in Winnicott's reflections on war, including different orders of value (existential, ethical, and psychosocial); a distinction between maturity and necessity; and a yet more fundamental distinction between violence and brutality. The paper argues, on the basis of these distinctions, that Winnicott allows for an understanding of one's encounter with the enemy as an ethical relation. The main argument of the paper is that the ethical attitude underpins recognition of the enemy's humanity. On a more critical note, the author argues that Winnicott doesn't adhere consistently to the ethical attitude he presupposes, that in certain passages he privileges the maturity of combatants over the humanity of the enemy.  相似文献   
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Objective: Breast cancer survivors report adverse sexual effects (sexual morbidity) such as disrupted sexual function, sexual distress and body dissatisfaction. However, most studies have failed to evaluate the persistence of these effects in long-term survivors. The present study comprehensively assessed the prevalence and predictors of sexual/body image problems among survivors three or more years post diagnosis.

Design/outcome measures: Eighty-three breast cancer survivors completed surveys a median of seven years post diagnosis. Survey items probed demographic, diagnostic and clinical information, in addition to sexual activity, sexual function (Female Sexual Function Index [FSFI]), body image, and distress regarding body changes and sexual problems (Female Sexual Distress Scale-revised; FSDS-R).

Results: Seventy-seven percent of all participants and 60% of sexually active participants qualified for sexual dysfunction based on the FSFI. Between 37 and 51% met criteria for female sexual dysfunction, based on two FSDS-R clinical cut-offs. Body satisfaction was worse than normative values, while body change stress was mid-range. Notable sexual morbidity predictors included mastectomy, which was associated with worse sexual/body change distress, and post-treatment weight gain, which predicted greater body dissatisfaction/body change stress.

Conclusions: Breast cancer survivors report substantial sexual morbidity years after treatment, especially after mastectomy or post-treatment weight gain. Breast cancer patients and their providers should be aware of these potential sexual effects.  相似文献   
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A Swedish contingent to the International Security Assistance Force (ISAF; N = approx. 320) was studied before and after deployment to Afghanistan to assess if the mission and experiences on it affected attitudes toward violence. Attitudes toward war violence and penal violence were assessed across t = 1 and t = 2, as were the effects of combat exposure on change and stability in attitudes. It was hypothesized that the attitudes would remain stable across the deployment due to their importance to the soldierly identity, but that experiences of combat exposure would cause an increase in the propensity toward change. Results demonstrate that attitudes did not change between the pre- and postdeployment stages. Unexpectedly, increasing levels of combat exposure did not predict higher rates of change, but rather increased stability in attitudes toward violence. The results demonstrate that in terms of the willingness to use force, peacekeeping deployments do not have detrimental effects on soldiers.  相似文献   
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This study qualitatively examined rural emerging adults’ ways of thinking (i.e., lay theories) about the causes of intimate partner violence (IPV) and ideas on how to prevent IPV most effectively. Participants were 74 individuals (majority Caucasian, heterosexual, low income) between the ages of 18 and 24 who resided in one of 16 rural communities. Participants’ perceptions of the causes of IPV included (a) individual‐level pathology, stress, and lack of education; (b) intergenerational transmission of violence and early‐life factors; (c) relationship stressors and challenges; and (d) community factors. Furthermore, participants felt that IPV could most effectively be prevented through (a) education and awareness; (b) victim‐focused efforts (e.g., teaching self‐esteem); and (c) job creation. Overall, participants identified a number of established risk factors for IPV perpetration across the social ecological model, although a number were never or rarely mentioned (e.g., peer group norms, positive bystander action, and collective efficacy). Future research should examine if and how perceptions of the causes of IPV impact IPV prevention engagement and impact. Further, prevention initiatives that take into account understandings of lay theories about IPV may be more impactful in reducing IPV than prevention initiatives that do not.  相似文献   
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Deborah Johnson 《Religion》2016,46(3):309-330
This paper argues that the relationship between religion and violent politics is best understood through a focus on religious practice. The case study of the Tamil Catholic Church within Sri Lanka's civil war is presented against a backdrop of Buddhist monk participation in violent insurgency decades earlier. The discrete cases evidence a common preoccupation with management of physical borders and discursive boundaries as actors seek to reproduce themselves and their work as legitimately ‘religious’. Despite relying on remaining ‘pure’ from the dirty political realm, in practice religion is bound to social action and reproduced through the violent circumstances it engages.  相似文献   
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