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1.
Peter Rober's work (2005a) on the therapist’s inner conversation (TIC) has been a significant contribution to understanding the therapist's 'here and now' experience that focuses on the emergence of different voices responding to what is said in the therapy session. Frediani and Rober (2016) conducted an investigation into the experience and TIC of novice therapists concerning emotions aroused and how they deal with them during family therapy. Their research prompted us to ask how this methodology could work with recent graduates and those in the last year of their undergraduate training. This was addressed in the adolescent psychotherapy team that is part of the Equipo de Trabajo y Asesoría Sistémica (Systemic Counselling and Teamwork) (eQtasis) of the Psychology Department of the University of Chile. An important characteristic has been developing an ethics for clinical practice and generating a collaborative reflexive approach as a central aspect of the clinical training. The paper aims to promote the legitimacy of the experience of novice therapists who despite limited professional experience have many stories that connect with what is said in therapy.  相似文献   
2.
时间标识是契约文书中的关键要素,必须严谨准确。而在清水江文书中,多次出现以“天运+干支”格式的计时格式,给文书订立时间的确定带来辨识的障碍,而对“天运”的考释,也成为文书整理工作中的一大疑难。本文以《天柱文书》第一辑中的57份带“天运”字样的文书为例,在分类解析的基础上,考证“天运”格式的渊源,进而考察其形成原因,总结处理此一问题的有效方法。  相似文献   
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The experiences of young adult carers (YACs) have been vastly under-researched, particularly within Australian caregiving literature. This article explores the existence, extent and nature of informal young adult caregiving in Australia, defining YACs as individuals aged between 18 and 25 years who provide unpaid care or support to family members living with chronic illness or disability. The aim of this article is to provide a foundation for the re-conceptualisation of YACs as a distinct carer cohort who, without suitable recognition and specifically targeted support, may experience significantly reduced future life opportunities. The traditional, narrative-based review will first redefine YACs in accordance with overseas literary definitions and will then explore the complex nature and extent of young adult caregiving in Australia. Explanations as to why young adults are increasingly undertaking these informal caregiving roles and how YACs differentiate from their non-carer peers will then follow. Finally, three prominent paradigms, namely the clinical, social capital and carers' rights' perspectives, will be presented to establish a greater understanding of the implications, contextual experiences and unmet civil rights of YACs in Australia.  相似文献   
5.
地方政府规范性文件,是地方政府为实施法律、执行政策,在法定权限内制定的行政法规、规章以外的用以规范行政主体或不特定相对人的具有普遍约束力、可反复适用的决定、命令、办法、指示等。地方政府规范性文件的制定实施,有效弥补了制定法的缺陷,促进了当地经济社会发展,提升了地方政府参与社会治理的能力和水平。但同时,规范性文件制定主体的多样性、制定程序的随意性、监督机制的缺失以及制定过程中的以权谋私行为,容易侵害当地民众的合法权益,也损害了地方政府的公信力和权威。为实现地方政府规范性文件制定的法治化,应当通过明确规范性文件的制定主体、规范行政规范性文件的制定程序、保障民众参与规范性文件制定的权利、完善规范性文件的备案审查制度以及健全“问题”规范性文件的惩戒机制等措施,有效提升规范性文件的质量。  相似文献   
6.
In studies with recurrent event endpoints, misspecified assumptions of event rates or dispersion can lead to underpowered trials or overexposure of patients. Specification of overdispersion is often a particular problem as it is usually not reported in clinical trial publications. Changing event rates over the years have been described for some diseases, adding to the uncertainty in planning. To mitigate the risks of inadequate sample sizes, internal pilot study designs have been proposed with a preference for blinded sample size reestimation procedures, as they generally do not affect the type I error rate and maintain trial integrity. Blinded sample size reestimation procedures are available for trials with recurrent events as endpoints. However, the variance in the reestimated sample size can be considerable in particular with early sample size reviews. Motivated by a randomized controlled trial in paediatric multiple sclerosis, a rare neurological condition in children, we apply the concept of blinded continuous monitoring of information, which is known to reduce the variance in the resulting sample size. Assuming negative binomial distributions for the counts of recurrent relapses, we derive information criteria and propose blinded continuous monitoring procedures. The operating characteristics of these are assessed in Monte Carlo trial simulations demonstrating favourable properties with regard to type I error rate, power, and stopping time, ie, sample size.  相似文献   
7.
电子校务是国家电子政务建设的重要组成部分,是学校应用现代信息化通信技术、借助互联网对管理和服务进行的优化和创新,电子校务在高校中的应用虽然取得了一定的成效,作为教务管理模块中的考务管理却鲜有被涉及。课程考试是我国高校教务管理工作中的一项重要工作,考务管理则是保证对学生进行有效考核的基础。因此,如何利用先进管理理念和信息化技术手段对考务管理模式进行优化,提高高校人才培养质量,已成为高校亟待研究、解决的问题。  相似文献   
8.
“基因编辑婴儿”案件的发生表明生殖系基因编辑技术谬用行为刑法规制的必要性。生殖系基因编辑技术的人类临床应用存在安全风险、社会管理失序风险和伦理风险三大风险。面对这些风险,刑法应当禁止对生命健康法益造成侵害的生殖系基因编辑技术的应用行为,有选择性地规制危害社会管理秩序的生殖系基因编辑技术的应用,并慎重回应生殖系基因编辑技术所涉伦理问题。为应对基因编辑技术带来的挑战,刑法应当在兼顾谦抑性的同时,设计相关罪名,对犯罪行为进行打击。  相似文献   
9.
The Simon's two‐stage design is the most commonly applied among multi‐stage designs in phase IIA clinical trials. It combines the sample sizes at the two stages in order to minimize either the expected or the maximum sample size. When the uncertainty about pre‐trial beliefs on the expected or desired response rate is high, a Bayesian alternative should be considered since it allows to deal with the entire distribution of the parameter of interest in a more natural way. In this setting, a crucial issue is how to construct a distribution from the available summaries to use as a clinical prior in a Bayesian design. In this work, we explore the Bayesian counterparts of the Simon's two‐stage design based on the predictive version of the single threshold design. This design requires specifying two prior distributions: the analysis prior, which is used to compute the posterior probabilities, and the design prior, which is employed to obtain the prior predictive distribution. While the usual approach is to build beta priors for carrying out a conjugate analysis, we derived both the analysis and the design distributions through linear combinations of B‐splines. The motivating example is the planning of the phase IIA two‐stage trial on anti‐HER2 DNA vaccine in breast cancer, where initial beliefs formed from elicited experts' opinions and historical data showed a high level of uncertainty. In a sample size determination problem, the impact of different priors is evaluated.  相似文献   
10.
为了解江苏省综合性医院临床医生对新医改现状的看法,评价新医改在江苏省内的实施进展和效果,该研究选取了新医改部分重点问题,采用自设计问卷,调查江苏省内7家三级综合性医院和7家二级综合性医院临床医生,运用描述性分析和卡方检验辅助分析研究结果。发现66.5%的医生更希望政府医改经费投入能侧重于医务人员劳动收入;对家庭医生签约服务的认知度及成效评价低于分级诊疗及医联体建设;认为医患关系和看病难、看病贵问题略有改善的医生分别占20.3%、24.9%、27.9%。需正确认识医务人员认知差异及原因;重视医务人员权益、优化薪酬管理制度;加强家庭医生签约服务的宣传和推广;丰富医联体间活动形式;建立及时有效的临床医生反馈机制。  相似文献   
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