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41.
In early-modern Scotland various religious writings addressed dying, death, burial, or funerals. The intention was to further the aims of the Scottish reformers to correct what they perceived to be superstition or idolatry, and to align the burial service explicitly to the Reformed ideal. This was not straightforward, however, and in the late-sixteenth and seventeenth centuries many writings reaffirmed the new forms of ministry to the dying and burial. Attempts were also made to educate the population directly, through the production of works in the ars moriendi tradition, although considered from a Reformed Protestant perspective. Both genres were influenced by external material, particularly from England, but also from Geneva. Finally, the difficulties of the reform are highlighted in the fact that in the seventeenth century several funeral sermons were printed in violation of prohibitions. This article engages with the publications employed in Scotland on the reform of death rites, burial, and funerals, and highlights the continuing process in the seventeenth century.  相似文献   
42.
We propose quantitative experimental approaches to the question of whether positive and negative reinforcement are functionally different, and discuss scientific and ethical concerns that would arise if these approaches were pursued.  相似文献   
43.
Considering how much we know about the impact of the Sense of Coherence (SOC) on different health‐related outcomes, we know surprisingly little about how a strong SOC actually develops. In this study we examine the mechanisms behind the formation of a strong SOC and study the role of migration, integration and general resistance resources (GRRs) in this process. We held 46 life‐story interviews with women of Turkish, Moroccan and Surinamese descent. We divided the respondents in a relatively strong and weak SOC group in order to discern patterns of life experiences associated with SOC development. We find that, as Antonovsky predicted, experiencing consistency and load balance are associated with a strong SOC. In opposition to Antonovsky's claims, decision making power is not a necessary condition to develop meaningfulness. Moreover, the women's life narratives show that migration and integration are related to the mechanisms shaping SOC, yet, the impact is subjective and depends on the availability and use of GRRs. Our findings provide improvements to Antonovsky's salutogenic theory and provide suggestions for interventions aimed at strengthening SOC.  相似文献   
44.
In this article, the authors offer a contemporary perspective on psychoanalytic theory. The authors present a clinical vignette that illustrates how one analyst applied the principles of transference, countertransference, and resistance in a modern clinical setting. The authors describe how analysis is similar to and different from humanistic counseling and conclude by describing how analytic insights might be applied in the clinical practice of counselors.  相似文献   
45.
细菌耐药性是一个严重的医学问题,并由于数量增加的耐药菌对多种结构无关的药物产生耐药而又无新的抗生素可使用而加剧.反义寡核苷酸可特异性抑制或下调同源基因表达,从而能成为基因治疗的首选药物.多年的研究表明:反义寡核苷酸能够有效抑制细菌代谢的基础酶类及致病基因;但也存在着一些尚未完全解决的问题.建议以科学哲学的方法论和系统方法为指导,展开多学科联合的科学活动,推动新型抗菌药的研发,使基因治疗早日实现.  相似文献   
46.
47.
This study evaluated a device that applied a sustained increase in accelerator pedal back force whenever drivers exceeded a preset speed criterion without buckling their seat belts. This force was removed once the belt was fastened. Participants were 6 commercial drivers who operated carpet-cleaning vans. During baseline, no contingency was in place for unbuckled trips. The pedal resistance was introduced via a multiple baseline design across groups. On the first day of treatment, the device was explained and demonstrated for all drivers of the vehicle. The treatment was associated with an immediate sustained increase in seat belt compliance to 100%. Occasionally, drivers initially did not buckle during a trip and encountered the force. In all instances, they buckled within less than 25 s. These results suggest that the increased force was sufficient to set up an establishing operation to reinforce seat belt buckling negatively. Drivers indicated that they were impressed with the device and would not drive very long unbelted with the pedal force in place.  相似文献   
48.
了解现阶段耐多药肺结核患者的首次就诊过程,分析医患双方对耐多药肺结核患者就诊过程的影响。在全国选取5个项目市,使用自制调查问卷采取面对面方式对样本人群进行访谈式调查。耐多药肺结核患者以文化水平较低、年龄偏大的农民为主。32.6%的患者初次就诊时有全身乏力或消瘦症状,37.6%的患者初次就诊单位为村卫生室或乡镇卫生院,28.4%的患者初次就诊时被误诊,31.6%的患者发生就诊延迟,79.8%的患者在结核病专科医院或防治机构确诊,33.3%的患者确诊延迟。加大对群众结核病相关知识宣传力度,加强结核病防治机构技术力量尤其是实验室诊断技术,加强对参与结核病防治工作医生尤其是村医的专业培训,针对医疗机构转诊建立适当的激励机制。  相似文献   
49.
Conditioned reinforcement value and resistance to change   总被引:1,自引:0,他引:1  
Three experiments examined the effects of conditioned reinforcement value and primary reinforcement rate on resistance to change using a multiple schedule of observing-response procedures with pigeons. In the absence of observing responses in both components, unsignaled periods of variable-interval (VI) schedule food reinforcement alternated with extinction. Observing responses in both components intermittently produced 15 s of a stimulus associated with the VI schedule (i.e., S+). In the first experiment, a lower-valued conditioned reinforcer and a higher rate of primary reinforcement were arranged in one component by adding response-independent food deliveries uncorrelated with S+. In the second experiment, one component arranged a lower valued conditioned reinforcer but a higher rate of primary reinforcement by increasing the probability of VI schedule periods relative to extinction periods. In the third experiment, the two observing-response components provided similar rates of primary reinforcement but arranged different valued conditioned reinforcers. Across the three experiments, observing-response rates were typically higher in the component associated with the higher valued conditioned reinforcer. Resistance to change was not affected by conditioned reinforcement value, but was an orderly function of the rate of primary reinforcement obtained in the two components. One interpretation of these results is that S+ value does not affect response strength and that S+ deliveries increase response rates through a mechanism other than reinforcement. Alternatively, because resistance to change depends on the discriminative stimulus-reinforcer relation, the failure of S+ value to impact resistance to change could have resulted from a lack of transfer of S+ value to the broader discriminative context.  相似文献   
50.
伴随抗菌药物强大的抗感染疗效的同时,细菌等病原体对抗菌药物的耐药性问题日渐显露出来。运用生态自然观辨证地对细菌进行剖析,旨在突破传统思维认识细菌耐药性产生本质,从而更加有效,更加科学地控制细菌耐药的发生。  相似文献   
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