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271.
ABSTRACT

The development of a university-based cybercounseling certificate program through the continuing education department of a graduate faculty of social work is described. This web-based program consists of two levels: introductory and advanced, and offers experienced face-to-face counselors training in an asynchronous, e-mail form of cybercounseling. Ethical issues such as cross-jurisdictional concerns, client appropriateness, and counselor insurance are discussed. A system developed to provide online e-mail security through web-based access and encryption is highlighted. Several techniques for e-mail counseling such as presence, and spacing and pacing are discussed and illustrated. Demographics of learners and feedback from graduates are presented and lessons learned are discussed.  相似文献   
272.
This essay reviews efforts to alter sexual orientation using behavioral, psychodynamic, hormonal, pharmaceutical and surgical methods. The essay also examines various justifications offered for such therapy and shows how these have changed as a pathological interpretation of homoeroticism has been abandoned. While such therapy was once justified in language of psychopathology, some current justifications for conversion therapy now treat the matter of therapy as a matter of personal choice and do not invoke the language of pathology at all. That a formal medical rejection of a psychopathological categorization of homoeroticism has not altogether eliminated efforts to redirect sexual orientation suggests that it is ultimately a moral and not medical devaluation of homoeroticism that at bottom drives continuing efforts to control and redirect sexual orientation.  相似文献   
273.
In contrast to other forms of family caregiving, becoming the parent or carer of a child with an intellectual disability (ID) implies an ongoing responsibility beyond the attainment of chronological adulthood ( Meyers et al., 1985 ; Todd and Shearn, 1996 ). At the same time, a discourse of self‐determination pervades policy around transition to adult services in ID in England ( Valuing People, 2001 ). In this paper we present a subset of data from a project which aimed to examine how the process of transition from child to adult services in ID is managed. Using data from 8 tape‐recorded meetings in which transitions were planned and discussed, we examine what happens when the views of the parent/carer and the young adult are in apparent conflict. Drawing on the growing body of interactional work in the field (eg Rapley, 2004 ; Finlay, Antaki and Walton, 2008 ), we use conversation analysis to examine how professionals manage and negotiate this conflict and how some points of view or courses of action ultimately prevail over others. While the discourse of self‐determination may prevail in English policy terms, we show how the fact that parents or carers ultimately have a key role in enabling the choices of the young person has a significant impact on these interactions.  相似文献   
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275.
Leadership and strategic management research suggests that the extent to which CEOs influence performance largely depends on the presence or absence of certain factors. These factors may include the characteristics of the task at hand, subordinates, the organization itself or the external environment. Among these factors, a fundamental contingency that has received little empirical attention is an organization's ownership and governance structure—that is, who owns and monitors the organization. In this paper, we outline how different ownership and governance structures can present the opportunity for, or limit, leader influence and empirically examine the extent to which CEO effects on financial performance depend on these structures. Examining organizations in the same industry but with different ownership and governance structures, our results suggest that these structures are closely aligned with the degree to which CEOs influence firm performance. Our findings support the notion that leaders matter most when ownership and governance structures correspond with a weak or ambiguous institutional logic. This study contributes new insight into the “opportunity structure” of CEO influence, that is, the organizational factors that shape leader discretion and, hence, condition the CEO's level of influence over firm performance.  相似文献   
276.
This study of men who have sex with men (MSM) examined whether tendencies to consider the future consequences of one's actions were associated with sexual behaviors that place oneself at risk for HIV infection. A total of 339 HIV-negative MSM responded to the Consideration of Future Consequences Scale (CFC; Strathman et al., 1994) and to questions about their anal intercourse practices in the past year. In bivariate analyses, men with a stronger future orientation were less likely to engage in anal intercourse unprotected by a condom (p < .05). Multivariate analyses revealed that CFC accounted for significant variance in three of four measures of unprotected anal sex after statistically controlling for demographic covariates (education, income, ethnicity, age). CFC was a better predictor of sexual behavior and accounted for more unique variance than any of the demographic factors. Additional research is needed to confirm that CFC is an antecedent of behavior and to examine the feasibility and efficacy of focusing on CFC in HIV prevention interventions.  相似文献   
277.
Levels of childlessness reported by the same cohorts of women and surveyed by the British General Household Survey increase with age by over 50 per cent between their early 40s and their late 50s for women born in the early 1940s. Yet the reported mean fertility of parous women remains constant with increasing age. Similar results hold within sub-groups such as different educational and marital status groups. Possible reasons for these findings include declining comparability of the base population over time due to differential migration, mortality, or institutionalization, changes in survey design and content, and differential non-response by childless and parous women. The evidence shows that these are not adequate explanations. The most likely reason is deliberate under-reporting of childbearing among older cohorts of women. The findings have implications for the interpretation of retrospective data in surveys and for the availability of informal care for older people.  相似文献   
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