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151.
A paradoxical attitude exists toward professional philosophy: philosophical inquiry is considered important and complex, but professionals are deemed irrelevant and unnecessary. This paradox doubly affects sport philosophy as evidenced by the field’s marginalization in higher education and sociopolitical discourse. To counter the sport philosophy paradox, I present a pragmatically oriented three-dimensional approach to inquiry that turns the field “inside-out”. A community of engaged, melioratively oriented sport philosophy inquirers in this 3D model collectively conducts theoretical (horizontal dimension), applied (vertical dimension), and instrumental (depth dimension) inquiry. Each dimension is outlined in detail from a professional sport philosophy perspective, and implications are considered relative to the field’s future endeavors.  相似文献   
152.
晚期肺气肿是进行性恶化的常见呼吸系统疾病。由于内科药物治疗不能彻底遏制疾病的自然进程,外科肺减容术应时而生。但手术治疗有着与生俱来的缺点,因此内科介入肺减容术基于相似的机理出现了,并可与外科手术序贯应用。这种矛盾双方的对立与统一促进了该领域的发展,也是一种解决临床问题的重要辩证思维。  相似文献   
153.
问诊是临床医师的基本技能之一.医师通过问诊可以获得病史资料,从而做出临床决策.随着医学模式从传统的生物医学模式向生物心理社会医学模式转变和临床药学的蓬勃发展,药学服务模式从传统的以保障药品供应为中心向以患者为中心模式转变.药师从药房逐步走向临床,参与合理用药和提供药学服务,问诊也应成为临床药师的基本技能之一.本文通过笔者问诊实践,阐述问诊对于临床药师的重要性、药师问诊的内容及其与医生问诊的区别.  相似文献   
154.
Contemporary education is awakening from a crisis that has held the development of its potential and its relevance at bay for well over a century. Revolutions in science and spirituality are emerging a new relational intelligence that demands commensurate educational paradigms for its blossoming into daily engagements with life and the world around us. At the same time as people are leading increasingly interconnected lives, aware of and often participating in the narratives of people and ecosystems in other parts of the planet, information and communications technologies are increasingly integrating with and serving to mediate the human experience. This article explores the power of this confluence at the current nexus of civilizational demands in the context of increased planetary stresses and destabilizations. The case is made for a thrivable education praxis that draws on these emergent aspects of our developmental potential and emphasizes the importance of functional conviviality as an operational principle of learning for life.  相似文献   
155.

Background

While dialectical behaviour therapy (DBT) has much empirical support for treating borderline personality disorder (BPD) and other conditions, little research has examined the dissemination of DBT in Southeast Asia.

Aims

This study evaluated training outcomes following a 5-day intensive DBT training programme in a group of psychologists in Singapore, who were in the process of implementing DBT as part of the training's objectives.

Methodology

A mixed-methods design was employed. Fourteen psychologists from a public psychiatric hospital in Singapore were recruited. Seven self-selected into DBT training, and the remaining were matched controls who were not attending the training programme. The latter served as a nonrandomised control group. Prior to and 3 months after training, all participants completed measures of stigma towards BPD patients, burnout and therapeutic alliance. DBT training participants additionally attended a focus group discussion assessing their experiences and challenges implementing DBT in Singapore's context.

Findings

Quantitative analyses using mixed ANOVA showed that, compared with controls, DBT-trained participants demonstrated significantly greater increases in acceptance towards BPD patients. No between-group differences were found on changes in burnout or therapy alliance with patients. Analyses of qualitative data using thematic analysis revealed that DBT training impacted the way participants conceptualised and delivered therapy for BPD patients, and highlighted several challenges in implementing DBT in the local hospital context.

Conclusion

The findings demonstrate the potential of DBT training in improving clinicians' attitudes towards BPD patients and support a need for policymakers to prepare organisations for DBT implementation to ensure programme sustainability.  相似文献   
156.
Caplan has argued that the philosophy of medicine does not exist. Although I will not deny the points he makes, I will argue that the philosophy of medicine has characteristics of a developing field with the potential to meet all of Caplan's criteria. The argument is based on Dewey's established views on logical development for a field of inquiry, as well as pointing out how other criteria Caplan imposes can be fulfilled.The U.S. Government right to retain a non-exclusive, royalty free licence in and to any copyright is acknowledged.  相似文献   
157.
Part I—A Dialectical-Constructivist View of Human Development, Psychotherapy, and the Dynamics of Meaning-Making Conflict Within Therapeutic Relationships-reviewed a dialectical-constructivist model of human development and articulated, in the language of that model, how psychotherapy, in general, works. It described and illustrated three generic processes which contribute to the frequent successes of an extremely diverse range of psychotherapy theories and practices. This view of psychotherapy focused on both the client's meaning-making processes and the therapist's meaning-making processes, and how they contribute together to effective psychotherapy. Part I also offered a way of understanding what is going on when therapeutic progress is blocked by conflict between the client's and the therapist's meaning-making processes. Part II—Dialectical, Thinking and Psychotherapeutic Expertise: Implications for Training Psychotherapists and Protecting Clients from ‘Theoretical Abuse’—explores those experiences in which the therapist's exercise of this or her own meaning-making structures, and maintenance of the integrity of his or her theories, has a limiting or destructive impact on the value of therapy to the client. It considers the concept of “theoretical abuse” by psychotherapists as a way of characterizing the most destructive of these experiences. This serves as a rhetorical device for introducing comparisons between these phenomena and the phenomena of sexual abuse by psychotherapists, in terms of dynamics, prevalence, and appropriate strategies for prevention. Part II uses work on the development of dialectical thinking in adulthood to conceptualize how different understandings of the nature of psychotherapists' theories and expertise increase or decrease the likelihood and severity of ‘theoretical abuse’. Finally, it derives implications for training psychologists and other psychotherapy professionals.  相似文献   
158.
本文是对十年来的“现代小学数学”教学实验的初步总结。实验结果表明:1.把作为主体认识对象的客体(小学数学知识)的建构与对主体对客体认识的发展规律的研究有机发结合起来,这一研究小学生数学思维发展的总体设计是可行的、有效的;2.有意识地揭示小学数学知识内在的辩征关系以萌发小学生的辩证思维,不仅有必要,而且有可能;3.心理学研研人员与教学研究人员和广大教师相结合,是进行教学实验的一条比较理想的途径。  相似文献   
159.
介入性超声与临床医学的辩证统一   总被引:1,自引:0,他引:1  
介入性超声是近年来超声领域开拓的一项崭新技术,它的出现从根本上改变了超声诊断作为单纯辅助科室的陈旧观念,使诊断和治疗真正成为一个整体过程.变革了超声医生的知识结构及思维方式,促进了临床各学科之间的综合与发展.要在日益深入局部微观研究使临床各学科越来越分化的同时,更广泛地注意整体的辩证统一,充分体现了辩证唯物主义的自然观.  相似文献   
160.
The purpose of this collaborative research was to reflect on one client's experience of using writing therapy during brief workplace counselling. The client/co‐researcher used expressive and creative writing between counselling sessions, the benefits of which are reported. A brief review of the literature on writing therapy is provided. The focus of the study is on investigating the process of writing therapy from the client's point of view. The epistemological assumptions and research methods are influenced by narrative inquiry. Feminist values inform both the therapeutic practice and research.  相似文献   
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