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481.
We assessed core gender identity, sexual orientation, and recalled childhood gender role behavior in 16 women and 9 men with CAH and in 15 unaffected female and 10 unaffected male relatives, all between the ages of 18 and 44 years. Women with congenital adrenal hyperplasia (CAH) recalled significantly more male-typical play behavior as children than did unaffected women, whereas men with and without CAH did not differ. Women with CAH also reported significantly less satisfaction with the female sex of assignment and less heterosexual interest than did unaffected women. Again, men with CAH did not differ significantly from unaffected men in these respects. Our results for women with CAH are consistent with numerous prior reports indicating that girls with CAH show increased male-typical play behavior. They also support the hypotheses that these women show reduced heterosexual interest and reduced satisfaction with the female sex of assignment. Our results for males are consistent with most prior reports that boys with CAH do not show a general alteration in childhood play behavior. In addition, they provide initial evidence that core gender identity and sexual orientation are unaffected in men with CAH. Finally, among women with CAH, we found that recalled male-typical play in childhood correlated with reduced satisfaction with the female gender and reduced heterosexual interest in adulthood. Although prospective studies are needed, these results suggest that those girls with CAH who show the greatest alterations in childhood play behavior may be the most likely to develop a bisexual or homosexual orientation as adults and to be dissatisfied with the female sex of assignment.  相似文献   
482.
The present study provides 2-year follow-up data for a comparison between a complete behavioral marital therapy treatment package (CO) and two of its major components, behavior exchange (BE) andcommunication/problem-solving training (CPT). Data are reported for 34 couples who were randomly assigned to one of these three treatments, completed the treatment to which they were assigned, and were available for the 2-year follow-up. The effects of therapy at the 2-year follow-up were evaluated using a global measure of marital satisfaction and a checklist of presenting marital problems. Statistically significant differences between the three treatments were not in evidence on any of the measures. However, couples in the CO treatment condition were most likely to be happily married and least likely to be separated or divorced. Attempts to identify variables which predicted long-term outcome were largely unsuccessful. Ananalysis based on standardized telephone interview indicated that, while neither therapist attributes nor maintenance of treatment-derived relationship skills were associated with long-term marital satisfaction, stressful life events subsequent to therapy termination were negatively related to marital satisfaction.  相似文献   
483.
This research employed both quantitative and qualitative approaches to studying the immediate and long-term coping strategies adopted by survivors of child sexual abuse, focusing on how strategies evolve over time. Qualitative findings showed that coping with child sexual abuse is not static, but changes over time. The narratives of these nonclinical survivors suggest that an adaptive outcome may be associated with a particular evolution of strategies across time, i.e., survivors reported coping predominantly by engaging in psychological escape methods initially, and then adopting cognitive appraisal and positive reframing strategies in the longer term. It appears that coping processes can affect psychological outcome following child sexual abuse. This study offers insight into the evolution of coping methods associated with an adaptive outcome.  相似文献   
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485.
WORKER POWER, FIRM POWER, AND THE STRUCTURE OF LABOR MARKETS   总被引:2,自引:0,他引:2  
The purpose of this article is to advance the conceptual development of structurally-oriented approaches to stratification by elaborating a behavioral model of the structure of labor markets that is based on power relations among both individual and collective actors. After reviewing the various approaches to the study of stratification and enumerating some of its shortcomings, a theory of the operation of labor markets that synthesizes a number of the elements in extant theories is presented. A labor market typology is developed based on the relative power of firms and workers and four distinct types of markets are delineated, i.e., worker-controlled, firm-internal, worker-firm negotiated, and competitive. In addition, the dynamics by which these labor markets are transformed is discussed. It is argued that this conceptual framework solves a number of problems inherent in extant theories of the operation of labor markets and the article concludes by suggesting areas for future research based on the theory.  相似文献   
486.
This paper reports on the development, implementation, and evaluation of an innovative marriage preparation program. The program used a small discussion-group format, had pre- and post-wedding sessions, and emphasized the importance of communication patterns and conflict resolution. It was hypothesized (1) that spouses who took part in such a program would be less likely to engage in destructive conflict with each other than those who had not taken part; and, (2) that spouses who took part in the program would seek assistance in solving either individual or marital problems more readily than those who did not take part. The data supported both hypotheses.  相似文献   
487.
488.
The foldover design of the 12-run Plackett-Burman design is shown to give a 24and 24-1design in every set of four factors, and to be resolution V in every set of five factors. In addition, the design allows the search and estimation of up to two non-zero interactions.  相似文献   
489.
490.
This paper raises and attempts to resolve some significant and controversial issues in the design of family therapy outcome studies. First, the issue of clinical relevance is addressed. Much of psychotherapy research has little relevance for practicing clinicians; this paper discusses some partial explanations and proposes some changes in the way data are reported that would have a salutary effect. Second, inter-model comparative outcome studies are critiqued. Third, the necessary preconditions for internally valid outcome studies are delineated, along with conditions in which randomization and the use of control groups can be abandoned. Fourth, there is a discussion of a research strategy which examines the generalizability of treatment effects found in research settings to conditions which come closer to resembling clinical practice. Fifth, questions regarding the selection of therapists for family therapy outcome research are addressed, including the issue of optimal level of therapist experience, and the question of whether or not “therapists” should be treated as a randomized factor in the overall design. Finally, there is a brief discussion of outcome criteria, with a fairly clear-cut and straightforward recommendation for determining whether or not a family therapy has had a desirable effect.  相似文献   
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