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181.
    
This study had two aims: to evaluate the relationship between bullying and psychiatric disorders and to study the probability of using mental health services among children involved in bully/victim problems. The data consisted of interviews with 423 parents and 420 children. Diagnostic measures were based on the Isle of Wight Interview. Children involved in bullying as bullies, bully‐victims, and victims were compared with other children. Children involved in bully/victim problems were more prone to have psychiatric disorders than noninvolved children. The probability of being disturbed was highest among male bullies, followed by male bully‐victims and female victims (9.5‐fold, 7.9‐fold, and 4.3‐fold, respectively) compared with noninvolved same‐sex children. The most common diagnoses among children involved in bully/victim problems were attention deficit disorder, oppositional/conduct disorder, and depression. Furthermore, children involved in bully/victim problems were more likely to have used mental health services at some time during their lives and also during the previous 3 months. Special attention should be paid to children’s mental health when dealing with bullying problems at school. Referral pathways to mental health services and factors affecting the referral processes among children should be further studied. Aggr. Behav. 27:102–110, 2001. © 2001 Wiley‐Liss, Inc.  相似文献   
182.
    
“The Use of an Object and Relating through Identifications” (1968) represents Donald Winnicott's theoretical and clinical legacy. The author develops this concept from a clinical point of view, through the analysis of a woman with psychotic functioning. He reflects upon the dramatic quality of risks inherent in the processes linked to the use of the object with seriously disturbed patients. He explores different meanings of the analyst's survival, linking it to the analyst's response. The processes of the use of the object—that is, the encounter between the patient's potential destructiveness and the analyst's capacity to respond through his own judicious subjectivity—let the patient experience the analyst's capacity to keep his own subjectivity, authenticity, and creativity alive. It is starting from the traces of this live object that patients gradually form their own personal sense of being real.  相似文献   
183.
    
Parental and peer influences on adolescent substance use have been well demonstrated. However, limited research has examined how parental and peer influences vary across school contexts. This study used a multilevel approach to examine the effects of school substance use norms and school racial composition in predicting adolescent substance use (a composite measure of alcohol, tobacco, and marijuana use) and in moderating parental and peer influences on adolescent substance use. A total of 14,346 adolescents from 34 schools in a mid‐western county completed surveys electronically at school. Analyses were conducted using hierarchical linear modeling. Results indicated that school‐level disapproval against substance use and percentage of minority students at school were negatively associated with adolescent substance use. School‐level disapproval moderated the association between peer substance use and adolescent substance use, with the association being stronger when school‐level disapproval was lower. School racial composition moderated the influence of parental disapproval and peer substance use on adolescent substance use. Specifically, both the association between parental disapproval and adolescent substance use and the association between peer substance use and adolescent substance use were weaker for adolescents who attended schools with higher percentages of minority students. Findings highlighted the importance of considering the role of school contexts, in conjunction with parental and peer influences, in understanding adolescent substance use.  相似文献   
184.
    
Black gay and bisexual young men carry a disproportionate burden of HIV in the United States. This study explored Black gay and bisexual young men living with HIV's identification and interpretation of race‐specific cultural messages regarding substance use, sexual activity, and condom use. A total of 36 Black gay and bisexual young men living with HIV (ages 16–24, mean = 20.6 years) from four geographically diverse regions of the United States participated in qualitative in‐depth interviews. Results from this study elucidate the ways in which these young men interpret various forms of race‐specific cultural messages and experiences regarding substance use, sexual activity, and condom use. Participants discussed cultural messages and experiences promoting and discouraging condoms and substance use. Regarding sexual activity, only messages and experiences promoting sex were reported. Across all three categories, messages and experiences promoting risk were predominant. Data further revealed that socially transmitted cultural messages received by young men emanated from multiple sources, such as family, peers, sexual partners, community/neighborhood, and the broader society. Race‐specific cultural messages and experiences should be addressed in interventions for this population, and programs should assist young men in developing a critical consciousness regarding these messages and experiences in order to promote health and well‐being.  相似文献   
185.
    
