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11.
The current paradigm in medicine generally distinguishes between genetic and environmental causes of disease. Although the word paradigm has become a commonplace, the theories of Thomas Kuhn have not received much attention in the journals of medicine. Kuhn's structuralist method differs radically from the daily activities of the scientific method itself. Using linguistic theory, this essay offers a structuralist reading of Thomas Kuhn's The Structure of Scientific Revolutions. Our purpose is to highlight the similarities between these structuralist models of science and language. In part, we focus on the logic that enables Kuhn to assert the priority of perception over interpretation in the history of science. To illustrate some of these issues, we refer to the distinction between environmental and genetic causes of disease. While the activity of scientific research results in the revision of concepts in science, the production of significant differences that shape our knowledge is in part a social and linguistic process.  相似文献   
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Time to collision (TTC) has been a key vehicle safety metric for decades. With the increasing prevalence of advanced driver assistance systems and vehicle automation, TTC and many related metrics are being applied to the analysis of more complicated scenarios, as well as being integrated into automation algorithms. While the TTC metric was originally conceived to be inclusive of generic two-dimensional situations, its applications has been mostly limited to one-dimensional scenarios. This paper derives general equations and algorithms using two-dimensional information. Additionally, methods from computational geometry, a field that didn’t exist when TTC was first used, are employed for the general case of computing TTC between bounding boxes. Parametric equations for lines play a prominent role and offer an elegant way to express the geometry of the scenarios described in this paper. Throughout, the approach is not to derive specific algebraic conditions as in previous efforts. Rather, the focus in on developing general algorithms for computation. The techniques presented are not necessary for traditional car following scenarios; but offer options for more complex situations that trade off analytic solutions for computational flexibility.  相似文献   
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An athlete's connection to their team and team members is an important part of their sport experience. However, researchers currently know little about the nature of these social dynamics with respect to concussed athletes. Our study explored athletes' recovery and reintegration into the team environment following a sport-related concussion. We conducted semi-structured interviews with each member of three athlete-teammate-coach triads (N = 9). We analysed the data using thematic narrative analysis and present the results as three stories that focused on each athlete's experience. For Cassie, we found two major plot points in her story: the transition in her role (and shift in identity) from athlete to student assistant coach/team manager and, once recovered, back to an athlete on the team. For Jess, we found that the main plot in her story was “pressure”. Specifically, the interplay between internal (placed on herself) and external (perceived from teammates and coaches) pressures to return to sport. In the third and final story, the main plot point was the tensions that arose from Jaden's preferences for social support and the type of support that his teammates and coaches believed he needed during his recovery. Our results highlight the interplay between athlete's personal and social identities, feelings of pressure to return and readiness, and the challenges of providing the right amount and type of social support. This research contributes to our limited understanding of the social dynamics involved in athletes' return to sport following a concussion.  相似文献   
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Mixed methods refers to the use of both qualitative and quantitative approaches and methods in one study or sequentially in two or more studies. Without a mixed methods approach there is – to our minds ‐ a risk that only part of a phenomenon or experience is being explored. Our own involvement in mixed methods research has grown out of a shared interest in the concept ‘research‐practitioner’. Psychotherapy is a notoriously complex and ever‐developing field, and our growing sense has been that mixed methods research can contribute to a more complete – both broad and deep ‐ sense of knowledge and understanding.  相似文献   
16.
A new multiobjective linear programming (MOLP) algorithm is presented. The algorithm uses a variant of Karmarkar's interior-point algorithm known as the affine-scaling primal algorithm. Using this single-objective algorithm, interior search directions are generated and used to provide an approximation to the gradient of the (implicitly known) utility function. The approximation is guided by assessing locally relevant preference information for the various interior directions through interaction with a decision maker (DM). The resulting algorithm is an interactive approach that makes its progress towards the solution through the interior of the constraints polytope.  相似文献   
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Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between- and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.  相似文献   
18.
Recent developments in personality research highlight the value of modelling dynamic state-like manifestations of personality. The present work integrates these developments with prominent clinical models addressing within-person multiplicity and promotes the exploration of models centred on state-like manifestations of personality that function as cohesive organizational units. Such units possess distinct subjective qualities and are characterized by specific affects, behaviours, cognitions, and desires that tend to be co-activated. As background, we review both theory and research from the fields of social cognition, psychotherapy, and psychopathology that serve as the foundation for such models. We then illustrate our ideas in greater detail with one well-supported clinical model—the schema therapy mode model, chosen because it provides a finite and definite set of modes (i.e. cohesive personality states). We assessed these modes using a newly developed experience-sampling measure administered to 52 individuals (four times daily for 15 days). We estimated intraindividual and group-level temporal and contemporaneous networks based on the within-person variance as well as between-person network. We discuss findings from exemplar participants and from group-level networks and address cross-model particularities and consistencies. In conclusion, we consider potential idiographic and nomothetic applications of subjective states dynamic personality research based on intensive longitudinal methods. © 2020 European Association of Personality Psychology  相似文献   
19.
ObjectivesMindfulness- and acceptance-based interventions (MABI) in sport settings need further development and validation to fulfil the desired outcomes related to sport performance. The current study aimed to design and implement a MABI integrated into the badminton training of young elite players (MBI programme), and to investigate its impact on sport performance-related outcomes.DesignTwo stages: (a) design and implementation of the MBI programme, and (b) evaluation using a mixed methods approach.MethodParticipants were young elite badminton players, assigned either to the 8-week MBI programme (n = 18; Mage = 16.22), or the 8-week placebo programme (n = 11; Mage = 16.64). Participants completed pre- and post-intervention measures of mindfulness skills, cognitive interference, and performance satisfaction. Social validation interviews were conducted with MBI participants to collect their overall perceptions of the programme.ResultsMANCOVA indicated a large intervention effect on the main outcome variables (partial η2 = 0.58). The results of univariate ANCOVAs showed that post-intervention awareness, performance worries and task-irrelevant thoughts differed significantly across the groups. In addition, follow-up t-tests provided additional information regarding changes from pre- to post-intervention among the MBI and control groups separately. Social validation data gave further insights into what athletes had retained and applied from the MBI programme.ConclusionsContrasting results highlighted the need to better explore mindfulness mechanisms in MABI and the way they are inter-related, in order to strengthen changes in sport performance-related outcomes.  相似文献   
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