排序方式： 共有189条查询结果，搜索用时 15 毫秒
81.
Katrina L. Boterhoven de Haan Jennifer Hafekost David Lawrence Michael G. Sawyer Stephen R. Zubrick 《Family process》2015,54(1):116-123
The General Functioning 12‐item subscale (GF12) of The McMaster Family Assessment Device (FAD) has been validated as a single index measure to assess family functioning. This study reports on the reliability and validity of using only the six positive items from the General Functioning subscale (GF6+). Existing data from two Western Australian studies, the Raine Study (RS) and the Western Australian Child Health Survey (WACHS), was used to analyze the psychometric properties of the GF6+ subscale. The results demonstrated that the GF6+ subscale had virtually equivalent psychometric properties and was able to identify almost all of the same families who had healthy or unhealthy levels of functioning as the full GF12 subscale. In consideration of the constraints faced by large‐scale population‐based surveys, the findings of this study support the use of a GF6+ subscale from the FAD, as a quick and effective tool to assess the overall functioning of families. 相似文献
82.
A large body of research, documenting the impact of a family's functioning on health outcomes, highlights the importance of introducing the evaluation of patients' family dynamics into clinical judgment. The Family Assessment Device (FAD) is a self‐report questionnaire designed to assess specific dimensions of family functioning. This qualitative systematic review, which follows PRISMA guidelines, aimed to identify the FAD's clinimetric properties and to report the incremental utility of its inclusion in clinical settings. A thorough literature search was performed, using both computerized and manual searches, yielding a total of 148 studies that were included in this review. The FAD has been extensively used in a variety of research contexts. In the majority of studies it was able to discriminate between clinical populations and controls and among groups of patients with different illnesses. The FAD also showed good test–retest and concurrent reliability, and modest sensitivity to change after treatment. FAD‐dysfunctional family functioning was related to several patient clinical outcomes, including lower recovery rates and adherence to treatment, longer recovery time, poorer quality of life, and increased risk of relapse and drop‐out. The present review demonstrates that the FAD is a suitable instrument for the evaluation of family functioning both in clinical and research settings. 相似文献
83.
Brian Ribeiro 《Metaphilosophy》2004,35(5):714-732
Abstract: Recent literature on skepticism has raised a nearly univocal voice in condemning skeptical argumentation on the grounds that such argumentation necessarily involves our adopting some nonordinary or unnatural perspective. Were this really so, then skeptical conclusions would not speak to us in the way in which skeptics think they do; we would be “insulated” from any such conclusions. I argue that skeptical argumentation need not rely on any nonordinary or unnatural standards. Rather, the skeptic's procedure is to offer a critique from within. Having given my argument for this claim (which I call the Continuity Argument), I consider and respond to two important objections. I conclude that the skeptic has a powerful meta‐argument to be deployed in defending the legitimacy of his skeptical conclusions against the slings and arrows of (those I call) the half‐true theorists. 相似文献
84.
Cynthia A. Lietz Francie J. Julien‐Chinn Jennifer M. Geiger Megan Hayes Piel 《Family process》2016,55(4):660-672
Families who foster offer essential care for children and youth when their own parents are unable to provide for their safety and well‐being. Foster caregivers face many challenges including increased workload, emotional distress, and the difficulties associated with health and mental health problems that are more common in children in foster care. Despite these stressors, many families are able to sustain fostering while maintaining or enhancing functioning of their unit. This qualitative study applied an adaptational process model of family resilience that emerged in previous studies to examine narratives of persistent, long‐term, and multiple fostering experiences. Data corroborated previous research in two ways. Family resilience was again described as a transactional process of coping and adaptation that evolves over time. This process was cultivated through the activation of 10 family strengths that are important in different ways, during varied phases. 相似文献
85.
RESUMENEste estudio es una replicación y extensión de un trabajo anterior llevado a cabo por Brown, Birley y Wing (1972) acerca de la influencia de la vida familiar en el curso de la esquizofrenia. Los principales resultados de Brown et al. han sido replicados en dos grupos clínicamente diferentes de pacientes psiquiátricos. La emoción expresada del familiar parece de nuevo estar asociada con la recaída independientemente de todos los otros factores sociales y clínicos investigados. Un nivel elevado de emoción expresada de los familiares, en el momento del ingreso del paciente, sigue siendo el mejor predictor aislado de recaída sintomática durante los nueve meses siguientes al alta. Además se han revelado efectos aditivos importantes entre varias influencias sociales y tratamientos farmacológicos, lo que hace posible predecir patrones de recaída en la esquizofrenia con considerable precisión. Los patrones de estas relaciones con la recaída son diferentes para los dos grupos clínicos estudiados: pacientes con psicosis esquizofrénica y con neurosis depresiva. 相似文献
86.
