The notion of insight is at one and the same time central to psychoanalysis and to the self‐understanding that is part of everyday life. Through clinical material and critical engagement with contemporary philosophical work on self‐knowledge, this paper clarifies one crucial aspect of this key notion. Self‐understanding of the sort we have in mind, while of course involving cognitive elements, is not sufficiently accounted for by cognition about one's affects, motivations, or other aspects of the psyche, nor by the simple conjunction of such cognition with felt affect, motivational urges, etc. Nor is it best modelled in terms of internal self‐observation. Rather, it is the product of an ongoing process of the unfolding articulation of one's psychic life. The notion of experience is important here in three ways. First, lived experience is that out of which the self‐understanding arises. Second, this self‐understanding is a development and articulation of these aspects of our inner lives; it is a part of that same lived perspective. And third, this understanding in turn shapes one's experience of one's inner world: as it is attained, one's experience of oneself thereby changes. Central here is the emphasis upon a developing process involving the ability to speak from one's subjective perspective while experiencing one's subjective perspective as the perspective that it is. 相似文献
The present research focused upon the power of different messages to increase self-reported physical activity (PA). Five hundered and ninety six participants were randomised to one of five conditions that varied in the content of message: short-term affective, short-term cognitive, long-term affective, long-term cognitive and a no message control. PA was measured at baseline and follow-up (seven days later) was done using the Godin Leisure Time Exercise Questionnaire over the subsequent seven day period. The affective short-term message (ASM) was shown to be equally effective at increasing self-reported PA as a cognitive long-term message. Furthermore, when controlling for baseline activity levels, the ASM emerged as being the message that produced the highest levels of self-reported PA at follow-up. The findings point to the value of distinguishing between health messages in terms of the focus on affective and cognitive outcomes and the temporal nature of the outcomes (short-term or long-term). 相似文献
The adoption of energy efficient driving styles and practices, eco-driving, has been recognized in the literature as an option for reducing vehicle energy consumption. Prior eco-driving research has looked at the effectiveness of various eco-driving programs. However, the characteristics of the individuals participating in fleet eco-driving programs and the role of the supervisor as an advocate for eco-driving practices have remained relatively unexamined. An eco-driving intervention intended to increase eco-driving behaviors in a work organization was conducted with fleet drivers in three public organizations. Drawing from the workplace training literature, we hypothesized that employee eco-driving behaviors will increase after the implementation of an eco-driving intervention, but that these behaviors will be dependent on the participant’s pre-intervention motivation and support from their supervisor for implementing eco-driving practices. Survey data were collected pre- and post-intervention from 51 fleet drivers (average age 45.3 and 33% female), and results indicate that the eco-driving intervention was effective when either high levels of pre-intervention motivation or supervisor support were present. 相似文献
The authors assessed the degree to which unemployed individuals identified with an unemployed “in‐group” and the subsequent impact on readiness to change their unemployed status. Participants from 2 Australian employment agencies completed the Group Identification Scale and the Lam Assessment on Stages of Employment Readiness measure. Findings suggest that the extent of family unemployment affects unemployed in‐group identification and predicts readiness to change unemployed status. Duration of unemployment was negatively correlated with readiness to change. Results suggest that unemployed individuals form an in‐group. Interventions to assist unemployed individuals to return to the workforce should take this into account for effectiveness to be maximized. 相似文献
This study examined the effectiveness of mindfulness‐based cognitive therapy (MBCT) in primary care for patients with recurrent depression (major depressive disorder: MDD). According to the World Health Organization (WHO), MDD is now the leading cause of disease burden in middle‐ and high‐income countries. Patients (N = 45) with three or more previous depressive episodes were recruited to participate in MBCT as a preventative intervention. Using a benchmarking approach, outcome data was compared with data from a recent efficacy study. The methodology is a rigorous approach to assessing effectiveness when evidence‐based UK protocols are transferred into the existing Scandinavian service delivery. Additionally, a person‐centred methodological approach was used to assess clinical significance on the Reliable Change Index (RCI). The analysis revealed comparable or larger effects from pre‐test to post‐test in reduced psychiatric symptoms, increased quality of life and level of mindfulness, and the effects were maintained over 14 months. Analysis of the relapse rate in the current study (16%) compared to the TAU in the efficacy study (68%) yielded an h value of 0.78, a moderate effect size. Only 13% dropped out of the treatment. According to the RCI findings, 65% to 67% of participants in the clinical group improved, no individual worsened, and women showed a significantly greater improvement of depression and anxiety than men. Therapeutic alliance and motivation had no impact on the outcome. The overall result suggests that MBCT can be implemented successfully in Scandinavian primary health care as a preventive intervention for patients with recurrent depression. 相似文献
