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111.
    
A reversal design was employed for the analysis of transfer of fear and avoidance through equivalence classes. Two 5-member equivalence classes (A1-B1-C1-D1-E1 and A2-B2-C2-D2-E2) were established. Then B1 and C1 were paired with shock (CS+) and served as SDs in avoidance training (B2 and C2 were trained as CS-/Ss for avoidance). Further avoidance training followed with D1 and E1 (as SDs) and D2 and E2 (as Ss), with the first presentation of each of these stimuli serving as the first transfer test. Afterwards, aversive conditioning contingencies were reversed: B2 and D2 were paired with shock and trained as SDs for avoidance, B1 and D1 were presented without shock (CS-/Ss). Transfer was tested again with C1, E1, C2 and E2. This reversal was implemented to allow for the within-subject replication of transfer effects upon changes in the function of only a subset of each class's elements. Avoidance (key presses) and conditioned fear (skin conductance and heart rate) were simultaneously measured. Results show a clear transfer effect for avoidance, with between- and within-subject replications. For physiological measures, transfer effects in the first test could only be imputed on the basis of group-based inferential statistical analysis. Evidence for between-subject replication was weaker, with only a limited proportion of participants meeting the individual criterion for transfer.  相似文献   
112.
    
Atopic dermatitis (AD) is a common and debilitating inflammatory dermatological disorder and is marked by itch and inflamed skin. Scratching, sleep loss, and avoidance of situations associated with more AD symptoms are central hypothesized mechanisms that perpetuate the disorder and cause reduced quality of life. We developed an exposure-based cognitive behavioral treatment (CBT) that entailed mindfulness practice as a means to increase tolerance for aversive experiences during exposure. The aim of the present study was to test the treatment’s acceptability and preliminary efficacy in adults with AD. We used an uncontrolled pretest-posttest design and recruited participants (N = 9) from a university hospital dermatological clinic. The treatment comprised 10 weekly sessions over 10 weeks and assessments of AD symptoms as well as psychiatric symptoms and quality of life were conducted at baseline, posttreatment and 6-month follow-up. The results showed significant and large baseline to posttreatment improvements on self-reported measures of AD symptoms (p = .020) and general anxiety (p = .005), but there was no significant improvement in depression or quality of life. Treatment satisfaction was high and a majority of participants (67%) completed the treatment. We conclude that exposure-based CBT for adult AD can be feasible, acceptable, and potentially efficacious.  相似文献   
113.
Population growth increase of vehicle ownership, and development patterns have resulted in greater levels of congestion, pollution, and crash frequency. A proposed solution to lessen current transportation system demands is to increase the share of bicycle trips. Furthermore, as cycling is perceived by some as both a dangerous and stressful mode of transportation, understanding the factors that lead to less comfortable and stressful riding, can help drive bicycle infrastructure development. To establish a more robust understanding of the behaviors of bicyclists and how infrastructure design and operations influence them, a bicycle simulator was used to evaluate bicyclist performance measures of velocity, horizontal displacement, and physiological responses (i.e., galvanic skin response) while riding in varying roadway conditions. Results showed that bicyclists in the bike lane condition, had a GSR reading 1.77 peaks per min less than when cycling in the no bike lane condition. When bicyclists were in no bike lane condition, the GSR reading was not affected by vehicle speed but it was affected by the vehicular volume. Additionally, females felt less comfortable when riding in either bike condition, even though they reported that they were “Strong and Fearless” riders. The methodology used for this study sets forth the foundation for future research that could evaluate varying facility designs and a wider range of individuals.  相似文献   
114.
    
This paper presents a tentative understanding of the characteristics of the extreme traumas, elsewhere called ‘complex PTSD’, that some refugees and asylum‐seekers bring into therapy. It suggests that these kinds of traumas suffered during adulthood may involve a disintegration of the self and a loss of ‘psychic skin’. This conceptualization is derived from the treatment of a refugee who survived multiple extreme traumas and with whom efforts were made in therapy to identify a complex methodology making use of supplementary therapeutic tools in addition to individual psychotherapy. The case demonstrates how the disintegration of self implies not only a deep somato‐psychic dissociation, but also a loss of intrapsychic and interpersonal space. In the treatment this was worked through via repetition of the victim‐aggressor dynamics at multiple levels. In the end, the therapeutic context was structured like a set of concentric layers, creating a ‘bandage’ over the patient's wounds whilst his ‘psychic skin’ was able to regenerate. The conditions triggered by extreme traumas in refugees challenge some of the cornerstones of individual psychoanalytic technique, as well as the idea that individual therapy may be thought of as existing in an environmental vacuum.  相似文献   
115.
    
