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41.
Therapists working in Child and Adolescent Services commonly face the dilemma of if, how and when to address marital problems when the presenting problem is with a child. This article examines the different ways that some of the central family therapy models approach this issue. The Structural, Haley-Madanes Strategic and Milan Systemic models share the assumption that the child's symptoms are reflective of underlying family disturbance, with marital problems given a central place in the hypothesising. In contrast, the Solution Focused and Narrative approaches avoid assumptions about the deeper purpose of symptoms, focusing instead on the impact of the problem on family relationships, including the marriage. This emphasis ensures that parents do not receive either a direct or indirect message that their marriage is to blame. Consequently, a safe context is provided for addressing marital disturbance and for understanding its broader social base. Therapy is about noticing and expanding solution behaviours and competencies, rather than drawing out deeper pathologies. Case examples are used to illustrate the clinical applications of a Solution Focused-Narrative approach when children's problems emerge in conjunction with marital problems.  相似文献   
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A sample of 16 women and men who accompanied their adopted children with severe developmental disabilities to a medical appointment at Henry Ford Hospital's Multidisciplinary Care Clinic during the one-year period beginning July 1, 1988 are described in the context of their parental role vis-a-vis these children. Results of the study are presented through use of a six-part organizational scheme: demographic and social traits of the parents and their adopted children, the adopted children in family context, life satisfactions of the parents, adoption motives, adoption satisfactions, and humanization of the children.  相似文献   
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While day care sexual abuse cases share features in common with sexual abuse in other settings, many characteristics of abuse in day care settings merit special attention. These factors include the young age of the child victims, the involvement of multiple victims and multiple perpetrators, females as perpetrators, use of extreme threats, severity of the abuse, and in some instances ritualistic activities. Research findings support clinical impressions that children are negatively impacted by sexual abuse in day care. Consequences of abuse in day care include anxiety, excessive fearfulness, behavioural disturbances, sexual acting out and sleep disorders. Parents whose children are abused in day care centres also experience psychological distress with symptom profiles consistent with post-traumatic stress disorder. Abuse of children in day care settings warrants a specialized treatment approach. A major goal of treatment is to decrease symptomatology among all family members.  相似文献   
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The mean density of bacteria in a water body is commonly monitored using quantal assay. This paper describes the use of local scoring in estimating the spatial distribution of mean density from quantal assay results at a set of point locations. An application to estimating the mean density of fecal conform bacteria in a coastal pond is presented. Model diagnostics based on a parametric bootstrap are also presented.  相似文献   
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We specify and estimate a model of the early employment growth of technology-driven new ventures. Our estimated model is derived from labor demand theory. A data set of 100 German firms is used to conduct this analysis. The study’s findings support the relevance of the theory as applied to these nascent firms. Employment growth is significantly enhanced in ventures exhibiting high profits, experienced founders, formal information processes, and outsourced product distribution. Our findings also confirm aspects of Penrose’s theory of firm growth suggesting that transactions costs associated with larger founder teams may inhibit employment growth.  相似文献   
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