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1.
The status of a fully indigenous mental health program serviced and controlled by the Tohono O'odham (Papago) Indian tribe is reviewed from the perspective of its 17-year history. The program functions in large measure in a crisis intervention model, with suicidal or acutely disturbed cases being most frequent. However, a whole range of disorders and ages are seen. Traditional Medicine Men and Women are often used as consultants, as are some professionals. In recent years child sex abuse and abuse of drugs among youth are prominent problems. The program experienced problems of obtaining services off reservations for patients in need, and in establishing credibility of the Indian Mental Health workers with the outside service providers.  相似文献   
2.
This paper demonstrates a method of transferring research data from a remote clinic to a large university mainframe for data manipulation and statistical analysis. Data collected by an Apple //e computer were transferred to an IBM 3031 mainframe by sending data files to an IBM PC by telephone modem or by direct hardwire connection to the PC. The IMB PC performed data-formatting routines and then uploaded the files to the mainframe for storage. Advantages and disadvantages of sending data over telephone lines via a modem are discussed.  相似文献   
3.
Single-subject statistics were used to analyze physiological data [electromyographic (EMG) temperature] recorded from two patients receiving computer-assisted biofeedback treatment in a clinic. When the data were analyzed by an ANOVA method or a regression technique, the results demonstrated that both patients learned to significantly reduce EMG levels. The rationale of using single-subject statistics is discussed, and the applicability of the statistical technique to the clinic population is illustrated.  相似文献   
4.
This article seeks to identify the theoretical tools that supported Michel de Certeau's political discernment during the crisis of May 1968 in France. De Certeau's ability to elucidate the novelty and complexity of this event is linked to the intertwining of his experiences as a historian, traveller (voyageur), and Christian (specifically a Jesuit). De Certeau's articulation of a 'theology of difference' allowed him to construct the intellectual and spiritual tools that enabled a lucid discernment of May 1968. Through this theology, derived from negative theology, de Certeau made the experience of faith operative at a moment of cultural crisis. The article also analyses possibilities involved in the ‘rupture’, that is, the fracture that is implied in modernity; in the notion of an event that highlights the deficiency of language, its incapacity to establish ‘a truthful communication’ in society; and the recognition of the poetic dimension of speech, which is capable of interweaving speech and action. The May 1968 event invites these elements mutually to redefine themselves.  相似文献   
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The purpose of this study was to evaluate the role of maternal and paternal alcohol consumption as independent risk factors in postneonatal mortality. Questions on the frequency and quantity of alcoholic drinks consumed were included in a questionnaire used as part of a case-control study. Over a period of 11 months the families of 157 cases and 468 controls, matched for age and locality, were interviewed. Odds ratios and 95% confidence intervals were obtained by matched univariate analysis and by multiple conditional logistic regression. Maternal consumption during pregnancy, maternal consumption during breastfeeding and maternal consumption in the past year were not risk factors for postneonatal mortality. A multiple matched analysis did not alter these results. Matched univariate analysis of paternal alcohol consumption gave several positive results, including variables pertaining to the father's consumption in a multiple logistic regression model with traditional risk factors, which revealed that the frequency of paternal consumption in the last year, as estimated by the mother, was found to have a significant effect on postneonatal mortality.  相似文献   
7.
The purpose of this paper is to evaluate the significance of the existential notion of authenticity for medical ethics. This is done by analyzing authenticity and examining its implications for the patient-professional relationship and for ethical decision-making in medical situations. It is argued that while authenticity implies important demand for individual responsibility, which has therapeutic significance, it perpetuates ideas which are antithetical both to authentic interaction between patients and professionals and to fruitful deliberation of moral dilemmas. In order to counteract these consequences, an alternative idea of authenticity is introduced. According to this idea, authenticity is not regarded primarily as individual sovereignty, but as an ability to participate in a dialogue in which the subjectivity of both partners is respected. Such practice, based on mutual trust and responsibility, would enhance common decision-making and overcome the alienation between patients and professionals.  相似文献   
8.
Fourier analysis describes the amount of variation in a time series by partitioning it into sinusoids of different amplitudes and wavelengths and quantifying the extent to which these waves are synchronized. The importance of a given wave is represented by its contribution to the explained variance of the time series. To illustrate its potential application to the study of movement, Fourier analysis was used to quantify the movement patterns of 2 pigeons on a variable-interval (VI) and a variable-time (VT) schedule of reinforcement. For comparison, the movements of 2 pigeons that did not receive reinforcement were similarly analyzed. Characteristic frequencies were higher during VI than during VT, and relatively low during nonreinforcement. We concluded that Fourier analysis can be used to represent movement patterns compactly, study their periodicity, stereotypy, and resonance, and assist in computer simulations and models of movement.  相似文献   
9.
Current Psychology - Based on Farber’s burnout proposal, the first aim of this study was to examine the psychometric properties of the short version of the Burnout Clinical Subtype...  相似文献   
10.
Current Psychology - Research has questioned whether it is feasible to assess psychosocial variables through web-based recruitment methods. Previous literature on IBD focused exclusively on testing...  相似文献   
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