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21.

This paper arises out of psychoanalytically oriented consultancy to teams of staff in the helping professions where there is a statutory 'duty to care'. It takes as its premise the seemingly paradoxical hypothesis that workers may need to split off part of their emotional experience in order to preserve their own mental health and provide reliable services to their clients. I argue that while a professional 'duty to care' requires us to be emotionally 'in touch', the demands of our clients together with the demands of the institutional response to the 'duty to care' cause us to split off parts of our awareness. I also argue that provided the splitting does not become extreme we are doing no more or less than the rest of society. In other words, there is a degree of 'normal splitting' which numbs our awareness of danger and destructiveness and seeks to protect us from too much anxiety and pain. Yet if professional workers are charged with the responsibility of assessing risk and acting accordingly for the protection of all concerned they need ways of being 'in touch' (re-integrating the splits) for some or enough of the time. Finally, I will describe ways of being 'in touch', illustrating the difficulty and the pain of re-integrating the splits and some of the insights that can arise out of this work with examples from my consultancy work.  相似文献   
22.
Group concept mapping (GCM) has been successfully employed in program planning and evaluation for over 25 years. The broader set of systems thinking methodologies (of which GCM is one), have only recently found their way into the field. We present an overview of systems thinking emerging from a system dynamics (SD) perspective, and illustrate the potential synergy between GCM and SD. As with GCM, participatory processes are frequently employed when building SD models; however, it can be challenging to engage a large and diverse group of stakeholders in the iterative cycles of divergent thinking and consensus building required, while maintaining a broad perspective on the issue being studied. GCM provides a compelling resource for overcoming this challenge, by richly engaging a diverse set of stakeholders in broad exploration, structuring, and prioritization. SD provides an opportunity to extend GCM findings by embedding constructs in a testable hypothesis (SD model) describing how system structure and changes in constructs affect outcomes over time. SD can be used to simulate the hypothesized dynamics inherent in GCM concept maps. We illustrate the potential of the marriage of these methodologies in a case study of BECOMING, a federally-funded program aimed at strengthening the cross-sector system of care for youth with severe emotional disturbances.  相似文献   
23.
清代长篇小说《镜花缘》的内容丰富多彩,其类属和特点也比较多样。鲁迅说它属博物小说,才艺小说;胡适称它为妇女问题小说,女权小说,等等。此外,小说还描写了一些精彩的科幻故事,包括科幻植物如人吃一颗饱一年的巨米,人吃了能蹿高的蹑空草,长效久饱干粮救荒豆末;包括科幻器物如人穿上能长时间潜水的皮衣皮裤,能连续高速开火的火绳枪—连珠枪,能载人载货飞行的飞车;包括科幻技术,如人能近地但不触地地行进,换心补肺的医术。文章从科学、文学、历史几方面对上述科幻故事进行了考察、解读、诠释、分析、评论,研究总结出:《镜花缘》也具科幻小说之属性和特点,是我国第一部也进行了科学幻想文学创作的长篇小说。  相似文献   
24.

Background

Meconium stained amniotic fluid commonly occurs postdates (?>40 weeks gestation) indicating fetal maturity. Previous literature indicates that different ethnicities mature at different rates.

Aim

To compare the rate of meconium stained amniotic fluid of Australian-born and non-Australian born women.

Methods

A retrospective correlation study design was implemented, using data collected in the birth outcomes system at one tertiary hospital. Data was collected from all women who gave birth to a term (>/=37 weeks gestation), singleton, liveborn baby between January 1st to December 31st, 2014. Maternal country of birth was used for comparison. Categorical data was analyzed using Chi-Square test for Independence. Continuous variables were assessed for normality, and differences were compared using an Independent t-test or a Mann–Whitney U test. All tests were two-tailed and p < 0.05 was considered statistically significant.

