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951.
This case study focused on the process of making sense of abuse in two Latino families experiencing sibling incest. Participants included five male children ranging in age from 8 to 15 that were members of two families dealing with the issue of sibling incest. The purpose of this study was to build understanding of how families experience sibling incest and its role in their families. Clinical data from therapy sessions was analyzed to reveal that families made sense of the incest in different ways including abuse as normal and abuse as a mistake. Central concepts that explained how the families responded to the sibling incest included (1) level of family cohesion, (2) role of secrecy, and (3) view of outside systems. The findings suggest that treatment needs to include an in-depth assessment regarding these issues.  相似文献   
952.
This is an examination of two essays on minimal religion by Mikhail Epstein (1982 and 1999), assessing the usefulness of the term ‘minimal religion’ for the analysis of religion in contemporary Russia. An adapted version of a paper delivered at the School of Slavonic and East European Studies (SSEES), University of London, on 8 December, 2003. Note regarding Mikhail Epstein’s use of the words ‘religion’, ‘religiosity’ and ‘spirituality’: Epstein uses the word ‘religion’ to signify ‘mainstream’, church-based manifestations of religion and also the institutional, hierarchical structures related to those. Although in English usage the word ‘religiosity’ has negative connotations – signifying either a superficially felt religious sentiment or a somehow false and insincere expression of religious feeling, intended for outward show – Epstein appears to use the term entirely neutrally. For him it simply serves as a synonym for the word ‘spirituality’. In the two essays examined in the present article the word ‘spirituality’ signifies the whole inner spiritual life and aspirations of the individual and her/his reflection on an ethical way of living, whether the person concerned is a committed, church-going believer, or someone engaged in a personal spiritual or philosophical quest for meaning, or else someone who has experienced what Epstein refers to as ‘the wilderness’ of the Soviet years and has learnt of a spiritual dimension to life through that formative experience.  相似文献   
953.
外科临床决策的核心在精于选择   总被引:2,自引:0,他引:2  
造就名医是个系统工程,理论和实践统一才有功底。为病人提供优质服务,要求医生有能力对病情进行综合分析思考、辨认、评估,对诊断、治疗进行鉴别,为选择科学的临床决策提供依据。理论与临床实践高水平的结合,难能可贵的是忌粗取精、忌浅求深、忌表识里,从临床汇集资料来思考、分析,最终做出选择,再到临床上去验证,从而得出正确的诊断和处理方案。善于选择和精于选择,是临床决策的核心,是临床医生综合素质走向成熟的产物,是一代名医成长的必然之路。  相似文献   
954.
医药回扣是最大的医患利益冲突   总被引:1,自引:0,他引:1  
分析医患利益冲突如何影响医生的临床决策,并在此基础上探讨如何处理医患利益冲突。医患利益冲突影响医生临床决策有两个环节,其一是影响其专业判断,其二是影响其医疗决定。医药回扣具备商业贿赂的典型特征。医药回扣是最大的医患利益冲突。  相似文献   
955.
发现幽门螺杆菌(Helicobacter pylori,以下简称Hp)导致慢性胃炎和消化性溃疡,是沃伦和马歇尔获得2005年诺贝尔医学奖的原因.他们在1982年得出的这一假说,违反了关于这一类慢性病传统的发病机制理念.可能因为这一理念的反传统性,其假说被世界同行基本接受大概经历了20年时间.值得强调的是,对HP的观察、分离、培养、鉴定和人体试验,以及它与疾病相关的诊断、治疗、临床流行病学等研究,应用的都是传统的医学技术.从而表明,即使到了20世纪80年代,传统技术仍能导致诺贝尔奖级科研成果的出现.  相似文献   
956.
周潇 《管子学刊》2006,(1):123-127
晚明万历朝诗坛上,公安、竟陵风靡天下,笼盖一时,齐鲁诗坛却独树一帜,不为所动。齐鲁文人的审美取向总体上呈现出鲜明的地域文化特征,厌弃公安、竟陵,传扬历下诗脉,倡导浑厚雅正。万历前期,于慎行、公鼐、冯琦诸公立足齐鲁文化,标举“齐风”,倡言革新,“齐风”的内涵有雄浑大雅、自我树立、真情为宗、自然化工等;万历后期,王象春、公等人主张重开诗界,不袭陈言,诗风纵横放驰,“齐气”奔轶。  相似文献   
957.
张勇 《周易研究》2006,(5):55-59
南朝郑、王易学并立,北朝象数易学占主导,但后期也呈现儒玄并融的趋势.《易传《》和汉代易学创造出来的象数成果得到南北朝易学家的继承,南朝易学家对象数易学中的形式主义学风给予了批判,并呈现出本体论思维与易学象数相结合的思想萌芽.象数易学受到佛教缘起性空理论的批判,但南北朝佛教仍利用易学象数来说明现象世界.在南北朝道教养生理论中,象数易学得到了丰富和发展.在南北朝的宗教风气下,象数易学占验派沦为方伎.  相似文献   
958.
A structural meta-analysis was conducted to evaluate the fit of four different representations of the relations among RIASEC types, [13] and [14] circular order model, Gati’s (1991) three-group partition model, Rounds and Tracey’s (1996) alternative three-group partition model, and Liu and Rounds’ (2003) modified octant model, on 29 RIASEC correlation matrices collected from Chinese participants. The randomization test of hypothesized order relations was used to evaluate model fit. The results indicated that Holland’s model had the worst fit and was lower than it is fit in US samples; while Gati’s and Rounds and Tracey’s models had best fit. The fit of the Liu and Rounds’ model lay between the fit of Holland’s model and the other models. There was minimal difference in this ordering of model fit across instrument, age, gender and region. These results are interpreted with respect to differences in Chinese culture relative to the US.  相似文献   
959.
This study explores the constructed meanings of falling in love in midlife. In depth interviews were conducted with 12 participants, all of whom had experienced falling in love in midlife. Analysis of the interview data suggest that midlife forms the prism through which the experience of falling in love is perceived: it provides the context, colors the experience, and characterizes its unique nature. The uniqueness is created primarily through dialectic between affirmations (compatibility with the notion of love) and negations (contrasting experiences).  相似文献   
960.
Recently, psychologists have begun to shift their research attention to positive topics historically overlooked by the profession. The study of character strengths is a major research interest of positive psychologists. A classification of 24 character strengths, called the Values in Action (VIA) Classification, has recently been developed, and the current study evaluates these character strengths across cultures. Among 123 members of the Kenyan Maasai, 71 Inughuit in Northern Greenland, and 519 University of Illinois students, we found high rates of agreement about the existence, desirability, and development of these strengths of character. Despite these strong similarities, there were differences between and within cultures in terms of gender, the perceived importance of specific strengths (such as modesty), and the existence of cultural institutions that promote each strength.  相似文献   
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