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61.
ICU是一个由特定人员与先进医疗设备组成的独立科室或病房,是现代化医院的重要标志。ICU的建立挽救了大量危重患者的生命,降低了死亡率。目前国内ICU还处于建设、完善、发展阶段,由于发展的不平衡,缺乏统一ICU规范和收治标准,以及对ICU在认识上存在着误区,因此,造成了不同等级医院、不同层次ICU收治的不平衡。如何使ICU的建设和运作更加程序化、专业化、规范化,真正发挥ICU的作用与功能,既要加强对患者与老百姓的宣传力度,也要加强业内人员的认识,同时还应加强医疗行政管理的监察力度。 相似文献
62.
S. Chiaramello M. Cyr P. McDuff C.-E. Laguerre R.F. Rodgers V. Walburg S. Lignon 《Revue Européene de Psychologie Appliquée》2018,68(3):99-106
Objective
This study aimed to examine the relationship between maternal and contextual factors including maternal personality traits, the quality of mother–child relationship, the characteristics of sexual abuse and maternal outcomes: (1) maternal reactions including feelings of anger and responsibility, anger and perceptions of responsibility of the child, and (2) maternal support provided to the child following the disclosure of sexual abuse.Method
The sample included 190 mothers recruited from youth centers in Québec (Canada). Data were collected using self-assessment questionnaires and semi-structured interviews.Results
Regression analyses revealed that maternal neuroticism, the quality of the preexisting mother–child relationship, the relationship between the mother and the perpetrator, and the occurrence of physical violence, were significant predictors of outcomes including maternal support, mothers’ feelings of responsibility and/or anger towards the abuser and/or child.Conclusion
These findings suggest that considering neurotic traits and addressing feelings of anger and responsibility among mothers might improve child outcomes following CSA. 相似文献63.
Originating in the Italian and French courts, ballet is an age-old art that fuses aesthetics and athleticism (Wulff, 2008). Despite changing times, ballet masters and mistresses tenaciously hold on to a sense of deep traditionalism. However, some scholars suggest that unwavering devotion to the art may conceal troubled embodied relations and oppressive practices (Gvion, 2008). In this study, we drew on the phenomenological research tradition in an effort to further examine the power relations that play out on the body in the world of Canadian professional ballet (Papaefstathiou, Rhind, & Brakenridge, 2013). Twenty past professional female ballet dancers from across Canada participated in this study. Our dedicated dancers were relentless. They sacrificed body and mind in the pursuit of excellence in a broader cultural context that expected nothing less. The dancers normalized harmful emotional experiences, inappropriate sexual transgressions, and chronic injury (Gvion, 2008). They also described experiences of neglect—and feeling replaceable—after the onset of injury. We have attempted to theorize our findings within the context of embodiment literature and the work of gender theorists. Emboldened by our dancers’ voices, we have shed light—and broken secrets—regarding some of the harmful practices that still characterize professional ballet in Canada. We hope that our work might further continue efforts to democratize power imbalances in professional ballet and ultimately enhance holistic dancer development and health. 相似文献
64.
Bas Tierolf Carlo Schuengel Francien Lamers-Winkelman 《Journal of aggression, maltreatment & trauma》2018,27(1):1-14
The study aimed to describe the psychometric properties of the Dutch version of the Trauma Symptom Checklist for Young Children (TSCYC) in normative and clinical populations in the Netherlands. Caregivers’ ratings on the TSCYC were obtained for 1,802 children from the normal population, and for 515 children from a clinical population of traumatized children. In the clinical sample, additional measures were taken. The internal consistency and test-retest reliability of TSCYC scales were adequate. Confirmatory factor analysis showed acceptable fit on the putative scale structure. Regarding criterion validity, the clinical sample scored significantly higher on all clinical scales when compared to the normal population sample. Within the clinical sample, significant associations were found between TSCYC scales and convergent scales of other instruments. The Posttraumatic Stress-Total subscale demonstrated excellent discriminative ability between traumatized children and children from the normal population. The Dutch version of the TSCYC proved a valid and reliable instrument to measure trauma symptoms in young children through caregiver report, similar to the original American version. Further comparisons with diagnostic interviews are warranted. 相似文献
65.
Erin C. Berenz Anka Vujanovic Lance M. Rappaport Salpi Kevorkian Rose Emily Gonzalez Nadia Chowdhury 《Journal of aggression, maltreatment & trauma》2018,27(7):795-810
Individuals with a history of childhood trauma experience deficits in emotion regulation. However, few studies have investigated childhood trauma and both perceived (i.e., self-report) and behavioral measures of distress tolerance. The current study evaluated associations between childhood trauma (i.e., physical abuse, sexual abuse, and witnessing family violence) and measures of perceived (Distress Tolerance Scale) and behavioral distress tolerance (i.e., Paced Auditory Serial Addition Test, breath-holding). Participants were 320 undergraduate students with a history of interpersonal trauma (e.g., sexual/physical assault). Structural equation modeling was used to evaluate associations between frequency of childhood trauma type and distress tolerance. Greater childhood physical abuse was associated with higher perceived distress tolerance. Greater levels of witnessing family violence were associated with lower behavioral distress tolerance on the breath-holding task. No significant effects were found for Paced Auditory Serial Addition Test performance. Associations between childhood trauma and emotion regulation likely are complex and warrant further study. 相似文献
66.
