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141.
This paper reports features of a distinctly post‐structuralist ‘outcome evaluation’ of a New Zealand stopping violence programme for men who have assaulted their spouses. Through analysis of pre‐ and post‐programme interviews it was found that the men's accounts of their violence shifted as a consequence of their participation in and exposure to the programme's discursive resources. Overall the men's accounts demonstrated movement towards taking greater ownership and responsibility for their actions. However this trend was not universal and was mitigated through other pre‐programme discursive resources. Copyright © 2001 John Wiley & Sons, Ltd. 相似文献
142.
This paper is a critical overview of the literature on older adults' outcome after traumatic brain injury (TBI). Eighteen outcome studies were reviewed. Results indicated that older patients demonstrated an increased risk for negative outcome following TBI when compared to younger patients with similar injury severity. Poorer outcome was characterized by higher mortality rates, decreased likelihood of returning to preinjury living arrangement, and declines in cognitive and affective functioning. In the studies reviewed, discharge destination, global outcome scales, and standardized neuropsychological tests were the primary measures of outcome from elderly TBI. Conceptual and methodological difficulties including variability in the definition of and inadequate measures of recovery from elderly TBI, inadequate control groups, and poor follow-up were discussed. Recommendations for future outcome research to increase uniformity in defining recovery in order to enhance comparability between studies and to tailor cognitive rehabilitation to the special needs of the older TBI patient were provided. 相似文献
143.
Valerie Møller 《Journal of Happiness Studies》2001,2(1):33-53
Five years after South Africa's first democratic elections in 1994, life satisfaction and happiness still reflect societal divides sowed by apartheid social engineering. The paper reports the indicators: life satisfaction, happiness and expectations for the future, from national surveys conducted between 1983 and 1999 for the South African Quality-of-Life Trends Project. Post-election euphoria, which saw all South Africans happy and satisfied with life for a brief moment in 1994, raises the question where the new set-level of subjective well-being will eventually come to rest. In 1999, in spite of some gains in living conditions, the level of life satisfaction of blacks has not risen above the mid-point and happiness is only slightly above the mid-point. Meanwhile, whites, who have forfeited their political dominance, continue to score above the mid-point on happiness and life satisfaction. The paper draws on the literature, particularly on quality-of-life trends in reunified Germany and paradoxical trends in African-American life satisfaction when discussing the dynamics underlying South African subjective well-being. It is argued that coping mechanisms may play an important role in determining levels of subjective well-being in the complex situation of South Africa. 相似文献
144.
This study sought to understand whether young adults and family educators share beliefs about the components of a successful
relationship. Young adults viewed successful relationships as having partners who agree on most issues. Educators characterized
successful partners as exhibiting positive communication patterns and using relationship maintenance strategies. A third prototype
included young adults and educators who described successful relationships in terms of agreement and problem solving behaviors.
Implications for researchers and practitioners conclude the article. 相似文献
145.
Ormond KE Iris M Banuvar S Minogue J Annas GJ Elias S 《Journal of genetic counseling》2007,16(4):539-550
The recent increased number of conditions for which patients can undergo genetic carrier testing raises the question of how
best to obtain pre-test informed consent. Clinical approaches vary from a minimalist model to a model where patients are given
detailed information about all conditions to be screened for. Few data exist as to patient preferences, or how information
impacts decision-making. Eight high-literacy focus groups were conducted to assess the knowledge and preferences of pregnant
patients and their male partners. Most groups indicated that some balance between details and brevity was optimal, recognizing
that anxiety can occur when patients are provided with too much information and that the wide range of tests offered during
pregnancy often led to confusion. Critical areas for the informed consent process included (1) details about the conditions
and risk of being a carrier, (2) logistics of testing, (3) next steps if the test is positive, and (4) prognosis, options
and resources if the child were to be affected with a disorder. It will be useful to develop model consent programs and prospectively
assess their impact on informed consent and patient satisfaction, both when positive and negative results are received. 相似文献
146.
Brad J. Nakamura Eric L. Daleiden Charles W. Mueller 《Journal of child and family studies》2007,16(5):729-741
We examined whether clinical progress ratings on the Monthly Treatment and Progress Summary form (MTPS), an idiographic treatment
progress measure, were meaningfully related to changes measured by two separate standardized instruments; the Child and Adolescent
Functional Assessment Scale (CAFAS) and the Child and Adolescent Level of Care Utilization System (CALOCUS). Validity coefficients
were examined at intake and three-, six-, and nine-month follow-up periods. Samples were selected for each measure and follow-up
period from the population of youth receiving services through the Hawaii Child and Adolescent Mental Health Division’s (CAMHD)
system of care. Significant youth improvement was evident on all three measures across all follow-up intervals. The type of
changes measured by the MTPS and CAFAS were more alike over longer follow-up intervals than changes measured by the CALOCUS.
The MTPS captures distinct aspects of client change that overlaps somewhat with CAFAS and CALOCUS measures. The MTPS is a
brief client-tailored measure that seems to provide valid, sensitive, and nonredundant client specific treatment outcome information
that can be collected on a frequent basis within a complex system of care. 相似文献
147.
Peter A. Creed Elizabeth G. Conlon Melanie J. Zimmer-Gembeck 《Journal of Vocational Behavior》2007,70(2):242-258
Data were obtained from 176 Year 7 children (mean age = 12.2 years) on career status aspirations and expectations, career barriers, academic engagement, academic control beliefs, general ability and literacy; and from parents, mainly mothers, on aspirations, expectations and career barriers. Discrepancy scores between aspirations and expectations were calculated for both children and parents. Children differed from parents on career status aspirations and expectations; boys did not differ from girls, and parents did not differentiate between boys and girls. Parents’ and children’s aspirations were both associated with reading ability, although the association was weak for the children. Children’s expectations were associated with perceptions of career barriers, and a trend towards reading abilities, while parents’ expectations were associated with general ability and reading. 相似文献
148.
Psychological trauma and post-traumatic stress disorder (PTSD) may complicate and reduce the effectiveness of treatment for substance use disorders (SUDs). This study assessed trauma history and symptoms of simple and complex PTSD at baseline in a randomized trial of contingency management (CM) compared to standard treatment (ST) with 142 cocaine- or heroin-dependent outpatients. History of exposure to each of eight types of psychological trauma was unrelated to treatment outcome, except for witnessed assaults and emotional abuse. Complex PTSD symptoms were inversely associated with short-term treatment outcomes, and PTSD symptoms were positively related to long-term outcome, independent of the effects of demographics, psychological distress, baseline substance use status, and treatment modality. Complex PTSD symptoms warrant further study as a potential negative prognostic factor in SUD interventions. 相似文献
149.
150.