The current study had the dual purpose of identifying consequences associated with perfectionistic self-presentation (PSP) and evaluating these factors as mediator of the proposed link between PSP and Problematic use of Internet communicative services (GPIU). The present study hypothesized that a self-presentation style characterized by the need to avoid displaying imperfections is associated with GPIU because communicating online rather than in person affords greater control through the reduction of non-verbal cues and the greater temporal flexibility. A sample of 200 university student participants completed measures assessing PSP, GPIU, and perceived controllable aspects of behaviors associated with relying on computer mediated communications (i.e. managing nonverbal displays and buying more time before having to respond). Structural equation modeling confirmed that those who systematically try to avoid revealing their supposed “less than perfect” behaviors or performance place great emphasis on the reduction of nonverbal cues and the temporal flexibility offered by the computer mediated interactions, which, in turn predicts GPIU levels. The findings are discussed in terms of their implications for GPIU and for the perfectionism social disconnection model.  相似文献   
186.
Some argue the common practice of inferring multiple processes or systems from a dissociation is flawed (Dunn, 2003). One proposed solution is state‐trace analysis (Bamber, 1979), which involves plotting, across two or more conditions of interest, performance measured by either two dependent variables, or two conditions of the same dependent measure. The resulting analysis is considered to provide evidence that either (a) a single process underlies performance (one function is produced) or (b) there is evidence for more than one process (more than one function is produced). This article reports simulations using the simple recurrent network (SRN; Elman, 1990) in which changes to the learning rate produced state‐trace plots with multiple functions. We also report simulations using a single‐layer error‐correcting network that generate plots with a single function. We argue that the presence of different functions on a state‐trace plot does not necessarily support a dual‐system account, at least as typically defined (e.g. two separate autonomous systems competing to control responding); it can also indicate variation in a single parameter within theories generally considered to be single‐system accounts.  相似文献   
187.
    
The present study compared immigrant and Italian native adolescents with regard to drug use. Additionally, we analysed the role of family and peer risk and protective factors for drug use. Participants included 2533 Italian native and immigrant adolescents (mean age = 17.19, SD = 1.6; 66.7% male). Results showed that immigrant adolescents reported lower levels of marijuana and pharmaceutical drug abuse than non‐immigrant adolescents. These results confirm the so‐called immigrant paradox phenomenon: the counterintuitive finding that although immigrants often live under challenging conditions and reported lower economic affluence compared with nationals, some health outcomes have not always corresponded to their relative disadvantage. Immigrant adolescents also reported higher level of parental control and lower levels of affiliation with deviant peers, but lower levels of child disclosure, parental solicitation and parental knowledge. Socio‐economic status and parental monitoring showed equivalent effects on drug use for immigrant and non‐immigrant adolescents. Results have implications for preventive interventions for immigrant adolescents and families, including the need to develop programmes that leverage the benefits of the immigrant paradox for immigrant communities. Future research should analyse the processes that lead to lower levels of drug use in immigrant adolescents and investigate the influence of friendship networks on immigrant adolescent drug use behaviour. Copyright © 2015 John Wiley & Sons, Ltd.  相似文献   
188.
    
Grief from various losses can underlie the process of recovery from substance abuse disorders. This study identified losses that clients encountered prior to abusing substances, losses that occurred as a result of addiction, and losses that occurred upon entering treatment.  相似文献   
189.
    
A longitudinal analysis of psychiatric severity was conducted with a national sample of recovering substance abusers living in Oxford Houses, which are self-run, self-help settings. Outcomes related to residents' psychiatric severity were examined at three follow-up intervals over one year. Over time, Oxford House residents with high versus low baseline psychiatric severity reported significantly more days using psychiatric medication, decreased outpatient psychiatric treatment, yet no significant differences for number of days abstinent and time living in an Oxford House. These findings suggest that a high level of psychiatric severity is not an impediment to residing in self-run, self-help settings such as Oxford House among persons with psychiatric comorbid substance use disorders.  相似文献   
190.
    
This paper tells the story of an intergroup grant initiative and the neighborhood projects it supported. It highlights the challenges of race and power, in conjunction with other overlapping identities and forms of discrimination. The demographics of the greater Goodland region have changed dramatically over the last few years and decades. The life for traditionally European American and African American communities is being altered by a steady influx of new immigrants from Africa, Asia, and Latin America. This paper discusses a philanthropic community's response to these changes and within this, two specific neighborhood-based responses. The lessons and insights described in this paper, told by the initiative's evaluator and advisory council co-chair, are drawn from five years' of systematic data collection and analysis, focused observations, and the reflections of other participants in the initiative.
  相似文献   
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