Building and Maintaining Clinical Programs

This paper describes the basic elements of practice development and management within the academic medical setting. These include assessment of the market environment, both in the community and within the medical setting, product development, marketing, budget basics, quality, managed care negotiations, and finding time to do research in a financially-driven health care system.     

Termination of Mental Health Services for Children

In this paper, we examine the termination of children's mental health services. Analyses were based on the 901 families in the Fort Bragg Evaluation Project who participated at Wave 1 and Wave 2 six months later. The project compared a full continuum of care provided at a demonstration site with traditional care at two comparison sites. The results showed that in most cases families and providers were partners in decisions to terminate treatment. About half of the clients self-terminated or were terminated solely at the discretion of the provider. Providers tended to play a more dominant role in terminating restrictive services; families played a more central role in terminating outpatient care. Regardless of initial psychopathology, children in single-headed households, whose parents were dissatisfied with services, did not expect their child to cooperate with treatment and did not expect treatment to help their child, were more likely to terminate care than others. While the Demonstration site had significantly fewer terminations, the sites did not differ with regard to the reasons for termination, who participated in termination decisions, or the factors that affected the likelihood to terminate care. Of most interest, mental health outcomes among children who had terminated all care did not vary by reasons for termination or by who participated in the termination decision.     

Peer review: Selecting the best science

The major challenge facing today’s biomedical researchers is the increasing competition for available funds. The competitive review process, through which the National Institutes of Health (NIH) awards grants, is built upon review by a committee of expert scientists. The NIH is firmly committed to ensuring that its peer review system is fair and objective. Wendy Baldwin, Ph.D., is Deputy Director for Extramural Research, National Institutes of Health. This paper is based on a presentation at a workshop, “Advances in Peer Review Research”, American Association for the Advancement of Science Meeting, Baltimore, MD, February 9, 1996.     

1—5岁儿童使用双宾结构状况的考察

本文对1—5岁汉族儿童使用双宾结构的状况进行了考察。首先对儿童语言中双宾结构的结构类型、句法功能及其发展状况进行了描述分析;在此基础上,讨论了儿童习得汉语双宾结构的机制。     

人性观对心理学理论与研究的影响

心理学的基本理论,尤其是人格理论,通常都蕴含着对人性的假设。人性观的差异常常导致其理论建构的差异。而且人性观影响心理学研究的方式、方法,影响对心理成因的认识、对心理疾病的理解、及对异常矫正策略的选择。     

Character-Principlism and the Particularity Objection

This paper is a response to particularist critics of the normative force of moral principles. The particularist critique, as I understand it, is a rejection not only of principle-based accounts of moral deliberation and justification, but also of accounts of character in which principles play a central role. I focus on the latter challenge and counter it with a view I call character-principlism .
I begin by discussing in a general way what motivates the particularity objection to principles and then contrast two views – both of which insist on the importance of attentiveness to particularity – about the relative normative status of principles and particular cases. I present some reasons for believing that we need a more normatively robust conception of the role of moral principles than the particularists provide. In the main portion of the paper, I discuss how character-principlism sees principles functioning in our lives and the lives we lead with others. I contrast this with some other accounts of desirable character that particularists can embrace, and argue that these are seriously flawed because, unlike character-principlism, they cannot satisfactorily explain how a person could possess the constancy of character that moral integrity requires.     

Superintuitionistic Companions of Classical Modal Logics

This paper investigates partitions of lattices of modal logics based on superintuitionistic logics which are defined by forming, for each superintuitionistic logic L and classical modal logic , the set L[] of L-companions of . Here L[] consists of those modal logics whose non-modal fragments coincide with L and which axiomatize if the law of excluded middle p V p is added. Questions addressed are, for instance, whether there exist logics with the disjunction property in L[], whether L[] contains a smallest element, and whether L[] contains lower covers of . Positive solutions as concerns the last question show that there are (uncountably many) superclean modal logics based on intuitionistic logic in the sense of Vakarelov [28]. Thus a number of problems stated in [28] are solved. As a technical tool the paper develops the splitting technique for lattices of modal logics based on superintuitionistic logics and ap plies duality theory from [34].     

Rules of Existential Quantification into "Intensional Contexts"

Propositional and notional attitudes are construed as relations (-in-intension) between individuals and constructions (rather than propositrions etc,). The apparatus of transparent intensional logic (Tichy) is applied to derive two rules that make it possible to export existential quantifiers without conceiving attitudes as relations to expressions (sententialism).     

6 15岁儿童对友谊特性的认知发展

研究目的：（１）考察我国儿童、青少年的友谊特性的认知发展规律和特点;（２）探讨儿童友谊特性的认知结构。研究采用结构访谈法,被试为来自北京市普通幼儿园、小学和中学的６岁、８岁、１０岁、１２岁和１５岁儿童共１００名（每个年龄组２０名,男女各半）。结果发现：（１）６—１５岁儿童对友谊特性的认知结构由５个维度组成,即：个人交流和冲突解决,榜样和竞争,互相欣赏,共同活动和互相帮助,亲密交往。（２）对６—１５岁儿童,友谊特性中的５个维度的重要性次序为：共同活动和互相帮助,个人交流和冲突解决,榜样和竞争,互相欣赏,亲密交往。（３）从发展上来看,对友谊特性不同维度的认知发展趋势有很大年龄差异。６—８岁儿童只能认识到友谊特性中一些外在的、行为的特征;以后才能逐渐认识到那些内在的、情感性的特征。但是,原来那些外在的特征并没有随着儿童年龄的增长而被取代,而是与内在的、情感性的特性结合在一起,在认识中逐渐深化。（４）小学六年级儿童在共同活动和游戏上表现出性别差异（男生高于女生）;而在冲突解决上,女生的认知水平高于男生。此外,初中三年级学生在互相欣赏方面,男生的认识水平高于女生