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61.
Parents used self-instructional booklets to decrease their children's (age4-8) whining. In each of 9 families, a multiple-baseline design across three problems, whining and two other was used. Parent data indicate mean improvement of 26% of the maximum possible from baseline means, with 8 of 9 children showing improvement. All parent final consumer ratings were positive. All interobserver reliabilities exceeded 80% agreement weighted for occurrence and nonoccurrence. Correlations for two sets of data between frequencies of whining estimated by parents twice an hour and percent of intervals recorded for whining from observer interval data for the hour produced median correlations of .62 and .51. Percent agreement between observer and parent data, both using interval recording at the same time, produced a median coefficient of agreement weighted for occurrence and non-occurrence of 59%. Results suggest that parents using self-instructional materials alone could reduce children's whining from levels originally considered excessive to levels parents considered acceptable.  相似文献   
62.
  This study examined relations among neighborhood disadvantage, parent–child conflict, deviant peer involvement in the neighborhood, and early-starting antisocial trajectories. Antisocial group patterns were identified in 218 low-income boys followed from ages 5 to 11, and neighborhood and family variables were evaluated as predictors in early and middle childhood. Four trajectory groups emerged: one increasing pattern that corresponded with developmental theories of early-starting antisocial behavior; one with initially high and decreasing problems over time; and two low antisocial groups. Parent–child conflict and neighborhood disadvantage were significantly associated with trajectory patterns, with youth in the 2 higher antisocial behavior groups characterized by more neighborhood problems and parent–child conflict than other groups. The results suggest that in early childhood, neighborhood disadvantage and family conflict place children at risk for early-starting trajectories, and that involvement with deviant peers in the neighborhood takes on an increasingly important role in patterns of antisocial behavior over middle childhood.  相似文献   
63.
Effective multiculturally competent treatment of economically disadvantaged clients requires an awareness of the stereotypes and biases that these clients and their families face in contemporary culture—stereotypes that are so pervasive that they can subtly influence counselors’ thinking about poor and working‐class individuals. In this article, the authors apply an intersectional perspective to profile current stereotypes and biases that exist regarding low‐income groups at the intersections of race, religion, and immigration status. Implications for educators and counselors are suggested. Un tratamiento efectivo y multiculturalmente competente de clientes e conómicamente desfavorecidos requiere una conciencia de los estereotipos y prejuicios que estos clientes y sus familias enfrentan en la cultura contemporánea; estereotipos tan arraigados que pueden influir sutilmente en la forma de pensar de los consejeros sobre las personas pobres y de clase trabajadora. En este artículo, los autores aplican una perspectiva interseccional para perfilar estereotipos y prejuicios actuales que existen acerca de grupos de bajo nivel económico en las intersecciones entre raza, religión y estatus migratorio. Se sugieren implicaciones para educadores y consejeros.  相似文献   
64.
Neighborhood size and neighborhood frequency were orthogonally varied in two experiments on Italian nonwords. In Experiment 1, an inhibitory effect of neighborhood frequency on visual lexical decision was found: The presence of one high-frequency neighbor increased response latencies and error rates to nonwords. By contrast, no effect of neighborhood size and no neighborhood size x neighborhood frequency interaction were found. In Experiment 2, a facilitatory effect of neighborhood size on nonword naming was shown: Naming latencies were faster when nonwords had a large neighborhood. In the naming experiment, there was no effect of neighbors' frequency and no neighborhood size x neighborhood frequency interaction. An additional role for bigram frequency was found whereas syllable frequency did not give any independent contribution. These results further corroborate the view that, in a language with transparent orthography like Italian, despite a substantial contribution of sublexical print-to-sound mapping due to the language's high regularity/consistency, reading aloud of nonlexical material may benefit from the contribution of the lexical component.  相似文献   
65.
Mental health practitioners have offered relatively little in response to the pervasive community violence faced by many children living in impoverished neighborhoods. The “neighborhood club” is a school-based, short-term, support group designed to assist children with the psychological impact of exposure to community violence. Ten “neighborhood clubs” were conducted in two public elementary schools in Detroit, Michigan. This paper reviews the implementation of a bilingual “neighborhood club,” undertaken to better serve the Spanish-speaking Latino students in a school community. We discuss many of the rewards and challenges of conducting a bilingual, multicultural support group for children and conclude that a bilingual support group provides all children with a model that validates ethnic and cultural diversity while also building empathic bonds based on mutually-reinforcing, common experiences.  相似文献   
66.