The purpose of this study was to investigate the integration of bimanual rhythmic movements and posture in expert marching percussionists. Participants (N = 11) performed three rhythmic manual tasks [1:1, 2:3, and 2:3-F (2:3 rhythm played faster at a self-selected tempo)] in one of three postures: sitting, standing on one foot, and standing on two feet. Discrete relative phase, postural time-to-contact, and coherence analysis were used to analyze the performance of the manual task, postural control, and the integration between postural and manual performance. Across all three rhythms, discrete relative phase mean and variability results showed no effects of posture on rhythmic performance. The complexity of the manual task (1:1 vs. 2:3) had no effect on postural time-to-contact. However, increasing the tempo of the manual task (2:3 vs. 2:3-F) did result in a decreased postural time-to-contact in the two-footed posture. Coherence analysis revealed that the coupling between the postural and manual task significantly decreased as a function of postural difficulty (going from a two-footed to a one-footed posture) and rhythmic complexity (1:1 vs. 2:3). Taken together, these results demonstrate that expert marching percussionists systematically decouple postural and manual fluctuations in order to preserve the performance of the rhythmic movement task. 相似文献
It is important to demonstrate replicable evidence of the effectiveness of counselling procedures. The study aimed to contribute to the currently limited evidence base examining the effectiveness of university student counselling in the UK. Information on therapeutic outcome [based on Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) scores] for 305 individuals attending a large UK university counselling service was analysed. Following counselling intervention: there was a statistically significant improvement in CORE-OM scores with 63% of individuals showing a reliable improvement and only 2% showing a reliable deterioration. Of those who began with a score in the clinical range, 49% showed a clinically significant change. These results provide additional evidence for the effectiveness of university counselling interventions. Future research should aim to build on this preliminary research using randomised controlled trial designs. 相似文献
Objective: This study explored the utility of using behaviour change taxonomies and checklists to systematically assess the content and delivery of behavioural support for physical activity delivered through an established exercise-referral scheme.
Design: An observation study was conducted whereby 22% of initial consultations were observed and audio-recorded, using quota sampling stratified by exercise-referral advisor.
Main outcome measures: Content was independently coded by two researchers, to assess; (i) completeness in delivering the programme protocol, (ii) behaviour change techniques delivered (defined using the CALO-RE taxonomy) and (iii) delivery style according to the Behaviour Change Counselling Index (BECCI).
Results: Protocol completeness was 63.6% (range 35.6–74.6%). The behaviour change techniques delivered most consistently were ‘providing information about where and when to perform the behavior’ (86%) and ‘setting outcome goals’ (82%). Other evidence-based techniques such as self-monitoring were infrequently observed. Variation in BECCI scores indicated that advisors could, but did not consistently, provide a client-centred service.
Conclusion: This study highlights how theoretically informed taxonomies can be useful in evaluating service delivery within applied practice, providing a meaningful way of assessing the completeness of protocol delivery relative to evidence. The provision of feedback to practitioners based on such objective criteria also facilitated positive academic-practitioner communication. 相似文献
This paper assesses policies for managing cultural diversity in Iran and Japan, with particular focus on the treatment of women as a cultural minority. Following social reducton theory, the distinction between rates of cultural change at macro- and microlevels is highlighted. It is argued that macro political and economic changes have taken place fairly rapidly, but micro changes in everyday social practices have changed much more slowly. The latter, it is argued, are structured by social reducton systems, which can act to slow down societal change. This insight is used to cast light on the situation of women and other minorities in North America. 相似文献