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101.
Our objective is to standardize and evaluate a combined physical and psychosexual therapy for women with provoked vestibulodynia. Twenty-four patients underwent the treatment program. Sessions with a psychosexual counselor included issues on sexual functioning, psychological adjustments, and stress elimination. Exercises for mucosal desensitization and reestablishment of pelvic floor function were supervised by a midwife. A questionnaire was used for evaluation at a minimum of 6 months after the treatment. The mean number of appointments to the counselor was 12 (4-24) and 15 (9-26) to the midwife during a mean period of 53 weeks (19-92). Nineteen women (79%) considered themselves to be cured or having greatly improved. Intercourse frequency was increased (p = 0.001) and coital pain was reduced (p = 0.02) after completing the treatment. Improvements in sexual functioning and coping strategies for psychological impairment and stress were reported. Women with provoked vestibulodynia benefit from a multidisciplinary treatment model including desensitization of the vestibular mucosa, rehabilitation of the pelvic floor, and psychosexual adjustments. 相似文献
102.
Deinera Exner MPH Nina Cummings MS 《Journal of American college health : J of ACH》2013,61(7):655-657
Abstract Prosocial bystander interventions are promising approaches to sexual assault prevention on college campuses. Objective: To assess bystander attitudes among undergraduate students at a northeastern university. Participants: A convenience sample of 188 students from 4 undergraduate classes was surveyed during regularly scheduled class sessions. Methods: Participants completed a short survey on bystander efficacy, readiness to change, and barriers to intervention prior to the start of class. Results: The majority of students were not involved in activities or programs focused on sexual assault prevention. Although students agreed that violence could be prevented, they perceived many barriers to their own participation in intervention. Conclusions: There is a need for gender-targeted prevention programming that introduces the idea of prosocial bystander intervention, with a focus on increasing self-efficacy and lowering barriers. 相似文献
103.
Nina Rovinelli Heller PhD Terry Brumley Northcut PhD 《Smith College studies in social work》2013,83(2):197-215
The authors propose that constructivism provides a theoretical framework suitable for the complexities of contemporary social work practice. The specific focus is on the areas of confluence of cognitive‐behavioral and psychodynamic theory and technique. Building on their earlier work on psychotherapy integration, the authors extend their notion of “starting where the client is,” is in fact a constructivist concept, critical to the meaning‐making process. Through the use of case vignettes and a select review of the literature from both the psychodynamic and cognitive‐behavioral traditions, the importance of the active participation of both the client and the therapist are demonstrated. The use of the therapeutic relationship is highlighted in both the psychodynamic and cognitive‐behavioral perspectives, as is the social context of the client. 相似文献
104.
For the interaction between the biostatistician and the clinician or research investigator to be successful, it is important not only for the investigator to be able to explain biological and medical principles in a way that can be understood by the biostatistician, so, too, the biostatistician needs tools to help the investigator understand both the practice of statistics and specific statistical methods. In our practice, we have found it useful to draw analogies between statistical concepts and familiar medical or everyday ideas. These analogies help to stress a point or provide an understanding on the part of the investigator. For example, explaining the reason for using a nonparametric procedure (a general procedure used when the underlying distribution of the data is not known or cannot be assumed) by comparing it to using broad spectrum antibiotics (a general antibiotic used when the specific bacteria causing infection is unknown or cannot be assumed) can be an effective teaching tool. We present a variety of useful (and hopefully amusing) analogies that can be adopted by statisticians to help investigators at all levels of experience better understand principles and practice of statistics. 相似文献
105.
Dipl.-Psych. Nina Jahn 《Organisationsberatung, Supervision, Coaching》2012,19(3):295-308
The issue of dual career couples has gained considerable relevance in recent years. On the one hand, this results in an increase in the number of publications. On the other hand, some companies have become to recognize the needs of dual career couples and utilize this specifically in the search for the ??high potentials??. Furthermore, it is demonstrated why it is also important for an internal coach to take into account the challenges, specifics and opportunities of dual career couples. The most common areas of tension are identified and illustrated basing on examples and experiences. 相似文献
106.
107.
Sebastian P.L. Fourné Nina Rosenbusch Mariano L.M. Heyden Justin J.P. Jansen 《European Management Journal》2019,37(5):564-576
This meta-analysis examines the conditions under which structural and contextual approaches help balance exploration and exploitation. Drawing on heterogeneous samples of prior ambidexterity studies, we apply moderated meta-analytic regression methods to 33,492 organizations sampled in 114 primary studies from 1991 to 2017 to test a contingency model. Our findings suggest that structural separation helps firms of all sizes to balance exploration and exploitation, and that structural separation is more conducive for balancing exploration and exploitation in high technology environments. Also, avoiding a structural separation approach benefits service firms. As research on ambidexterity enters the maturity stage we discuss the implications for future theory development, methodology, and for managers interested in developing ambidextrous organizations. 相似文献
108.
Bjrn Meder Nadine Fleischhut Nina‐Carolin Krumnau Michael R. Waldmann 《Risk analysis》2019,39(2):295-314
Autonomous vehicles (AVs) promise to make traffic safer, but their societal integration poses ethical challenges. What behavior of AVs is morally acceptable in critical traffic situations when consequences are only probabilistically known (a situation of risk) or even unknown (a situation of uncertainty)? How do people retrospectively evaluate the behavior of an AV in situations in which a road user has been harmed? We addressed these questions in two empirical studies (N = 1,638) that approximated the real‐world conditions under which AVs operate by varying the degree of risk and uncertainty of the situation. In Experiment 1, subjects learned that an AV had to decide between staying in the lane or swerving. Each action could lead to a collision with another road user, with some known or unknown likelihood. Subjects’ decision preferences and moral judgments varied considerably with specified probabilities under risk, yet less so under uncertainty. The results suggest that staying in the lane and performing an emergency stop is considered a reasonable default, even when this action does not minimize expected loss. Experiment 2 demonstrated that if an AV collided with another road user, subjects’ retrospective evaluations of the default action were also more robust against unwanted outcome and hindsight effects than the alternative swerve maneuver. The findings highlight the importance of investigating moral judgments under risk and uncertainty in order to develop policies that are societally acceptable even under critical conditions. 相似文献
109.
Neural Interaction Between Risk Sensitivity and Cognitive Control Predicting Health Risk Behaviors Among Late Adolescents
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Jungmeen Kim‐Spoon Kirby Deater‐Deckard Nina Lauharatanahirun Julee P. Farley Pearl H. Chiu Warren K. Bickel Brooks King‐Casas 《Journal of research on adolescence》2017,27(3):674-682
The developmental period of adolescence is characterized by increasing incidence of health risk behaviors (HRBs). Based on theoretical models that emphasize the moderating role of cognitive control, this study examined how neural correlates of cognitive control and risk sensitivity interact to predict HRBs among late adolescents (17–20 years). Neuroimaging data indicate that risk‐related hemodynamic activity in the anterior insula during anticipation of uncertain outcomes predicts HRBs among late adolescents exhibiting greater dorsal anterior cingulate cortex (dACC) activity during a cognitive interference task but not among late adolescents requiring less dACC activity. These results present neural evidence for a significant moderating effect of cognitive control on the link between risk sensitivity and HRBs among late adolescents. 相似文献
110.