Christine E. Vaughn Karen Sorensen Snyder Simon Jones William B. Freeman Ian R. H. Falloon 《Estudios de Psicología》2013,34(27-28):128-150
ResumenNuestro estudio de la atmósfera emocional de los hogares de los pacientes esquizofrénicos en California del Sur ha replicado los descubrimientos británicos en relación con la influencia del ambiente familiar sobre el curso de la esquizofrenia. Como en los estudios británicos, las críticas y la implicación emocional excesiva de un familiar clave para el paciente en el momento de su ingreso constituyen el mejor predictor aislado de recaída sintomática en los nueve meses posteriores al alta hospitalaria. Al igual que en los resultados británicos, la asociación entre la emoción expresada de los familiares y la recaída fue independiente de todas las demas variables investigadas. Los resultados transculturales sobre los efectos preventivos de la medicación sugieren que los clínicos deben considerar la atmósfera emocional del hogar, a la hora de explicar los fracasos de la medicación. 相似文献
87.
This study examined the links between parent–child attachment, whole family interaction patterns, and child emotional adjustment and adaptability in a sample of 86 community families with children between the ages of 8 and 11 years. Family interactions were observed and coded with the System for Coding Interactions and Family Functioning (SCIFF; Lindahl, 2001). Both parents and each target child completed the appropriate form of the Behavior Assessment System for Children‐2nd Edition (BASC‐2; Reynolds & Kamphaus, 2004). Target children also completed the Children's Coping Strategies Questionnaire (CCSQ; Yunger, Corby, & Perry, 2005). Hierarchical multiple regressions indicated that Secure mother–child attachment was a robust predictor of children's emotional symptoms, but father–child attachment strategies were not significant independent predictors. Positive Affect in family interactions significantly increased the amount of variance accounted for in children's emotional symptoms. In addition, Family Cohesion and Positive Affect moderated the relationship between father–child attachment and children's emotional symptoms. When data from all BASC‐2 informants (mother, father, child) were considered simultaneously and multidimensional constructs were modeled, mother–child security directly predicted children's adjustment and adaptive skills, but the influence of father–child security was fully mediated through positive family functioning. Results of the current study support the utility of considering dyadic attachment and family interaction patterns conjointly when conceptualizing and fostering positive emotional and behavioral outcomes in children. 相似文献
88.
A family peer‐education program for mental disorders was developed in Japan, similar to existing programs in the United States and Hong Kong. Families that serve as facilitators in such programs may enhance their caregiving processes and, thereby, their well‐being. This study's aim was to describe how families’ caregiving experiences change, beginning with the onset of a family member's mental illness, through their involvement in a family group or peer‐education program as participants then facilitators. Thus, this study was conducted in a family peer‐education program for mental disorders in Japan. Group interviews were conducted with 27 facilitators from seven program sites about their experiences before, during, and after becoming facilitators. Interview data were coded and categorized into five stages of caregiving processes: (1) withdrawing and suppressing negative experiences with difficulty and regret; (2) finding comfort through being listened to about negative experiences; (3) supporting participants’ sharing as facilitators; (4) understanding and affirming oneself through repeated sharing of experiences; and (5) finding value and social roles in one's experiences. The third, fourth, and fifth stages were experienced by the facilitators. The value that the facilitators placed on their caregiving experiences changed from negative to positive, which participants regarded as helpful and supportive. We conclude that serving as facilitators may improve families’ caregiving processes. 相似文献
89.
Justine D'Arrigo‐Patrick Chris Hoff Carmen Knudson‐Martin Amy Tuttle 《Family process》2017,56(3):574-588
The family therapy field encourages commitment to diversity and social justice, but offers varying ideas about how to attentively consider these issues. Critical informed models advocate activism, whereas postmodern informed models encourage multiple perspectives. It is often not clear how activism and an emphasis on multiple perspectives connect, engendering the sense that critical and postmodern practices may be disparate. To understand how therapists negotiate these perspectives in practice, this qualitative grounded theory analysis drew on interviews with 11 therapists, each known for their work from both critical and postmodern perspectives. We found that these therapists generally engage in a set of shared constructionist practices while also demonstrating two distinct forms of activism: activism through countering and activism through collaborating. Ultimately, decisions made about how to navigate critical and postmodern influences were connected to how therapists viewed ethics and the ways they were comfortable using their therapeutic power. The findings illustrate practice strategies through which therapists apply each approach. 相似文献
90.
Luciana Sotero Diana Cunha José Tomás da Silva Valentín Escudero Ana Paula Relvas 《Family process》2017,56(4):819-834
This study aimed to compare therapists’ observable behaviors to promote alliances with involuntary and voluntary clients during brief family therapy. The therapists’ contributions to fostering alliances were rated in sessions 1 and 4 using videotapes of 29 families who were observed in brief therapy. Using the System for Observing Family Therapy Alliances, trained raters searched for specific therapist behaviors that contributed to or detracted from the four alliance dimensions: engagement in the therapeutic process, an emotional connection with the therapist, safety within the therapeutic system, and a shared sense of purpose within the family. The results showed that when working with involuntary clients, therapists presented more behaviors to foster the clients’ engagement and to promote a shared sense of purpose within the family. However, in the fourth session, the therapists in both groups contributed to the alliance in similar ways. The results are discussed in terms of (a) the therapists’ alliance‐building behaviors, (b) the specificities of each client group, and (c) the implications for clinical practice, training, and research. 相似文献