Objective: Previous research has indicated that greater exposure to traditional media (i.e. television, film, and print) predicted skin cancer risk factors in adolescents; however, the relationship between social media usage and these outcomes remains unexplored. We examined whether social networking site (SNS) usage, and the particular manner of this use, was associated with skin tone dissatisfaction, sun exposure and sun protection among Australian adolescents. We also explored sex differences in SNS usage related to tanning.

Method: A total of 1856 South Australian secondary school students completed the Australian School Students Alcohol and Drug 2014 survey. SNS usage related to tanning comprised posting pictures, posting text, viewing pictures, viewing text and liking or sharing posts.

Results: Adolescents spent 214.56 minutes, on average, per day using SNSs. Behaviours related to tanning that involved pictures (i.e. viewing pictures, posting pictures, and liking or sharing content) were significantly associated with more skin tone dissatisfaction, more sun exposure and less sun protection. Females performed all SNS-linked behaviours more frequently than did males, with the exception of posting text.

Conclusion: Australian adolescents spend a considerable amount of time using SNSs, and their behaviours related to tanning on these SNSs are significantly associated with skin cancer risk factors.  相似文献   

116.
Andrew Jackson 《Zygon》2023,58(3):789-805
In recent years, several scholars have hinted at a resemblance between Maximus the Confessor's logoi cosmology and evolutionary biology. In this article, I develop these suggestions further and claim that the logoi (divine ideas or wills) do indeed behave in an evolutionary fashion, diverging hierarchically and interactively from the Logos. However, there the similarity ends, for the logoi are also purposeful, inviolable, and good, unlike evolution which is said to be random, ever-changing, and cruel. But rather than abandon the logoi–evolution congruity, I argue that, by harnessing theological resources from across the Eastern tradition, one can integrate Maximus’ logoi vision more fully, resulting in an “incarnationally panentheistic” model of God's action and presence in evolution. More speculatively, within canonical Darwinism, the underlying (good) evolutionary motion of the logoi might be discernible in variation and adaptation, with the “evil” of competition and natural selection being “garments of skin” conceded by God as part of a simultaneous creation and cosmic fall.  相似文献   
117.
The presence of sexual arousal to children or a sexual preference for children are commonly hypothesized as being related to child molesting. Sexual arousal and sexual preference do not appear to be accurately assessed by traditional assessment methods such as the clinical interview and traditional personality testing or by projective testing (Earls, 1992). Penile tumescence measurement is an increasingly utilized method for assessing sexual arousal and preference in child molesters. The published literature concerning the psychometric properties of this technology as used with child molesters is critically reviewed. Basic questions concerning the sexual preference hypothesis, the criterion problem, the lack of procedural standardization, the kind of test penile tumescence measures exemplifies, and potentially problematic inferences involved in penile tumescence assessment are examined. There is evidence of test-retest and internal consistency reliabilities for certain penile tumescence measurement procedures. While there are a significant number of studies providing evidence that these techniques can accurately distinguish child abusers from nonoffenders, many are plagued by methodological problems. Suggestions for future research are given.The authors would like to thank Henry Adams, Christopher Earls, Steven R. Gold, D. Richard Laws, Barry M. Maletzky, and several anonymous reviewers for their comments on earlier versions of this paper.  相似文献   
118.
Peer leader modeling, posted feedback, posted goals, and a commitment raffle were used at two swimming pools to increase behaviors associated with skin cancer prevention. During the intervention condition, pool lifeguards modeled the protective behaviors by wearing sunglasses, t-shirts, and hats, using zinc oxide and sunscreen, and staying in the shade. Children and adolescents (1 to 16 years old) increased their use of two or more protective behaviors from a baseline mean of 6.5% to 26.9% during the intervention. Adults (older than 16 years) increased their protective behaviors from a baseline mean of 22% to 37.95% during the intervention. The lifeguards increased their use of all the protective behaviors from a baseline mean of 16.7% to 63.5% during intervention. Ways to improve and expand this intervention are discussed.  相似文献   
119.
Two single-case experiments demonstrated the efficacy of satiation therapy with adult males who had long-standing deviant sexual interests. The procedure involves the pairing of prolonged masturbation (1 hour) with the verbalization by the patient of his deviant sexual fantasies and in both cases the designs permitted the attribution of control over aberrant responding to the satiation therapy. The results are discussed in terms of the possible active ingredients of the procedure.  相似文献   
120.
糖尿病周围神经病变的临床特征及诊断   总被引:1,自引:0,他引:1  
对称性多发性神经病是糖尿病周围神经病变最常见的类型,根据受损神经纤维的不同,其临床特征亦有差别。目前已有多种方法用于糖尿病周围神经病变的诊断,包括简单的筛查方法,神经电生理检查,定量感觉检查及形态学检查等,但其标准的诊断定义还未达成一致。  相似文献   
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