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111.
Incorporating issues of race and racism can improve clinical engagement and the therapeutic alliance. Assessing, understanding, and responding to experiences related to racial identity and racism related stress can be an important factor in a clinician??s ability to be culturally responsive. A vignette of client treatment presents common dilemmas in clinical treatment. Responses to questions about race from focus groups are presented to frame the experiences of women of color who struggle with poverty and social-emotional issues. A framework of multicultural antiracist practice highlights the skills necessary for clinicians, supervisors, and managers. 相似文献
112.
Rossetti J Jones-Bendel T Portell P Kunz M Sobotka MJ King C Marek K 《Journal of psychosocial nursing and mental health services》2012,50(5):42-46
In the behavioral health environment, nurses often use continuous staff monitoring and, at times, physical restraints, to manage the severity of patients' self-injury. Both options put staff in control, are the most restrictive in nature, and can be financially draining on the hospital's budget. This can result in negative reactions by both patients and staff. It is important to develop a program that will empower patients to control their behavior and allow staff to be aware of their perceptions and attitudes toward patients who self-injure. This article describes the leadership initiative that drove the development, training, and implementation of a self-injury prevention project and the lessons learned by staff. 相似文献
113.
114.
Everson MD Sandoval JM Berson N Crowson M Robinson H 《Journal of child sexual abuse》2012,21(1):72-90
In the absence of photographic or DNA evidence, a credible eyewitness, or perpetrator confession, forensic evaluators in cases of alleged child sexual abuse must rely on psychosocial or "soft" evidence, often requiring substantial professional judgment for case determination. This article offers a three-part rebuttal to Herman's (2009 ) argument that forensic decisions based on psychosocial evidence are fundamentally unreliable and that this conclusion represents settled science. The article also discusses the potentially adverse consequences of Herman's proposed reforms to forensic practice on child protection and prosecution efforts. 相似文献
115.
Business enterprises run by youth can create jobs and teach the principles of free enterprise but also convey skills that can be used by employees in large companies, as well as political activists and entrepreneurs. Research is needed to test the efficacy of this approach and identify its key components. 相似文献
116.
Universities, particularly research‐intensive ones, have responded to a variety of external and internal influences by retooling their missions, culture, and organizational structures to generate revenue from market opportunities. This has resulted in the marketization of higher education: organizational practices that blur the boundary between knowledge‐driven and profit‐driven institutions. This blurring has spurred debates and uncertainties over the scope and boundaries of the 21st century university. We argue that these debates spring from institutional boundary work at the intersection of the three main missions of the contemporary academy: knowledge production, student learning, and satisfying the social charter. These missions can sometimes create areas of synergy, but also tensions that are particularly acute where market logics and business‐oriented practices contradict academic values. Within knowledge production, a key dilemma is the extent to which knowledge advancement should aim for transcendence versus revenue generation. Within student learning, the dilemma involves incommensurability between the ideals of democratic citizenship and demonstrable return on investment. Within the social charter mission, the dilemma is over whether the university can serve the public welfare while also facilitating the growth of local and national economies. 相似文献
117.
Many scholars pinpoint the family as one of the most important loci of class differences and see parenting in particular as a mechanism for the reinforcement and reproduction of class variation. In this article, the authors explore the role of educational background, occupations, family resources, state surveillance, and culture in explaining how and why parenting practices vary by class backgrounds. The article reviews research that focuses on class‐based cultural norms and values, as well as research that argues that structural conditions and access to resources are more important than culture in influencing parenting norms, beliefs, and outcomes. The authors then discuss recent research that suggests that rather than seeing culture and structure as dichotomous, in fact, culture and structure are intertwined and it is through seeing them as mutually reinforcing factors that we can best make sense of class‐related parenting differences. 相似文献
118.
20世纪50年代以来,藏传佛教在西方社会广泛传播,作为东方研究心灵的经验性科学与西方心理学逐步深入地展开对话,深刻影响了西方心理学的发展。首先,藏传佛教对人性的积极态度、对人类意识的深入认识,扩大了西方心理学的研究视野;第二,藏传佛教对自我、意识、情绪等复杂心理过程提供了新的研究方法;第三,藏传佛教推动了佛教冥想的传播,为心理治疗和心理自助提供了一种积极有效的方法和技术。 相似文献
119.
Few studies have examined the effects of early life conditions on the timing of the onset of heart disease. We use the remarkable
example of a representative sample of the population of older Puerto Ricans aged 60– 74 who lived in the countryside during
childhood (n = 1,438) to examine the effects of seasonal exposures to poor nutrition and infectious diseases during late gestation on
the timing of the onset and the probability of ever experiencing adult heart disease. Cox and log logistic hazard models controlling
for childhood conditions (self-reported childhood health status and socioeconomic status [SES], rheumatic fever, and knee
height) and adult risk factors (adult SES, obesity, smoking, texercise, and self-reported diabetes) showed that the risk of
onset of heart disease was 65% higher among those born during high-exposure periods compared with unexposed individuals. However,
there were no significant differences in median time of onset for those ever experiencing heart disease. As a comparison,
we found that there were no significant seasonality effects for those who lived in urban areas during childhood. We conclude
that early exposures in utero have important ramifications for adult heart disease among the older Puerto Rican population.
We show, however, that while exposure is associated with the probability of ever experiencing adult heart disease, it is not
associated with the timing of onset among those who do experience it. 相似文献
120.
The Japanese system of school–work has been widely admired for the strong communication and recruitment relationships that exist between high schools and employers. We develop a framework for understanding the macro-level conditions that fostered the effectiveness of the system up until the early 1990s. These conditions included a stratified secondary educational system, a large supply of high-quality high school graduates, and high demand for young workers to fill entry-level positions in the internal labor markets of large firms. We use original data from a sample of urban high schools to analyze how Japanese employers’ recruitment patterns changed in the 1990s and beyond. The results of that analysis and a counterfactual analysis suggest that recent changes, especially in Japanese employment institutions, have significantly weakened high school–employer relationships. We suggest implications of the Japanese case for school–work processes in other postindustrial societies. 相似文献