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101.
A qualitative analysis of 51 matches between volunteer mentors and pregnant adolescents is discussed in terms of problems that occurred and reasons relating to early termination of the match. In each of three stages of the relationship, different issues related to the behavior and interpersonal process between members of the match created problems. In stage one, the mentors had difficulty establishing the match when there was avoidance, distrust, and testing behavior on the part of the mentee. Fear of intimacy and rejection seemed to underlie these relationship difficulties. In stage two, which encompassed the birth of the adolescent’s child, conflict occurred when mentees’ demands overwhelmed the mentors. In the third stage, difficulties discussing termination or continuation of the relationship led to disengagement and less frequent contact. Recommendations are provided to help mentors and mentees navigate the problems in each of these stages.  相似文献   
102.
This study compared the total amount of training time and total number of trial blocks for individuals with severe developmental disabilities to acquire mands under control of unconditioned establishing operations and mands under control of transitive conditioned establishing operations for manual sign and for the Picture Exchange Communication System (PECS). Also examined was the generalization of mands across settings and communicative partners, as well as the emergence of untrained tacts and intraverbals for mands acquired using PECS. Mands for preferred items and for items needed to complete a chained task were acquired more rapidly and in fewer training blocks for PECS than for manual sign. Moreover, mands established using PECS generalized across settings and communicative partners. Finally, untrained tacts and intraverbals using PECS were shown to emerge for some of the participants following PECS training. These results suggest that PECS may be a viable alternative communication system for adults with severe developmental disabilities who have little or no history of systematic instruction and limited imitative repertoires.  相似文献   
103.
Given observations on an m × n lattice, approximate maximum likelihood estimates are derived for a family of models including direct covariance, spatial moving average, conditional autoregressive and simultaneous autoregressive models. The approach involves expressing the (approximate) covariance matrix of the observed variables in terms of a linear combination of neighbour relationship matrices, raised to a power. The structure is such that the eigenvectors of the covariance matrix are independent of the parameters of interest. This result leads to a simple Fisher scoring type algorithm for estimating the parameters. The ideas are illustrated by fitting models to some remotely sensed data.  相似文献   
104.
In response to a growing diversity of opinion regarding educational models and essential content in clinical social work education, this paper offers a perspective concerning graduate clinical curricula. Part I, the foundational piece of the paper, discusses the definition of clinical social work, social work’s core orientation and values, and influential contextual issues. The interrelated core orientations guiding knowledge and skill development are identified as the person-in-situation perspective and the concept of relationship. Based on this foundation, Part II identifies elements of a contemporary biopsychosocial knowledge base and essential clinical skills. This paper is intended to stimulate dialogue about a topic of importance to the profession and the clients it serves.  相似文献   
105.
In the presence of Pareto, non-dictatorship, full domain, and transitivity, an extremely weak independence condition disallows both anonymity and neutrality.  相似文献   
106.
Gaze is one of the main means of communication in young infants, and it has been shown to be important for subsequent socio‐emotional and cognitive development. Maternal depression is a well‐known risk factor for disrupting mother–infant interactions, but findings regarding gaze behavior in infants of depressed versus nondepressed mothers have been ambiguous. In this study, we examined gaze duration and activity in a sample of 27 infants of mothers with postpartum depression (PPD) and 49 infants of nondepressed mothers. Maternal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale, and diagnoses were confirmed in clinical interview. Infant gaze was assessed during 4‐month face‐to‐face interactions using continuous timed‐event coding with high temporal resolution. Although we found no differences in gaze duration, infants of PPD mothers had both significantly less Gaze On and also less Gaze Off events. Findings suggest that PPD is related to reduced gaze activity during mother–infant interaction in 4‐month‐olds. This reduced activity may have long‐term negative consequences for child development.  相似文献   
107.
One of the most salient social categories conveyed by human faces and voices is gender. We investigated the developmental emergence of the ability to perceive the coherence of auditory and visual attributes of gender in 6‐ and 9‐month‐old infants. Infants viewed two side‐by‐side video clips of a man and a woman singing a nursery rhyme and heard a synchronous male or female sound track. Results showed that 6‐month‐old infants did not match the audible and visible attributes of gender, and 9‐month‐old infants matched only female faces and voices. These findings indicate that the ability to perceive the multisensory coherence of gender emerges relatively late in infancy and that it reflects the greater experience that most infants have with female faces and voices.  相似文献   
108.
Person-centeredness may suffer in nursing homes (NHs) with recent ownership changes. This study identifies associations between ownership change and reported care experiences, important measures of person-centered care for long-term residents in Maryland NHs. Care experience measures and ownership change data were collected from Maryland Health Care Commission reports, which reported data on 220 Maryland NHs from 2011 and 2012. Facility and market covariates were obtained from 2011 NH Compare and Area Health Resource Files. Linear regression was used to examine whether ownership change in 2011 was associated with lower care experience ratings reported during April to June 2012. Dependent variables were overall care rating (scale 1–10), percentage of respondents answering that they would recommend the NH, and assessments of five care and resident life domains (scale 1–4). Care experiences reported in 2012 were high; however, after controlling for covariates, ownership change was associated with significant decreases in 6 out of 7 measures, including a 0.39-point decrease in overall care rating (p = .001). NH managers and policy makers should consider strategies to improve patient-centeredness after ownership change.  相似文献   
109.
This article explores the work of clergywomen in the Church of England within an analysis of the Church as a gendered organization. We highlight the sex discrimination they often face, at the same time as satisfaction with their work and the need to follow their calling regardless of the difficulties. This is explained through an analysis of the significance of religious calling and the requirement for ‘sacrifice’ on their ability to endure their work and to challenge discriminatory treatment.  相似文献   
110.
This article explores the possibility of using a theoretical framework drawn from disability studies in the field of mental health, and the study of identity (re)construction in the recovery process. In this PhD project, 33 narratives were analysed using framework analysis. The analysis showed that disablism was present and powerful in the participants’ lives, and also showed how disablism shaped how the participants thought and felt about themselves. As Carol Thomas argues, when analysing disablism one should also focus on who we are and are prevented from being, as disabled people. The conclusion is that processes of oppression were central when it comes to understanding the (re)construction of identities. A disability studies perspective is thus relevant in the field of mental distress, and can be used to enhance the understanding of the process of identity (re)construction.  相似文献   
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