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11.
Within children's services, frameworks for assessing outcomes have been developed in the absence of consultation with children with autistic spectrum disorders and their parents. The research reported here worked with parents, other key adults and children with autistic spectrum disorders to identify desired outcomes. It found similarities with non‐autistic children in terms of the broad types of outcomes desired. However, the presence of autism meant either new or different sorts of outcomes were reported. Implications in terms of the ways outcomes for autistic children are defined and measured, and the role of services in achieving outcomes is discussed. © 2006 The Author(s).  相似文献   
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The operation of the Equal Pay Act and recent pressures to end all discrimination against women in employment makes discussion of such discrimination timely. This article begins by examining the forms which discrimination may take place and presenting evidence of the extent to which it is happening. This is followed by a summary of relevant legislation and legislative proposals and an examination of the effects to date of the Equal Pay Act. In the last part of the paper a conceptual framework is suggested for approaching some of the economic problems raised by discrimination. It is suggested that while much light could be shed by economic analysis still remaining to be done, some of the most fundamental points lie in the field of the behavioural scientist rather than the economist.  相似文献   
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Units of observation such as census tracts continue to be analyzed according to various modal characteristics while the variation or diversity existent in such units is often ignored. The qualitative or nominal-level indicators of diversity are examined which (1) are operative in the polytomous situation, and (2) measure within-unit diversity rather than divergences among units. Six qualitative indicators are explained and compared both theoretically and by example, with the Index of Qualitative Variation suggested as the most appropriate measure of diversity when variables representing a nominal scale are used. Quantitative or interval-level diversity also was examined with six measures analyzed, representing three operational situations. Because of the susceptibilities of five of the quantitative measures to skewness and variable sample sizes, the coefficient of variation was recommended for interval-level variables to evaluate within-unit diversity.  相似文献   
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Insights into the causes of Japan's prolonged and sharp fall in total fertility rate come from comparing Japan with France. The two countries share dirigiste administrative approaches, family policy reform undertaken under the auspices of pragmatic right wing parties and justified on pronatalist grounds, and involvement of demographic experts in crafting and shepherding such policies. But the countries differ with respect to their total fertility rates (France 1.98, Japan 1.29) and the effectiveness of their family policies. Thus comparing them can help identify areas of divergence that might explain these differences and assist in the project of theory building. Several salient explanations are rooted in Japan's labor market: it exacts high opportunity costs from parents who interrupt their careers to raise children, keeps ideal workers from having much time for their families, assumes and reinforces a traditional gender ideology, and hires few young workers into good jobs.  相似文献   
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Leaders form different quality leader–member exchange (LMX) relationships with their subordinates. This variable treatment termed LMX differentiation can have negative effects on individuals' behavior and attitudes. In this study, we examined the cross-level main effect of justice climate on task performance and the moderating role of justice climate on the relationship between LMX differentiation and task performance. We tested these two hypotheses using a field study of 90 subordinates nested under 27 supervisors. Procedural justice climate, not distributive justice climate, was found to positively influence subordinate task performance. Further, distributive justice climate, not procedural justice climate, was found to moderate the LMX differentiation–task performance relationship; such that the relationship was positive when distributive justice climate was high and negative when distributive justice climate was low. Findings and future directions are discussed.  相似文献   
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Serious mental illness places a tremendous burden on clients, their families, and behavioral and medical health care providers. The co-occurrence of diabetes with mental illness may further compromise daily functioning. Psychiatric nurses can make a significant difference in improving the health and medical outcomes of this client population. A partnership was developed between the University of Rochester School of Nursing and the Western New York Care Coordination Program to evaluate a novel nursing model for adults with both serious mental illness and diabetes mellitus. The Well Balanced program incorporated health promotion, disease management, nursing care management, and evidence-based practice guidelines into 8 Steps to Wellness for a community-based mental health population. During a 16-visit intervention period, psychiatric nurses interacted with 74 clients. As a result of the program, clients experienced improvements in health risk status and in their hemoglobin A1C and reported high satisfaction with the Well Balanced program.  相似文献   
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This study examined several potential correlates of engagement and disengagement coping, including abuse-related factors, socioeconomic and social coping resources, and childhood trauma variables among a sample of battered women (N = 388). Relationship abuse frequency, particularly psychological aggression, and peritraumatic dissociation were the strongest positive predictors of the use of disengagement coping. Social coping resources, including tangible support and appraisals of social support and belonging, were associated with higher engagement coping and lower disengagement coping. A positive association was also found between interparental domestic violence and disengagement coping, and negative associations were found between both childhood physical and sexual abuse and engagement coping. Results suggest that coping strategies used by battered women are multidetermined and deserve further exploration.  相似文献   
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This study qualitatively examined the perspectives of clinical social workers on non-offending mothers of sexually abused children. The study examined whether clinicians still used collusion to explain mothers' behavior, despite research refuting collusion. Findings revealed that, although workers did not use collusion, they still constructed mothers negatively. Multiple contexts of agency practice influenced constructions. Administrative use of authority to implement external constraints led to workers' resistance, which involved humor with gender and ethnic components. The agency's role as a graduate social work teaching site contributed the following: Field instructors transmitted the belief that incest typified severe family difficulties and posed complex assessment and intervention problems. Implications for effective practice are discussed.  相似文献   
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