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61.
Wells KC Epstein JN Hinshaw SP Conners CK Klaric J Abikoff HB Abramowitz A Arnold LE Elliott G Greenhill LL Hechtman L Hoza B Jensen PS March JS Pelham W Pfiffner L Severe J Swanson JM Vitiello B Wigal T 《Journal of abnormal child psychology》2000,28(6):543-553
Parenting and family stress treatment outcomes in the MTA study were examined. Male and female (579), 7–9-year-old children with combined type Attention Deficit Hyperactivity Disorder (ADHD), were recruited at six sites around the United States and Canada, and randomly assigned to one of four groups: intensive, multi-faceted behavior therapy program alone (Beh); carefully titrated and monitored medication management strategy alone (MedMgt); a well-integrated combination of the two (Comb); or a community comparison group (CC). Treatment occurred over 14 months, and assessments were taken at baseline, 3, 9, and 14 months. Parenting behavior and family stress were assessed using parent-report and child-report inventories. Results showed that Beh alone, MedMgt alone, and Comb produced significantly greater decreases in a parent-rated measure of negative parenting, Negative/Ineffective Discipline, than did standard community treatment. The three MTA treatments did not differ significantly from each other on this domain. No differences were noted among the four groups on positive parenting or on family stress variables. Results are discussed in terms of the theoretical and empirically documented importance of negative parenting in the symptoms, comorbidities and long-term outcomes of ADHD. 相似文献
62.
Robert E. Lee Kathleen Burns Jager Jason B. Whiting Catherine T. Kwantes 《Contemporary Family Therapy》2000,22(1):81-90
Confirmatory factor analysis and regression analyses of the Beavers Interactional Scales did not appear to support the model offered by its developers, namely, several specified family attributes contributing respectively to two global factors of Family Competence and Family Style. Moreover, regression analysis indicated that only three of 12 items predicted raters' assessments of Global Family Health, and one of seven items predicted Global Family Style. Individuals interested in the family dynamic centripetal/centrifugal might best think of that as a unitary entity and rate it accordingly. 相似文献
63.
社会因素对剖宫产率的影响 总被引:16,自引:0,他引:16
近二三十年来,剖宫产率在世界范围内不断升高。究其原因,除了医学因素外,社会因素起着重要作用,从社会经济发展,社会科学文化水平、社会习俗观念、法律、医疗道德、国家计划生育政策、医学教育等多个角度分析了社会因素对剖宫产率的影响,并就如何发挥社会因素的积极作用,消除和避免其消极作用,使剖部率维持在合理的范围内进行了讨论。 相似文献
64.
Objectives: To understand the impact of physicians and patients religious/spiritual orientation on discussions of spiritual issues. Methods: We performed semi-structured interviews of 10 Missouri family physicians and 10 patients of these physicians, selecting subjects nonrandomly to represent a range of demographic factors, practice types, and chronic or terminal illness. We coded and evaluated transcribed interviews for themes. Results: Respondents expressed that similar belief systems facilitate patient–physician spiritual interactions and bring confidence to their relationships. Those holding dissimilar faiths noted limited ability to address spiritual questions directly. They cited significant barriers to spiritual interaction but considered that ecumenism, use of patient-centered care, and negotiation skills lessen these barriers. Conclusions: Our respondents view spirituality similarly to other aspects of the physician–patient relationship involving differing viewpoints. Where discordance exists, cross-cultural, patient-centered, diplomatic approaches facilitate spiritual discussions. 相似文献
65.
A necessary and sufficient condition is given in this paper for the existence and uniqueness of the maximum likelihood (the
so-called joint maximum likelihood) estimate of the parameters of the Partial Credit Model. This condition is stated in terms
of a structural property of the pattern of the data matrix that can be easily verified on the basis of a simple iterative
procedure. The result is proved by using an argument of Haberman (1977).
The author wishes to thank the Editor and the anonymous reviewers for their comments that helped to substantially improve
the final version of this paper.
This research was supported in part by a MURST grant (ex 60%). 相似文献
66.
This paper describes the systemic use of a neurologically-based art therapy modality—bilateral art—that engages both dominant
and non-dominant hands in the process of creating images in response to opposing cognitions or feelings. It describes both
neuroscience and family therapy perspectives that argue for the use of bilateral art. A specific protocol for bilateral art
therapy is provided along with a case study demonstrating integration of the protocol into the systemic treatment of a young
family.
Carole M. McNamee, PhD, is Research Professor and Clinical Associate, Director of the Arts in Healthcare Project, The Family
Therapy Center, Department of Human Development, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061
(cmcnamee@vt.edu). 相似文献
67.
International and minority populations tend to underutilize mental health services, including marriage and family therapy. Models of marriage and family therapy developed in the West may reflect Western values and norms inappropriate for diverse cultural contexts. This article presents an exploratory, qualitative study of a narrative therapy approach with Asian Indian women. This study adds to the small body of narrative-based empirical studies, and has a unique focus on intercultural applications and the experience of participants. Participant experience was examined along four phenomenological dimensions. Findings indicate the suitability of narrative interventions and nontraditional treatment delivery for this population.*This research was presented in 2004 at the annual conference of the American Association for Marriage and Family Therapy. 相似文献
68.
This article portrays a model of family therapy clinical supervision using change theory that is most appropriate for use with the videotape, audiotape, case presentation and debriefing from the live session. The most powerful tool during this process is that of communication and assessment of change theorys tools of confidence and conviction. The concepts presented are meant to add an additional dimension to family therapy supervision in cooperation of other theories, not as an end in themselves.Special thanks to Ms. Geri Koncilja of the Informational Technology Center at Colorado State University, Pueblo for illustration and graphic assistance. 相似文献
69.
In light of the evolving roles of parents and the involvement of extended family within Asian cultures, the traditionally Western dyadic coparenting construct must be reconceptualized to include not only the coparenting relationship, but also other caregivers within the coparenting network. Theoretical and empirical evidence on coparental systems are discussed and two studies from South and Southeast Asian cultures are presented to highlight subcultural variations in cocaregiving networks. Results indicated that mothers were the primary caregivers across both cultural contexts. Extended family members assumed important coparental responsibilities in both cultural contexts. These findings highlight the need to reconceptualize and expand the dyadic coparental unit to include extended family members. We also discuss the relevance of the broader coparental network in examining the Asian childs education as well as cognitive and socioemotional development. 相似文献
70.
David K. Carson Kent W. Becker Kevin E. Vance Nancy L. Forth 《Contemporary Family Therapy》2003,25(1):89-109
The purpose of this study, using an online methodology, was to investigate therapists' perceptions of the role of creativity in couples' and family therapy. Along with completing a quantitative measure assessing creativity in their work, participants responded to four open-ended questions which addressed the meaning of creativity, characteristics of a creative family therapist, some creative interventions they have used with couples and families, and barriers to their own creativity as a family therapist. A total of 142 marriage and family therapists in 36 states in the United States participated. The findings shed light on the unique importance of creativity in couples and family treatment. 相似文献