Results

3,041 women were included; 1131 Australian-born and 1910 non-Australian born. Meconium stained amniotic fluid occurred more frequently in non-Australian born women compared to Australian-born women (23.5% vs. 19.8 p = 0.02). Their babies were significantly smaller (Mean = 3265 g, Standard Deviation 463.8 vs Mean = 3442 g, Standard Deviation 499.2, p < 0.001), with no difference in gestational length (Mean = 39.4, Standard Deviation 1.28 vs Mean = 39.5, Standard Deviation 1.18, p = 0.06). Increasing gestational age had the strongest association with meconium stained amniotic fluid;?>/=42 weeks gestation occurring 3.52 (95% Confidence Interval: 2.00, 6.22, p = <0.001) more than <40 weeks gestation.

Conclusion

Maternity health services should record ethnicity and region of birth to provide individualised care as women born overseas often have poorer perinatal outcomes when compared to Australian-born women.  相似文献   
25.
朱莉  曹杰  顾珺  郑翼 《中国管理科学》2020,28(12):151-161
在以人道主义为本的应急救援活动中,不可忽视被救灾民和施救决策者们异质性行为的影响。一方面,将各灾民因救援物资需求未被及时满足而呈现的差异化心理痛苦度量成经济损失,并纳入应急救援调度的社会成本这一决策目标中;另一方面,在灾后物资调度决策中,关注具有异质性偏好的各应急决策者所展现出的不同救援态度。结合面向联合机会约束规划的动态供需平衡限制,最终构建一个考虑灾民和决策者们异质性行为的多阶段灾后救援物资分配和应急路径优化模型。采用2008年汶川地震为案例背景,应用遗传算法对模型求解和参数分析,将仿真结果与不考虑异质性行为的传统救援调度方案进行比较,得出一些结论为构建高效的应急救援体系提供有益参考。  相似文献   
26.
利用12个发达国家和发展中国家的非平衡面板样本数据,对微观、宏观和其他因素对生产者货币计价(PCP)的影响进行实证研究,指出经济规模、市场份额、金融市场的发达程度、币值的对内稳定性和产品差异化程度是最主要的影响因素,而出口商的谈判能力、币值的对外稳定性等因素也对PCP的选择有一定影响。根据实证检验结果,对人民币作为贸易计价货币的条件进行评估,发现其优势在于我国的经济规模、出口商的市场份额及其谈判能力以及人民币汇率的相对稳定性; 劣势在于相对落后的金融市场、不可预期性较大的通货膨胀水平以及产品的差异化程度。  相似文献   
27.
《埤雅》以声符释义贯穿全书,偶有穿凿附会之处。书中广泛运用声训之法,力求阐释事物命名之意,对声训推源进行了有益的探索,具有一定的科学性与进步性。  相似文献   
28.
以往企业社会责任的价值相关性研究的结果显示,两者间的关系是模拟两可的、矛盾的和不确定的。本文在归纳和分析国内外相关研究的多样化结果及其产生原因的基础上,从引入中介变量、考虑时间跨度和解构社会责任三个角度梳理该领域研究的新发展,并提出目前研究中急需进一步解决的问题,为未来研究提供方向性的指引。  相似文献   
29.
七体自枚乘《七发》首创之后,作者继踵。建安七体文皆是虚构一主一客问答的招隐型作品,但它们并不是简单的模拟之作,在思想倾向上,虽是以儒家思想为主,却也体现出当时对刑名之学的重视;在情感倾向上,作者的情感已由讽谏转向颂美,名为招隐,实为自招,并成为激励士人的劝仕之作;在艺术技巧上,注重语句的对仗工整,讲究音律的和谐,用典成分增多,体现出较强的骈化趋势。总之,建安七体文无论从内容还是形式,都受到了那个时代社会风气和政治背景的影响。  相似文献   
30.
从基于层次分析法的多媒体教学评价角度,对教学条件、教学课件、课堂教学效果及实验教学等领域的多媒体教学评价进行了综述研究,就目前这些研究方向存在的问题及其发展趋势进行了点评概括.  相似文献   
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