Karen V. Guth 《Teaching Theology & Religion》2018,21(3):197-209
Cases like that of John Howard Yoder – a pacifist theorist who perpetrated sexual violence – raise difficult questions about teaching material implicated in traumatic pasts. This paper argues that “moral injury” provides a useful framework for understanding the dynamics of teaching prominent cases of tainted legacies like Yoder's and for developing best pedagogical practices across the field of religious ethics. The moral injury framework empowers students to think critically and self‐reflectively about authority, conceptions of the good, the various stakes for different persons and communities in social issues, and the need for moral repair. It establishes the importance of professor and student preparation; propels students into the moral questioning and analysis that constitutes “ethics”; draws attention to the connections between and intersectionality of various moral problems while also attending to important moral distinctions; and affords opportunities to study individual and institutional efforts at moral repair. 相似文献
67.
There is little research on treating symptoms of sexual orientation-obsessive-compulsive disorder (SO-OCD). Semantic networks represent a new cognitive approach for understanding cognitive mechanisms of SO-OCD. Specifically, we tested whether the self-help cognitive technique of association splitting (AS) developed from this approach would be efficacious in reducing SO-OCD symptoms and thought suppression. One hundred and twenty heterosexual undergraduates (82 females, 38 males) were randomly assigned to either the AS or waitlist control group. At baseline and four weeks later, participants completed items assessing SO-OCD symptoms, measures of sexual obsessions and thought suppression, and an association task in which they generated associations to different cue words. Generated associations were coded based on SO-OCD relevance and emotional valence. Results indicated reductions in SO-OCD-relevant associations across levels of emotional valence and SO-OCD-irrelevant negative associations, and increases in SO-OCD-irrelevant positive and neutral associations, only in the AS group. Furthermore, there were reductions in SO-OCD symptoms, sexual obsessions, and thought suppression only in the AS group. Importantly, these findings were obtained with overall large effect sizes. AS appears to be an efficacious self-help technique in reducing SO-OCD symptoms, sexual obsessions, and thought suppression. Clinical implications, limitations, and suggestions for future research are discussed. 相似文献
68.
69.
Juan Carlos Sierra Nieves Moyano Pablo Vallejo-Medina Carmen Gómez-Berrocal 《International Journal of Clinical and Health Psychology》2018,18(1):69-80
Background/Objective
Sexual double standard (SDS) has long been associated to several dimensions of sexual health. Therefore the assessment of SDS is relevant and requires self-reported measures with adequate psychometric properties. This study aims to adapt the Sexual Double Standard Scale (SDSS) into heterosexual Spanish population and examine its psychometric properties. Method: Using quota incidental sampling, we recruited a sample of 1,206 individuals (50% women), distributed across three groups based on their age (18-34, 35-49 and 50 years old and older). Results: We performed both, Exploratory Factor Analysis and Confirmatory Factor Analysis. An abridged version was yielded, consisting of 16 items distributed into two factors (Acceptance for sexual freedom and Acceptance for sexual shyness). A second-order factor structure was also adequate, which facilitates the use of a global index for SDS. Reliability, based on internal consistency and temporal stability was good for the factors. Evidence of validity is also shown and reported. Conclusions: This adapted version of the SDSS is reliable and valid. The importance for its use to estimate the prevalence of both traditional and modern forms of this phenomenon is discussed. 相似文献70.
Anna Ševčíková Lukas Blinka Kristian Daneback 《European Journal of Developmental Psychology》2018,15(4):426-437
The purpose of this longitudinal study is to examine the relationship between teen sexting and offline sexual behavior. Using a sample of 1134 Czech adolescents aged 10–18 (Mage = 13.84, SD = 1.94, girls = 58.8%) from 55 schools, the latent growth model of offline sexual behavior with sexting as a time-varying covariate was employed. Participants differed at baseline for offline sexual behavior at both individual and school levels, and they varied in the growth rate of offline sexual behavior at the individual level. Only age and sensation seeking explained the variability at baseline of offline sexual behavior. The positive association between sexting and offline sexual behavior was not constant across time. However, sexting at baseline predicted offline sexual behavior a half year and one year later. Sexting may be treated as a precursor of offline sexual behavior. 相似文献