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John Shotter 《欧洲心理治疗、咨询与健康杂志》2015,17(4):359-372
Living in two-way, dialogical relations with our surroundings, rather than in monological, one-way causal relations with them, means that we can no longer treat ourselves as inquiring simply into a world of objective ‘things’ already existing in the world around us. We need to see ourselves instead as always acting ‘from within’ a still-in-process world of flowing streams of intermingling activities affecting us as much, if not more, than we can affect them. In such a world as this, instead of discovering pre-existing things in our inquiries, we continually bring such ‘things’ into existence. So, although we may talk of having discovering certain nameable ‘things’ in our inquiries, the fact is, we can only see such ‘things’ as having been at work in people’s activities after they have performed them. This, I want to argue, is also the case with all our diagnostic categories of mental distress – thus to see the ‘things’ they name as the causes of a person’s distress is to commit an ex post facto fact fallacy. Something else altogether ‘moves’ people in the performance of their actions than the nameable ‘things’ we currently claim to have discovered in our inquiries. 相似文献
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Lena Reuterskiöld Lars-Göran Öst Thomas Ollendick 《Journal of psychopathology and behavioral assessment》2008,30(4):279-290
Worryingly low levels of parent–child agreement on child psychiatric diagnosis are reported. This study examined parent–child agreement on diagnostic categories and severity ratings with the Anxiety Disorders Interview Schedule, Child and Parents versions (ADIS-C/P). Children’s age, gender, motivation and self-concept and parent’s general psychopathology and diagnoses were examined. Participants were 110 children (aged 8–14 years) with a principal specific phobia diagnosis, and their parents. Findings revealed excellent parent–child agreement on principal specific phobia diagnosis (97.3%), and fair levels of concordance on most co-occurring secondary diagnoses. As expected, children with high motivation had generally stronger parent–child agreement on diagnoses and severity ratings (for ADHD p?.001). Parents reported overall more diagnoses for their children (for GAD p?.03; SOCP p?.02) and parents with diagnoses seemed more tuned in to their children’s problematic behavior. It is suggested that clinicians screen for motivation status early in the assessment phase and use both parts of the ADIS-C/P. 相似文献
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Duchenne型肌营养不良基因诊断技术的发展及其哲学评析 总被引:1,自引:0,他引:1
Duchenne型肌营养不良(DMD)是发病率较高的神经系统遗传病,其基因突变机制复杂,探索简便、准确的基因突变检测技术是DMD研究的热点之一。随着分子生物学的进展,DMD基因诊断技术不断发展,经历了DNA印迹杂交、聚合酶链反应、生物芯片、多重连接探针扩增等。其发展过程带给我们许多哲学思考。 相似文献
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Duchenne型肌营养不良(DMD)是发病率较高的神经系统遗传病,其基因突变机制复杂,探索简便、准确的基因突变检测技术是DMD研究的热点之一.随着分子生物学的进展,DMD基因诊断技术不断发展,经历了DNA印迹杂交、聚合酶链反应、生物芯片、多重连接探针扩增等.其发展过程带给我们许多哲学思考. 相似文献
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Antonietta Di Caccavo Nasreen Fazal‐Short Timothy P. Moss 《Journal of community & applied social psychology》2000,10(1):63-67
Eighteen general practitioners indicated diagnostic and treatment decisions in response to patient vignettes. Results indicated that White patients were more likely to be correctly diagnosed as having anxiety than any other complaint. Asians were just as likely to receive a physical diagnosis as they were to receive one of anxiety. Copyright © 2000 John Wiley & Sons, Ltd. 相似文献
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Mary E. Evans Ph.D. Norín Dollard M.P.A. Thomas L. McNulty M.A. 《Journal of child and family studies》1992,1(3):305-314
Youth with emotional disturbance who have substance abuse problems are of particular concern to child-serving agencies. Approximately 22% of the youth served in New York State's Intensive Case Management Program for Children and Youth (CYICM) have identified substance abuse problems. We compared youths enrolled in CYICM who abuse substances with those who do not abuse substances. Adolescents with substance abuse problems differed from non-abusing adolescents. The abusing cohort was most likely to be emancipated minors, not enrolled in school, less likely to be members of a minority group, and more likely to have private health care coverage. They also evidenced a different constellation of symptoms than the non-abusing cohort, with abusers tending to display suicidal symptoms and behaviors and sexual acting out. Abusers were also more likely to have been admitted to private psychiatric hospitals and to have had crisis contacts in emergency rooms. Similar to non-abusers, however, abusers spent significantly fewer days as inpatients in state hospitals, and had fewer admissions to these hospitals following their enrollment in CYICM. 相似文献
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