慢性腹泻首选抗生素治疗利弊的思考   总被引:1,自引:0,他引:1  
随着随访医学的不断发展和抗菌素的广泛使用,人类的疾病谱发了巨大变化,慢性腹泻病因也由感染为主转变多元化,非感染性原因越来越多。此外,随着人们对抗菌素的副作用、细菌耐药问题以及抗菌素所致的菌群失调引起的不良后果的认识不断深入,要求临床医生必须重新评价慢性腹泻选用抗菌素治疗的利弊。  相似文献   
67.
The federal government, through the Administration for Children and Families (ACF), has funded community-based relationship education programs for couples, individuals, and families, with a strong focus on serving economically disadvantaged and racially diverse families. This study evaluated the impact of a 36-hour, workshop-based couple relationship education program that was funded by ACF using a randomized controlled trial (RCT) design and intent-to-treat (ITT) analyses. Participants were 1320 couples who were either expecting a baby or had a baby within the past 3 months, at the time of enrollment. Follow-up surveys were administered 12 months later. Analyses evaluated program impacts on relationship stability, constructive communication, and destructive conflict compared to a no-treatment control group. Analyses showed a statistically significant impact of the program on destructive conflict (d = 0.10) but not on constructive communication (d = 0.06) or stability (dCox = 0.10). Based on findings from previous evaluations, we also examined whether participants’ levels of sociodemographic disadvantage moderated these effects. There was significant moderation by sociodemographic disadvantage on constructive communication and destructive conflict, but not on stability. Effects were observed for those at higher levels of sociodemographic disadvantage.  相似文献   
68.
This study explored the influences on living arrangements of orphans and vulnerable children (OVC) housed at a community-based home in Johannesburg, South Africa. A total of 50 OVC (males = 36%, females = 64%; age range 11 to 18 years) completed an open-ended questionnaire, while some of them also participated in individual interviews and focus group discussions on how they became residents of the community-based home. The data were thematically analysed. Findings suggest their choice to live in a community-based care setting to have been influenced by homelessness with accompanying poverty, health issues, experiences of child abuse and neglect, discrimination, and domestic violence. School psychologists working with OVC from community-based homes should consider pathways by which the children could be provided with needed support for resilient health and wellness.  相似文献   
69.
Researchers suggest that fear of crime arises from community disorder, cues in the social and physical environment that are distinct from crime itself. Three ecological methods of measuring community disorder are presented: resident perceptions reported in surveys and on-site observations by trained raters, both aggregated to the street block level, and content analysis of crime- and disorder-related newspaper articles aggregated to the neighborhood level. Each method demonstrated adequate reliability and roughly equal ability to predict subsequent fear of crime among 412 residents of 50 blocks in 50 neighborhoods in Baltimore, MD. Pearson and partial correlations (controlling for sex, race, age, and victimization) were calculated at multiple levels of analysis: individual, individual deviation from block, and community (block/neighborhood). Hierarchical linear models provided comparable results under more stringent conditions. Results linking different measure of disorder with fear, and individual and aggregated demographics with fear inform theories about fear of crime and extend research on the impact of community social and physical disorder. Implications for ecological assessment of community social and physical environments are discussed.  相似文献   
70.
A growing literature suggests that adversity is associated with later altered brain function, particularly within the corticolimbic system that supports emotion processing and salience detection (e.g., amygdala, prefrontal cortex [PFC]). Although neighborhood socioeconomic disadvantage has been shown to predict maladaptive behavioral outcomes, particularly for boys, most of the research linking adversity to corticolimbic function has focused on family‐level adversities. Moreover, although animal models and studies of normative brain development suggest that there may be sensitive periods during which adversity exerts stronger effects on corticolimbic development, little prospective evidence exists in humans. Using two low‐income samples of boys (n = 167; n = 77), Census‐derived neighborhood disadvantage during early childhood, but not adolescence, was uniquely associated with greater amygdala, but not PFC, reactivity to ambiguous neutral faces in adolescence and young adulthood. These associations remained after accounting for several family‐level adversities (e.g., low family income, harsh parenting), highlighting the independent and developmentally specific neural effects of the neighborhood context. Furthermore, in both samples, indicators measuring income and poverty status of neighbors were predictive of amygdala function, suggesting that neighborhood economic resources may be critical to brain development.  相似文献   
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