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31.
CONTEXTUALIZED ASSESSMENT WITH BATTERED WOMEN: STRATEGIC SAFETY PLANNING TO COPE WITH MULTIPLE HARMS
Given the prevalence of domestic violence and the likelihood that many victims will not receive services from specialized domestic violence providers, this article provides a framework for contextualized assessment that can be used by generalist practitioners. Drawing from stress and coping theory, the authors discuss the relevance of assessing appraisals and emotional responses within the context of environmental and individual risk and protective factors. Through an illustrative case assessment, the authors describe the contextualized assessment process and its ramifications for strategic safety planning. 相似文献
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A central feature of the reforms enacted through the Personal Responsibility and Work Opportunity Reconciliation Act (welfare reform) has been the adoption of strategies to involuntarily remove Temporary Assistance to Needy Families (TANF) recipients from the welfare rolls, including increased use of sanctions and time limits on welfare receipt. Drawing on data from a three year panel study of women who had been receiving welfare in a state which adopted stringent sanctioning and time limit policies, we investigate predictors of recipients' TANF status after implementation of welfare reform, and identify differences in post-reform material resources, hardships and quality of life based on TANF status. Almost half of all welfare case closures during the first time period after reforms were implemented through involuntary strategies. Relatively few baseline characteristics predicted different outcomes once welfare time limits and sanctions were implemented. Those who were timed off welfare had substantially lower incomes in the year following their removal. One third of all respondents, regardless of reason for leaving TANF reported having insufficient food, housing problems and lack of access to needed medical care. 相似文献
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一百多年以前,恩格斯提出了一种见解:妇女沦为奴隶的历史过程与阶级的产生和国家的形成密切相关。而资产阶级学术界长期以来对妇女社会地位进化的问题不置一词,直至不久以前,由于资本主义各国掀起了妇女解放运动的新浪潮,这个问题才由争取女权运动的妇女们尖锐地提了出来。20世纪初叶,资产阶级学术界的进化思想被历史主义和功能主义(美国的F·博厄斯、英 相似文献
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在丹麦学校,道德教育从来都不是一门与宗教教育并行或交互作用的独立学科;相对说来,二次大战后,本世纪末,特别是最后十到十五年间,这一领域才成为人们注目的中心。70年代,几个相关因素使人们逐渐认识到在学校开设常规德育课的必要性。这一发展中决定性的事件是其他西欧国家共同面临的。简述如下: 所谓的“青年革命”从1968年始,在进入70年代早期,其目的在于改变人们的基本态度和行为,直至人们普遍接受了:在一所学校和大学里,有关的政治法规是一件私人关心的事件这一事实。教育纯粹应该是增进知识的。现在,年轻人提倡一种新 相似文献
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Researchers and institutional review boards are routinely called upon to evaluate the cost-benefit status of proposed research protocols that involve human participants. Often these assessments are based on subjective judgments in the absence of empirical data. This reliance on subjective judgments is of particular concern for studies involving clinical samples where unfounded assumptions may adversely affect research progress or clinical outcomes. The Reactions to Research Participation Questionnaire (RRPQ) was designed to address this shortcoming and to help promote ethical decision making about research practice. The present study describes development of the RRPQ and presents a series of exploratory and confirmatory analyses investigating its structure. Based on these findings, a revised version of the instrument and suggestions for future research are presented. This approach provides a foundation for scientifically informed protection of human subjects. 相似文献
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Bottles K 《Physician executive》2001,27(2):58-63
The sequencing of the human genome is only the tip of the iceberg. It is the beginning of a revolution that many predict will transform medicine. How will genetics research affect physicians and patients and the practice of medicine? When investigators identify the function and association of human genes with common chronic diseases, diagnosis, treatment, and classification of human diseases will be changed forever. Genetic susceptibility testing allows patients to know their predisposition to disease long before symptoms appear. Physicians can intervene with customized advice so that the patient can prevent, modify, or avoid the predisposed condition by better understanding both his or her genetic and environmental risk for disease. The promise of a genetic approach to drug therapy involves moving from one size fits all to personalized medicine tailored to the individual patient. Physicians will become mentors and counselors, advising patients on the best treatment path given their unique genetic predisposition--even in this sophisticated, high tech field, the physician-patient relationship is likely to improve, highlighted by individualized therapies and personal attention. 相似文献