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121.
Longitudinal trajectories for HIV risk were examined over 5 years following treatment among 1,393 patients who participated in the nationwide Drug Abuse Treatment Outcome Studies. Both injection drug use and sexual risk behavior declined over time, with most of the decline occurring between intake and the first-year follow-up. However, results of the application of growth mixture models for both sets of trajectories indicated that a subgroup of individuals reverted to a high-risk behavior over time, with a higher level of risk at the 5-year follow-up than their original risk level at intake. Of clients who were engaged in regular injection drug use at intake, 76% continued to inject drug at a moderate-stable or increased rate during the 5-year follow-up.  相似文献   
122.
The goal of this article is to improve the practice and reporting of cost estimates of prevention programs. It reviews the steps in estimating the costs of an intervention and the principles that should guide estimation. The authors then review prior efforts to estimate intervention costs using a sample of well-known but diverse studies. Finally, the authors illustrate the principles with an example, the Family Bereavement Program. They conclude that example by discussing whether and how the costs of the intervention might differ when implemented in a real-world setting.  相似文献   
123.
Correspondence to Professor Roy McConkey, School of Nursing, University of Ulster, Newtownabbey, N. Ireland BT37 0QB. E-mail: r.mcconkey{at}ulster.ac.uk Summary Little is known about the characteristics of children with disabilitieswho meet the British legal definition of ‘looked after’children. Data were obtained on 108 such children living withinone geographical area in Northern Ireland and who spent 90 daysor more in a 12-month period living away from the family home.However, this figure may under-estimate the numbers, given thedifficulties in tracking children aged over 14 years who wereadmitted to hospitals on a short- or long-term basis. The medianage of the children was 14 years; most had learning disabilitiesallied with challenging behaviours, communication difficulties,autism and some were technologically dependent. Many of theirfamilies experienced a range of problems. One-third of the childrenwere accommodated in various residential settings but half ofthese placements were in hospital or adult residential accommodation.However, there were marked differences in the services providedto this client group by the four provider agencies. Future serviceneeds included increased respite breaks for families and theprovision of both more residential placements and more appropriateaccommodation, especially for teenagers. The dilemmas in reconcilingthe need for local, but specialized, service provision are discussed.  相似文献   
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Political actors' perceptions of the contexts in which they act influence their strategies and behavior. A key element of political contexts is the configuration of power with respect to a conflict. We interviewed 28 individuals involved in British Columbia forest politics to determine their perceptions of the configuration of power, the nature of their political behavior, their dispositions with respect to institutionalized conflict resolution processes, and their policy goals. Our analysis generated two sets of conclusions. First, the B.C. government's efforts to address forest conflict will be hindered by the inconsistency between the conflict management strategy they have chosen and the mental models of politics held by key political actors. Second, the subjective realities of political actors can be used to explain variation in political behavior.  相似文献   
127.
This qualitative study involved in-depth interviews with 11 parents whose children had been taken into custody. The initial reactions and responses of the parents to the detention of their children were examined, as well as these parents' thoughts and feelings about theprocess and their involvement in the juvenile justice system. The following major themes emerged from the data analysis: (a) feeling frustrated and confused, (b) a perception of the system as being fair, (c) the juvenile system assuming a parental role, and (d) the influence of detention on family dynamics. Findings highlight the personal experiences of the parents as they attempted to navigate the juvenile justice system.  相似文献   
128.
Everson and Faller's (2012) article on the significance of sexualized behavior in child sexual abuse assessments critiques a chapter by Poole and Wolfe (2009), but their objections assumed conclusions and practice implications that were not contained in that chapter. In this comment, I reiterate the value of educating adults about normative sexual and nonsexual behavior that could be misconstrued as symptoms of sexual abuse in some children, review key points from the chapter, and point out that Everson and Faller's critique supports the chapter's take-home messages (i.e., the importance of gathering information from multiple sources and the need to test alternative hypotheses for concerning behavior, consider the overall context of individual cases, and obtain independent verification of evidence).  相似文献   
129.
Previous listening research has found a variety of personality traits linked to listening style. Researchers in temperament and personality often address the association between temperament type, personality, and social behavior (e.g., communication preferences, miscommunication, and conflict). This study extends this research. Among the results: People Listening Style is moderately associated with the Myers-Briggs Personality Types Feeling and Intuiting. Additional correlational results are presented.  相似文献   
130.
This response paper attempts to explicate the more subtle levels of textual meaning contained in the linear taxonomy that Griffin Hansbury employs to introduce his readers to FTM experience. To this end, a relational interpretive strategy is used. This approach seeks to create a richer interchange with Hansbury's ideas through a discussion of the interplay between the various components of his essay and the corresponding responses of the reader. Factors that contribute to the psychoanalytic precepts supporting the unreflexive pathologizing of trans persons are outlined, including tenets basic to psychoanalytic theory and technique. Of these, the sense of gender disequilibrium that trans phenomena produces in the preconscious experience of the analyst is highlighted. As a supplement to Hansbury's reference list, a briefly annotated bibliography provides references for those interested in further deconstructing the problems of transsexuality within psychoanalysis.  相似文献   
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