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This paper focuses on a much-neglected aspect of therapy with lesbian clients: treatment of sexual dysfunction. It examines roots of dysfunction that can be found in cultural homophobia and misogyny, and presents a theoretical framework for intervention in the sexual problems of lesbian clients.  相似文献   
244.
The decline of human fertility that occurred in Europe and North America in the nineteenth century, and elsewhere in the twentieth, remains a topic of debate largely because there is no accepted explanation for the event. This paper uses district-level data from Bavaria to study the correlates of the decline of fertility in that German kingdom in the nineteenth century. Bavaria's fertility transition was later and less dramatic than in other parts of Germany. Our results for Bavaria indicate that the European Fertility Project was right about the role of religion and secularization, but missed an important role for the economic and structural effects stressed by economic historians.  相似文献   
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The Bank of Canada may be one of the most important determinants of health within the reach of government policy. Throughout its last three governorships, the Bank has pursued a staunchly anti-inflationary policy. Near zero percent inflation has helped to maintain unemployment levels above all but one of Canada's partners in the Group of Seven nations. Although debate continues, the bulk of the published literature supports a strong relationship between unemployment and ill health. Unfortunately, recent Governors have promulgated a mandate for the Bank that ignores its original mandate in the Bank of Canada Act, its influence on unemployment, and the human cost of sickness and premature death associated with unemployment. Federal monetary policy must take into account this human cost. Otherwise the myopic focus on a healthy economy in the short-run will compromise the goal of a healthy country in the long-run.  相似文献   
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Using data from the NICHD Study of Early Child Care and Youth Development (N = 1,198), this study examines the associations between education and parental strains and rewards among mothers of young children. Findings indicate that a college degree or more is related to less parenting anxiety, but more role captivity, and less new life meaning from parenting than lower levels of education. Differences by education are partly explained by variation in levels of progressive parenting values and work commitment, but remain significant. These patterns indicate that education provides greater resources that ease parental anxiety, but also leads to greater perceived demands of having a successful career, which contribute to more role captivity and less new life meaning from parenting.  相似文献   
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Due to concerns over Thai adolescent risky behaviors, effective prevention strategies are needed. Determining the role neighborhood context plays in program engagement and outcomes may inform these strategies. This study includes 170 mother-adolescent pairs (M = 13.44, SD = .52) in Bangkok, Thailand in a prevention program for adolescent substance use and sexual risk. Neighborhoods were related to engagement, which was critical to outcomes. Neighborhood disorganization was related to confidence in program effects and program completion. Completion was related to increased ATOD communication. Neighborhood cohesion was related to less program enjoyment, while neighborhood social control was related to more enjoyment. Enjoyment was related to increased ATOD communication and formation and monitoring of alcohol rules. Prevention strategies should focus on neighborhood contexts and enhancing engagement.  相似文献   
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The quality of the early home environment is predictive of young children's subsequent cognitive, academic, and behavioral functioning. Limited research has focused on the effects of the early caregiving environment on the functioning of young children involved with the child welfare system. This study investigated the influence of children's home environments (i.e., number of children in the home, number of moves the child experienced, level of cognitive stimulation, and level of emotional support) during the first 2 years of life on their preschool developmental outcomes (i.e., cognition, language, social skills, and behavior problems).As anticipated, a high-quality early home environment promoted the well-being of preschool children who had entered the child welfare system as infants. Children who lived with greater numbers of children incurred more compromised cognitive, language, behavioral, and social outcomes. No significant associations emerged between the total number of placements and developmental outcomes; children who remained in the same home during infancy (typically the birth family home) had more compromised developmental outcomes in every domain except behavioral problems.Both cognitive stimulation and emotional support in the home predicted higher cognitive and language scores, decreased behavioral problems, and increased social skills. Early out-of-home placement and lack of emotional support interacted to predict children's behavioral problems. These findings are considered in the context of extant research and policy relevant to young children in the child welfare system.  相似文献   
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